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基于拟议报告共识的成人人工耳蜗植入术后手术并发症

Surgical complications following cochlear implantation in adults based on a proposed reporting consensus.

作者信息

Jeppesen Jonas, Faber Christian Emil

机构信息

Department of Otorhinolaryngology, Odense University Hospital , Denmark.

出版信息

Acta Otolaryngol. 2013 Oct;133(10):1012-21. doi: 10.3109/00016489.2013.797604. Epub 2013 Jun 14.

Abstract

CONCLUSION

The rate of severe complications was low and cochlear implantation is a relatively safe procedure. Standardization is crucial when reporting on cochlear implant complications to ensure comparability between studies. A consensus on the reporting of complications proposed by a Danish team of researchers was applied, evaluated and found beneficial.

OBJECTIVES

To report the surgical complications following cochlear implantation at our centre, applying and evaluating a proposed reporting consensus.

METHODS

A retrospective file review of 308 consecutive adult implantations in 269 patients between 1994 and 2010 at Odense University Hospital was performed.

RESULTS

The three most common major complications were wound infection (1.6%), permanent chorda tympani syndrome (1.6%) and electrode migration/misplacement/accidental removal (1.3%). Permanent facial nerve paresis occurred following one implantation (0.3%). Transient chorda tympani syndrome (30.8%), vertigo/dizziness (29.5%) and tinnitus (4.9%) were the most frequent minor complications.

摘要

结论

严重并发症发生率较低,人工耳蜗植入是一种相对安全的手术。在报告人工耳蜗植入并发症时,标准化至关重要,以确保各研究之间具有可比性。丹麦一组研究人员提出的并发症报告共识得到应用、评估并发现是有益的。

目的

应用并评估一项提议的报告共识,报告我们中心人工耳蜗植入后的手术并发症。

方法

对1994年至2010年在欧登塞大学医院连续进行的269例患者的308例成人植入手术进行回顾性病历审查。

结果

三种最常见的主要并发症为伤口感染(1.6%)、永久性鼓索神经综合征(1.6%)和电极移位/误置/意外拔除(1.3%)。1例植入后发生永久性面神经麻痹(0.3%)。最常见的轻微并发症为短暂性鼓索神经综合征(30.8%)、眩晕/头晕(29.5%)和耳鸣(4.9%)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1525/3793264/50654fe67a80/OTO-133-1012-g001.jpg

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