Broomfield S J, Murphy J, Emmett S, Wild D, O'Donoghue G M
Cochlear Implants Int. 2013 Nov;14 Suppl 4:S19-21. doi: 10.1179/1467010013Z.000000000126.
Following the approval of bilateral paediatric cochlear implantation in 2009, the prospective multi-centre UK National Paediatric Cochlear Implant Audit was established to collect a large dataset of paediatric implantations. The aim of the surgical part of the audit, reported here, was to collect data on surgical practice, outcomes and complications.
Data from 14 surgical centres was collected prospectively, including simultaneous and sequential bilateral as well as unilateral implantations. Data collected included age at implantation, aetiology of deafness, implant type, duration of surgery, the use of electrophysiological testing, and the use of pre- and post-operative imaging. Details of major and immediate minor complications were also recorded.
1397 CI procedures in 961 CI recipients were included; 436 bilateral simultaneous, 394 bilateral sequential, 131 unilateral. The overall major complication rate was 1.6% (0.9% excluding device failure) and was similar following bilateral CI compared to sequential and unilateral CI.
This prospective multi-centre audit provides evidence that bilateral paediatric CI is a safe procedure in the UK, thus endorsing its role as a major therapeutic intervention in childhood deafness.
2009年双侧儿童人工耳蜗植入获得批准后，英国建立了前瞻性多中心国家儿童人工耳蜗植入审计，以收集大量儿童植入数据集。本文报告的审计手术部分的目的是收集有关手术操作、结果和并发症的数据。
前瞻性收集了14个手术中心的数据，包括同时和序贯双侧以及单侧植入。收集的数据包括植入时的年龄、耳聋病因、植入类型、手术持续时间、电生理测试的使用以及术前和术后成像的使用。还记录了主要和直接轻微并发症的详细信息。
纳入了961名人工耳蜗接受者的1397例人工耳蜗植入手术；436例双侧同时植入，394例双侧序贯植入，131例单侧植入。总体主要并发症发生率为1.6%（排除设备故障为0.9%），双侧人工耳蜗植入后的发生率与序贯和单侧人工耳蜗植入相似。
这项前瞻性多中心审计提供了证据，表明双侧儿童人工耳蜗植入在英国是一种安全的手术，从而认可了其作为儿童耳聋主要治疗干预措施的作用。
