Qin Feifei, Li Wen, Qiu Jianxin, Zhang Li, Zhong Mei
Department of Otorhinolaryngology, The First Affiliated Hospital of Anhui Medical University, China.
J Otol. 2016 Dec;11(4):198-201. doi: 10.1016/j.joto.2016.12.001. Epub 2016 Dec 14.
To report complications related to flap around implants after cochlear implantation, possible causes of such complications and treatments.
We performed a retrospective analysis of children in whom complications related to flap around implants occurred after undergoing cochlear implantation in our department from 2005 to 2016.
Complications among 1500 cochlear implantation (CI) recipients by the same surgeon included hematoma (n = 20) and seroma around implants (n = 15), of which most (n = 10) recovered in 2 weeks after effective drainage, utility of antibiotics and pressure dressing, but 5 developed flap necrosis and had to undergo contralateral re-implantation. Four patients developed abscess around implants, of whom 2 recovered after 2 weeks of drainage, gentamicin irrigation and use of antibiotics, but 2 patients ended up with flap necrosis and had to receive contralateral reimplantation.
Immediate drainage, pressure dressing and antibiotics can be used to effectively control seroma around implants. For seroma lasting for more than two weeks without improvement, surgical drainage may be need.
报告人工耳蜗植入术后植入体周围皮瓣相关并发症、此类并发症的可能原因及治疗方法。
我们对2005年至2016年在我科接受人工耳蜗植入术后发生植入体周围皮瓣相关并发症的儿童进行了回顾性分析。
同一位外科医生进行的1500例人工耳蜗植入（CI）受者中，并发症包括血肿（n = 20）和植入体周围血清肿（n = 15），其中大多数（n = 10）在有效引流、使用抗生素和加压包扎后2周内恢复，但有5例发生皮瓣坏死，不得不接受对侧重新植入。4例患者发生植入体周围脓肿，其中2例在引流、庆大霉素冲洗和使用抗生素2周后恢复，但2例患者最终出现皮瓣坏死，不得不接受对侧重新植入。
立即引流、加压包扎和使用抗生素可有效控制植入体周围血清肿。对于持续两周以上且无改善的血清肿，可能需要手术引流。
