Cohen N L, Hoffman R A, Stroschein M
Department of Otolaryngology, New York University School of Medicine, NY 10016.
Ann Otol Rhinol Laryngol Suppl. 1988 Sep-Oct;135:8-13. doi: 10.1177/00034894880975s202.
A questionnaire was sent to 152 surgeons to survey complications associated with the implantation of the Nucleus multichannel cochlear implant. Complications were categorized as life-threatening; major, if they necessitated revision surgery; or minor, if they resolved spontaneously or with minimal treatment. A total of 55 complications occurred in 459 reported operations for an overall complication rate of 11.8%. There were no deaths, but there was one life-threatening complication, a case of meningitis. There were 23 (4.8%) major complications, most of which involved flap design or electrode insertion (and included the case of meningitis). There were 32 (7%) minor complications. Most of the complications might have been avoided by proper training, planning of the operations, and careful attention to detail. We recommend that all prospective implant surgeons attend a device-specific training course and practice in the temporal bone laboratory.
向152名外科医生发放了一份调查问卷，以调查与Nucleus多通道人工耳蜗植入相关的并发症。并发症分为危及生命的；如果需要进行翻修手术则为严重并发症；如果并发症自行缓解或只需进行极少治疗则为轻微并发症。在459例报告的手术中，共发生了55例并发症，总体并发症发生率为11.8%。没有死亡病例，但有1例危及生命的并发症，即1例脑膜炎。有23例（4.8%）严重并发症，其中大多数涉及皮瓣设计或电极插入（包括脑膜炎病例）。有32例（7%）轻微并发症。通过适当的培训、手术规划以及对细节的密切关注，大多数并发症或许可以避免。我们建议所有未来的植入外科医生参加特定设备培训课程并在颞骨实验室进行练习。
