From the Department of Otolaryngology (Aldhafeeri), Hafr Albaten Central Hospital, Hafr Albaten; and from the Department of Otolaryngology (Alzhrani, Alajlan, AlSanosi, Hagr), College of Medicine, King Abdullah Ear Specialist Center, King Saud University Medical City, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Saudi Med J. 2021 Feb;42(2):223-227. doi: 10.15537/smj.2021.2.25647.
To discuss our experience with managing cochlear implant cases that required revision surgery.
A retrospective case series study including data from 922 cochlear implant patients at an academic tertiary center was evaluated retrospectively. All patients who underwent revision cochlear implant (CI) surgery between January 2011 and July 2017 were included. The following data were collected: patient demographic data, details on the first implant, reasons for the revision, duration from initial implantation to revision, type of device, and management.
Out of 922 CI patients, 37 (4%) underwent revision surgery, comprising 33 children and 4 adults. The most common reason for revision surgery, at 28/37 cases (75.6%), was device failure. Surgical and medical aetiologies were responsible for 9/37 (24.3%) revisions. The mean duration from the initial implantation to the revision surgery was 29 months.
Revision CI surgery is not uncommon after initial implantation. Cochlear implant programs must implement long-term follow-up processes for CI users. Whenever a patient's rehabilitated performance regresses, the cause should be investigated to determine whether subsequent reimplantation is necessary.
讨论我们在处理需要修正手术的人工耳蜗植入病例方面的经验。
对一家学术性三级中心的 922 例人工耳蜗植入患者的数据进行回顾性病例系列研究。所有在 2011 年 1 月至 2017 年 7 月期间接受修正性人工耳蜗（CI）手术的患者均纳入研究。收集以下数据：患者人口统计学数据、首次植入的详细信息、修正原因、从初次植入到修正的时间、设备类型和处理方法。
在 922 例 CI 患者中，有 37 例（4%）接受了修正手术，包括 33 名儿童和 4 名成人。最常见的修正手术原因（28/37 例，75.6%）是设备故障。手术和医疗病因分别导致了 9/37 例（24.3%）的修正手术。从初次植入到修正手术的平均时间为 29 个月。
初次植入后，修正性 CI 手术并不少见。人工耳蜗项目必须为 CI 用户实施长期的随访流程。一旦患者的康复表现出现倒退，就应调查其原因，以确定是否需要再次植入。
