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Surgical aspects of paediatric cochlear implantation

Published online by Cambridge University Press:  29 June 2007

B. C. Papsin ,
C. M. Bailey ,
D. M. Albert  and
S. C. Bellman
B. C. Papsin*
Affiliation:
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children NHS Trust, London, UK
C. M. Bailey
Affiliation:
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children NHS Trust, London, UK
D. M. Albert
Affiliation:
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children NHS Trust, London, UK
S. C. Bellman
Affiliation:
Department of Audiology, Great Ormond Street Hospital for Children NHS Trust, London, UK
*
Address for correspondence: Dr B. C. Papsin, Department of Pediatric Otolaryngology, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, CanadaM5G 1X8.
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Abstract

Cochlear implantation in the paediatric population is now an accepted method of rehabilitating profoundly or totally deaf children. The problems of cochlear implantation in children with other significant medical problems are examined. A retrospective review of the records of the first 45 children implanted at our centre was carried out. The review focused on surgical factors and outcome in addition to variations in technique which have occurred since the programme began. Congenital hearing loss was the most common indication for implantation. Fifteen children (33 per cent) had other medical problems. Three cases of flap breakdown (two occurring after direct trauma to the package bed) and one case of a misplaced electrode requiring re-implantation accounted for the only major complications to date. Minor complications included hypertrophic scar formation and post-operativewound infection. All children were using their implants at the time of this review, but two have subsequently been explanted. Cochlear implantation of children with multiple medical problems requires acceptance of a slightly higher risk of complications.

Keywords

CochleaCochlear implant, complicationsChild
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 3 , March 1997 , pp. 240 - 244
Copyright
Copyright © JLO (1984) Limited 1997

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References

Cohen, N. L., Hoffman, R. A., Stroschein, M. (1988) Medical or surgical complications related to the nucleus multi- channel cochlear implant. Annals of Otology, Rhinology and Laryngology 97: 8–13.CrossRefGoogle Scholar
Cohen, N. L. (1989) Medical or surgical complications related to the Nucleus multichannel cochlear implant (Letter to Editor). Annals of Otology, Rhinology and Laryngology 98: 754.Google ScholarPubMed
Cohen, N. L., Hoffman, R. A. (1991) Complications of cochlear implant surgery in adults and children. Annals of Otology, Rhinology and Laryngology 100: 708–711.CrossRefGoogle ScholarPubMed
Cohen, N. L., Hoffman, R. A. (1993) Surgical complications of multichannel cochlear implants in North America. Advances in Otorhinolaryngology 48: 70–74.Google ScholarPubMed
Hoffman, R. A., Cohen, N. L. (1993) Surgical pitfalls in cochlear implantation. The Laryizgoscope 103: 741–744.CrossRefGoogle ScholarPubMed
Lenhardt, E., Hirshorn, M. S. (1986) Cochlear Implants. Springer-Verlag: Berlin, Germany, pp 128–132.Google Scholar
Lloyd, R. V., Gibbin, K. P., O'Donoghue, G. M. (1995) Pediatric cochlear implants. Surgical aspects: the Nottingham pediatric cochlear implant programme. Review of Laryngology, Otology and Rhinology 116: 85–87.Google ScholarPubMed
O'Donoghue, G. M., Davis, A. C., Fortnum, H. (1995) Cochlear implants. Projected demand in Europe. Advances in Oto-Rhino-Laryngology 50: 190–194.CrossRefGoogle ScholarPubMed
Summerfield, A. Q., Marshall, D. H. (1995)Medical, Surgical and Technical Complications. In: Cochlear Implantation in the UK 1990–1994: Report by the MRC Institute of Hearing Research on the Evaluation of the National Cochlear Implant Programme. MRC Main Report, pp 191–198.Google Scholar
Wang, R. C., Parisier, S. C., Weiss, M. H., Chute, P. M., Hellman, S. A., Sauris, E. (1990) Cochlear implant flap complications. Annalsof Otology, Rhinology and Laryngology 99: 791–794.CrossRefGoogle ScholarPubMed
Webb, R. L., Lehnhardt, E., Clark, G. M., Laszig, R., Pyman, B. C., Franz, B. K. H. G. (1991) Surgical complications with the cochlear multiple-channel intracochlear implant: Experience at Hannover and Melbourne. Annals of Otology, Rhinology and Laryngology 100: 131–136.CrossRefGoogle ScholarPubMed