Navigation Links
Complications common, often linked to trauma in children receiving cochlear implants
Date:1/18/2010

Some complications may occur in children receiving cochlear implants, and are highly correlated with trauma to the ear area and inner ear malformation, according to a report in the January issue of Archives of OtolaryngologyHead & Neck Surgery, one of the JAMA/Archives journals.

Cochlear implants are electronic devices that can help provide a sense of sound to individuals who are deaf or severely hearing-impaired. "The success of cochlear implantation as an auditory rehabilitative tool requires a thorough knowledge of indications, limitations and potential risks," the authors write as background information in the article. "Since 1990, the number of pediatric cochlear implants has increased significantly, and more specific pediatric evaluation of the medical and surgical risks can be collected."

Natalie Loundon, M.D., and colleagues at Hpital d'Enfants Armand-Trousseau, Paris, studied 434 patients who underwent cochlear implantation at one facility between 1990 and 2008. All patients were younger than 16 at the time of operation (average age 4.7 years), 41 (9.4 percent) were younger than 24 months and 43 (9.9 percent) had inner ear malformations. They were followed up for an average of 5.5 years, with complications tracked and classified as early (zero to eight days) or delayed (more than eight days after surgery), and major (requiring a new admission and/or extended hospital stay) or minor.

A total of 43 patients (9.9 percent) experienced complications during the follow-up period. Of these, 28 (65.1 percent) were delayed, with an average delay of 2.2 years. Thirteen of the 43 patients (30.2 percent) underwent re-implantation as a result of their complications.

Twenty-four (5.5 percent) of the patients had major complications, including severe infections (15 cases), displacement of the magnet (three cases), meningitis (two cases), skin cyst in the middle ear (two cases), cerebrospinal fluid leak (one case) and misplacement of the electrode (one case). Nineteen (4.4 percent) of the participants had minor complications, including vertigo (nine patients), soft-tissue infections (five patients), persistent inflammation of the middle ear (four patients) and facial paralysis (one patient).

"Trauma to the mastoid [bony projection behind the ear] area (14 patients) and inner ear malformations (51) were highly correlated with major delayed complications and early minor complications, respectively," the authors write. "Young age at cochlear implantation was not correlated with any type of complication."

The findings show that complications associated with cochlear implants are not rare and can often be delayed, they note. "The finding of complications several years after surgery highlights the need for long-term medical follow-up in this population and the importance of repeatedly providing information to the patients and their family," they conclude. "The specific features of pediatric cochlear implantation warrant a specialized, experienced care center."


'/>"/>

Contact: Natalie Loundon, M.D.
natalie.loundon@trs.aphp.fr
JAMA and Archives Journals
Source:Eurekalert

Related medicine news :

1. Exercise May Reduce the Complications of Diabetes, According to Sports Health Journal Study
2. Attorney Fred Pritzker Calls for Meaningful Food Safety Reform in Light of Food Poisoning Complications
3. Asthma a significant risk factor for complications in children with H1N1
4. Massachusetts Model Tobacco Cessation Benefit Spurs Unprecedented Drop in Smoking Rates, Heart Attacks, Asthma, and Birth Complications
5. Minimally invasive radical prostatectomy shows advantages, but also certain complications
6. Patients who received donated pacemakers survive without complications
7. Surgical Deaths Linked to Handling of Complications
8. Statins Before Vascular Surgery Cut Deaths, Complications
9. Video: New Insights Link Low HDL-Cholesterol and Elevated Triglycerides with Coronary Heart Disease and Microvascular Complications in Patients at Goal for LDL-Cholesterol
10. Neurological complications of heart surgery
11. Immunoglobulin Can Predict Some Diabetic Complications
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... Austin, TX (PRWEB) , ... June 25, 2016 , ... ... Fellow of the American College of Mohs Surgery and to Dr. Russell Peckham for ... popular and highly effective treatment for skin cancer. The selective fellowship in Mohs Micrographic ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, Dr. ... his M.D from the David Geffen School of Medicine at UCLA. He trained in ... to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article published June 14 ... The article goes on to state that individuals are now more comfortable seeking to ... operations such as calf and cheek reduction. The Los Angeles area medical group, Beverly ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Pulmonary ... Dallas that it will receive two significant new grants to support its work ... marked its 25th anniversary by recognizing patients, medical professionals and scientists for their ...
(Date:6/24/2016)... Rhinebeck, NY (PRWEB) , ... June 24, 2016 , ... Topical BioMedics, Inc, makers of ... of companies that call for a minimum wage raise to $12 an hour by 2020 ... wage. This will restore the lost value of the minimum wage, assure the wage floor ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... June 23, 2016 Research and Markets ... Market - Forecast to 2022" report to their offering. ... method for the patients with kidney failure, it replaces the ... from the patient,s blood and thus the treatment helps to ... chloride in balance. Increasing number of ESRD ...
(Date:6/23/2016)... 23, 2016 Research and Markets has ... Market Analysis 2016 - Forecast to 2022" report to ... report contains up to date financial data derived from varied ... major trends with potential impact on the market during the ... segmentation which comprises of sub markets, regional and country level ...
(Date:6/23/2016)... INDIANAPOLIS , June 23, 2016 ... Tomorrow,s Leaders Scholarship is any indication, the future is ... online at www.diabetesscholars.org by the Diabetes Scholars ... in the way of academic and community service excellence. ... program since 2012, and continues to advocate for people ...
Breaking Medicine Technology: