ORIGINAL ARTICLE Medical and Surgical Complications in Pediatric Cochlear Implantation Natalie Loundon, MD; Marion Blanchard, MD; Gilles Roger, MD; Franc¸oise Denoyelle, MD, PhD; Erea Noël Garabedian, MD Objectives: To report complications of cochlear im- tients (65.1%), with a mean delay of 2.2 (range, 0.1-8.4) plantation (CI) in children and to analyze risk factors. years. Twenty-four patients (5.5%) had major complica- tions, consisting of severe cutaneous infections (15 pa- Design: Retrospective study from January 1, 1990, tients), magnet displacement (3), meningitis (2), choles- through April 30, 2008, with a mean follow-up of 5.5 years teatoma (2), cerebrospinal fluid leak (1), and electrode (range, 1 month to 17 years). misplacement (1). Nineteen (4.4%) had minor complica- tions, consisting of vertigo (9 patients), soft-tissue infec- Setting: Tertiary academic center. tion (5), persistent otitis media (4), and facial palsy (1). Complications led to reimplantation in 13 of the 43 pa- Patients: Four hundred thirty-four patients younger than tients (30.2%). Trauma to the mastoid area (14 patients) 16 years. Mean age at CI was 4.7 (range, 0.6-16.0) years. and inner ear malformations (51) were highly correlated Forty-one children (9.4%) underwent CI when younger with major delayed complications (P.001) and early mi- than 24 months.
JAMA Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Jan 1, 2010
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