The diagnostic value of computed tomography in delayed complications after cochlear implantation.
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Cochlear Implantation
/ adverse effects
Cochlear Implants
/ adverse effects
Female
Humans
Infant
Male
Middle Aged
Postoperative Complications
/ diagnostic imaging
Prosthesis Failure
Reoperation
Retrospective Studies
Temporal Bone
/ diagnostic imaging
Tomography, X-Ray Computed
Young Adult
Tomography
X-Ray computed
cochlear implantation
postoperative complications
retrospective studies
Journal
Acta oto-laryngologica
ISSN: 1651-2251
Titre abrégé: Acta Otolaryngol
Pays: England
ID NLM: 0370354
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
pubmed:
14
10
2020
medline:
21
10
2021
entrez:
13
10
2020
Statut:
ppublish
Résumé
Delayed complications after cochlear implant (CI) surgery can result in the need for revision surgery. Temporal bone computed tomography (tCT) is frequently used in the diagnostic work-up for these patients. We aimed to test for the value of tCT in delayed complications after CI surgery. Retrospective chart review including all patients with CI who were consecutively enrolled in our academic tertiary care centre and received a tCT due to delayed complications between January 2008 and December 2017. A total of 85 patients with a mean age of 28 years at CI surgery were identified. Mean time between CI and tCT was 4.3 years. Reasons for performance of tCT were device malfunction (20%), cephalgia (20%), scalp hematoma/seroma (15.3%), device failure (11.8%), vertigo (10.6%), local infection (7.1%), trauma (5.9%), meningism (3.5%), tinnitus (3.5%) and facial palsy (2.4%). No abnormalities in tCT were detected in 82.4%. However, an abnormal tCT was a predictor for surgical therapy ( We recommend the performance of tCT in CI patients with delayed complications to identify or rule out pathology in order to choose the most ideal and relevant individual treatment.
Sections du résumé
BACKGROUND
BACKGROUND
Delayed complications after cochlear implant (CI) surgery can result in the need for revision surgery. Temporal bone computed tomography (tCT) is frequently used in the diagnostic work-up for these patients.
AIMS/OBJECTIVES
OBJECTIVE
We aimed to test for the value of tCT in delayed complications after CI surgery.
MATERIAL AND METHODS
METHODS
Retrospective chart review including all patients with CI who were consecutively enrolled in our academic tertiary care centre and received a tCT due to delayed complications between January 2008 and December 2017.
RESULTS
RESULTS
A total of 85 patients with a mean age of 28 years at CI surgery were identified. Mean time between CI and tCT was 4.3 years. Reasons for performance of tCT were device malfunction (20%), cephalgia (20%), scalp hematoma/seroma (15.3%), device failure (11.8%), vertigo (10.6%), local infection (7.1%), trauma (5.9%), meningism (3.5%), tinnitus (3.5%) and facial palsy (2.4%). No abnormalities in tCT were detected in 82.4%. However, an abnormal tCT was a predictor for surgical therapy (
CONCLUSIONS AND SIGNIFICANCE
CONCLUSIONS
We recommend the performance of tCT in CI patients with delayed complications to identify or rule out pathology in order to choose the most ideal and relevant individual treatment.
Identifiants
pubmed: 33045882
doi: 10.1080/00016489.2020.1829702
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM