Pain at the Cochlear Implant Site Requiring Device Removal in Pediatric Patients.


Journal

The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378

Informations de publication

Date de publication:
10 2022
Historique:
revised: 04 11 2021
received: 26 07 2021
accepted: 02 12 2021
pubmed: 5 1 2022
medline: 14 9 2022
entrez: 4 1 2022
Statut: ppublish

Résumé

Idiopathic pain at the cochlear implant (CI) site outside of the immediate postoperative period is an uncommon occurrence but may necessitate device explantation. Our objective was to describe the clinical course for pediatric patients with CI site pain who ultimately required device explantation. Retrospective chart review. We performed a retrospective database review of CIs performed at a tertiary referral center for pediatric cochlear implantation. We specifically evaluated pediatric patients who presented with pain at or near the CI device site and ultimately required explantation. Fifteen patients (16 CIs) had pain at or near the CI site requiring device explantation. Cultures taken during site exploration or device explantation identified bacteria in 86% and 81% of procedures, respectively. Propionibacterium acnes and Staphylococcus non-aureus were the most commonly identified organisms. The majority of patients with idiopathic pain in this cohort ultimately requiring CI explantation had chronic bacterial colonization. 4 (Case series) Laryngoscope, 132:2044-2049, 2022.

Identifiants

pubmed: 34981837
doi: 10.1002/lary.29993
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2044-2049

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2022 The American Laryngological, Rhinological and Otological Society, Inc.

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Auteurs

A Eliot Shearer (AE)

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.
Harvard Medical School, Boston, Massachusetts, U.S.A.

Alicia Wang (A)

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.

Maranda Lawton (M)

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.

Catherine Lachenauer (C)

Harvard Medical School, Boston, Massachusetts, U.S.A.
Department of Infectious Disease, Boston Children's Hospital, Boston, Massachusetts, U.S.A.

Jacob R Brodsky (JR)

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.
Harvard Medical School, Boston, Massachusetts, U.S.A.

Dennis Poe (D)

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.
Harvard Medical School, Boston, Massachusetts, U.S.A.

Margaret Kenna (M)

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.
Harvard Medical School, Boston, Massachusetts, U.S.A.

Greg Licameli (G)

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.
Harvard Medical School, Boston, Massachusetts, U.S.A.

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