Article
Surgical issues in cochlear implantation – our experience
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Authors
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Violeta Necula
- University of Medicine, Cluj-Napoca, Romania
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Marcel Cosgarea
- University of Medicine, Cluj-Napoca, 400006, Romania
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Sorin-Emil Necula
- CF University Hospital, Cluj-Napoca, Romania
| Published: | April 15, 2013 |
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Outline
Text
Aim: Cochlear implantation is a safe surgical procedure in severe-to-profound hearing impaired patients. The risk of cochlear implantation is similar those of classic mastoidectomy. The postoperative complications have been well characterized and the incidence of severe complications is low.
Material, Methods: We evaluate the intra- and postoperative complication in a retrospective study on 67 patients, who underwent cochlear implantation in our department between 2003–2010.
Results: Intraoperative, gusher syndrome occurred in one patient, facial nerve malformation in one patient, bleeding from mastoid emissary vein in two cases and chorda tympani nerve injury in 3 cases. Early postoperative complications occur in the first 7–10 days and include minor flap complications in 5 patients. Late complications included otitis media and devices failure.
Conclusions: Careful operation technique and a well-trained surgeon can avoid severe intraoperative and early postoperative complications. Late-onset complications
like otitis media or device failure could occur in some cases and needs surgical treatment.
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