B042 Combined technique to avoid cochlear implant complications

Background. Cochlear implant infections and extrusion are uncommon but potentially devastating complications. Recent literature suggests conservative management can be employed. Local measures inclusive of aggressive surgical debridement with vascularized flaps and parenteral antibiotics represent a viable option and often permit device salvage. However, explantation should be considered if there is evidence of systemic, intracranial, or intractable infection.Method. A Case report and literature review.Case Report. This case illustrates a complicated local wound infection associated with cochlear implantation due to transcutaneous adherence of a ferrous hair barrette to a cochlear implant magnet. Reconstruction of computed tomography (CT) data with 3D volume rendering significantly improved the value of the images and facilitated patient counseling as well as operative planning.Conclusion. Cochlear implant infections can be associated with foreign bodies. CT images are beneficial in the evaluation of cochlear implant complications. 3D CT images provide a comprehensive view of the site of interest, displaying the relationship of the hardware to the skull and soft tissues, while minimizing associated artifacts. Cochlear implant patients should consider use of nonmetallic hair devices.

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Cochlear implant complications in Misrata Central Hospital

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20200619 ◽

2020 ◽

Vol 6 (3) ◽

pp. 448

Author(s):

Abdussalam Mohamed Jahan ◽

Aisha Mohamed Abuzagaya ◽

Mohamed Hussain Patel ◽

Yousef Mohamed Eldanfur

Keyword(s):

Cochlear Implant ◽

Cochlear Implants ◽

Reliable Method ◽

Safe Procedure ◽

Central Hospital ◽

Profound Hearing Loss ◽

Retrospective Data Analysis ◽

Implant Complications ◽

Complications Rate ◽

Low Rate

Background: Cochlear implantation is a safe and reliable method for auditory restoration in patients with severe to profound hearing loss.Methods: Unilateral surgical procedures cochlear implants were performed in Misrata Central Hospital, Libya, between November 2012 to November 2016, involving 140 patients, retrospective data analysis was performed. Results: Of 140 cochlear implantations analyzed; 130 were pre lingual, and 10 were post-lingual. The ratio of M:F were 3: 2, the total complications were seen in 24 cases (17.14%), major complications rate was (2.86%) 4 cases and minor complications rate was (14.28%) 20 cases.Conclusions: There was a low rate of complications, most of them been successfully managed, these results confirm that the cochlear implant is a safe procedure can be done for the profoundly deaf patient.

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