■在印度南部的三级护理转诊耳鼻喉科中心,审核人工耳蜗(CI)接受者的手术并发症及其管理。
■对2013年6月至2020年12月进行的1250CI手术的医院数据进行了审查。这是一项从医疗记录中收集数据的分析研究。人口统计细节,并发症,对管理方案和相关文献进行了综述。患者分为以下五个年龄组:0-3岁,3-6年,6-13年,13-18岁及以上18岁。并发症分为主要和次要,并发症发生率分为围手术期,术后早期,术后晚期,并对结果进行了分析。
■总的主要并发症发生率为9.04%(包括由于设备故障导致的6.0%)。如果排除了设备故障率,主要并发症发生率为3.04%。轻微并发症发生率为6%。
■CI是治疗重度至重度听力损失患者的黄金标准,而传统助听器的获益微乎其微。经验丰富的三级护理CI转诊和教学中心管理复杂的植入病例。这些中心通常会审核其手术并发症,为年轻的植入物外科医生和较新的中心提供重要的参考数据。
■虽然没有并发症,并发症及其患病率很低,足以保证在全球范围内倡导CI,包括社会经济地位较低的发展中国家。
To audit surgical complications and their management in cochlear implant (CI) recipients in a tertiary care referral otorhinolaryngology center in South India.
Hospital data on 1,250 CI surgeries performed from June 2013 to December 2020 was reviewed. This is an analytical study with data collected from medical records. The demographic details, complications, management protocols and relevant literature were reviewed. Patients were divided into the following five age groups: 0-3 years, 3-6 years, 6-13 years, 13-18 years and above 18 years. Complications were divided into major and minor and complication occurrence was divided into peri-operative, early post-operative, and late post-operative, and the results were analyzed.
The overall major complication rate was 9.04% (including 6.0% due to device failure). If the device failure rate was excluded, the major complication rate was 3.04%. The minor complication rate was 6%.
CI is the gold standard in the management of patients with severe to profound hearing loss with minimal benefit from conventional hearing aids. Experienced tertiary care CI referral and teaching centers manage complicated implantation cases. Such centers typically audit their surgical complications, providing important reference data for young implant surgeons and newer centers.
Although not bereft of complications, the list of complications and its prevalence is sufficiently low to warrant the advocacy of CI worldwide, including developing countries with low socio-economic status.