The complications of cochlear implantation. Overview of the international experience

Kosiakov S.Ia.; Kurlova A.V.

doi:https://doi.org/

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Abstract:

The objective of the present study was to analyse potential negative consequences of cochlear implantation (CI) with a view to reducing the possibility of their development Vestibular disorders constitute the most frequent complications of cochlear implantation. Wound infections, acute otitis media (especially among the children), and meningitis are almost equally important. A single episode of otitis in the recipients of cochlear implants may have such serious consequences as meningitis. Approximately 20 new cases of meningitis following CI are documented annually throughout the world. It emphasizes the paramount importance of prophylaxis of this condition, regular information of the patients, and long-term thorough observation of the children that survived after meningitis.

Keywords:

cochlear implantation

complications

acute otitis media

meningitis

Authors:

Kosiakov S.Ia.

Kafedra otorinolaringologii Rossiĭskoĭ meditsinskoĭ akademii poslediplomnogo obrazovaniia, Moskva

Kurlova A.V.

Kafedra otorinolaringologii RMAPO Minzdrava Rossii, Moskva

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References:

Cohen N.L., Roland J.T. Jr., Marrinan M. Meningitis in cochlear implant recipients: the North American experience. Otol Neurotol 2004; 25: 275-281.
Goycoolea M.V. The Latin American Cochlear Implant Group. Latin American experience with the cochlear implant. Acta Oto-Laryngologica 2005; 125: 468-473.
Parisier S.C., Chute P.M., Popp A.L., Suh G.D. Outcome analysis of cochlear reimplantation in children. Laryngoscope 2001; 111: 26-32.
Loundon N., Blanchard M., Roger G., Denoyelle F., Garabedian E.N. Medical and surgical complications in pediatric cochlear implantation. Arch Otolaryngol Head Neck Surg 2010; 136: 1: 12-15.
Lescanne E., Al Zahrani M., Bakhos D., Robier A., Morinière S. Revision surgeries and medical interventions in young cochlear implant recipients. Int J Pediatr Otorhinolaryngol 2011; 75: 10: 1221-1224.
Woolford T.J., Saeed S.R., Boyd P., Hartley C., Ramsden R.T. Cochlear reimplantation. Ann Otol Rhinol Laryngol Suppl 1995; 166: 449-453.
Orús Dotú C., Venegas Pizarro Mdel P., De Juan Beltrán J., De Juan Delago M. Cochlear reimplantation in the same ear: Findings, peculiarities of the surgical technique and complications. Acta Otorrinolaringol Esp 2010; 61: 2: 106-117.
Li Y., Zhang D. Perioperative complications of 1396 patients with cochlear implantation. [Article in Chinese] Lin Chung, Er Bi, Yan Hou Tou, Jing Wai Ke, Za Zhi 2010; 24: 10: 433-435.
Hansen S., Anthonsen K., Stangerup S.E., Jensen J.H., Thomsen J., Cayé-Thomasen P. Unexpected findings and surgical complications in 505 consecutive cochlear implantations: a proposal for reporting consensus. Acta Otolaryngol 2010; 130: 5: 540-549.
Lima Júnior L.R., Rodrigues Júnior Fde A., Calhau C.M., Calhau A.C., Palhano C.T. postoperative complications in implanted patients in the cochlear implant program of Rio Grande do Norte - Brazil. Braz J Otorhinolaryngol 2010; 76: 4: 517-521.
Bhatia K., Gibbin K.P., Nikolopoulos T.P., O'Donoghue G.M. Surgical complications and their management in a series of 300 consecutive pediatric cochlear implantations. Otol Neurotol 2004; 25: 5: 730-739.
Hopfenspirger M.T., Levine S.C., Rimell F.L. Infectious complications in pediatric cochlear implants. Laryngoscope 2007; 117: 10: 1825-1829.
de Jong A.L., Nedzelski J., Papsin B.C. Surgical outcomes of paediatric cochlear implantation: the Hospital for Sick Children's experience. J Otolaryngol 1998; 27: 1: 26-30.
Ovesen T., Johansen L.V. Post-operative problems and complications in 313 consecutive cochlear implantations. J Laryngol Otol 2009; 123: 5: 492-496.
Venail F., Sicard M., Piron J.P., Levi A., Artieres F., Uziel A., Mondain M. Reliability and complications of 500 consecutive cochlear implantations. Arch Otolaryngol Head Neck Surg 2008; 134: 12: 1276-1281.
Wagner J.H., Basta D., Wagner F., Seidl R.O., Ernst A., Todt I. Vestibular and taste disorders after bilateral cochlear implantation. Eur Arch Otorhinolaryngol 2010; 267: 12: 1849-1854.
Jacot E., van Den Abbeele T., Debre H.R., Wiener-Vacher S.R. Vestibular impairments pre- and post-cochlear implant in children. Int J Pediatr Otorhinolaryngol 2009; 73: 2: 209-217.
Krause E., Louza J.P., Wechtenbruch J., Gürkov R. Influence of cochlear implantation on peripheral vestibular receptor function. Otolaryngol Head Neck Surg 2010; 142: 6: 809-813.
Hoffman R.A., Cohen N.L. Complications of cochlear implant surgery. Ann Oto Rhinol Laryngol 1995; 104: Suppl 166: 420-422.
Yu K.C.Y., Hegarty J.L., Gantz B.J., Lalwani A.K. Conservative management of infections in cochlear implant recipients. Otolaryngol Head Neck Surg 2001; 125: 66-70.
Telian S.A., El-Kashlan H.K., Arts H.A. Minimizing wound complications in cochlear implant surgery. Am J Otol 1999; 20: 331-334.
Cunningham C.D. 3rd, Slattery W.H. 3rd, Luxford W.M. Postoperative infection in cochlear implant patients. Otolaryngology - Head and Neck Surgery 2004; 131: 109-114.
Robinson P.J., Chopra S. Antibiotic prophylaxis in cochlear implantation: current practice. J Laryngol Otol 1989; 18: Suppl: 20-21.
Tonnaer E.L., Mylanus E.A., Mulder J.J., Curfs J.H. Detection of bacteria in healthy middle ears during cochlear implantation. Arch Otolaryngol Head Neck Surg 2009; 135: 3: 232-237.
Darouiche R.O. Antimicrobial approaches for preventing infections associated with surgical implants. Clin Infec Dis 2003; 36: 1284-1289.
Arnold W., Bredberg G., Gstöttner W., Helms J., Hildmann H., Kiratzidis T., Müller J., Ramsden R.T., Roland P., Walterspiel J.N. Meningitis following cochlear implantation: pathomechanisms, clinical symptoms, conservative and surgical treatments. ORL J Otorhinolaryngol Relat Spec 2002; 64: 6: 382-389.
Leake P.A., Rebscher S.J., Aird D.W. Histopathology of cochlear implants: safety considerations. In: Schindler R.A., Merzenich M.N., eds. Cochlear Implants. New York, NY: Raven Press 1985; 55-64.
Luntz M., Teszler C.B., Shpak T. Cochlear implantation in children with otitis media: second stage of a long-term prospective study. Int J Pedia Otorhinolaryngol 2004; 68: 3: 273-280.
Melton M.F., Backous D.D. Preventing complications in pediatric cochlear implantation. Curr Opin Otolaryngol Head Neck Surg. 2011 Aug 5 [Epub ahead of print].
O'Donoghue G., Balkany T., Cohen N., Lenarz T., Lustig L., Niparko J. Meningitis and cochlear implantation. Otol Neurotol 2002; 23: 6: 823-824.
Mann E. FDA, personal communication, February 7, 2008.
Reefhuis J., Honein M.A., Whitney C.G., Chamany S., Mann E.A., Biernath K.R., Broder K., Manning S., Avashia S., Victor M., Costa P., Devine O.,Graham A., Boyle C. Risk of bacterial meningitis in children with cochlear implants. N Engl J Med 2003; 349: 5: 435-445.
Biernath K.R., Reefhuis J., Whitney C.G., Mann E.A., Costa P., Eichwald J., Boyle C. Bacterial meningitis among children with cochlear implants beyond 24 months after implantation. Pediatrics 2006; 117: 2: 284-289.
Lalwani A.K., Cohen N.L. Longitudinal risk of meningitis after cochlear implantation associated with the use of the positioner. Otol Neurotol 2011; 32: 7: 1082-1085.
Parner E.T., Reefhuis J., Schendel D., Thomsen J.L., Ovesen T., Thorsen P. Hearing loss diagnosis followed by meningitis in Danish children, 1995-2004. Otolaryngol Head Neck Surg 2007; 136: 3: 428-433.
Ohlms L.A., Edwards M.S., Mason E.O., Igarashi M., Alford B.R., Smith R.J. Recurrent meningitis and Mondini dysplasia. Arch Otolaryngol Head Neck Surg 1990; 116: 5: 608-612.
Loundon N., Leboulanger N., Maillet J., Riggouzzo A., Richard P., Marlin S., Garabedian E.N. Cochlear implant and inner ear malformation proposal for an hyperosmolar therapy at surgery. Int J Pediatr Otorhinolaryngol 2008; 72: 4: 541-547.
Suzuki C., Sando I., Fagan J.J., Kamerer D.B., Knisely A.S. Histopathological features of a cochlear implant and otogenic meningitis in Mondini dysplasia. Arch Otolaryngol Head Neck Surg 1998; 124: 4: 462-466.
Wei B.P., Robins-Browne R.M., Shepherd R.K., Clark G.M., O'Leary S.J. Can we prevent cochlear implant recipients from developing pneumococcal meningitis? Clin Infect Dis 2008; 46: 1: 1-7.
Fabre T., Belloc F., Dupuy B., Schappacher M., Soum A., Bertrand-Barat J., Baquey C., Durandeau A. Polymorphonuclear cell apoptosis in exudates generated by polymers. J Biomed Mater Res 1999; 44: 429-435.
Wei B.P., Robins-Browne R.M., Shepherd R.K., Azzopardi K., Clark G.M., O'Leary S.J. Protective effects of local administration of ciprofloxacin on the risk of pneumococcal meningitis after cochlear implantation. Laryngoscope 2006; 116: 2138-2144.
Nadol J.B. Jr., Eddington D.K. Histologic evaluation of the tissue seal and biologic response around cochlear implant electrodes in the human. Otol Neurotol 2004; 25: 3: 257-262.
Migirov L., Kronenberg J., Volkov A. Local tissue response to cochlear implant device housings. Otol Neurotol 2011; 32: 1: 55-57.
Lalwani A.K., Cohen N.L. Does meningitis after cochlear implantation remain a concern in 2011? Otol Neurotol 2012; 33: 1: 93-95.
Fireman B., Black S.B., Shinefield H.R., Lee J., Lewis E., Ray P. Impact of the pneumococcal conjugate vaccine on otitis media. Pediatr Infect Dis J 2003; 22: 1: 10-16. Erratum in: Pediatr Infect Dis J 2003; 22: 2: 163.
Rubin L.G., Papsin B. Committee on infectious diseases and section on otolaryngology-head and neck surgery. Cochlear implants in children: Surgical site infections and prevention and treatment of acute otitis media and meningitis appropriate annual immunization against influenza. Pediatrics 2010; 126: 2: 381-391.