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Medicas UIS

Print version ISSN 0121-0319On-line version ISSN 1794-5240

Abstract

BELTRA, Noelia Ortega et al. Complications of the cochlear implant in adults and children in the Hospital Universitario Doctor Peset de Valencia, Spain, from 2001 to 2020. Medicas UIS [online]. 2021, vol.34, n.2, pp.19-28.  Epub Sep 28, 2021. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v34n2-2021002.

Introduction:

Cochlear implantation is an effective method for hearing rehabilitation in patients with severe neurosensory hearing loss in which hearing aids do not provide good discrimination. Although cochlear implantation is a safe technique, adverse effects related to surgery have been described, including flap infection or facial paralysis.

Objective:

To analyze the complications of cochlear implanted patients in a tertiary university hospital: The Hospital Universitario Doctor Peset of Valencia, from January 2001 to March 2020.

Methodology:

This is a descriptive observational study of the complications in a sample of 134 patients with cochlear implant surgery in The Hospital Universitario Doctor Peset of Valencia in a period of 20 years. Descriptive statistics were used in the statistical analysis. To demonstrate significant differences between variables we used the R program. The χ2 test was used for proportions, considering significant a p value < 0.05.

Results:

134 patients were implanted. The global frequency of complications was 17.9%, 4.5% were major complications and 13.4% were minor complications. The most frequent complication was inactivation or incomplete insertion of some electrodes.

Discussion:

Our complication rate is within the range published in the literature (14.9-18.3%). The major complication rate is 5% which is similar to our series. Conclusions: The cochlear implant is a safe surgical technique for the rehabilitation of patients with severe neurosensory hearing loss, although it is not riskless, therefore, one must know that complication are possible. MÉD.UIS.2021;34(2):19-28

Keywords : Hearing loss; Cochlear implants; Cochlear implantation; Postoperative complications.

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