Conservative management of infections in cochlear implant recipients

作者: Kenneth C.Y. Yu , Joseph L. Hegarty , Bruce J. Gantz , Anil K. Lalwani

DOI: 10.1067/MHN.2001.116444

关键词: Infection controlMedicineImplantSurgeryMedical recordCochlear implantRetrospective cohort studyHearing lossImplant InfectionIncision and drainage

摘要: Abstract Objective: The goal of this study was to evaluate a conservative management strategy postoperative infection after cochlear implantation. Methods: A retrospective review the medical records 108 implant patients operated on at University California, San Francisco between 1991 and 2000 133 from Iowa 1997 showed 4 with evidence infections. clinical presentation, intervention, laboratory results, outcome are analyzed in each case. Results: Minimal surgical intervention limited incision drainage prolonged antibiotics effective treating infections without need for device removal. Implant function remained unaffected surgery. Conclusion: Postoperative can be effectively controlled management. Chronic may explained by primary immunodeficiency. With appropriate treatment leading control, is advocated before consideration explantation. (Otolaryngol Head Neck Surg 2001;125:66-70.)

参考文章(11)
Noel L. Cohen, Ronald A. Hoffman, Mariel Stroschein, Medical or surgical complications related to the Nucleus Multichannel Cochlear Implant. Annals of Otology, Rhinology, and Laryngology. ,vol. 135, pp. 8- 13 ,(1988) , 10.1177/00034894880975S202
Hoffman Ra, Cohen Nl, Complications of cochlear implant surgery. The Annals of otology, rhinology & laryngology. Supplement. ,vol. 166, pp. 420- 422 ,(1995)
Jennifer M. Puck, Primary Immunodeficiency Diseases JAMA: The Journal of the American Medical Association. ,vol. 278, pp. 1835- 1841 ,(1997) , 10.1001/JAMA.1997.03550220041007
Noel L. Cohen, Ronald A. Hoffman, Complications of cochlear implant surgery in adults and children. Annals of Otology, Rhinology, and Laryngology. ,vol. 100, pp. 708- 711 ,(1991) , 10.1177/000348949110000903
H.-G. Kempf, K. Johann, T. Lenarz, Complications in pediatric cochlear implant surgery. European Archives of Oto-rhino-laryngology. ,vol. 256, pp. 128- 132 ,(1999) , 10.1007/S004050050124
Brian N. Brodish, Audie L. Woolley, Major vascular injuries in children undergoing myringotomy for tube placement American Journal of Otolaryngology. ,vol. 20, pp. 46- 50 ,(1999) , 10.1016/S0196-0709(99)90050-9
Martin L. Lee, PhD, CStat, Robert Peter Gale, MD, PhD, Peng Lee Yap, MD, USE OF INTRAVENOUS IMMUNOGLOBULIN TO PREVENT OR TREAT INFECTIONS IN PERSONS WITH IMMUNE DEFICIENCY Annual Review of Medicine. ,vol. 48, pp. 93- 102 ,(1997) , 10.1146/ANNUREV.MED.48.1.93
Graeme M. Clark, B. C. Pyman, M. J. Donnelly, Chronic middle ear disease and cochlear implantation The Annals of otology, rhinology & laryngology. Supplement. ,vol. 166, pp. 406- 408 ,(1995)
Arvind Kumar, Richard Mugge, Marci Lipner, Surgical complications of cochlear implantation: a report of three cases and their clinical features. Ear, nose, & throat journal. ,vol. 78, pp. 913- 919 ,(1999) , 10.1177/014556139907801209
Bruce J. Gantz, Jay T. Rubinstein, Wendy S. Parkinson, Management of cochlear implant infections. American Journal of Otology. ,vol. 20, pp. 46- 49 ,(1999)