The diagnostic value of computed tomography in delayed complications after cochlear implantation.
Acta Otolaryngol
; 141(2): 111-116, 2021 Feb.
Article
em En
| MEDLINE
| ID: mdl-33045882
ABSTRACT
BACKGROUND:
Delayed complications after cochlear implant (CI) surgery can result in the need for revision surgery. Temporal bone computed tomography (tCT) is frequently used in the diagnostic work-up for these patients. AIMS/OBJECTIVES:
We aimed to test for the value of tCT in delayed complications after CI surgery. MATERIAL ANDMETHODS:
Retrospective chart review including all patients with CI who were consecutively enrolled in our academic tertiary care centre and received a tCT due to delayed complications between January 2008 and December 2017.RESULTS:
A total of 85 patients with a mean age of 28 years at CI surgery were identified. Mean time between CI and tCT was 4.3 years. Reasons for performance of tCT were device malfunction (20%), cephalgia (20%), scalp hematoma/seroma (15.3%), device failure (11.8%), vertigo (10.6%), local infection (7.1%), trauma (5.9%), meningism (3.5%), tinnitus (3.5%) and facial palsy (2.4%). No abnormalities in tCT were detected in 82.4%. However, an abnormal tCT was a predictor for surgical therapy (p < .001). CONCLUSIONS ANDSIGNIFICANCE:
We recommend the performance of tCT in CI patients with delayed complications to identify or rule out pathology in order to choose the most ideal and relevant individual treatment.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Osso Temporal
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Tomografia Computadorizada por Raios X
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Implante Coclear
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
Idioma:
En
Revista:
Acta Otolaryngol
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Alemanha