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Monopolar Cautery Use in Pediatric Cochlear Implant Users.
Page, J Cody; Chapel, A Claire; Silva, Rodrigo C; Sullivan, J Connor; Sweeney, Alex D.
Afiliação
  • Page JC; Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, USA.
  • Chapel AC; Baylor College of Medicine Medical School, Houston, Texas, USA.
  • Silva RC; Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, USA.
  • Sullivan JC; Division of Otolaryngology, Department of Surgery Texas Children's Hospital, Houston, Texas, USA.
  • Sweeney AD; Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, USA.
Otolaryngol Head Neck Surg ; 168(3): 478-483, 2023 03.
Article em En | MEDLINE | ID: mdl-35763369
OBJECTIVES: To determine the incidence and impact of monopolar cautery use in a cohort of pediatric cochlear implant (CI) users. STUDY DESIGN: Case series from a retrospective chart review and a systematic review of the literature. SETTING: Tertiary academic referral center. METHODS: CI patient charts from 2012 to 2021 were reviewed from a single pediatric hospital system to determine if monopolar cautery was used during a subsequent surgical procedure. In addition, a systematic review of the literature was performed to identify additional, relevant patients. Postoperative CI function was the primary outcome measure. RESULTS: In total, 190 patients underwent a surgical procedure following cochlear implantation in a single pediatric hospital system. Fifteen patients (7.9%) and 17 distinct surgical procedures were identified in which monopolar cautery was used. Seven of these 17 cases (41.2%) involved the head and neck, and 10 were performed below the clavicles. No patients experienced a device failure or a decline in CI performance following surgery. A systematic review identified an additional 4 patients who underwent a surgery that used monopolar cautery following cochlear implantation, and no change in CI function was identified. CONCLUSIONS: The present study adds additional support to the notion that monopolar cautery does not necessarily injure CI functionality. While the most risk adverse strategy when planning a surgical procedure for a CI patient is to avoid monopolar cautery use altogether, the use of cautery should not immediately be associated with implant dysfunction.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Implantes Cocleares / Implante Coclear Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Implantes Cocleares / Implante Coclear Idioma: En Ano de publicação: 2023 Tipo de documento: Article