Assuntos
Antibacterianos/administração & dosagem , Implantes Cocleares , Gentamicinas/administração & dosagem , Tampões de Gaze Cirúrgicos , Infecção da Ferida Cirúrgica/tratamento farmacológico , Adulto , Idoso de 80 Anos ou mais , Animais , Antibioticoprofilaxia , Pré-Escolar , Colágeno , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Terapia de Salvação , Infecção da Ferida Cirúrgica/cirurgiaRESUMO
OBJECTIVE: To create a system for the uniform registration and classification of complications and failures in cochlear implant surgery, and apply it to all the patients who underwent implantation in our clinic. METHOD: The definition of a medical complication was established, and data for all cochlear implantations performed between 1987 and 2012 were entered into a custom-made database system. RESULTS: One or more medical complications were registered in 19.0 per cent of 1003 cochlear implantations. The incidence of 'hard failure' was 2.3 per cent. Findings revealed a decrease in device failures over the years; the rate of medical complications remained constant. CONCLUSION: Our database system, which is available free of charge, enables fast and accurate data entry. There were a relatively high number of (minor) complications in our series, but comparison with the relevant literature is difficult. This emphasises the need for a uniform definition of 'complication' as it relates to cochlear implant surgery, and an appropriate classification system for such complications.
Assuntos
Implante Coclear/efeitos adversos , Implante Coclear/estatística & dados numéricos , Sistemas de Gerenciamento de Base de Dados , Falha de Prótese , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Conjuntos de Dados como Assunto , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Países Baixos/epidemiologia , Complicações Pós-Operatórias/classificação , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Estudos Retrospectivos , Adulto JovemRESUMO
OBJECTIVE: We report a unique case of inflammatory myofibroblastic tumour of the posterior wall of the hypopharynx. METHOD: We present the patient's case history, management and histopathological findings. A literature review of all cases localised to the larynx or pharynx is provided and discussed. RESULTS: A 67-year-old man presented with airway obstruction due to a spherical mass in the hypopharynx originating from the posterior pharyngeal wall. The tumour was resected. Histopathological examination revealed an inflammatory myofibroblastic tumour. We found only five previously reported cases with pharyngeal localisation. Further treatment of the patient is described. CONCLUSION: Inflammatory myofibroblastic tumour of the pharynx is extremely rare. It is regarded as a neoplastic tumour of intermediate biological potential. In cases with extrapulmonary localisation, the incidence of local recurrence can be as high as 25 per cent. Radical surgery is the treatment of choice; no adjuvant therapy is necessary.