Postoperative infection in cochlear implant patients
Postoperative infection in cochlear implant patients
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DOI：
10.1016/j.otohns.2004.02.011
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发表时间：
2004-07-01
影响因子：
3.4
通讯作者：
Luxford, WM
中科院分区：
文献类型：
--
作者：
Cunningham, CD;Slattery, WH;Luxford, WM
客观的。最近，脑膜炎与人工耳蜗植入的关联引起了人们对这些设备安全性的担忧。我们检查了接受人工耳蜗植入手术的患者所有术后感染的发生率。 研究设计和设置：对 1993 年至 2002 年在私立三级转诊中心接受人工耳蜗植入的所有患者进行了回顾性图表审查。对 462 名成人和 271 名儿童的人工耳蜗植入手术进行了回顾。确定有与人工耳蜗植入相关的术后感染或感染并发症证据的患者，并获得有关患者特征、手术和治疗结果的数据。 结果：我们的人工耳蜗植入系列中术后感染的总体发生率为 4.1%。 3.0%的病例发生主要感染并发症，大多数感染需要手术干预。慢性耳病史可能会增加感染并发症的风险。没有出现脑膜炎病例。结论：人工耳蜗植入仍然是一种安全的手术，并发症发生率较低。大多数感染无需移除植入装置即可得到控制。手术技术和皮瓣设计的进步减少了伤口相关并发症的发生。然而，识别感染的危险因素并优化治疗方案将进一步减少术后感染相关的并发症。
OBJECTIVE. Recently, the association of meningitis with cochlear implants has raised concern over the safety of these devices. We examined the incidence of all postoperative infections in patients undergoing cochlear implant surgery.STUDY DESIGN AND SETTINGS: A retrospective chart review of all patients undergoing cochlear implants at a private tertiary referral center from 1993 to 2002 was performed. Cochlear implant surgeries in 462 adults and 271 children were reviewed. Patients with evidence of a postoperative infection or infectious complication related to cochlear implantation were identified, and data on patient characteristics, surgery, and treatment outcome were obtained.RESULTS: The overall incidence of postoperative infection in our cochlear implant series was 4.1%. Major infectious complications occurred in 3.0% of cases, and the majority of infections required surgical intervention. A history of chronic ear disease may increase the risk of infectious complications. There were no cases of meningitis.CONCLUSIONS: Cochlear implants remain a safe procedure with a low complication rate. The majority of infections can be managed without removing the implant device. Advances in surgical technique and flap design have decreased the occurrence of wound-related complications. However, identification of risk factors for infection and optimization of treatment regimens will further reduce the complications associated with postoperative infection.