A retrospective review of cochlear implant revision surgery: a 24-year experience in China
A retrospective review of cochlear implant revision surgery: a 24-year experience in China
复制标题
人工耳蜗修复手术回顾：中国24年经验
DOI：
10.1007/s00405-021-06745-1
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发表时间：
2021-04-03
影响因子：
2.6
通讯作者：
Li, Yongxin
中科院分区：
文献类型：
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作者：
Chen, Jingyuan;Chen, Biao;Li, Yongxin
目的我们旨在分析人工耳蜗植入体翻修手术的原因以及发生率，以降低非器械故障的翻修手术率。我们还旨在阐明不同年龄组的累积生存率和器械生存率。方法这项回顾性单队列研究回顾了1996年至2019年在中国三级转诊医院进行的4563例人工耳蜗植入手术和119例翻修手术。Kaplan-Meier曲线用于计算累积生存率和器械生存率。结果翻修率为2.61%。翻修原因包括器械（73.1%）和非器械（26.9%）失效。最常见的原因是硬器械（47.1%）和非器械故障（28.6%）。10年和20年累积生存率分别为96.8%和96.7%。年龄较小的儿童更有可能接受第二次手术。结论本研究是国内关于翻修手术时间最长的研究。髋关节植入术是一种可靠的治疗方法。它在感音神经性听力损失患者中的并发症发生率较低。儿童的翻修率高于成人。医生应该了解每一种并发症，并进行适当的手术。
Purpose We aimed to analyse the reasons behind the need for cochlear implant revision surgeries, as well as the rate at which they occur, to reduce the revision surgery rate for non-device failures. We also aimed to elucidate the cumulative survival and device survival rates in different age groups. Methods This retrospective single cohort study reviewed 4563 cochlear implant surgeries and 119 revision surgeries performed at a tertiary referral hospital in China between 1996 and 2019. Kaplan-Meier curves were used to calculate the cumulative survival and device survival rates. Results The revision surgery rate was 2.61%. The reasons for revision included device (73.1%) and non-device (26.9%) failures. The most common reasons were hard device (47.1%) and non-device failure (28.6%). The 10- and 20-year cumulative survival rates were 96.8% and 96.7%, respectively. Younger children were more likely to undergo a second surgery. Conclusion This study is the longest study about revision surgery in China. Cochlear implantation is a reliable treatment. It has a low complication rate in patients with sensorineural hearing loss. Children have a higher revision rate than adults. Doctors should be aware of each complication and perform the appropriate procedure.