Cochl ear implantation is a safe and reliable method for auditory restoration in patients with severe to profound hearing loss. Objective:To describe the surgical complications of cochlear implantation. Materials and Methods:Information from 591 consecutive multichannel cochlear implant surgeries were retrospectively analyzed. All patients were followed-up for at least one year. Forty-one patients were excluded because of missing data, follow-up loss or middle fossa approach.Results: Of 550 cochlear implantation analyzed, 341 were performed in children or adolescents, and 209 in adults. The mean hearing loss time was 6.3 ± 6.7 years for prelingual loss and 12.1 ± 11.6 years for postlingual. Mean follow-up was 3.9 ± 2.8 years. Major complications occurred in 8.9% and minor in 7.8%. Problems during electrode insertion (3.8%) were the most frequent major complication followed by flap dehiscence (1.4%). Temporary facial palsy (2.2%), canal-wall lesion (2.2%) and tympanic membrane lesion (1.8%) were the more frequent minor complications. No death occurred. Conclusion:There was a low rate of surgical complications, most of them been successfully managed. These results confirm that cochlear implant is a safe surgery and most surgical complications can be managed with conservative measures or minimal intervention. Braz J Otorhinolaryngol. 2012;78(3):80-5. ORIGINAL ARTICLE BJORL
SUMMARY Introduction:Facilitating access to specialized centers and properly screen patients seeking cochlear implants are critical steps for proper rehabilitation. Objective:To describe the group of patients pre-and peri-lingual is not called for in a service evaluation of cochlear implants. Method:A retrospective study analyzed 401 questionnaires of patients pre-and peri-lingual Web site registered in the Central Brazilian cochlear implant. For the failure to call these patients were used as criteria applied some variables: age, use of hearing aids, speech therapy, duration of deafness, type of progression of hearing loss and type of communication used by the patient. Results:The group of patients with pre-and peri-lingual deafness accounted for 34% of total questionnaires completed during the period. The distribution by age found that 54% of patients were over 17 years, 30% between 9 and 17 years, and remaining less than 9 years. The duration of deafness was higher than 20 years in 50% of patients, between 10 and 20 years by 32% between 5 and 10 years in 9% and between 0 and 5 years in 9%. Regarding the performance of voice rehabilitation 58% of patients had performed and 42% did not. Regarding the mode of communication 49% had global communication, 18% LIBRAS, 6% oral communication, 26% no communication. Conclusion:Advanced age, duration of deafness high, so mostly no oral communication and lack of voice rehabilitation were crucial to the failure to call these patients.
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