Cochl ear implant surgery is regarded as safe for the auditory rehabilitation of individuals suffering from profound/severe hearing loss. Complications may arise from the surgery. The complications of implant cochlear surgery reflect the operation complexity, the skill of the surgical team and the inherent risks of the procedure itself. Aim:To establish and discuss the postoperative complications in implanted patients from the Cochlear Implant Program of Rio Grande do Norte -Brazil. Study design: Retrospective analysis. Materials and methods: This paper discusses the clinical records of 250 patients implanted betweenAugust 2000 to December 2008. All patients were implanted by the same surgeon. The postoperative complications were classified in minor as those that resolved with minimal or no treatment and major as those requiring additional surgery or hospitalization.Results: In our sample, 33 patients (13.2%) had postoperative complications. Minor complications affected 20 cases (8.0%), while major complications occurred in 13 cases (5.2%). Hematomas, device failures and infections had the highest clinical relevance. Conclusion:This review reinstates the safety of the surgical procedure in relation to the possible occurrence of postoperative complications and emphasizes the need for continuous surgeon education and training. Braz J Otorhinolaryngol. 2010;76(4):517-21. ORIGINAL ARTICLE BJORL
Objetivo avaliar a satisfação dos usuários de Implante Coclear com perda auditiva pós-lingual. Métodos estudo seccional com 51 implantados, pacientes de um centro de referência em saúde auditiva na cidade do Natal-RN. Foram utilizados dois questionários de satisfação adaptados para usuários de implante coclear. Resultados houve um alto índice de satisfação entre os pesquisados, detectado pelo InternationalOutcomeInventory –CochlearImplant(100,0%) e pelo SatisfactionwithAmplification in Daily Life (98,0%).A insatisfação foi observada em relação à imagem pessoal (13,7%),serviços e custos (27,5%), e na presençado ruído competitivo(9,8%). Conclusão o implante coclear é uma intervenção com alto índice de satisfação entre os usuários pesquisados.
OBJETIVO: Avaliar o desempenho auditivo ao longo do tempo e investigar os fatores prognósticos relacionados. MÉTODOS: Estudo de coorte retrospectivo realizado por meio da análise dos prontuários de 57 indivíduos com perda auditiva pós-lingual e usuários de implante coclear há pelo menos 12 meses. Utilizou-se o estimador de Kaplan-Meier e o teste de Logrank para análise da percepção da fala ao longo do tempo e da possível interferência de fatores como gênero, escolaridade, tempo de privação auditiva, idade ao implante, marca do dispositivo e etiologia, sobre o desfecho estudado. RESULTADOS: Em apenas 12 meses após a ativação do implante, mais da metade da coorte já apresentava escores satisfatórios no teste de percepção da fala. O teste de Logrank não indicou diferença entre as covariáveis testadas. Houve diferença significativa entre os resultados auditivos pré e pós- implante coclear. CONCLUSÃO: O desempenho auditivo, após 12 meses de uso do IC, superou o critério de indicação na maioria dos indivíduos com perda auditiva pós-lingual, independentemente dos fatores prognósticos avaliados, porém não em todos os indivíduos pesquisados.
A to investigate the major etiological agents that caused deafness in the studied population is of great relevance to prognostic and treatment purposes and it serves as sampling for future actions in the public health. Aim: to check the different hearing impairment etiologies of patients in the cochlear implant program; we studied the etiologies described in order to correlate etiology with age. Materials and Methods Results and conclusion:Unknown etiology prevailed as main cause, and this indicates the need to continue carrying out genetic studies in those cases of congenital sensorineural hearing loss without an apparent cause in order to trace and etiological profile. Rubella was the second most found cause, and for this etiology there already are preventive measures as there are for meningitis. Even then, the incidences of these diseases remain high. In the correlation of the different etiologies and age ranges, we noticed varied etiologies when we compared children, young adults, adults and the elderly. Braz J Otorhinolaryngol. 2011;77(1):13-8. ORIGINAL ARTICLE BJORL
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