Cochlear implant complications in a low-income area of Brazil

Castro, Gabriel Reis; Santiago, Hágada Cristine Coelho; Aguiar, Rosauro Rodrigues de; Almeida, Ana Beatriz Gouveia de; Oliveira, Leonardo Santana Ramos; Gurgel, Ricardo Queiróz

doi:10.1590/1806-9282.20210924

Cited by 2 publications

(5 citation statements)

References 15 publications

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“…Castro et al undertook an audit of complications following 432 unilateral cochlear implant operations in Brazil (10). An FN monitor was used for every case.…”

Section: Resultsmentioning

confidence: 99%

“…Of the middle ear and mastoid procedures, only Linder et al (14) reported using a monitor. In the cochlear implant studies, a monitor was used in three studies (9,10,18). The use of an FN monitor during middle ear and mastoid procedures is commonplace and is the standard of care in the UK.…”

Section: Resultsmentioning

confidence: 99%

“…Jeppesen and Faber (12) conducted a retrospective study of 308 consecutive cochlear implant procedures and reported Alzhrani et al 15 Retrospective Cohort Castro et al 14 Retrospective Cohort Jamshidi et al 13 Retrospective Cohort Jeppesen et al 18 Retrospective Cohort Kumar et al 11 Case Series Linder et al 12 Retrospective Cohort Lisi et al 10 Case Report Migirov et al 16 Retrospective Cohort Ryu et al 2 Retrospective cohort Storrs et al 9 Case Series Thom et al 17 Retrospective Cohort one case of immediate FN palsy (rate of 0.32). The patient developed a paresis on the operated side immediately after surgery, primarily involving the inferior branches of the facial nerve.…”

Section: Castro Et Al Undertook An Audit Of Complications Following 4...mentioning

confidence: 99%

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Immediate Facial Nerve Palsy Secondary to Otological Surgery: A Systematic Review and Narrative Synthesis

Patel,

Walters,

Kim

et al. 2024

Otol Neurotol

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Objectives Iatrogenic facial nerve palsy following otological surgery is a devastating complication that results in adverse aesthetic and functional outcomes. This study aims to review studies that have reported cases of immediate facial nerve palsy to learn why and where injuries occurred and to assess outcomes following management. Databases Reviewed MEDLINE, Embase, Cochrane CENTRAL, and Pubmed up to June 20, 2023. Methods Clinical studies of immediate facial nerve palsies following middle ear and cochlear implantation surgery were included. Risk of bias was examined using the Brazzelli risk of bias tool. Due to the inconsistency in reporting of outcomes, we were unable to perform a meta-analysis. Results Of 234 studies identified, 11 met the inclusion criteria. The most common causes of injury were excessive drilling, use of sharp hooks to remove disease, or disorientation of the surgeon secondary to bleeding or inflammation. Variable usage of preoperative computed tomography (CT) imaging and intraoperative facial nerve monitoring was reported. The tympanic segment was the most common site of injury. A variety of surgical techniques were employed to approach the facial nerve injury including facial nerve decompression, direct closure, and repair using an autologous nerve graft. Conclusions Otological surgeons should consider utilizing preoperative CT imaging to establish a three-dimensional mental image of key landmarks and anatomical variations before embarking on surgery. Intraoperative FN monitoring enables safe practice. Despite these measures, complex disease processes and hostile intraoperative conditions can present difficulty. Multiple treatment options are available to treat the underlying injury.

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“…Castro et al undertook an audit of complications following 432 unilateral cochlear implant operations in Brazil (10). An FN monitor was used for every case.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Castro Et Al Undertook An Audit Of Complications Following 4...mentioning

confidence: 99%

See 1 more Smart Citation

Immediate Facial Nerve Palsy Secondary to Otological Surgery: A Systematic Review and Narrative Synthesis

Patel,

Walters,

Kim

et al. 2024

Otol Neurotol

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“…The average age at which a child from a rural background receives a CI is twice as high as that for a child from an urban background. This has been linked to various factors, including a lack of awareness, access to educational resources, social support, and the ability to attend appointments [ 20 ]. Regarding hearing impairment, parental education and income levels are critical factors for early intervention [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, a study in Turkey indicated that the average age at which hearing loss in children was detected was roughly 19.4 months. Moreover, the majority of the patients' residents were within 100 km (52.05 %) of the hospital, which may have made it possible to attend the hospital and encouraged the CI, as most of the rural population may not attend due to this factor, so this may be a positive factor for getting CI at the earliest stage of their life [ 4 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Institutional Analysis of the Surgical Outcomes of Cochlear Implantation in Deprived Population

Sharma¹,

Kumar²,

Kumar³

et al. 2022

Cureus

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Background: Cochlear implantation (CI) surgeries are safe and performed successfully in many patients; however, postoperative complications still occur, which may be influenced by socioeconomic and demographic variables.Methodology: This is a retrospective observational study of 146 adults and children with hearing loss, who had CI surgery between 2017 and 2022. This study aims to assess the frequency and nature of surgical complications in patients from a low socioeconomic background who underwent CI surgery in different geographic areas. For the analysis of data, IBM SPSS Statistics for Windows, Version 21.0 (Released 2012; IBM Corp., Armonk, New York, United States) was used.Result: A total of 146 candidates were evaluated, out of which 82 were male (56.16%) and 64 (43.84%) were female. The age of patients at the time of surgery ranged from 1-50 years. All of the patients underwent unilateral CI. Eighteen implanted patients developed minor complications with an incidence rate of 12.31%. There were no major complications observed. Further, we did not observe any post-operative meningitis as our study group was vaccinated against pneumococcal and meningococcal diseases and Haemophilus influenzae type B (Hib).Conclusion: CI is an effective and safe surgical procedure for the treatment and rehabilitation of people who are deaf. It is possible to avoid complications by using meticulous surgical methods and regular postoperative monitoring to identify and treat any issues as soon as possible, regardless of socioeconomic status.

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Cochlear implant complications in a low-income area of Brazil

Cited by 2 publications

References 15 publications

Immediate Facial Nerve Palsy Secondary to Otological Surgery: A Systematic Review and Narrative Synthesis

Immediate Facial Nerve Palsy Secondary to Otological Surgery: A Systematic Review and Narrative Synthesis

Institutional Analysis of the Surgical Outcomes of Cochlear Implantation in Deprived Population

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