Cochlear Implant Failures and Revision 人工耳蜗植入并发症.pdfVIP

Otology Neurotology 26:624–634 2005, Otology Neurotology, Inc. Cochlear Implant Failures and Revision Amy-Anne Donatelli Lassig, Teresa A. Zwolan, and Steven A. Telian Department of Otolaryngology—Head and Neck Surgery, University of Michigan Medical Center, Ann Arbor, Michigan, U.S.A. Objective: To review cases involving implant failure and included documented internal device failure (46%), scalp flap revision surgery in a large cochlear implant program. complications (17%), optimization of electrode placement (13%), Study Design: Retrospective case series. unexplained deterioration of performance (12%), technology Setting: Cochlear implant program in an academic medical upgrade (10%), and intratemporal pathology (3%). Revision center. surgery typically involved only minor anatomic challenges, Patients: Adults and children who underwent revision co- but five patients required circumodiolar drillout procedures to chlear implantation (n = 58). improve electrode position. Electrode insertion was equal or Intervention: Diagnosis and explantation of failed cochlear deeper in 53 of 58 cases. Speech perception ability decreased implants, with subsequent reimplantation. Assessment of im- in only three patients. plant function and speech perception. Conclusions: Management of implant failures and perfor- Main Outcome Measures: Device type, time from implanta- mance of revision surgery are becoming increasingly important tion to revision, cause of fail