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European Archives of Oto-Rhino-Laryngology

Erschienen in:

03.04.2021 | Otology

A retrospective review of cochlear implant revision surgery: a 24-year experience in China

verfasst von: Jingyuan Chen, Biao Chen, Ying Shi, Yongxin Li

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 3/2022

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Abstract

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.

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Titel: A retrospective review of cochlear implant revision surgery: a 24-year experience in China
verfasst von: Jingyuan Chen
Biao Chen
Ying Shi
Yongxin Li
Publikationsdatum: 03.04.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 3/2022
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-021-06745-1

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A retrospective review of cochlear implant revision surgery: a 24-year experience in China

Abstract

Purpose

Methods

Results

Conclusion

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Abstract

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Conclusion

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