PMID: 15241229Jul 9, 2004Paper

Revision cochlear implant surgery in adult patients with suspected device malfunction

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
C A BuchmanHarold C Pillsbury

Abstract

To report the outcomes of patients that have undergone revision cochlear implant surgery for suspected device malfunction. Retrospective case series. Academic medical center. Adult cochlear implant patients with devices that fail to lock or maintain a lock but are associated with troubling signs and symptoms. Revision cochlear implant surgery. Demographics, presenting signs and symptoms, surgical findings, complications, audiologic performance and device analysis. To date, 33 revision cochlear implant operations have been performed in 30 patients. Eight (24%) presented with a failure of the speech processor to lock with the internal device (i.e., hard failure). Twenty-five (76%) presented with either aversive auditory (n = 23 [92%]) or nonauditory (n = 21 [84%]) symptoms or performance-related issues (n = 16 [64%]) while maintaining a lock (i.e., suspected soft failure). Revision surgery resulted in resolution of the patient's presenting signs and symptoms in nearly 90% of cases and significant improvements in auditory performance. Perioperative complications were uncommon. Preoperative testing and device analysis frequently did not reveal the reason for presumed device malfunction. Revision cochlear implantation should be cons...Continue Reading

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Citations

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Jul 15, 2005·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·T J BalkanyS Staller
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