Swelling around the implant body: A late complication of cochlear implantation. How to deal?. (January 2015)

• Record Type: Journal Article
• Authors: Çatli, Tolgahan; Olgun, Yüksel; Çelik, Çağrı; Gur, Harun; Bayrak, Feda; Olgun, Levent
• Is Part Of: Cochlear implants international. Volume 16:Number 1(2015)
• Page Start: 47
• Page End: 50
• Publication Date: 2015-01
• Subjects: Cochlear implants -- Periodicals; 617.882
• DOI: 10.1179/1754762814Y.0000000084
• Languages: English
• ISSNs: 1467-0100

Abstract

<abstract> <title> <x content-type="archive" xml:space="preserve">Abstract</x> </title> <sec> <title>Objective</title> <p>In this retrospective review, we aimed to determine the most appropriate management of the complication of late swelling around the implant body following cochlear implantation.</p> </sec> <sec> <title>Methods</title> <p>The medical records of 516 patients who underwent cochlear implantation between January 2008 and June 2013 were reviewed for a history of swelling around the implant body.</p> </sec> <sec> <title>Results</title> <p>Of the 516 patients, 16 (8 males and 8 females) had a history of swelling around the implant body following implantation. The onset of swelling was from 1 to 60 months (median 21.2 months) after implantation. Three of the 16 patients had a history of manifest trauma to the head, and the remaining 13 had experienced an upper respiratory tract infection just before the swelling arose.</p> </sec> <sec> <title>Discussion</title> <p>In the light of our clinical experiences, we may suggest that late swelling around the implant body seems associated with a manifest or hidden head trauma or upper respiratory tract infections.</p> </sec> <sec> <title>Conclusion</title> <p>After the initial assessment of swelling, surgeons should be aware of the possibility of abscess formation. As a general rule, any kind of pus collection should be drained surgically. However, in the case of pus collection without abscess formation, conservative measurements can often achieve satisfactory results.</p> </sec> </abstract>