CC BY-NC-ND 4.0 · Laryngorhinootologie 2021; 100(S 02): S214
DOI: 10.1055/s-0041-1728418
Abstracts
Otology / Neurotology / Audiology

Long-term consideration of the treatment process of cochlear implants with regard to complications and wearing times.

M Steffens
1   MHH / Klinik und Poliklinik für HNO-Heilkunde, Hannover
,
A Buchholz
1   MHH / Klinik und Poliklinik für HNO-Heilkunde, Hannover
,
T Leanarz
1   MHH / Klinik und Poliklinik für HNO-Heilkunde, Hannover
,
A Lesinski-Schiedat
1   MHH / Klinik und Poliklinik für HNO-Heilkunde, Hannover
› Author Affiliations
 
 

    Introduction Medical and technical factors lead to a wider range of indications for CI care. Important for the quality assurance of the form of treatment is, among others the consideration of the long-term care. This includes a systematic recording of the complications as well as their analysis so that their timely detection and appropriate treatment methods can be ensured.

    Material / Methods The retrospective analysis is based on data records of > 10,000 implantations of a university ENT clinic. The focus is on postoperative complications including explants. These were divided into four categories (A medical, B technical, C upgrade, D other) and analysed with regard to the wearing time.

    Results From 1984 to 2020 there was an increase in implantations both in children ( <  2 a) and in older people ( > 70 a). During the period, 7 %  of the implants were explanted. Technical defects were the main cause for explantation with 57 % , followed by medical reasons (31 % ). The categories “upgrade” (3 % ) and “other” (9 % ) have as far as a subordinate role. In categories A, B and C, the average wearing time until explantation is 50-65 %  within the first 5 years after implantation. An upgrade usually only takes place after 15-20 years

    Conclusion / Discussion A continuous aftercare, lifelong, especially in the first few years after the operation, is medically indicated. Constant monitoring and the resulting valid risk assessment for all patients is fundamental for the future of CI therapy. Reimplantations due to technical upgrades will increase in the next few years, as technical advances can be expected to significantly improve hearing performance.

    Poster-PDF A-1461.pdf

    RESPONSE Forschungsvorhaben 13, FKZ 03ZZ0923B


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    Conflict of interest

    Der Erstautor gibt keinen Interessenskonflikt an.

    Address for correspondence

    Dr. rer. nat. Steffens Melanie
    MHH / Klinik und Poliklinik für HNO-Heilkunde
    Stadtfelddamm 34
    30625 Hannover

    Publication History

    Article published online:
    13 May 2021

    © 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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