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Cochlear implant extrusion in a child with keratitis, ichthyosis and deafness syndrome

Published online by Cambridge University Press:  29 June 2007

S. M. Hampton ,
J. G. Toner  and
J. Small
S. M. Hampton*
Affiliation:
Cochlear Implant Centre, Belfast City Hospital Trust
J. G. Toner
Affiliation:
Cochlear Implant Centre, Belfast City Hospital Trust
J. Small
Affiliation:
Plastic Surgery Department, Ulster Hospital, Dundonald.
*
Address for correspondence: Ms S. M. Hampton, F.R.C.S., Cochlear Implant Centre, Belfast City Hospital, Lisburn Road, Belfast BT9 7AB. Fax: 01232 263549.
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Abstract

We present a child with keratitis, ichthyosis and deafness (KID) syndrome implanted with a Nucleus device. We discuss the wound complications of this child and the steps taken to deal with the problems encountered when the wound failed to heal, followedby the partial extrusion of her implant. Early surgical management involved resuturing the wound but when this failed a rotational flap was required to cover the implant package and allow eventual healing. Despite the wound problems and revision surgery she has a good audiological result.

Keywords

Cochlear implantcomplications
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 5 , May 1997 , pp. 465 - 467
Copyright
Copyright © JLO (1984) Limited 1997

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References

Baden, H. P., Alper, J. C. (1977) Ichthyosiform dermatosis, keratitis, and deafness. Archives of Dermatology 113: 1701–4.CrossRefGoogle ScholarPubMed
Burns, F. S. (1915) A case of generalized congenital keratoderma with unusual involvement of eyes, ears and nasal and buccal mucous membranes. Journal of Cutaneous Diseases 33: 255–260.Google Scholar
Cohen, N. L., Hoffman, R. A. (1991) Complications of cochlear implant surgery in adults and children. Annals of Otology, Rhinology and Laryngology 100: 708–711.CrossRefGoogle ScholarPubMed
Cohen, N. L., Rosenberg, R., Goldstein, S. (1987) Problems and complications of cochlear children. Annals of Otology, Rhinology and Laryngology 96 (Suppl 128): 14–15.CrossRefGoogle Scholar
El-Naggar, M., Hawthorne, M. (1995) Delayed extrusion of acochlear implant: a case report of an implant extruding 21 months after the original operation. Journal of Laryngology and Otology 109: 56–57.CrossRefGoogle Scholar
Haberkamp, T. J., Schwaber, M. K. (1992) Management of flap necrosis in cochlear implantation. Annals of Otology, Rhinology and Laryngology 101: 38–41.CrossRefGoogle ScholarPubMed
Harrison, H. C., Gibson, W. P., Thompson, P. G. (1995)Cochlear implant extrusion in a young child–a preventative measure. Journal of Laryngology and Otology 109: 425–428.CrossRefGoogle Scholar
Hazen, P. G., Carney, P., Lynch, W. S. (1989) Keratitis, ichthyosis, and deafness syndrome with development of multiple cutaneous neoplasms. International Journal of Dermatology 28: 190–191.CrossRefGoogle ScholarPubMed
Helm, K., Lane, A. T., Orosz, J., Metlay, L. (1990) Systemic cytomegalovirus in a patient with the keratitis, ichthyosis, and deafness (KID) syndrome. Pediatric Dermatology 7: 54–56.CrossRefGoogle Scholar
Hoffman, R. A., Cohen, N. L. (1993) Surgical pitfalls in cochlear implantation. Laryngoscope 103: 741–744.CrossRefGoogle ScholarPubMed
Mallory, S. B., Haynie, L. S., Williams, M. L., Hall, W. (1989) Ichthyosis, deafness and Hirschprung's disease. Pediatric Dermatology 6: 24–27.CrossRefGoogle Scholar
Muramatsu, T., Shirai, T., Sakamoto, K. (1987) KIDsyndrome: congenital ichthyosiform dermatosis with keratitis and deafness. Journal of Dermatology 14: 158–162.CrossRefGoogle Scholar
Myers, E. N., Stool, S. E., Koblenzer, P. J. (1971) Congenital deafness, spiny hyperkeratosis and universal alopecia. Archives of Otolaryngology 93: 68–74.CrossRefGoogle ScholarPubMed
Schweitzer, V. G., Burtka, M. J. (1991) Cochlear implant flap necrosis: adjunct hyperbaric oxygen therapy for prevention of explantation. American Journal of Otology 12: 71–75.Google ScholarPubMed
Skinner, B. A., Greist, M. C., Norms, A. L. (1981) Keratitis, ichthyosis, and deafness (KID) syndrome. Archives of Dermatology 113: 285–289.CrossRefGoogle Scholar
Tsuzuku, T., Kaga, K., Kanematsu, S., Shibata, A., Ohde, S. (1992) Temporal bone findings in keratitis, ichthyosis and deafness syndrome. Annals of Otology, Rhinology and Laryngology 101: 413–416.CrossRefGoogle ScholarPubMed
Webb, R. L., Lehnhardt, E., Clark, G. M., Laszig, R.,Pyman, B. C., Franz, B. K. (1991) Surgical complications with the cochlear multiple-channel intracochlear implant: experience at Hannover and Melbourne. Annals of Otology, Rhinology and Laryngology 100: 131–136.CrossRefGoogle ScholarPubMed