Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-23T07:26:48.388Z Has data issue: false hasContentIssue false
  • English
  • Français

A database system for the registration of complications and failures in cochlear implant surgery applied to over 1000 implantations performed in Nijmegen, The Netherlands

Published online by Cambridge University Press:  02 October 2014

H J Theunisse ,
J J Mulder ,
R J E Pennings ,
H P M Kunst  and
E A M Mylanus
H J Theunisse*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, and Centre for Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
J J Mulder
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, and Centre for Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
R J E Pennings
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, and Centre for Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
H P M Kunst
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, and Centre for Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
E A M Mylanus
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, and Centre for Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
*
Address for correspondence: Dr H J Theunisse, Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, PO Box 9101, 6500 HB Nijmegen, The Netherlands Fax: +31 24 354 0251 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To create a system for the uniform registration and classification of complications and failures in cochlear implant surgery, and apply it to all the patients who underwent implantation in our clinic.

Method:

The definition of a medical complication was established, and data for all cochlear implantations performed between 1987 and 2012 were entered into a custom-made database system.

Results:

One or more medical complications were registered in 19.0 per cent of 1003 cochlear implantations. The incidence of ‘hard failure’ was 2.3 per cent. Findings revealed a decrease in device failures over the years; the rate of medical complications remained constant.

Conclusion:

Our database system, which is available free of charge, enables fast and accurate data entry. There were a relatively high number of (minor) complications in our series, but comparison with the relevant literature is difficult. This emphasises the need for a uniform definition of ‘complication’ as it relates to cochlear implant surgery, and an appropriate classification system for such complications.

Keywords

Cochlear ImplantationPostoperative ComplicationsEquipment FailureDatabase Management Systems
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 11 , November 2014 , pp. 952 - 957
Copyright
Copyright © JLO (1984) Limited 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Professor E A M Mylanus is one of the JLO 2014 Visiting Professors

References

1Clavien, PA, Sanabria, JR, Strasberg, SM. Proposed classification of complications of surgery with examples of utility in cholecystectomy. Surgery 1992;111:518–26Google ScholarPubMed
2Balkany, TJ, Hodges, AV, Buchman, CA, Luxford, WM, Pillsbury, CH, Roland, PS et al. Cochlear implant soft failures consensus development conference statement. Otol Neurotol 2005;26:815–18Google Scholar
3European consensus statement on cochlear implant failures and explantations. Otol Neurotol 2005;26:1097–9CrossRefGoogle Scholar
4Dindo, D, Demartines, N, Clavien, P. Classification of surgical complications. Ann Surg 2004;240:205–13Google Scholar
5Rombout, J, Van Zanten, B, Fokkens, WJ, Pauw, BKH. Clinical consequences of feedback on ear surgery: the continuous recording of adverse events and complications with regard to reducing the number of surgeons who perform otosclerosis surgery. Eur Arch Otorhinolaryngol 2002;259:351–61Google Scholar
6Marang-van de Mheen, PJ, Kievit, J. Automated registration of adverse events in surgical patients in the Netherlands: the current status [in Dutch]. Ned Tijdschr Geneeskd 2003;147:1273–7Google Scholar
7Cohen, NL, Hoffman, RA. Complications of cochlear implant surgery in adults and children. Ann Otol Rhinol Laryngol 1991;100:708–11CrossRefGoogle ScholarPubMed
8Bhatia, K, Gibbin, KP, Nikolopoulos, TP, O'Donoghue, GM. Surgical complications and their management in a series of 300 consecutive pediatric cochlear implantations. Otol Neurotol 2004;25:730–9Google Scholar
9Venail, F, Sicard, M, Piron, JP, Levi, A, Artieres, F, Uziel, A et al. Reliability and complications of 500 consecutive cochlear implantations. Arch Otolaryngol Head Neck Surg 2008;134:1276–81Google Scholar
10Lima Júnior, LRP, Rodrigues Júnior Fde, A, Calhau, CMDF, Calhau, ACDF, Palhano, CTDP. Postoperative complications in implanted patients in the Cochlear Implant Program of Rio Grande do Norte-Brazil. Braz J Otorhinolaryngol 2010;76:517–21Google Scholar
11Hou, J-H, Zhao, S-P, Ning, F, Rao, S-Q, Han, D-Y. Postoperative complications in patients with cochlear implants and impacts of nursing intervention. Acta Otolaryngol 2010;130:687–95Google Scholar
12Ciorba, A, Bovo, R, Trevisi, P, Rosignoli, M, Aimoni, C, Castiglione, A et al. Postoperative complications in cochlear implants: a retrospective analysis of 438 consecutive cases. Eur Arch Otorhinolaryngol 2011;269:1599–603Google Scholar
13Qiu, J, Chen, Y, Tan, P, Chen, J, Han, Y, Gao, L et al. Complications and clinical analysis of 416 consecutive cochlear implantations. Int J Pediatr Otorhinolaryngol 2011;75:1143–6Google Scholar
14Tarkan, Ö, Tuncer, Ü, Özdemir, S, Sürmelioğlu, Ö, Çetik, F, Kıroğlu, M et al. Surgical and medical management for complications in 475 consecutive pediatric cochlear implantations. Int J Pediatr Otorhinolaryngol 2013;77:473–9Google Scholar
15Ikeya, J, Kawano, A, Nishiyama, N, Kawaguchi, S, Hagiwara, A, Suzuki, M. Long-term complications after cochlear implantation. Auris Nasus Larynx 2013;40:525–9CrossRefGoogle ScholarPubMed
16Saito, T, Manabe, Y, Shibamori, Y, Yamagishi, T, Igawa, H, Tokuriki, M et al. Long-term follow-up results of electrogustometry and subjective taste disorder after middle ear surgery. Laryngoscope 2001;111:2064–70Google Scholar
17Nin, T, Sakagami, M, Sone-Okunaka, M, Muto, T, Mishiro, Y, Fukazawa, K. Taste function after section of chorda tympani nerve in middle ear surgery. Auris Nasus Larynx 2006;33:13–17Google Scholar
18Battmer, R-D, O'Donoghue, GM, Lenarz, T. A multicenter study of device failure in European cochlear implant centers. Ear Hear 2007;28:95–9SGoogle Scholar
19Ray, J, Gray, RF. Computerized cochlear implant database system. J Laryngol Otol 2000;114:741–5CrossRefGoogle ScholarPubMed
20Nijmegen CI database. In: http://bit.ly/nijmegencidatabase [31 August 2014]Google Scholar