Seyed Basir Hashemi1,2, Haleh Bozorgi1, Tayebeh Kazemi1,2, Amirhossein Babaei1,3. 1. Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran. 2. Cochlear Implant Center, Shiraz University of Medical Sciences, Shiraz, Iran. 3. Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Abstract
Introduction: Cochlear implants (CI) is considered a safe procedure with overall complication rate of 12.5% amongst adult and pediatric population. Cerebrospinal fluid (CSF) gusher is regarded as a common CI intraoperative complication.Objective: In this study, we determined the association between probable associated factors and occurrence of intraoperative CSF gusher.Method: In a retrospective survey, 394 patients with severe to profound sensorineural hearing loss who underwent primary cochlear implantation surgery were evaluated. Patients with incomplete electronic or manual file and those with revision, explantation or reimplantation surgery were excluded.Result: three hundred and ninety-four CI patients with a mean age of 8.74 ± 12.21 years were reviewed 49.62% of them were female. CSF gusher developed in 22 patients (5.58%). Patients with CSF gusher had more structural abnormalities in their CT scans' report. Common cavity malformation and Mondini dysplasia were the most common abnormal reports amongst those with intra-operative CSF gusher. Conclusion: In conclusion, cochlea structural abnormalities affect the incidence of CSF gusher in CI recipients. Common cavity malformation and Mondini dysplasia were associated with an increased incidence of CSF gusher. We insist on more precise pre-operative imaging of those with abnormal cochlea structures to provide the needed management.
Introduction: Cochlear implants (CI) is considered a safe procedure with overall complication rate of 12.5% amongst adult and pediatric population. Cerebrospinal fluid (CSF) gusher is regarded as a common CI intraoperative complication.Objective: In this study, we determined the association between probable associated factors and occurrence of intraoperative CSF gusher.Method: In a retrospective survey, 394 patients with severe to profound sensorineural hearing loss who underwent primary cochlear implantation surgery were evaluated. Patients with incomplete electronic or manual file and those with revision, explantation or reimplantation surgery were excluded.Result: three hundred and ninety-four CI patients with a mean age of 8.74 ± 12.21 years were reviewed 49.62% of them were female. CSF gusher developed in 22 patients (5.58%). Patients with CSF gusher had more structural abnormalities in their CT scans' report. Common cavity malformation and Mondini dysplasia were the most common abnormal reports amongst those with intra-operative CSF gusher. Conclusion: In conclusion, cochlea structural abnormalities affect the incidence of CSF gusher in CI recipients. Common cavity malformation and Mondini dysplasia were associated with an increased incidence of CSF gusher. We insist on more precise pre-operative imaging of those with abnormal cochlea structures to provide the needed management.
Authors: Mohamed Garrada; Meaad K Alsulami; Samia N Almutairi; Shahad M Alessa; Afaf F Alselami; Nujood A Alharbi; Roaya A Alsulami; Reham Y Talbi; Khaled I Al-Nouri Journal: Cureus Date: 2021-12-27
Authors: Max Gerdsen; Cathérine Jorissen; Daphne Catharina Francisca Pustjens; Janke Roelofke Hof; Vincent Van Rompaey; Raymond Van De Berg; Josine Christine Colette Widdershoven Journal: Front Pediatr Date: 2022-09-20 Impact factor: 3.569