Incomplete electrode extraction during cochlear implant revision

Stephen Y. Kang, Teresa A. Zwolan, Paul R. Kileny, John K. Niparko, Colin L. Driscoll, Clough Shelton, Steven A. Telian

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: To report 3 occurrences of incomplete electrode extraction during cochlear implant revision, resulting in partial intracochlear retention of an implant electrode array. STUDY DESIGN: Retrospective case series. SETTING: Three tertiary care academic medical centers. PATIENTS: Three patients with cochlear implant failure necessitating revision cochlear implantation. INTERVENTION: Diagnosis and surgical revision of failed cochlear implants. RESULTS: A rare intraoperative complication was encountered in 3 pediatric patients undergoing revision cochlear implantation. During attempted explantation of the indwelling electrode, the array fractured and resulted in intracochlear retention of a distal portion of the electrode. Each case was managed differently by the operative team. CONCLUSION: Incomplete electrode extraction is a rare but significant complication of revision cochlear implantation that is generally not anticipated when counseling patients and families. Preoperative discussion of this potential complication is appropriate.

Original languageEnglish (US)
Pages (from-to)160-164
Number of pages5
JournalOtology and Neurotology
Volume30
Issue number2
DOIs
Publication statusPublished - Feb 2009

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Keywords

  • Cochlear implant complications
  • Cochlear implant electrode fracture
  • Cochlear implant revision
  • Incomplete cochlear implant extraction

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Clinical Neurology
  • Sensory Systems
  • Medicine(all)

Cite this

Kang, S. Y., Zwolan, T. A., Kileny, P. R., Niparko, J. K., Driscoll, C. L., Shelton, C., & Telian, S. A. (2009). Incomplete electrode extraction during cochlear implant revision. Otology and Neurotology, 30(2), 160-164. https://doi.org/10.1097/MAO.0b013e318191b6f7