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A retrospective review of cochlear implant revision surgery: a 24-year experience in China

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

We aimed to analyse the reasons behind the need for cochlear implant revision surgeries, as well as the rate at which they occur, to reduce the revision surgery rate for non-device failures. We also aimed to elucidate the cumulative survival and device survival rates in different age groups.

Methods

This retrospective single cohort study reviewed 4563 cochlear implant surgeries and 119 revision surgeries performed at a tertiary referral hospital in China between 1996 and 2019. Kaplan–Meier curves were used to calculate the cumulative survival and device survival rates.

Results

The revision surgery rate was 2.61%. The reasons for revision included device (73.1%) and non-device (26.9%) failures. The most common reasons were hard device (47.1%) and non-device failure (28.6%). The 10- and 20-year cumulative survival rates were 96.8% and 96.7%, respectively. Younger children were more likely to undergo a second surgery.

Conclusion

This study is the longest study about revision surgery in China. Cochlear implantation is a reliable treatment. It has a low complication rate in patients with sensorineural hearing loss. Children have a higher revision rate than adults. Doctors should be aware of each complication and perform the appropriate procedure.

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Acknowledgements

The authors wish to thank all the patients included in this study, as well as their parents. Without their participation and contribution, this study would not have been possible.

Funding

This work was partly supported by the National Natural Science Foundation of China (grant No.81670923 and No.81870716) and Beijing Natural Science Foundation (No. 7212015).

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Author notes

  1. Jingyuan Chen and Biao Chen authors contributed equally to this study.

Authors and Affiliations

  1. Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, No. 1 Dongjiaominxiang Street, Dongcheng District, Beijing, 100730, China

    Jingyuan Chen, Biao Chen, Ying Shi & Yongxin Li

Authors
  1. Jingyuan Chen
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  2. Biao Chen
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  3. Ying Shi
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Contributions

JC and BC wrote the article and analysed the data. JC, BC, and YS collected the data. YL guided the writing and research methods. All authors discussed the results and implications of this study and commented on the article.

Corresponding author

Correspondence to Yongxin Li.

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Conflict of interest

The authors have no conflicts of interest to declare that are relevant to the content of this article.

Ethical approval

This study was approved by the Ethics Committee of the Beijing Tongren Hospital.

Informed consent

The need for informed consent was waived due to the retrospective nature of the study.

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Chen, J., Chen, B., Shi, Y. et al. A retrospective review of cochlear implant revision surgery: a 24-year experience in China. Eur Arch Otorhinolaryngol 279, 1211–1220 (2022). https://doi.org/10.1007/s00405-021-06745-1

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  • DOI: https://doi.org/10.1007/s00405-021-06745-1

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