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1000 Titel
  • Diagnosing complications following cochlear implantation using transcutaneous ultrasound
1000 Autor/in
  1. Rupp, Robin |
  2. Thimsen, Vivian |
  3. Balk, Matthias |
  4. Mueller, Sarina |
  5. Sievert, Matti |
  6. Mantsopoulos, Konstantinos |
  7. Hoppe, Ulrich |
  8. Hornung, Joachim |
  9. Iro, Heinrich |
  10. Gostian, Antoniu |
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-10-26
1000 Erschienen in
1000 Quellenangabe
  • 279(8):3867-3873
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00405-021-07128-2 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9444831/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Purpose!#!The aim of this study was to investigate the feasibility and reliability of transcutaneous ultrasound for the detection of complications after cochlear implantation.!##!Methods!#!In a single center retrospective cohort study, 115 consecutive cases of suspected complications after cochlear implantation (intervention group) were examined. The rate of pathologic ultrasound findings for specific leading symptoms and diagnoses was compared to a control group comprising twenty consecutive cochlear implants in symptom-free patients.!##!Results!#!Diagnostic ultrasound showed distinctly more pathologic findings in the intervention group (n = 67; 58.3%; p < 0.001) compared to the control group (n = 1; 5%). Ultrasound revealed significantly more pathologic findings in haematoma or seroma around the implant (n = 17; 100%; p < 0.001; ϕ = 0.94) and magnet dislocation (n = 44; 97.7%; p < 0.001; ϕ = 0.92) confirmed by a strong effect. Ultrasound examination showed a medium to high effect size in patients presenting with local infections (n = 3; 21.4%; p = 0.283; ϕ = 0.25) and skin flap oedema (n = 2; 50%; p = 0.061; ϕ = 0.51). In contrast, ultrasound examinations displayed a low effect size in undefined cephalgia (0%; p = 0.444; ϕ = 0.17) and device malfunction or failure (0%; p > 0.999; ϕ = 0.13).!##!Conclusion!#!Transcutaneous ultrasound can be advocated as a feasible and effective method in the diagnostic work-up of magnet dislocation and haematoma or seroma around the implant following cochlear implantation. Contrary, ultrasound findings can be expected to be inconspicuous in patients presenting with undefined cephalgia and device malfunction or failure.
1000 Sacherschließung
lokal Transcutaneous ultrasound
lokal Hematoma/etiology [MeSH]
lokal Haematoma
lokal Ultrasonography [MeSH]
lokal Humans [MeSH]
lokal Cochlear Implantation/adverse effects [MeSH]
lokal Magnet dislocation
lokal Retrospective Studies [MeSH]
lokal Cochlear implant
lokal Seroma
lokal Diagnostic sonography
lokal Hematoma/diagnostic imaging [MeSH]
lokal Otology
lokal Reproducibility of Results [MeSH]
lokal Headache/etiology [MeSH]
lokal Seroma/etiology [MeSH]
lokal Cochlear Implants/adverse effects [MeSH]
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0001-7019-4339|https://orcid.org/0000-0001-7631-7336|https://orcid.org/0000-0002-4938-0441|https://orcid.org/0000-0001-5790-0841|https://orcid.org/0000-0003-0741-4049|https://orcid.org/0000-0002-4948-8882|https://frl.publisso.de/adhoc/uri/SG9wcGUsIFVscmljaA==|https://orcid.org/0000-0002-8294-4245|https://orcid.org/0000-0002-7441-2265|https://orcid.org/0000-0002-9448-1882
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1000 Erstellt am 2023-05-09T12:06:47.619+0200
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1000 Zuletzt bearbeitet Sat Oct 21 03:13:37 CEST 2023
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