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Laryngoscope. 2016 Mar;126(3):707-12. doi: 10.1002/lary.25570. Epub 2015 Aug 26.

Safety of cochlear implantation before 12 months of age: Medical University of South Carolina and Pediatric American College of Surgeons-National Surgical Quality improvement program outcomes.

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1
Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, U.S.A.

Abstract

OBJECTIVES/HYPOTHESIS:

The primary objective of this study was to determine the safety profile of cochlear implantation (CI) in infants <12 months old.

STUDY DESIGN:

Retrospective review of institutional (Medical University of South Carolina [MUSC]) and national data (Pediatric American College of Surgeons-National Surgical Quality Improvement Program [ACS-NSQIP]).

METHODS:

Cases were subdivided into two groups according to age at CI: <12 months and 12 to 18 months. The primary outcome measure of interest was occurrence of a postoperative medical or surgical complication. Operative time, anesthesia time, time in the postoperative anesthesia care unit, and length of stay were also assessed.

RESULTS:

In infants <12 months of age, the incidence of a 30-day postoperative surgical complication using the ACS-NSQIP database was 3.6%; this did not differ from the rate observed in the 12- to 18-month-old group (3.2%, P = 1.0). In the MUSC series, the occurrence of a 30-day postoperative complication in children <12 months old was comparable (2.7%). At longer-term follow-up (mean = 3.7 years), the incidence of a postoperative surgical complication in infants <12 months old using MUSC data was 13.5%. When compared to older children at longer-term follow-up, no difference was noted (12.7%, P = 1.0). The incidence of a postoperative medical or anesthetic complication in children <12 months of age was extremely rare in both MUSC and ACS-NSQIP series (0% and 1.3%, respectively).

CONCLUSIONS:

Institutional and national data demonstrate that CI in children <12 months of age is a safe procedure. Although infants <12 months old are at risk for postoperative complications, the rates of surgical and medical complications were no different compared to children 12 to 18 months of age.

LEVEL OF EVIDENCE:

4 Laryngoscope, 126:707-712, 2016.

KEYWORDS:

Early cochlear implantation; infant cochlear implantation; medical complications; safety profile; surgical complications

PMID:
26308472
DOI:
10.1002/lary.25570
[Indexed for MEDLINE]

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