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Anales de Otorrinolaringología Mexicana

Anales de Otorrinolaringología Mexicana
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2015, Number 2

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Otorrinolaringología 2015; 60 (2)

Treatment of upper airway and other not-infectious complications in pediatric patients with cochlear implant placed at National Rehabilitation Institute, Mexico

Cordero-Yanza JÁ, Cisneros-Lesser JC, Hernández-Palestina MS
Full text How to cite this article

Language: Spanish
References: 9
Page: 89-96
PDF size: 433.40 Kb.


Key words:

cochlear implants, infectious complications, upper airway infection, antibiotics.

ABSTRACT

Objective: To perform a descriptive analysis of treatment and evolution and infectious complications found in pediatric patients that received a cochlear implant at National Institute of Rehabilitation, Mexico.
Material and method: A retrospective, descriptive, observational and analytical study that included 70 pediatric patients post-operated to cochlear implant, from November 2007 to June 2013, at National Institute of Rehabilitation, Mexico. It was made a descriptive statistical analysis by central and dispersion tendency measurements, with normality tests, besides logistic regression for identifying favorable responses with different antibiotics and treatment days and doses.
Results: From 70 patients included, 34 had any infectious complication; from these, 17 had infection of upper airways and only 7 had acute otitis media. The first-choice antibiotic was amoxicilline-clavulanic acid in 16 patients. Longer number of days of treatment, better relieve of disease; besides, doses of 90 mg/kg/12 h showed better response of patients.
Conclusions: Placement of cochlear implant is a safe and effective procedure, with a low rate of major complications. In case of suspicion of infection of upper airways, it is recommended the prescription of antibiotic.


REFERENCES

  1. Tambyraja RR, Gutman MA, Megerian CA. Cochlear implant complications: utility of federal database in systematic analysis. Arch Otolaryngol Head Neck Surg 2005;131:245- 250.

  2. Rubin LG, Papsin B, Committee on Infectious Diseases and Section on Otolaryngology-Head and Neck Surgery. Cochlear implants in children: surgical site infections and prevention and treatment of acute otitis media and meningitis. Pediatrics 2010;126:381-391.

  3. Department of Otolaryngology, Chi Mei Medical Center, Taipei Medical University. Management of otitis mediarelated diseases in children with a cochlear implant. KanCity, Tainan, Taiwan, 2009;129:254-260.

  4. Cunningham CD 3rd, Slattery WH 3rd, Luxford WM. Postoperative infection in cochlear implant patients. Otolaryngol Head Neck Surg 2004;131:109-114.

  5. Galli J, Ardito F, Calò L, Mancinelli L, et al. Recurrent upper airway infections and bacterial biofilms. J Laryngol Otol 2007;121:341-344.

  6. Wei BP, Shepherd RK, Robins-Browne RM, Clark GM, O’Leary SJ. Threshold shift: effects of cochlear implantation on the risk of pneumococcal meningitis. Otolaryngol Head Neck Surg 2007;136:589-596.

  7. Barclay L. American Academy of pediatrics issues statement on cochlear implants in children. Pediatrics 2010;126:381- 391.

  8. Preciado D, Choi S. Management of acute otitis media in cochlear implant recipients: to tube or not to tube? Laryngoscope 2012;122:709-710.

  9. Migirov L, Yakirevitch A, Henkin Y, Kaplan-Neeman R, Kronenberg J. Acute otitis media and mastoiditis following cochlear implantation. Int J Pediatr Otorhinolaryngol 2006;70:899-903.




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C?MO CITAR (Vancouver)

Otorrinolaringología. 2015;60