Cochlear implantation after solid organ transplantation: long term results and review of the literature
العنوان: | Cochlear implantation after solid organ transplantation: long term results and review of the literature |
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المؤلفون: | Filippo Di Lella, Vincenzo Vincenti, Enrico Pasanisi, Maurizio Falcioni, Ilaria Iaccarino, Maurizio Negri, Andrea Bacciu, Federica Canzano |
المصدر: | European Archives of Oto-Rhino-Laryngology. 276:2747-2754 |
بيانات النشر: | Springer Science and Business Media LLC, 2019. |
سنة النشر: | 2019 |
مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, medicine.medical_treatment, Organ transplantation, 03 medical and health sciences, 0302 clinical medicine, Cochlear implant, medicine, Humans, Major complication, 030223 otorhinolaryngology, Cochlear implantation, Retrospective Studies, business.industry, Organ Transplantation, General Medicine, Long term results, Middle Aged, Cochlear Implantation, Surgery, Otorhinolaryngology, 030220 oncology & carcinogenesis, Female, Neurosurgery, Solid organ transplantation, business, Immunosuppressive Agents, Follow-Up Studies |
الوصف: | To analyze rate and type of complications in cochlear implant (CI) recipients receiving immunosuppressive therapy following solid organ transplant (SOT). Retrospective case series. English language literature review. Tertiary referral center. Cochlear implantation surgery following solid organ transplantation (SOT) and immunosuppressive therapy. Data of patients who received CI after SOT and with at least one year of follow up were reviewed. Main outcome measures were the rate and type of complications, classified as major (requiring a second surgical procedure) and minor (requiring medical therapy). A search was performed in PubMed database on January 2019 using the keywords: organ transplant; cochlear implant, complications, deafness, solid organ transplant, immunosuppressive therapy. Only studies reporting on patients who have been implanted after the transplant procedure and with a follow up period of at least 1 year were considered. Final analysis was performed on pooled data. Four patients received CI surgery following SOT. Age at treatment ranged from 40 to 47 years (mean 44.25 years). Follow-up after implantation averaged 5.25 years (range 1–10 years), without complications. Review of the available literature on the subject yielded seven papers; a total of 26 procedures in 22 patients satisfied inclusion criteria. Pooled data from the present series and from the literature were analyzed; the global rate of complications was 16.6%, with 10% major (3 of 30 procedures) and 6.6% minor (2 of 30 procedures). The three reported cases of major complications appear unrelated to SOT. Major complications were found in one case over 16 procedures in pediatric patients (6.2%), while in adults the percentage raised to 14.3% (2/14 procedures). Cochlear implantation is a safe and effective intervention, even during immunosuppressive therapy after organ transplantation. |
تدمد: | 1434-4726 0937-4477 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9dc68c4fdc949022fa2b5547a9cd3595 https://doi.org/10.1007/s00405-019-05524-3 |
حقوق: | CLOSED |
رقم الأكسشن: | edsair.doi.dedup.....9dc68c4fdc949022fa2b5547a9cd3595 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 14344726 09374477 |
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