Pediatric Cochlear Implantation: Associated With Minimal Postoperative Pain and Dizziness

被引:12
作者
Birman, Catherine S. [1 ,2 ,3 ,4 ]
Gibson, William P. R. [2 ,3 ,5 ]
Elliott, Elizabeth J. [1 ,2 ]
机构
[1] Univ Sydney, Sydney Med Sch, Discipline Paediat & Child Hlth, Sydney, NSW 2006, Australia
[2] Childrens Hosp Westmead, Sydney Childrens Hosp Network, Sydney, NSW, Australia
[3] Sydney Cochlear Implant Ctr, Sydney, NSW, Australia
[4] Macquarie Univ, Fac Human Sci, Dept Linguist, N Ryde, NSW 2109, Australia
[5] Univ Sydney, Sydney Med Sch, Sydney, NSW 2006, Australia
基金
英国医学研究理事会;
关键词
Cochlear implant; Child; Pediatric; Adolescent; Pain; Dizziness; Analgesia; TYMPANOMASTOID SURGERY; CHILDREN; COMPLICATIONS; BLOCK;
D O I
10.1097/MAO.0000000000000569
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective To prospectively document the surgical pain, assessing analgesia use as a proxy, and postoperative dizziness in children over the first week after cochlear implantation. Study Design Prospective. Setting Tertiary referral hospital and cochlear implant program. Patients Children aged 0 to 16 years inclusive undergoing cochlear implant surgery, who returned to see the primary surgeon for the postoperative 1-week follow-up appointment. Interventions One-week postoperative collection of data via direct questioning of parents and children. Main Outcome Measures Analgesia use, duration of analgesia use and dizziness (nil, slight, or moderate), type of surgery, and radiologic findings. Results Data were available for 61 of 98 children aged 5 months to 15 years. Children underwent first side implant (n = 27), sequential second side implant (n = 15), bilateral simultaneous (n = 16), and explant reimplantation (n = 3). On average, children used paracetamol for only 1.9 days after discharge from the hospital. Longer average paracetamol use was associated with bilateral simultaneous surgery (3.3 d after discharge from the hospital) and also the younger age group of 0 to 12 months (3.2 d). Slight dizziness was reported by 8% of all children at 1 week postsurgery. No child had marked dizziness or unsteadiness. Four children had large vestibular aqueducts on radiology scans, two (50%) of these children has slight unsteadiness at 1 week postoperatively. Conclusion Our study shows cochlear implant surgery is well tolerated by children. This information enables better counseling of families and children considering cochlear implantation.
引用
收藏
页码:220 / 222
页数:3
相关论文
共 11 条
  • [1] Effect of i.v. dexamethasone on postoperative dizziness, nausea and pain during canal wall-up mastoidectomy
    Ahn, JH
    Kim, MR
    Kim, KH
    [J]. ACTA OTO-LARYNGOLOGICA, 2005, 125 (11) : 1176 - 1179
  • [2] Vestibular effects of cochlear implantation
    Buchman, CA
    Joy, J
    Hodges, A
    Telischi, FF
    Balkany, TJ
    [J]. LARYNGOSCOPE, 2004, 114 (10) : 1 - 22
  • [3] Postoperative complications in cochlear implants: a retrospective analysis of 438 consecutive cases
    Ciorba, A.
    Bovo, R.
    Trevisi, P.
    Rosignoli, M.
    Aimoni, C.
    Castiglione, A.
    Martini, A.
    [J]. EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2012, 269 (06) : 1599 - 1603
  • [4] Ambulatory tympanomastoid surgery in children - Factors affecting hospital admission
    Hasan, RA
    LaRouere, MJ
    Kartush, J
    Bojrab, D
    [J]. ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2004, 130 (10) : 1158 - 1162
  • [5] Complications of paediatric cochlear implantation: experience in Izmir
    Kandogan, T
    Levent, O
    Gurol, G
    [J]. JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2005, 119 (08) : 606 - 610
  • [6] Complications in pediatric cochlear implant surgery
    Kempf, HG
    Johann, K
    Lenarz, T
    [J]. EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 1999, 256 (03) : 128 - 132
  • [7] Incidence and quality of vertigo symptoms after cochlear implantation
    Krause, E.
    Louza, J. P. R.
    Wechtenbruch, J.
    Hempel, J-M
    Rader, T.
    Gorkov, R.
    [J]. JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2009, 123 (03) : 278 - 282
  • [8] Motor skill deficits in children with partial hearing
    Livingstone, Nuala
    Mcphillips, Martin
    [J]. DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2011, 53 (09) : 836 - 842
  • [9] Day-case pediatric middle ear surgery: From myringoplasty to bilateral cochlear implantation
    Powell, Harry R. F.
    Rowlands, Richard G.
    Lavy, Jeremy A.
    Wright, Anthony
    [J]. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2010, 74 (07) : 803 - 806
  • [10] Does a preemptive block of the great auricular nerve improve postoperative analgesia in children undergoing tympanomastoid surgery?
    Suresh, S
    Barcelona, SL
    Young, NM
    Heffner, CL
    Coté, CJ
    [J]. ANESTHESIA AND ANALGESIA, 2004, 98 (02) : 330 - 333