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Updated: Jun 17, 2026

Performing Repeated Intraoperative Impedance Telemetry Measurements during Cochlear Implantation
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Complications in pediatric cochlear implants.

Jonathan McJunkin1, Anita Jeyakumar

  • 1Washington University School of Medicine, St Louis, MO 63104, USA.

American Journal of Otolaryngology
|December 18, 2009
PubMed
Summary
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Cochlear implantation in children is safe and reliable, with few severe complications. Long-term follow-up is recommended for pediatric patients receiving cochlear implants.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Medical Device Technology

Background:

  • Cochlear implantation is a critical intervention for pediatric hearing loss.
  • Assessing complication rates is vital for patient safety and surgical outcomes.

Purpose of the Study:

  • To retrospectively review complications in pediatric patients undergoing cochlear implantation.
  • To evaluate the safety and efficacy of cochlear implants in a young population.

Main Methods:

  • Retrospective analysis of 136 pediatric patients (under 18) who underwent primary cochlear implantation between 2001-2005.
  • Review of demographic data, hearing loss etiology, implant type, and specific complications.
  • 3-year follow-up period to assess outcomes and adverse events.

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Main Results:

  • No intraoperative complications were reported.
  • The most frequent complications were flap infections (2.6%) and postoperative hematomas (1.9%).
  • A single device failure (0.7%) occurred during the study period.

Conclusions:

  • Cochlear implantation in children is a safe procedure when performed by experienced surgeons.
  • Severe complications are infrequent, supporting the continued use of cochlear implants.
  • Lifetime follow-up is advised for pediatric cochlear implant recipients.