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Cerebrospinal Fluid Gusher in Cochlear Implantation and Its Association with Inner-Ear Malformations
Abdullah Dalgic1, Görkem Atsal1, Mehmet Emrah Ceylan2
1Department of Otolaryngology - Head and Neck Surgery, University of Health Sciences, İzmir Bozyaka Education and Research Hospital, İzmir, Turkey.
The Journal of International Advanced Otology
|November 9, 2022
Summary
Pediatric patients undergoing cochlear implantation have a higher incidence of cerebrospinal fluid gusher due to increased rates of inner-ear malformations. Inner-ear malformations are a significant risk factor for this complication.
Area of Science:
- Otolaryngology
- Neurosurgery
- Pediatric Surgery
Background:
- Cochlear implantation is a common procedure for hearing restoration.
- Cerebrospinal fluid (CSF) gusher is a potential complication during cochlear implantation.
- Inner-ear malformations are known to affect surgical outcomes.
Purpose of the Study:
- To determine the incidence of CSF gusher in cochlear implantation.
- To investigate the association between CSF gusher and inner-ear malformations.
- To compare these incidences in pediatric versus adult patients.
Main Methods:
- Retrospective review of 1025 primary cochlear implantation cases.
- Inclusion of patients with inner-ear malformation or CSF gusher.
- Stratification into pediatric and adult groups.
Main Results:
- Inner-ear malformation incidence was 4.19% in adults and 7.6% in pediatric patients.
- CSF gusher incidence was 0.9% in adults and 4.1% in pediatric patients.
- Significant differences in both inner-ear malformation and CSF gusher rates were observed between pediatric and adult groups.
Conclusions:
- Pediatric patients exhibit a higher incidence of CSF gusher compared to adults.
- Increased prevalence of inner-ear malformations in pediatric patients contributes to higher CSF gusher rates.
- Inner-ear malformation is identified as a risk factor for CSF gusher during cochlear implantation.
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