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A database system for the registration of complications and failures in cochlear implant surgery applied to over 1000 implantations performed in Nijmegen, The Netherlands

Published online by Cambridge University Press:  02 October 2014

H J Theunisse*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, and Centre for Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
J J Mulder
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, and Centre for Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
R J E Pennings
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, and Centre for Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
H P M Kunst
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, and Centre for Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
E A M Mylanus
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, and Centre for Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
*
Address for correspondence: Dr H J Theunisse, Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, PO Box 9101, 6500 HB Nijmegen, The Netherlands Fax: +31 24 354 0251 E-mail: erik.theunisse@radboudumc.nl

Abstract

Objective:

To create a system for the uniform registration and classification of complications and failures in cochlear implant surgery, and apply it to all the patients who underwent implantation in our clinic.

Method:

The definition of a medical complication was established, and data for all cochlear implantations performed between 1987 and 2012 were entered into a custom-made database system.

Results:

One or more medical complications were registered in 19.0 per cent of 1003 cochlear implantations. The incidence of ‘hard failure’ was 2.3 per cent. Findings revealed a decrease in device failures over the years; the rate of medical complications remained constant.

Conclusion:

Our database system, which is available free of charge, enables fast and accurate data entry. There were a relatively high number of (minor) complications in our series, but comparison with the relevant literature is difficult. This emphasises the need for a uniform definition of ‘complication’ as it relates to cochlear implant surgery, and an appropriate classification system for such complications.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2014 

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Footnotes

Professor E A M Mylanus is one of the JLO 2014 Visiting Professors

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