Managing Cochlear Implant Complications

Abstract

Program Description: This miniseminar is designed for otolaryngologists who include cochlear implants in the scope of their practice and would like to learn more about managing various intraoperative and postoperative complications, and special considerations as they inevitably arise. Particularly useful for otologic surgeons who have small to moderate cochlear implant case volumes, this seminar will address common as well as less common complications and provide a framework for systematically and effectively managing them. A panel of experts consists of four otologists who run busy, mature cochlear implant programs and have extensive experience in managing various implant-related issues. During the first hour, each panelist will give a brief presentation. Topics include: analyzing suspected device failures, evaluation and revision of inappropriate electrode placement, management of CSF gushers and leaks, management of skin ulceration, skin breakdown and device exposure, management of wound infection and device infection. The following half hour will be reserved for discussion of individual case scenarios. The moderator will present cases to the expert panel for discussion. Members of the audience are encouraged to participate in the discussion, ask questions, and present their own cases to the panel. Attendees will learn how to avoid common intraoperative complications and how to better manage complications when they do occur. The aim of this miniseminar is to allow the attendees to benefit from the experience of our panelists and provide them with “tried and true” techniques that can be implemented in their own cochlear implant programs, ultimately improving the scope and quality of cochlear implant services available nationally and internationally.

Educational Objectives: 1) Identify and manage a variety of complications related to cochlear implants with more confidence. 2) Learn to evaluate suspected cochlear implant device failures and need for revisions. 3) Learn an operative technique for managing a CSF gusher.