台耳醫誌

雜誌專區 -第56卷第4期

病例報告 
Cochlear Implant Explantation as a Sequela of Severe Infection-Case Report  僅供有效會員 登入會員查看全文
237~242 
英文 
cochlear implant、explantation、infection、人工耳蝸植入、移植、感染 
Yao-Wen Chang1 、Wei-Chieh Lin1 、Chuan-Jen Hsu1 、Hung-Pin Wu1,2  
Department of Otolaryngology, Head and Neck Surgery, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation1 、School of Medicine, Tzu Chi University2  
Wound infection is a rare but serious problem after cochlear implant (CI) surgery. To date, no consensus has been reached on the decision to remove a CI in the setting of severe infection. This report documents a long-term CI wound infection that causes mastoiditis in a pediatric patient. After conservative management by intravenous antibiotics, surgical debridement, and a redesigned flap, the decision was made to explant the device. If CI wound infection recurs for >6 weeks or if purulence is in direct contact with the device, then explantation becomes necessary for wound recovery.
(J Taiwan Otolaryngol Head Neck Surg 2021; 56:237-242)