Complications of Paediatric Cochlear Implantation in the Population of Uttarakhand


Cochlear implants surgery is now routinely done at this center. Complications which have been experienced in cochlear implant surgery at our center are discussed, as a detailed knowledge about the complications and their early anticipation can save an expensive device and most importantly patients morbidity. To discuss the complications of the paediatric cochlear implantation in the population of Uttarakhand. The total of 60 patients were included in this study (age group 1–5 years) who had undergone the cochlear implantation surgery between Sept. 2015 and Sept. 2016. These patients were regularly monitored and followed up for 1 year. All the surgeries were performed by same team of surgeons. Rate of minor complications is 8.33% (reversible facial nerve paresis, injury to chorda tympani nerve, local skin reaction, perilymph gussher) and major complications is 5% (implant rejection and flap necrosis). The various complications should be closely monitored by the surgeon so that these can be avoided.

This is a preview of subscription content, log in to check access.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5


  1. 1.

    Luxford W, Brackmann D (1985) The history of cochlear implants. In: Gray R (ed) Cochlear implants, vol 10. College Hill Press, San Diego, pp 1100–1106

    Google Scholar 

  2. 2.

    NUCLEUS®, Sistema de Implante Coclear; Manual do Cirurgião 2000

  3. 3.

    Valencia DM, Rimell FL, Friedman BJ, Oblander MR, Helmbrecht J (2008) Cochlear implantation in infants less than 12 months of age. Int J Pediatr Otorhinolaryngol 72:767–773

    Article  Google Scholar 

  4. 4.

    Cohen NL, Hoffman RA (1993) Surgical complications of multichannel cochlear implants in North America. Adv Otorhinolaryngol 48:70–74

    CAS  PubMed  Google Scholar 

  5. 5.

    Webb RL, Lehnhardt E, Clark GM, Laszig R, Pyman BC, Franz BK (1991) Surgical complications with the cochlear multichannel intra cochlear implant: experience at Hannover and Melbourne. Ann Otol Rhinol Laryngol 100:131–136

    CAS  Article  Google Scholar 

  6. 6.

    Cheng AK, Rubin HR, Powe NR, Mellon NK, Francis HW, Niparko JK (2000) Costutility analysis of the cochlear implant in children. JAMA 284:850–856

    CAS  Article  Google Scholar 

  7. 7.

    Orhan KS, Guldiken Y, Basaran B, Ulusan M, Polat B, Celik M, Deger K (2012) Complications and their management following pediatric cochlear implantations. J Int Adv Otol 8(2):244–252

    Google Scholar 

  8. 8.

    Gurbuz MK, Incesulu A, Adapinar B, Erdinc M, Kecik C (2011) Recurrent meningitis due to non-implanted ear in cochlear implant patient with bilateral inner ear abnormality: a case report. Int Adv Otol 7:257–262

    Google Scholar 

  9. 9.

    Loundon N, Blanchard M, Roger G, Denoyelle F, Garabedian EN (2010) Medical and surgical complication in pediatric cochlear implantation. Arch Otolaryngol Head Neck Surg 136:12–15

    Article  Google Scholar 

  10. 10.

    Tange RA, Grolman W, Maat A (2006) Intracochlear misdirected implantation of a cochlear implant. Acta Otolaryngol 126:650–652

    CAS  Article  Google Scholar 

  11. 11.

    Arnoldner C, Helbig S, Wagenblast J, Gstoettner W (2009) Cochlear implant reference electrode migration to dura mater. Otol Neurotol 30:1013–1014

    Article  Google Scholar 

  12. 12.

    Fayad JN, Wanna GB, Micheletto JN, Parisier SC (2003) Facial nerve paralysis following cochlear implant surgery. Laryngoscope 113:1344–1346

    Article  Google Scholar 

  13. 13.

    Trinidade A, Rowlands G, Obholzer R, Lavy J (2008) Late skin flap failure following cochlear implantation. Cochlear Implants Int 9:167–175

    CAS  Article  Google Scholar 

  14. 14.

    Bassim MK, Zdanski CJ (2007) Electrode extrusion through the tympanic membrane in a pediatric patient. Otolaryngol Head Neck Surg 137:680–681

    Article  Google Scholar 

  15. 15.

    Kim CS, Oh SH, Chang SO, Kim HM, Hur DG (2008) Management of complications in cochlear implantation. Acta Otolaryngol 128:408–414

    Article  Google Scholar 

  16. 16.

    Bhatia K, Gibbin KP, Nikolopoulos TP, O’Donoghue GM (2004) Surgical complications and their management in a series of 300 consecutive pediatric cochlear implantations. Otol Neurotol 25:730–739

    Article  Google Scholar 

  17. 17.

    Hashemi B, Bayat A, Kazemei T (2010) Surgical complications of cochlear implantation. Iran J Med Sci 35:53–56

    Google Scholar 

  18. 18.

    Shiras S, Vaid N, Vaid S, Kothadiya A (2018) Surgical complications and their management in cochlear implantees less than 5 years of age: the KEMH Pune experience. Interdiscip J 19(2):67–71

    Google Scholar 

  19. 19.

    Raghunandhan S, Kameswaran M, Kumar RS, Agarwal AK, Hossain MD (2014) A study of complications and morbidity profile in cochlear implantation: the MERF experience. Indian J Otolaryngol Head Neck Surg 66(Suppl 1):S161–S168

    Article  Google Scholar 

Download references


There are no financial interests the authors may have in companies or other entities that have an interest in the information in the Contribution (e.g., grants, advisory boards, employment, consultancies, contracts, honoraria, royalties, expert testimony, partnerships, or stock ownership in medically related fields). The authors have no financial interest.

Author information



Corresponding author

Correspondence to Chetan Bansal.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Singh, V.P., Bansal, C. & Kanwar, T. Complications of Paediatric Cochlear Implantation in the Population of Uttarakhand. Indian J Otolaryngol Head Neck Surg 71, 1538–1542 (2019).

Download citation


  • Cochlear implant
  • Complications
  • Posterior tympanotomy