Epicutaneous patch test-A new diagnostic option to prevent the rejection of silicone-covered cochlear implants in children

Gábor Vass, Attila Torkos, Anita Altmayer, Jeno Czigner, József Jóri, László Rovó, László Iván

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives: Cochlear implantation (CI) is a revolutionary method for hearing rehabilitation in patients with severe or profound sensorineural hearing loss. One of the surgical complications may be the necrosis of the skin flap above the receiver-stimulator coil, resulting in device extrusion. Our aim was to find the plausible causes of the silicone covered implant rejection. Patients and methods: Authors present four cases of cochlear implant rejection, briefly describe their dermato-surgical solutions and analyse their innovative method - the epicutanoeus patch testing with silicone samples. Results: They observed positive skin reaction in three of the four cases. Conclusion: Authors analyse the applicability and results of their surgical solutions and the epicutaneous testing in connection with the prevention of skin flap necrosis and rejection of silicone-covered cochlear implants.

Original languageEnglish
Pages (from-to)1635-1638
Number of pages4
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume77
Issue number10
DOIs
Publication statusPublished - Oct 1 2013

Keywords

  • Cochlear implantation
  • Epicutaneous patch test
  • Loco-regional skin flaps
  • Skin flap necrosis
  • Surgical complication

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

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