Objective: we report our series of late hydroma after cochlear implantation, this complication has not been widely reported in the literature. Method: retrospective study.
Results: four children who had undergone a cochlear implantation aged between 3.2 and 5.3 years (median 4.5 years) were studied. The hydroma episode occurred 4 months to 3 years after cochlear implantation. Two patients had two recurrent episodes. No obvious etiological factors were found, including trauma or infection. No patient benefited from a fine needle aspiration or drainage, all the patients were treated with a broad-spectrum antibiotic with corticosteroid and a slightly compressive bandage with good results in all cases.
Conclusion: Late-onset hydroma is a minor complication with no obvious etiology and good evolution and risk of recurrence, its management remains no codified due to the limited number of cases reported in the literature.
Bhatia K. Gibbin KP. Nikolopoulos TP. O’Donoghue GM. Surgical complications and their management in a series of 300 consecutive pediatric cochlear implantations. OtolNeurotol2004; 25: 730–9.
Filipo R. D’Elia C. Covelli E. Bertoli GA. De Seta E. Manganaro F et al. Haematoma after cochlearimplantation: management of a minor complication. Acta Otolaryngol2010; 130: 108–13.
Gekeler J. Luers JC. Lang-Roth R. Beutner D. 2013. Cochlear implant fixation: are sutures really necessary? European Archives of Oto-Rhino-Laryngology, 270: 483–487.
Dimitriasis PA. Farr MR. Allam A. Ray J. 2016. Three years experience with the cochlear BAHA attract implant: a systematic review of the literature. BMC Ear, Nose and Throat Disorders, 16: 12.
Nash R. Azhar S. Shakeel S. Sherif. Jeremy L. Recurrent cochlear implant associated seroma: A series of five patients. Cochlear Implants Int. 2019 Mar;20(2):91-93.
LOW WK. S XU. Delayed-onset haematoma formation after cochlear implantation. J Laryngol Otol. 2017 Aug;131(8):684-687.
Horton JD. Friedmann DR. Roland JT Jr. Delayed extradural CSF collection following pediatric cochlear implantation: report of two cases. OtolNeurotol 2016; 37: 654–7.
Filipo R. Covelli E. D’elia C. Mancini P. Delayed retroauricular cerebrospinal fluid (CSF) collection in cochlear implantation. Cochlear Implants Int 2011; 12: 248–50.
Low WK. Rangabashyam M. Wang F. Management of major post-cochlear implant wound infections. Eur Arch Otorhinolaryngol2014; 271: 2409–13.