Cochlear implantation in patients with compromised healing

BACKGROUND: The indications for cochlear implantation (CI) are continually evolving and, as experience accumulates, the relative contraindications for CI continue to decrease. However, there is little information regarding CI in patients who may be considered to be at risk for poor wound healing due to immunosuppression or intercurrent disease. OBJECTIVE: To assess and report the complication rates, postoperative cours e, postimplant rehabilitation, and long-term performance of patients consid ered at risk due to presumably impaired healing capability. We hypothesized that these patients had outcomes similar to other implanted patients. METHODS: This is a retrospective chart review of 277 patients who have rece ived CI at the University of Miami Ear institute between 1990 and 1999. The clinical courses of 6 patients on immunosuppressive medications and 7 pati ents with diseases believed to be associated with poor healing are reported . RESULTS: Long-term follow-up (mean, 33 months) showed postoperative complic ation rates, performance, and rehabilitation compliance that were similar t o published reports of noncompromised patients. CONCLUSION: CI of selected patients with potentially reduced healing capabi lities is safe and effective.