• Ahmad M Aldhafeeri, Farid Alzhrani, Suliman Alajlan, Abdulrahman AlSanosi, and Abdulrahman Hager.
• From the Department of Otolaryngology (Aldhafeeri), Hafr Albaten Central Hospital, Hafr Albaten; and from the Department of Otolaryngology (Alzhrani, Alajlan, AlSanosi, Hagr), College of Medicine, King Abdullah Ear Specialist Center, King Saud University Medical City, King Saud University, Riyadh, Kingdom of Saudi Arabia.
• Saudi Med J. 2021 Feb 1; 42 (2): 223-227.

ObjectivesTo discuss our experience with managing cochlear implant cases that required revision surgery.MethodsA retrospective case series study including data from 922 cochlear implant patients at an academic tertiary center was evaluated retrospectively. All patients who underwent revision cochlear implant (CI) surgery between January 2011 and July 2017 were included. The following data were collected: patient demographic data, details on the first implant, reasons for the revision, duration from initial implantation to revision, type of device, and management.ResultsOut of 922 CI patients, 37 (4%) underwent revision surgery, comprising 33 children and 4 adults. The most common reason for revision surgery, at 28/37 cases (75.6%), was device failure. Surgical and medical aetiologies were responsible for 9/37 (24.3%) revisions. The mean duration from the initial implantation to the revision surgery was 29 months.ConclusionRevision CI surgery is not uncommon after initial implantation. Cochlear implant programs must implement long-term follow-up processes for CI users. Whenever a patient's rehabilitated performance regresses, the cause should be investigated to determine whether subsequent reimplantation is necessary.Copyright: © Saudi Medical Journal.

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