{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T22:03:37Z","timestamp":1790201017399,"version":"4.1.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"crossref","award":["2021R1A2C1012624"],"award-info":[{"award-number":["2021R1A2C1012624"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> The present study describes the treatment of patients at a tertiary institution who experienced device failure after Cochlear Implantation (CI), as well as identifying prodromic symptoms that could assist in the timely identification and management of device failure. <\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p> Retrospective database review (January 2000\u2013May 2017). <\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p> Single tertiary hospital. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Factors recorded included the etiology of hearing loss; age at first and revision CI surgeries; surgical information, including operation time and approach; electrical outcomes after implantation; device implanted; symptoms of device failure; history of head trauma; and audiologic outcomes as determined by categories of auditory performance (CAP). <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> From January 2000 to May 2017, 1431 CIs were performed, with 27 (1.9%) undergoing revision surgeries due to device failure. The most common etiology of hearing loss was idiopathic (12\/27), followed by cochlear hypoplasia (5\/27). Mean age at initial CI was 11.8 (1\u201372) years, with 21 being pre-lingual and 6 being post-lingual. Of the total devices initially implanted, 80.5% were from Cochlear, 15.9% from MED-EL, and 3.5% from Advanced Bionics. The failure rates of these devices were 1.3%, 3.1%, and 10.0%, respectively. The most suggestive symptom of device failure was intermittent loss of signal. Mean CAP scores were 5.17 before reimplantation and 5.54 and 5.81 at 1- and 3-years, respectively, after reimplantation. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> The most suggestive symptom preceding device failure was intermittent loss of signal. Patients who present with this symptom should undergo electrical examination for suspected device failure. Audiologic outcomes showed continuous development despite revision surgeries. <\/jats:p><\/jats:sec>","DOI":"10.1186\/s40463-023-00652-7","type":"journal-article","created":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T13:01:45Z","timestamp":1689598905000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["The experience of device failure after cochlear implantation"],"prefix":"10.1177","volume":"52","author":[{"given":"Jeong Heon","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeonjoo","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Woo Seok","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong Ju","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joong Ho","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0765-9134","authenticated-orcid":false,"given":"Jong Woo","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,1,1]]},"reference":[{"key":"bibr1-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1177\/014556139707600306"},{"key":"bibr2-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2013.293"},{"key":"bibr3-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1179\/cim.2005.6.3.105"},{"key":"bibr4-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000178123.35988.96"},{"key":"bibr5-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.4103\/ajns.AJNS_93_17"},{"key":"bibr6-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2020.04.001"},{"key":"bibr7-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2020.0030"},{"key":"bibr8-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27198"},{"key":"bibr9-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2017.12.014"},{"key":"bibr10-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215119001919"},{"key":"bibr11-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31819e6206"},{"key":"bibr12-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181635e9a"},{"key":"bibr13-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181c29fad"},{"key":"bibr14-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.12.005"},{"key":"bibr15-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2011.200"},{"key":"bibr16-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1159\/000212756"},{"issue":"1","key":"bibr17-s40463-023-00652-7","first-page":"56","volume":"20","author":"Henson A","year":"1999","journal-title":"Otol Neurotol"},{"key":"bibr18-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2021.110705"},{"key":"bibr19-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24649"},{"key":"bibr20-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28071"},{"key":"bibr21-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2018.05.017"},{"key":"bibr22-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002152"},{"key":"bibr23-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-06121-5"},{"key":"bibr24-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811434272"},{"key":"bibr25-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e32832dd6ac"},{"key":"bibr26-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200407000-00018"},{"key":"bibr27-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31817e5d31"},{"issue":"6","key":"bibr28-s40463-023-00652-7","first-page":"281","volume":"20","author":"Wijaya C","year":"2019","journal-title":"Cochlear Implants Int"},{"key":"bibr29-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20012"},{"key":"bibr30-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2018.05.002"},{"key":"bibr31-s40463-023-00652-7","doi-asserted-by":"publisher","DOI":"10.1007\/s40136-018-0185-5"}],"container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1186\/s40463-023-00652-7","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40463-023-00652-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1186\/s40463-023-00652-7","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40463-023-00652-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1186\/s40463-023-00652-7","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T12:30:36Z","timestamp":1741609836000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1186\/s40463-023-00652-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":31,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1186\/s40463-023-00652-7"],"URL":"https:\/\/doi.org\/10.1186\/s40463-023-00652-7","relation":{},"ISSN":["1916-0216","1916-0216"],"issn-type":[{"value":"1916-0216","type":"print"},{"value":"1916-0216","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"s40463-023-00652-7"}}