Endoscopic visualisation of the round window during cochlear implantation

Autor: JC Passey, Avani Jain, Raman Sharma, Ravi Meher, Ramanuj Bansal
Rok vydání: 2020
Předmět:
Zdroj: The Journal of Laryngology & Otology. 134:219-221
ISSN: 1748-5460
0022-2151
Popis: BackgroundEndoscopes provide a magnified view of the middle ear and visualisation of hidden areas. Otoendoscopes facilitate excellent visualisation of the round window niche during cochlear implantation.ObjectiveTo compare microscopic and endoscopic visualisation of the round window membrane during cochlear implantation in 20 patients.MethodsTwenty patients who underwent cochlear implantation were included in the study. After maximum exposure of the round window, the accessibility of the round window membrane was graded according to the St Thomas Hospital classification, first by microscope and then by endoscope.ResultsWith the use of the endoscope, visualisation of the round window membrane improved in all the patients as compared to the microscope. The electrode array was inserted via a round window or extended round window approach in all but two cases; the latter cases required bony cochleostomy because of unfavourable anatomy.ConclusionThe main benefit of endoscope-assisted cochlear implantation is improved visibility of the round window region.
Databáze: OpenAIRE