Subtotal Petrosectomy for Cochlear Implantation: Lessons Learned After 110 Cases
Autor: | María del Mar Medina, Ruben Polo, Mario Sanna, Javier Gavilán, Gracia Aranguez, Antonio Alonso, Luis Lassaletta, Auxiliadora Gutierrez, Miguel Aristegui, Sampath Chandra Prasad |
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Rok vydání: | 2015 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Ear Middle 03 medical and health sciences Young Adult 0302 clinical medicine Postoperative Complications Petrous bone Temporal bone Medicine Humans Ear canal Young adult Chronic ear disease 030223 otorhinolaryngology Cochlear implantation Child Aged Retrospective Studies Aged 80 and over business.industry Infant Temporal Bone Retrospective cohort study General Medicine Middle Aged Cochlear Implantation Surgery Prosthesis Failure medicine.anatomical_structure Otorhinolaryngology Child Preschool Middle ear Female business 030217 neurology & neurosurgery Ear Canal Petrous Bone |
Zdroj: | The Annals of otology, rhinology, and laryngology. 125(6) |
ISSN: | 1943-572X |
Popis: | Objectives: The purpose of this study was to review the indications for subtotal petrosectomy for cochlear implantation, report our management of complications, as well as review those technical factors that are critical for successful implantation. Methods: Patients (n = 104) that underwent subtotal petrosectomy with closure of the external auditory canal and obliteration of the cavity with abdominal fat in combination with cochlear implantation were analyzed. Results: The most frequent indication for subtotal petrosectomy was the existence of a previous canal wall down technique. Postoperative complications occurred in 13 patients (11.83%). Extrusion of the device took place in 5 cases (4.55%). Conclusions: Subtotal petrosectomy in cochlear implantation permits obtaining a cavity isolated from the external environment, and when needed, it improves the access and visibility during the surgical procedure. Subtotal petrosectomy is a safe technique, with a low rate of complications. |
Databáze: | OpenAIRE |
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