Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2003
External auditory canal closure in cochlear implant surgery.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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El-Kashlan Hussam K, Arts H Alexander, Telian Steven A
Аннотация
OBJECTIVE: To evaluate surgical techniques and complications associated with external auditory canal (EAC) closure in cochlear implant surgery.
STUDY DESIGN: Retrospective case review.
SETTING: Tertiary referral center with a large cochlear implant program.
PATIENTS: Twenty-eight patients (8 adults and 20 children) underwent multichannel cochlear implantation with EAC closure. The follow-up periods ranged between 1 and 10 years. Closure of the EAC was performed in conjunction with implantation of ears with chronic suppurative otitis media or cochlear drill-out procedures for ossification, or for access to the cochlea in patients with abnormal temporal bone anatomy. A modified Rambo technique was used for EAC closure in all but one case.
INTERVENTIONS: Cochlear implantation with EAC closure and subsequent clinical and radiologic follow-up.
MAIN OUTCOME MEASURES: Postoperative complications or the development of cholesteatoma in the implanted ear.
RESULTS: Cholesteatoma developed in the implanted ear in two patients. Breakdown of EAC closure occurred in one of these patients. The details of these patients are reviewed.
CONCLUSION: Closure of EAC can be done with relatively low risk. Close and careful follow-up is required for early detection of a developing cholesteatoma.
STUDY DESIGN: Retrospective case review.
SETTING: Tertiary referral center with a large cochlear implant program.
PATIENTS: Twenty-eight patients (8 adults and 20 children) underwent multichannel cochlear implantation with EAC closure. The follow-up periods ranged between 1 and 10 years. Closure of the EAC was performed in conjunction with implantation of ears with chronic suppurative otitis media or cochlear drill-out procedures for ossification, or for access to the cochlea in patients with abnormal temporal bone anatomy. A modified Rambo technique was used for EAC closure in all but one case.
INTERVENTIONS: Cochlear implantation with EAC closure and subsequent clinical and radiologic follow-up.
MAIN OUTCOME MEASURES: Postoperative complications or the development of cholesteatoma in the implanted ear.
RESULTS: Cholesteatoma developed in the implanted ear in two patients. Breakdown of EAC closure occurred in one of these patients. The details of these patients are reviewed.
CONCLUSION: Closure of EAC can be done with relatively low risk. Close and careful follow-up is required for early detection of a developing cholesteatoma.
Предметные рубрики MeSH
AdolescentAdultAgedChildChild, PreschoolCholesteatoma, Middle EarCochleaCochlear ImplantationDrainageEar, ExternalFacial NerveFollow-Up StudiesHearing Loss, SensorineuralHumansMaleMiddle AgedOssification, HeterotopicOtitis Media, SuppurativeOtologic Surgical ProceduresPostoperative ComplicationsRetrospective StudiesTemporal BoneTomography, X-Ray Computed