Problems in cochlear implant surgery
In cochlear implant surgery, major complications, requiring revision procedures, do not exceed 5% of cases reported. Less frequent are problems that call for specific technical solutions. In 44 multichannel implantations (out of 54 cases) adverse conditions occurred and were successfully resolved in...
Saved in:
Published in | Acta otorhino-laryngologica italica Vol. 16; no. 2; pp. 105 - 108 |
---|---|
Main Authors | , |
Format | Journal Article |
Language | Italian |
Published |
Italy
01.04.1996
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | In cochlear implant surgery, major complications, requiring revision procedures, do not exceed 5% of cases reported. Less frequent are problems that call for specific technical solutions. In 44 multichannel implantations (out of 54 cases) adverse conditions occurred and were successfully resolved in 6 patients: 1) delayed wound breakdown (one case); 2) chronic otitis media (three cases); 3) cochlear obliteration (two cases). Problem 1 was managed with the excision of an ellipse of skin including the devitalized areas under local anesthesia. The electronic package was left untouched, and the freshly cutaneous edges were mobilized and layer-sutured. Problem 2 was solved through a two-stage procedure. The chronic ear was dealt with as usual (myringoplasty, tympanoplasty, revision of a radical mastoidectomy). In the second stage the cochleotomy and device implantation were carried out. Problem 3 is a major issue for the surgeon. Following the Lehnhardt technique we drilled along the basal cochlear turn using the sharp line between the yellowish otic bone and the white newly formed bone as a landmark, until a patent s.tympani was found at the ascending part of the 1st or at the beginning of the 2nd turn. |
---|---|
AbstractList | In cochlear implant surgery, major complications, requiring revision procedures, do not exceed 5% of cases reported. Less frequent are problems that call for specific technical solutions. In 44 multichannel implantations (out of 54 cases) adverse conditions occurred and were successfully resolved in 6 patients: 1) delayed wound breakdown (one case); 2) chronic otitis media (three cases); 3) cochlear obliteration (two cases). Problem 1 was managed with the excision of an ellipse of skin including the devitalized areas under local anesthesia. The electronic package was left untouched, and the freshly cutaneous edges were mobilized and layer-sutured. Problem 2 was solved through a two-stage procedure. The chronic ear was dealt with as usual (myringoplasty, tympanoplasty, revision of a radical mastoidectomy). In the second stage the cochleotomy and device implantation were carried out. Problem 3 is a major issue for the surgeon. Following the Lehnhardt technique we drilled along the basal cochlear turn using the sharp line between the yellowish otic bone and the white newly formed bone as a landmark, until a patent s.tympani was found at the ascending part of the 1st or at the beginning of the 2nd turn. |
Author | Trabalzini, F Babighian, G |
Author_xml | – sequence: 1 givenname: F surname: Trabalzini fullname: Trabalzini, F organization: Divisione di Otorinolaringoiatria, Ospedali Civili Riuniti, Venezia – sequence: 2 givenname: G surname: Babighian fullname: Babighian, G |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/8766072$$D View this record in MEDLINE/PubMed |
BookMark | eNotjztPwzAURj0UlbbwE5AyILZIN_HjxiOqeEmVYOjAFtnODQTZcbCbof-eSmQ6y9HR923ZaowjrdgGuK7LCuDzmm1z_gEQiE21ZusGlQKsN-z-I0XrKeRiGAsX3bcnk4ohTN6MpyLP6YvS-YZd9cZnul24Y8fnp-P-tTy8v7ztHw_lJHldSgldZbXUzoIA3SPnAkBhpbXsahK9QqONkc6hEhV2DXJQvXWOlLBkFd-xh__slOLvTPnUhiE78pcpFOfcYlMLqUFcxLtFnG2grp3SEEw6t8sr_gdm1Uf7 |
ContentType | Journal Article |
DBID | CGR CUY CVF ECM EIF NPM 7X8 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
DatabaseTitleList | MEDLINE - Academic MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
DocumentTitleAlternate | Problemi nella chirurgia dell'impianto cocleare |
EndPage | 108 |
ExternalDocumentID | 8766072 |
Genre | English Abstract Journal Article |
GroupedDBID | 23M 2WC 53G 5GY ACGFO ADBBV AENEX ALMA_UNASSIGNED_HOLDINGS AOIJS BAWUL C1A CGR CUY CVF DIK E3Z ECM EIF GROUPED_DOAJ GX1 HYE KQ8 M~E NPM OK1 P2P RNS RPM TR2 7X8 |
ID | FETCH-LOGICAL-p532-550d1b959cb0409f733400671995d2e4f67a9aa5cc76417d87306fbcce64beb63 |
ISSN | 0392-100X |
IngestDate | Sat Aug 17 02:28:09 EDT 2024 Sat Sep 28 07:33:26 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 2 |
Language | Italian |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-p532-550d1b959cb0409f733400671995d2e4f67a9aa5cc76417d87306fbcce64beb63 |
Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 |
PMID | 8766072 |
PQID | 78245904 |
PQPubID | 23479 |
PageCount | 4 |
ParticipantIDs | proquest_miscellaneous_78245904 pubmed_primary_8766072 |
PublicationCentury | 1900 |
PublicationDate | 1996-Apr 19960401 |
PublicationDateYYYYMMDD | 1996-04-01 |
PublicationDate_xml | – month: 04 year: 1996 text: 1996-Apr |
PublicationDecade | 1990 |
PublicationPlace | Italy |
PublicationPlace_xml | – name: Italy |
PublicationTitle | Acta otorhino-laryngologica italica |
PublicationTitleAlternate | Acta Otorhinolaryngol Ital |
PublicationYear | 1996 |
SSID | ssj0047781 |
Score | 1.4356363 |
Snippet | In cochlear implant surgery, major complications, requiring revision procedures, do not exceed 5% of cases reported. Less frequent are problems that call for... |
SourceID | proquest pubmed |
SourceType | Aggregation Database Index Database |
StartPage | 105 |
SubjectTerms | Cochlear Implants Deafness - rehabilitation Humans Postoperative Complications Retrospective Studies |
Title | Problems in cochlear implant surgery |
URI | https://www.ncbi.nlm.nih.gov/pubmed/8766072 https://search.proquest.com/docview/78245904 |
Volume | 16 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3LSsNAFB1sQelGfBXrM4vuSiRpJpPOsoq2CIqLCt2VecUGalJsurBf753JNK2PgroJIQkhOYfcOXdy7lyEmiApzFJlLkj_0MWSSRdUOHE7kgbCFwIGDeO2eCT9Z3w_DIer5qumuiTnV2LxY13Jf1iFY8CrrpL9A7PlTeEA7AO_sAWGYfsrjp-KbjDG0gqBbaxbQOi6xwnA1Zp9L3juipy1Msiyx0mauZDTvqcvNvi1dPOQNd_OQP_rnywS0_FpZf-9Zhyy-aSYNe2tpgwKl3HpNLGlUrQN8dcbfgqDZI3u9lpM801ddL6G5_TVAAqBlHhF450va1bbMxVUCXzts-wNS98NjiLTObZ8hhratpdvFvlmsB_soV2r0p1uAfk-2kryA7TzYH0Ih6i5RN5JUmeJvGORdyzyR2hwdzu46bu234Q7DQNIyUNP-pyGVHCIbDSOggDrwVwXscu2wjGJGGUsFCIi2I9kB4IjibkQimCuOAnqqJpmqTpGDmTd-l5SxrFej4cxJSXnoE1BECrl0Qa6XL7pCD5n_Y-GpSqbz0Yg2HBIPdxA9QKA0bRYdWRkQTrZdOIU1VZcn6Fq_jZX5yCYcn5hCPgAf00YYA |
link.rule.ids | 315,786,790 |
linkProvider | Geneva Foundation for Medical Education and Research |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Problems+in+cochlear+implant+surgery&rft.jtitle=Acta+otorhino-laryngologica+italica&rft.au=Trabalzini%2C+F&rft.au=Babighian%2C+G&rft.date=1996-04-01&rft.issn=0392-100X&rft.volume=16&rft.issue=2&rft.spage=105&rft_id=info%3Apmid%2F8766072&rft.externalDocID=8766072 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0392-100X&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0392-100X&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0392-100X&client=summon |