Cochlear implantation surgery without posterior tympanotomy: can we still improve it?

Abstract:

CONCLUSION:The amendments made to pre-existing transcanal approaches limit the possibility of extrusion of the electrode and reduce the time of 'blind' surgery. OBJECTIVE:Alternative techniques to classic mastoidectomy and posterior tympanotomy for cochlear implantation have already been described but their main drawbacks result in either: (i) the risk of an electrode extrusion through the skin as the groove is drilled into the auditory canal or (ii) the risk of a facial nerve injury as the tunnel is drilled blindly into the posterior canal wall. The aim of this study was to describe and evaluate a new transcanal approach for cochlear implantation ruling out these difficulties. PATIENTS AND METHODS:Through a minimal retroauricular skin incision, a cochleostomy is performed directly via the auditory canal. The passage for the electrode is performed after drilling both a suprameatal hollow and a 1.5 mm hole into the superior-posterior canal wall, which opens the facial recess by an anterior approach. Thanks to this hole a transwall tunnel can afterwards be dug safely. RESULTS:Twenty-three patients (8 adults, 15 children) were implanted without any difficulty. The mean follow-up was 22 months. No postoperative complication was observed.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Guevara N,Bailleux S,Santini J,Castillo L,Gahide I

doi

10.3109/00016480902998299

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

37-41

issue

1

eissn

0001-6489

issn

1651-2251

pii

914239209

journal_volume

130

pub_type

杂志文章
  • Sandwich technique for sigmoid sinus wall reconstruction for treatment of pulsatile tinnitus caused by sigmoid sinus diverticulum/dehiscence.

    abstract::Background: If the pulsatile tinnitus caused by sigmoid sinus diverticulum/dehiscence cannot be diagnosed and treated, it can lead to significant morbidity and mortality.Aim: To assess the sandwich surgical technique for sigmoid sinus wall reconstruction for the treatment of pulsatile tinnitus caused by sigmoid sinus ...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016489.2019.1668960

    authors: Sun J,Sun J

    更新日期:2019-12-01 00:00:00

  • Heterotransplantation of human head and neck tumours into nude mice.

    abstract::Multimodality therapy of advanced malignant tumours of the head and neck includes surgery, radiotherapy and chemotherapy. However, the cure rate for these tumours is low and guidelines for the selection and timing of therapy are needed. For such guidelines, tumour cell kinetic parameter studies, e.g. cell proliferatio...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016488309130933

    authors: Wennerberg J,Tropé C,Biörklund A

    更新日期:1983-01-01 00:00:00

  • Community-acquired methicillin-resistant Staphylococcus aureus infections in discharging ears.

    abstract:OBJECTIVES:Although community-acquired methicillin-resistant Staphylococcus aureus (MRSA) infections have recently become an increasing problem in various fields of medicine, they have rarely been studied in the ear. The purpose of this study was to determine the prevalence of community-acquired MRSA infections in disc...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/0036554021000028076

    authors: Hwang JH,Tsai HY,Liu TC

    更新日期:2002-12-01 00:00:00

  • Evaluation of nasal cavity by acoustic rhinometry in Chinese, Malay and Indian ethnic groups.

    abstract::Acoustic rhinometry (AR) evaluates the geometry of the nasal cavity by measuring the minimum cross-sectional area (MCA) and nasal volume (V) by means of acoustic reflection. Understanding the normal and pathologic conditions of the internal nasal cavity using AR is important in the diagnosis of structural abnormalitie...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016480152602311

    authors: Huang ZL,Wang DY,Zhang PC,Dong F,Yeoh KH

    更新日期:2001-10-01 00:00:00

  • Posterior canal wall reconstruction tympanoplasty for operated ears with open mastoid.

    abstract::We investigated the postoperative conditions of ears and the hearing acuity of patients who underwent posterior canal wall reconstruction tympanoplasty for operated ears with open mastoid. The study included 118 ears of 105 patients (57 males, 48 females; age range 5-75 years) and the patients were followed for > 1 ye...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/000164802753648114

    authors: Sasaki Y,Iino Y,Suzuki J

    更新日期:2002-04-01 00:00:00

  • Aerobic and anaerobic bacteria in chronic suppurative otitis media. A quantitative study.

    abstract::The aerobic and anaerobic bacterial flora of middle ear exudate (MEE) of 47 consecutive patients with chronic suppurative otitis media were studied using a quantitative bacteriological technique under strictly anaerobic conditions. Specimens from the external auditory canal (EAC) and the nasopharynx (NP) were obtained...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016488609119425

    authors: Jonsson L,Schwan A,Thomander L,Fabian P

    更新日期:1986-11-01 00:00:00

  • Leiomyosarcoma of the thyroid gland.

    abstract::The existence of primary thyroid sarcomas represents a contentious issue. Some authors believe that thyroid sarcomas are, in fact, anaplastic carcinomas with sarcomatous (spindle cell) features. From the standpoint of treatment and prognosis, the histogenesis of thyroid 'sarcomas' is academic, because these tumors, ir...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016480500527193

    authors: Mansouri H,Gaye M,Errihani H,Kettani F,Gueddari BE

    更新日期:2008-03-01 00:00:00

  • The vascular anatomy of the rat cochlea.

    abstract::The vascular pattern of the rat cochlea was demonstrated by the aid of Berlin Blue (Prussian Blue) contrast. The vascular anatomy is similar to other mammals. The infrequent occurrence of the vessel of the basilar membrane under the organ of Corti is interesting in respect to its presumed importance for the oxygen sup...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016488009127102

    authors: Hornstrand C,Axelsson A,Vertes D

    更新日期:1980-01-01 00:00:00

  • Nitrous oxide for applying local anesthesia in nasal operations: a randomized placebo-controlled single-blinded study.

    abstract:CONCLUSIONS:In our study setting nitrous oxide (N(2)O) did not show any clinical benefit in discomfort experienced when applying local anesthesia for nasal operations. Further studies with longer inhalation times are needed to elucidate the role of N(2)O in application of local anesthesia in nasal surgery. OBJECTIVES:...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/00016480701714319

    authors: Starck M,Tarkkila P,Mäkitie AA,Ylikoski JS,Bäck LJ

    更新日期:2008-07-01 00:00:00

  • Hearing in patients operated unilaterally for otosclerosis. Self-assessment of hearing and audiometric results.

    abstract::The objective of this study was to examine the outcome of unilateral stapes surgery in one patient group with bilateral hearing loss and one group with unilateral hearing loss. The patients' own estimations of improvement in hearing ability and the occurrence of other ear-related symptoms were examined retrospectively...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016489950180982

    authors: Lundman L,Mendel L,Bagger-Sjöbäck D,Rosenhall U

    更新日期:1999-01-01 00:00:00

  • Problems in alloplastic middle ear reconstruction.

    abstract::Alloplastic materials have been used in middle ear reconstruction since 1952. Biologically, biomaterials and specifically ceramics can be defined as being bioinert, bioactive or biodegradable; these terms being descriptive of the biochemical response provoked by the material in the host tissue. Various ceramics, carbo...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016489.1992.11665426

    authors: Blayney AW,Williams KR,Erre JP,Lesser TH,Portmann M

    更新日期:1992-01-01 00:00:00

  • A case of severe dilatation of the parotid duct due to fibrinous sialodochitis.

    abstract::A 50-year-old woman presented with a 10-year history of swelling of the left cheek during and after meals. She regularly pushed the cheek hard to decrease the swelling by excreting the saliva. She did not have pain or fever. She also complained of bronchial asthma and allergic rhinitis. Magnetic resonance imaging (MRI...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016480600621680

    authors: Shimada T,Okano H,Hisa Y

    更新日期:2006-10-01 00:00:00

  • Comparative ototoxicity of furosemide and piretanide.

    abstract::The purpose of these studies was to compare the ototoxicity of piretanide to that of furosemide in the chinchilla. Chinchillas weighing 400 to 700 g were anesthetized with ketamine plus pentobarbital. Endocochlear potential (EP) was measured continuously by the round window approach using glass microelectrodes. Pireta...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016488609108608

    authors: Rybak LP,Whitworth C

    更新日期:1986-01-01 00:00:00

  • Evaluation of phenotype of mononuclear host cells isolated from primary tumour and peripheral blood of patients with laryngeal carcinoma.

    abstract::Mononuclear host cells isolated from primary laryngeal carcinoma were assessed by means of indirect immunofluorescence with a panel of monoclonal antibodies against various lymphocyte subsets and macrophages. Tumours of various staging groups were examined in parallel with cells isolated from patient and donor periphe...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016488809119459

    authors: Zeromski J,Pietrzak J,Szmeja Z,Jezewska E,Górny MK,Kruk-Zagajewska A

    更新日期:1988-01-01 00:00:00

  • Frequency-specific hearing results after stapes surgery for Chinese population otosclerosis with different degrees of hearing loss.

    abstract::Background: Frequency-specific hearing studies are important for predicting hearing results and the prognosis after stapes surgery, to prepare for the rehabilitation of frequency-specific hearing in patients with otosclerosis.Objectives: To evaluate outcomes of stapes surgery of Chinese otosclerosis patients with diff...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016489.2020.1724331

    authors: Zhang K,Fang Y,Wang B,Cheng X,Chen B,Shu Y

    更新日期:2020-05-01 00:00:00

  • Carotid resection and reconstruction for locally advanced head and neck tumors.

    abstract::Head and neck surgeons hesitate to resect the carotid artery because of the postoperative risk of neurologic sequelae. However, there is no curative therapeutic option for head and neck neoplasms involving the carotid artery, with the exception of complete tumor removal. To evaluate the benefits and risks of carotid r...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016480260092417

    authors: Muhm M,Grasl MCh,Burian M,Exadaktylos A,Staudacher M,Polterauer P

    更新日期:2002-07-01 00:00:00

  • The problem of nodal disease in squamous cell carcinoma of the temporal bone.

    abstract:CONCLUSION:The prognosis of the clinically positive neck in temporal bone squamous cell carcinoma is bad and failures never occur in the neck but at the site of the primary. A clinically positive neck at presentation is a sign of aggressiveness of the primary and, in such cases, therapeutic neck dissection is to be per...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016480903390152

    authors: Zanoletti E,Danesi G

    更新日期:2010-08-01 00:00:00

  • Methylcobalamin as antagonist to transient ototoxic action of gentamicin.

    abstract::The objective of this study was to determine whether methylcobalamin inhibits the ototoxic action of gentamicin. Fourteen pigmented guinea pigs were randomly divided into experimental and control groups. Each animal in the experimental group was given a large single dose of gentamicin (125 mg/kg i.m.), followed by imm...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/000164801300102752

    authors: Jin X,Jin X,Sheng X

    更新日期:2001-04-01 00:00:00

  • Immunohistological analysis of eotaxin and RANTES in the model animal of eosinophilic otitis media.

    abstract:BACKGROUND:The most crucial clinical problem of Eosinophilic Otitis Media (EOM) is sensorineural hearing loss. A previous report revealed that repeated antigen stimulation of middle ear causes eosinophilic inflammation not only in the middle ear but also in the inner ear. OBJECTIVE:The purpose of the present study was...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016489.2016.1266508

    authors: Kudo N,Matsubara A,Nishizawa H,Miura T

    更新日期:2017-05-01 00:00:00

  • Patterns of framework invasion in patients with laryngeal cancer: correlation of in vitro magnetic resonance imaging and pathological findings.

    abstract::Total laryngectomy for laryngeal squamous cell carcinoma means a drastic change in the way of living for a patient. New surgical techniques such as laser surgery attempt to save the voice. To be oncologically correct, an accurate assessment of the tumor extent is necessary. Imaging is especially important in determini...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016489850182648

    authors: Declercq A,Van den Hauwe L,Van Marck E,Van de Heyning PH,Spanoghe M,De Schepper AM

    更新日期:1998-11-01 00:00:00

  • Sac decompression for refractory luetic vertigo.

    abstract::Luetic hydrops can occur in both congenital and acquired lues and otologic manifestations may be indistinguishable from Meniere's disease. Eight endolymphatic sac decompression procedures were performed on 6 patients with refractory luetic vertigo. Of those, 3 had congenital and 3 acquired lues. All cases had received...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016488009127172

    authors: Paparella MM,Kim CS,Shea DA

    更新日期:1980-05-01 00:00:00

  • Vertigo as reflected by the nystagmogram. A clinical analysis.

    abstract::Efforts to evaluate findings in the nystagmogram were made in a material of 338 vertiginous and dizzy patients. A spontaneous nystagmus, a positional nystagmus as well as a difference in caloric reactivity are as solitary findings of lettle value for revealing peripheral disorders. On the other hand, central disturban...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016487809124728

    authors: Afzelius LE,Henriksson NG,Wahlgren L

    更新日期:1978-07-01 00:00:00

  • Col11a1 and Col11a2 mRNA expression in the developing mouse cochlea: implications for the correlation of hearing loss phenotype with mutant type XI collagen genotype.

    abstract:OBJECTIVE:Mutations in the fibrillar collagen genes COL11A1 and COL11A2 can cause sensorineural hearing loss associated with Stickler syndrome. There is a correlation of hearing loss severity, onset, progression and affected frequencies with the underlying mutated collagen gene. We sought to determine whether differenc...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016480410016162

    authors: Shpargel KB,Makishima T,Griffith AJ

    更新日期:2004-04-01 00:00:00

  • Photochemically induced double lateral wall lesions in the guinea pig cochlea.

    abstract:OBJECTIVE:Multiple patches of atrophy have been reported in the stria vascularis (SV) in elderly persons with presbycusis The aim of this study was to investigate the correlation between sensorineural hearing loss and this strial condition. MATERIALS AND METHODS:We established a new animal model comprising two small l...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/0001648021000028131

    authors: Takeshita T,Iwasaki S,Nagura M,Watanabe T,Umemura K,Hoshino T

    更新日期:2003-04-01 00:00:00

  • The influence of cigarette smoke on the pharyngeal mucosa.

    abstract::The influence of cigarette smoke on the pharyngeal mucosa was investigated in a clinical study and in an experiment on animals. Histologic reports were evaluated according to the Kambic-Lenart classification of hyperplastic aberrations of the throat mucosa. A close dependence of the degree of hyperplasia and the numbe...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016487809121433

    authors: Radsel Z,Kambic V

    更新日期:1978-01-01 00:00:00

  • Optokinetic test comprising both acceleration and constant velocity stimulation (ACV-OKN test).

    abstract::Normal subjects were exposed to two kinds of optokinetic stimulation, viz. at speeds of 60 degrees/s and 90 degrees/s preceded by acceleration at 6 degrees/s2 and 4.5 degrees/s2, respectively. In most subjects the speed of the eye in the slow nystagmus phase equalled the speed of the rotating device during the acceler...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016487709123954

    authors: Mizukoshi K,Fabian P,Stahle J

    更新日期:1977-09-01 00:00:00

  • Digital subtraction angiography abnormalities in sudden unilateral profound hearing loss.

    abstract:CONCLUSION:The reduced caliber of the anterior inferior cerebellar artery (AICA) on the affected side in patients with sudden unilateral profound hearing loss (SUPHL) may reflect a perfusion deficit which, combined to a lesser degree with anatomic abnormalities in the vertebrobasilar system, would be implicated in the ...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016480510029275

    authors: Psillas G,Kekes G,Giavroglou K,Daniilidis J

    更新日期:2005-08-01 00:00:00

  • Sonotubometry. An acoustical method for objective measurement of auditory tubal opening.

    abstract::The sound conduction method for measurement of the Eustachian tube opening has been studied and modifications made in the test procedure to increase its easy performance and reliability. By holding the sound source near to the nostril, mounting the microphone into a circumaural ear defender and by feeding the output o...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016487809124724

    authors: Virtanen H

    更新日期:1978-07-01 00:00:00

  • Olfactory dysfunction in patients after recovering from COVID-19.

    abstract:BACKGROUND:Smell and taste disorders occur in COVID-19 with a high prevalence, but little is known about the duration of the symptoms. In particular, studies using validated olfactory tests are very rare to date. AIMS/OBJECTIVES:The aim of this study was to determine the olfactory function of COVID-19 recoveries by a ...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016489.2020.1811999

    authors: Otte MS,Eckel HNC,Poluschkin L,Klussmann JP,Luers JC

    更新日期:2020-12-01 00:00:00

  • Surgical methods and postoperative results of cochlear implantation in 79 cases of ossified cochlea.

    abstract:CONCLUSION:A man-made bone tunnel of 1.5 turns around the modiolus can be created in cases of total cochlear ossification. Patients with ossified cochlea types I and II achieved satisfactory hearing results after cochlear implantation (CI). Patients with ossified cochlea type III, in which the modiolus is damaged by th...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016489.2014.947656

    authors: Wang L,Zhang D

    更新日期:2014-12-01 00:00:00