Wednesday, February 10, 2021

Subtotal petrosectomy and cochlear implantation.

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Subtotal petrosectomy and cochlear implantation.

Acta Otorhinolaryngol Ital. 2020 Dec;40(6):450-456

Authors: D'Angelo G, Donati G, Bacciu A, Guida M, Falcioni M

Abstract
Objective: The objective of this study is to analyse surgical outcomes in a series of patients who underwent subtotal petrosectomy in combination with cochlear implantation.
Methods: Retrospective chart review. Thirty patients (32 ears) underwent subtotal petrosectomy and cochlear implantation in one stage. Indications for subtotal petrosectomy included the following: cholesteatoma, chronic otitis media, previous canal wall-down, osteoradionecrosis, revision surgery for clinical reasons, inner ear malformations, middle ear anatomical variations and severe cochlear ossification.
Results: Follow-up ranged from 2 to 54 months. Only 2 complications related to the subtotal petrosectomy (1 subcutaneous abdominal haematoma and 1 subcutaneous abdominal seroma) occurred in this series. Complete electrode insertion was achieved in all but 4 cases.
Conclusions: Subtotal petrosectomy is a safe procedure and can offer technical advantages in some cases of complex cochlear implantation.

PMID: 33558774 [PubMed - in process]

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