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DOI: 10.1055/s-0040-1711085
The role of subtotal petrosectomy in cochlear implant recipients
Conventional cochlear implantation (CI) is challenging in patients with coincidental anatomical or inflammatory middle ear pathologies. Performing subtotal petrosectomy (STP) simultaneously with CI allows to effectively overcome aforementioned problems. The aim of the presented study is to describe the benefits of simultaneous subtotal petrosectomy (STP) for our cochlear implantation (CI) patients, review its indications, and analyze short-term outcomes. We describe 5 cases of successful cochlear implantation using STP method, the indications for operation were advanced otosclerosis, vestibular schwannoma, chronic mastoiditis, cholesteatoma and previous implant bed infection. Five patients had a follow-up of 2-16 months. We had minor complications, which did not require medical intervention. We provide analysis of surgical strategy, postoperative complications and auditory performance of those patients. In our we found clear advantages of STP for our selected CI candidates. These were better exposure in cases with modified anatomy, radical eradication of the underlying disease and reduction of the secondary infection risk.
Publication History
Article published online:
10 June 2020
© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
© Georg Thieme Verlag KG
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