Cochlear Implant Surgery: How to Fix Receiver/Stimulator Avoiding Extrusion

Gatto, Annalisa; Tofanelli, Margherita; Piccinato, Alice; Antonio, Jamile Karina; Zucchini, Simone; Achilli, Vittorio; Tirelli, Giancarlo

doi:10.1177/0145561319880625

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…Gatto et al (2021) postulated that cochlear implant extrusion can be prevented by a surgical technique to fix the receiver/stimulator. 24 Vaid et al (2011) published data suggesting that perimodiolar electrodes have a lower rate of extrusion. 21 Further study of the cochlear implants could explain a relationship between electrode type and extrusion rate.…”

Section: Discussionmentioning

confidence: 99%

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Complications of cochlear implants: a MAUDE database study

2023

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Objective. A retrospective cross-sectional analysis was conducted of the US Food and Drug Administration's MAUDE (Manufacturer and User Facility Device Experience) database, to evaluate the complication profile of cochlear implantation according to manufacturer. Methods. A review of the MAUDE database was conducted from 1 January 2010 to 31 December 2020. Complications, including infection, extrusion, facial nerve stimulation, meningitis and cerebrospinal fluid leak, were identified using key word searches. The categorised data were analysed using a chi-square test to determine a difference in global complication incidence between three major cochlear implant manufacturers: manufacturer A (Cochlear Limited), manufacturer B (Med-El) and manufacturer C (Advanced Bionics). Results. A total of 31 857 adverse events were analysed. Implants of manufacturer C were associated with a statistically higher rate of infection (0.97 per cent), cerebrospinal fluid leak (0.07 per cent), extrusion (0.44 per cent) and facial nerve stimulation (0.11 per cent). Implants of manufacturer B were associated with a statistically higher rate of meningitis (0.07 per cent). Conclusion. Consideration of patient risk factors along with cochlear implant manufacturers can heighten awareness of cochlear implant complications pre-operatively, intra-operatively and post-operatively.

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Section: Discussionmentioning

confidence: 99%

“…(2021) postulated that cochlear implant extrusion can be prevented by a surgical technique to fix the receiver/stimulator. 24 Vaid et al . (2011) published data suggesting that perimodiolar electrodes have a lower rate of extrusion.…”

Section: Discussionmentioning

confidence: 99%

Complications of cochlear implants: a MAUDE database study

2023

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“…Ensuring a complication-free cochlear implant procedure involves a meticulous preoperative assessment, which aims to facilitate atraumatic insertion and address individual anatomical variations. Nonetheless, achieving optimal audiological outcomes can be intricate due to patient-specific factors, unpredictable comorbidities, and potential surgical complications [57].…”

Section: Postoperative Frequency Reallocationmentioning

confidence: 99%

Otological Planning Software—OTOPLAN: A Narrative Literature Review

Gatto,

Tofanelli,

Costariol

et al. 2023

Audiology Research

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The cochlear implant (CI) is a widely accepted option in patients with severe to profound hearing loss receiving limited benefit from traditional hearing aids. CI surgery uses a default setting for frequency allocation aiming to reproduce tonotopicity, thus mimicking the normal cochlea. One emerging instrument that may substantially help the surgeon before, during, and after the surgery is a surgical planning software product developed in collaboration by CASCINATION AG (Bern, Switzerland) and MED-EL (Innsbruck Austria). The aim of this narrative review is to present an overview of the main features of this otological planning software, called OTOPLAN®. The literature was searched on the PubMed and Web of Science databases. The search terms used were “OTOPLAN”, “cochlear planning software” “three-dimensional imaging”, “3D segmentation”, and “cochlear implant” combined into different queries. This strategy yielded 52 publications, and a total of 31 studies were included. The review of the literature revealed that OTOPLAN is a useful tool for otologists and audiologists as it improves preoperative surgical planning both in adults and in children, guides the intraoperative procedure and allows postoperative evaluation of the CI.

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Cochlear Implant Surgery: How to Fix Receiver/Stimulator Avoiding Extrusion

Cited by 2 publications

References 10 publications

Complications of cochlear implants: a MAUDE database study

Complications of cochlear implants: a MAUDE database study

Otological Planning Software—OTOPLAN: A Narrative Literature Review

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