Cochlear implant surgery through oval window: A novel approach in a child with facial nerve aberration

Chen, Biao; Li, Yongxin; Lu, Simeng; Chen, Jingyuan; Shi, Ying; Cui, Danmo; Zhang, Lifang; Xie, Jing

doi:10.1016/j.ijporl.2020.110110

Cited by 1 publication

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“…In order to limit such complications possibilities and obtain better electrostimulation conditions, in those cases without the possibility of scala tympani access, which has ever to be preferred, it should be considered the possibility to enter scala vestibuli in its second turn. Chen, et al [ 15 ] in a pediatric case with abnormal FN inferior course analogous to Author’s reported one, performed incus and stapes removal through facial recess microscopic direct view and entered the OW without the possibility of a wider and more detailed endoscopic view of inferior portions of tympanic medial wall. They reported good audiologic results but with 2 electrodes positioned into the vestibule.…”

Section: Discussionmentioning

confidence: 99%

Combined Endoscopic/Microscopic Cochlear Implantation Through the Oval Window

Cantore¹

2022

J Audiol Otol

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Standard round window (RW) cochlear implantation is a well-described technique. Implantation might be difficult in patients with inner and middle ear anomalies, in some cases because of not achieving adequate exposure to the RW, with a related higher risk of complications such as facial nerve injury. It is proposed a combined microscopic/endoscopic oval window approach in a 63 year old man affected by bilateral Menière disease, with bilateral severe sensorineural hearing loss, speech discrimination score for bysillabic words under 40% and a hidden RW by anomalous facial nerve course. All electrodes entered the cochlear with good freefield thresholds and auditory ability results. A partial marginalis nerve palsy occurred at the second postoperative day and completely reversed at 2 months from surgery. Endoscopicassisted oval window cochlear implantation may be a safe alternative surgical technique in cases where surgeons are not able to access RW.

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Section: Discussionmentioning

confidence: 99%

Combined Endoscopic/Microscopic Cochlear Implantation Through the Oval Window

Cantore¹

2022

J Audiol Otol

View full text Add to dashboard Cite

show abstract

Cochlear implant surgery through oval window: A novel approach in a child with facial nerve aberration

Cited by 1 publication

References 12 publications

Combined Endoscopic/Microscopic Cochlear Implantation Through the Oval Window

Combined Endoscopic/Microscopic Cochlear Implantation Through the Oval Window

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