Mastoid pressure dressing for cochlear implantation—Is it necessary?

Luo, Sheng‐Dean; Su, Chih‐Ying; Wu, Che-Ming; Hwang, Chung‐Feng

doi:10.1016/j.ijporl.2009.03.001

Cited by 12 publications

(16 citation statements)

References 16 publications

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“…Pressure dressings have been shown to be ineffective in preventing hematoma formation, and some authors have advocated discontinuing their routine use as unnecessary and potentially detrimental. (24–26) One study showed that surgeons are unable to accurately assess pressure to prevent magnet migration with dressings during MRI (27). It is therefore difficult to support the routine use of tight pressure dressings over an implanted device in a child when this could result in a pressure ulcer and devastating wound complication.…”

Section: Discussionmentioning

confidence: 99%

Initial Results of a Safety and Feasibility Study of Auditory Brainstem Implantation in Congenitally Deaf Children

Wilkinson

Eisenberg²,

Krieger³

et al. 2017

Otology &Amp; Neurotology

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Objective To determine the safety and feasibility of the auditory brainstem implant (ABI) in congenitally deaf children with cochlear aplasia and/or cochlear nerve deficiency. Study Design Phase I feasibility clinical trial of surgery in 10 children, ages 2 to 5 years, over a 3 year period. Setting Tertiary children’s hospital and university-based pediatric speech/language/hearing center. Intervention(s) ABI implantation and post-surgical programming. Main outcome measure(s) The primary outcome measure is the number and type of adverse events during ABI surgery and post-surgical follow-up, including behavioral mapping of the device. The secondary outcome measure is access to and early integration of sound. Results To date, nine children are enrolled. Five children have successfully undergone ABI surgery and postoperative behavioral programming. Three children were screen failures, and one child is currently undergoing candidacy evaluation. Expected adverse events have been documented in three of the five children who received the ABI. One child experienced a cerebral spinal fluid (CSF) leak, which resolved with lumbar drainage. One child demonstrated vestibular side effects during device programming, which resolved by deactivating one electrode. One child experienced postoperative vomiting resulting in an abdominal radiograph. Four children have completed their 1-year followup and have speech detection thresholds of 30 to 35 dB HL. Scores on the IT-MAIS/MAIS range from 8 to 31 (out of a total of 40), and the children are demonstrating some ability to discriminate between closed-sets words that differ by number of syllables (pattern perception). Conclusions ABI surgery and device activation appears to be safe and feasible in this preliminary cohort.

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Section: Discussionmentioning

confidence: 99%

Initial Results of a Safety and Feasibility Study of Auditory Brainstem Implantation in Congenitally Deaf Children

Wilkinson

Eisenberg²,

Krieger³

et al. 2017

Otology &Amp; Neurotology

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show abstract

“…A retrospective review was performed by Lou et al evaluating the efficacy of mastoid pressure dressings in 92 pediatric cochlear implant patients 4. There were 44 patients who had a mastoid dressing placed and 48 patients who were not treated with a mastoid dressing.…”

Section: Literature Reviewmentioning

confidence: 99%

Are mastoid pressure dressings necessary after otologic surgery to prevent postoperative hematomas?

Gurgel

Oghalai

2012

The Laryngoscope

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“…A mastoid pressure dressing consists of a circumferential head bandage overlying non‐stick padded dressings, such as gauze swabs, placed over the pinna, which applies pressure to the surgical area . The purpose of this dressing is to prevent the potential dead space that may cause haematoma or seroma formation, which can result in pinna protrusion or wound breakdown and infection …”

Section: Introductionmentioning

confidence: 99%

“…1 A mastoid pressure dressing consists of a circumferential head bandage overlying non-stick padded dressings, such as gauze swabs, placed over the pinna, which applies pressure to the surgical area. 3,4 The purpose of this dressing is to prevent the potential dead space that may cause haematoma or seroma formation, which can result in pinna protrusion or wound breakdown and infection. 1,3,5 Modern intra-operative haemostatic techniques such as bipolar cautery forceps and monopolar cutting, introduced in the 1950s, have obviated the need for prolonged application of mastoid pressure dressings.…”

Section: Introductionmentioning

confidence: 99%

Pressure dressings in mastoid and middle ear surgery: are they necessary? A retrospective review of patient outcomes

O’Brien

Ruskin

Price

2018

ANZ Journal of Surgery

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Mastoid pressure dressing for cochlear implantation—Is it necessary?

Cited by 12 publications

References 16 publications

Initial Results of a Safety and Feasibility Study of Auditory Brainstem Implantation in Congenitally Deaf Children

Initial Results of a Safety and Feasibility Study of Auditory Brainstem Implantation in Congenitally Deaf Children

Are mastoid pressure dressings necessary after otologic surgery to prevent postoperative hematomas?

Pressure dressings in mastoid and middle ear surgery: are they necessary? A retrospective review of patient outcomes

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