The transmeatal approach: a new technique in cochlear and middle ear implants

Taibah, Khalid

doi:10.1179/cim.2009.10.4.218

Cited by 14 publications

(7 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All of the patients in our study group were experiencing this condition because the combination of sensorineural hearing loss and therapy-resistant external otitis is the primary indication for VSB implantation in our clinic. Although no results of studies of VSB surgery on a large group have been published, virtually no conducting wire extrusions have been recorded in large studies on the transcanal or transmeatal approaches in cochlear implant surgery (15,16). In the publications concerning VSB implantation by Truy et al (5) (n = 2) and Bruschini et al (11) (n = 12), no surgical complications were reported.…”

Section: Discussionmentioning

confidence: 94%

“…No facial nerve paralysis was reported in the SMA approach, whereas the classic approach led to 2 facial nerve injuries during the posterior tympanotomy. Another transcanal approach in cochlear implantation, called the transmeatal approach, has recently been described by Taibah (15). In this open-tunnel approach, the drilling of a groove that is comparable with that of our approach is combined with the drilling of a parallel tunnel toward the middle ear.…”

Section: Discussionmentioning

confidence: 96%

“…Thus, modification of the surgical method to prevent the complication of conducting wire extrusion is required. The tunneling technique proposed by Taibah (15) and Slavutsky and Nicenboim (16) might be applied. The posterior and inferior bony ear canal provides sufficient space to do so without interfering with the diameter of the ear canal.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Vibrant Soundbridge Surgery in Patients With Severe External Otitis

Zwartenkot

Mulder

Snik

et al. 2011

Otology &Amp; Neurotology

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 96%

See 1 more Smart Citation

Vibrant Soundbridge Surgery in Patients With Severe External Otitis

Zwartenkot

Mulder

Snik

et al. 2011

Otology &Amp; Neurotology

View full text Add to dashboard Cite

show abstract

“…In 2009, from the Kingdom of Saudi Arabia (KSA), Taibah 17 described 131 patients who underwent CI by the transcanal approach, with electrodes inserted via Antro-inferior cochleostomy. The group was comprised of 115 children, with ages ranging from 10 months to 14 years, and 16 adults, with ages ranging from 24 to 58 years, with a male-to-female ratio of ∼1:1.…”

Section: The Transcanal (Veria) Approachmentioning

confidence: 99%

Non-mastoidectomy Cochlear Implant Approaches: A Literature Review

El‐Anwar

ElAassar

Foad

2015

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

Introduction Posterior tympanotomy approach for cochlear implant (CI) surgery, has been the most commonly used worldwide with current 0.7% rate of facial nerve injury. Non-mastoidectomy CI approaches include the suprameatal approach (SMA) and its modifications, the transcanal approach and its modifications and the pericanal approach for electrode insertion. Objectives The objective of this study was to review the literature regarding non-mastoidectomy CI approaches. Data Synthesis A search was performed in the LILACS, MEDLINE, SciELO, PubMed databases and Cochrane Library in February 2015, and the key words used in the search were CI, SMA, transcanal approach, pericanal approach, or electrode extrusion. About 30 studies that met the criteria described in “Study Selection” were read in full. The studies showed 1014 patients that underwent CI by SMA or its modifications, 266 CI patients treated by transcanal approach or its modifications, and 15 patients implanted by the pericanal approach. Reported complication with SMA was 99 (9.8%) minor and 13 (1.3%) major. With transcanal, there were 24 complications; 19 (7.1%) minor and 5 (1.9%) major. No post-operative complication was reported in pericanal approach. Studies showed no reported facial nerve paresis or paralysis in all non-mastoidectomy approaches. Conclusion Complications rates with non-mastoidectomy approaches are similar to those found in the mastoidectomy approach. Thus, non-mastoidectomy approaches may be an alternative in cases where the conventional mastoidectomy approach is difficult to perform. It would be helpful for CI surgeons to become familiarized with these approaches.

show abstract

“…However, the transcanal approach for cochlear implantation performed in multiple different centers has not been found to be at an increased risk of electrode exposure, infections, or meningitis. There are seven studies in the literature that have described different modifications of the transcanal approach for cochlear implantation on a total of 470 patients, with a range of follow up of 6 months to 7 years . No cases of meningitis or CSF leakage have been reported and there only has been one reported case of electrode extrusion among the 470 patients .…”

Section: Discussionmentioning

confidence: 99%

Transcanal approach for implantation of a cochlear nerve electrode array

et al. 2013

View full text Add to dashboard Cite

Objectives/Hypothesis: To evaluate a transcanal approach for placement of a stimulating electrode array in the cochlear nerve.Study Design: Prospective cadaveric temporal bone study. Methods: Ten human cadaveric temporal bones were dissected. Both a facial recess approach with mastoidectomy and a transcanal approach using the novel technique were performed in each bone. A middle fossa dissection of the internal auditory canal was performed to confirm the position of the electrode in the cochlear nerve.Results: The transcanal approach offered a direct approach to the cochlear nerve in all 10 bones. The procedure was quicker than the facial recess approach and did not endanger the facial or chorda tympani nerves. Inspection of the medial end of the internal auditory canal confirmed correct placement of the electrode in the cochlear nerve. In contrast, anatomical constraints, specifically the position of the facial nerve, blocked access to the cochlear nerve by the facial recess approach in three of the specimens to achieve the exposure to place the electrode at a perpendicular angle to the cochlear nerve. Sacrifice of the chorda tympani was necessary in five of the seven bones in which the cochlear nerve could be accessed.Conclusions: The transcanal approach offers a simpler, safer approach for cochlear nerve implantation compared to the facial recess approach. This approach can be accomplished in less time and avoids the hazards of dissection around the facial nerve. Use of the proposed approach will facilitate development of intraneural stimulation for an improved auditory prosthesis.

show abstract

The transmeatal approach: a new technique in cochlear and middle ear implants

Cited by 14 publications

References 4 publications

Vibrant Soundbridge Surgery in Patients With Severe External Otitis

Vibrant Soundbridge Surgery in Patients With Severe External Otitis

Non-mastoidectomy Cochlear Implant Approaches: A Literature Review

Transcanal approach for implantation of a cochlear nerve electrode array

Contact Info

Product

Resources

About