Article: Combined Endoscopic/Microscopic Cochlear Implantation Through the Oval Window.
Journal of audiology & otology
2021 Volume 26, Issue 2, Page(s) 103–107
Abstract: 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 ... ...
Abstract | 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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Language | English |
Publishing date | 2021-11-09 |
Publishing country | Korea (South) |
Document type | Case Reports |
ZDB-ID | 3018961-5 |
ISSN | 2384-1710 ; 2384-1621 |
ISSN (online) | 2384-1710 |
ISSN | 2384-1621 |
DOI | 10.7874/jao.2021.00388 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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