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Current trends on subtotal petrosectomy with cochlear implantation in recalcitrant chronic middle ear disorders.
Canzi, Pietro; Berrettini, Stefano; Albera, Andrea; Barbara, Maurizio; Bruschini, Luca; Canale, Andrea; Carlotto, Elena; Covelli, Edoardo; Cuda, Domenico; Dispenza, Francesco; Falcioni, Maurizio; Forli, Francesca; Franchella, Sebastiano; Gaini, Lorenzo; Gallina, Salvatore; Laborai, Andrea; Lapenna, Ruggero; Lazzerini, Francesco; Malpede, Stefano; Mandalà, Marco; Minervini, Domenico; Pasanisi, Enrico; Ricci, Giampietro; Viberti, Francesca; Zanetti, Diego; Zanoletti, Elisabetta; Benazzo, Marco.
Afiliação
  • Canzi P; Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
  • Berrettini S; Department of Otorhinolaryngology, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
  • Albera A; Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, Pisa, Italy.
  • Barbara M; Division of Otorhinolaryngology, Department of Surgical Sciences, University of Turin, Turin, Italy.
  • Bruschini L; Department of Neuroscience, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy.
  • Canale A; Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, Pisa, Italy.
  • Carlotto E; Division of Otorhinolaryngology, Department of Surgical Sciences, University of Turin, Turin, Italy.
  • Covelli E; Department of Otorhinolaryngology, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
  • Cuda D; Department of Neuroscience, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy.
  • Dispenza F; Department of Otolaryngology, Guglielmo da Saliceto Hospital, Piacenza, Italy.
  • Falcioni M; Department of Biomedicine, Neuroscience and Advanced Diagnostics, Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone'', University of Palermo, Palermo, Italy.
  • Forli F; Otorhinolaryngology and Otoneurosurgery Department, University Hospital of Parma, Italy.
  • Franchella S; Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, Pisa, Italy.
  • Gaini L; Department of Neuroscience DNS, Otolaryngology Section, Padova University, Padova, Italy.
  • Gallina S; Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
  • Laborai A; Department of Biomedicine, Neuroscience and Advanced Diagnostics, Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone'', University of Palermo, Palermo, Italy.
  • Lapenna R; Department of Otolaryngology, Guglielmo da Saliceto Hospital, Piacenza, Italy.
  • Lazzerini F; Department of Surgical and Biomedical Sciences, Section of Otorhinolaryngology, University of Perugia, Perugia, Italy.
  • Malpede S; Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, Pisa, Italy.
  • Mandalà M; Department of Otorhinolaryngology, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
  • Minervini D; Department of Otology and Skull Base Surgery, Azienda Ospedaliera Universitaria Senese, Siena, Italy.
  • Pasanisi E; Department of Otorhinolaryngology, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
  • Ricci G; Otorhinolaryngology and Otoneurosurgery Department, University Hospital of Parma, Italy.
  • Viberti F; Department of Surgical and Biomedical Sciences, Section of Otorhinolaryngology, University of Perugia, Perugia, Italy.
  • Zanetti D; Department of Otology and Skull Base Surgery, Azienda Ospedaliera Universitaria Senese, Siena, Italy.
  • Zanoletti E; Audiology Unit, Department of Specialistic Surgical Sciences Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico Milan, Italy.
  • Benazzo M; Department of Clinical Sciences and Community Health University of Milan, Milan, Italy.
Acta Otorhinolaryngol Ital ; 43(Suppl. 1): S67-S75, 2023 Apr.
Article em En | MEDLINE | ID: mdl-37698103
ABSTRACT

Objective:

To establish the safety and effectiveness of subtotal petrosectomy with cochlear implantation in patients affected by chronic middle ear disorders to refractory to previous surgical treatments.

Methods:

A multicentre, retrospective study was conducted on patients affected by recalcitrant chronic middle ear disorders who underwent cochlear implantation in combination with subtotal petrosectomy. Patients' details were collected from databases of 11 Italian tertiary referral centres. Additionally, a review of the most updated literature was carried out.

Results:

55 patients were included with a mean follow-up time of 44 months. Cholesteatoma was the most common middle ear recurrent pathology and 50.9% of patients had an open cavity. 80% of patients underwent a single stage surgery. One case of explantation for device failure was reported among the 7 patients with post-operative complications.

Conclusions:

Subtotal petrosectomy with cochlear implantation is a benchmark for management of patients with recalcitrant chronic middle ear disorders. A single stage procedure is the most recommended strategy. Optimal follow-up is still debated. Further studies are required to investigate the role of this surgery in paediatric patients.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Otite Média Supurativa / Colesteatoma / Implante Coclear Idioma: En Ano de publicação: 2023 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Otite Média Supurativa / Colesteatoma / Implante Coclear Idioma: En Ano de publicação: 2023 Tipo de documento: Article