External auditory canal closure in cochlear implant surgery.
Otol Neurotol
; 24(3): 404-8, 2003 May.
Article
en En
| MEDLINE
| ID: mdl-12806292
ABSTRACT
OBJECTIVE:
To evaluate surgical techniques and complications associated with external auditory canal (EAC) closure in cochlear implant surgery. STUDYDESIGN:
Retrospective case review.SETTING:
Tertiary referral center with a large cochlear implant program. PATIENTS Twenty-eight patients (8 adults and 20 children) underwent multichannel cochlear implantation with EAC closure. The follow-up periods ranged between 1 and 10 years. Closure of the EAC was performed in conjunction with implantation of ears with chronic suppurative otitis media or cochlear drill-out procedures for ossification, or for access to the cochlea in patients with abnormal temporal bone anatomy. A modified Rambo technique was used for EAC closure in all but one case.INTERVENTIONS:
Cochlear implantation with EAC closure and subsequent clinical and radiologic follow-up. MAIN OUTCOMEMEASURES:
Postoperative complications or the development of cholesteatoma in the implanted ear.RESULTS:
Cholesteatoma developed in the implanted ear in two patients. Breakdown of EAC closure occurred in one of these patients. The details of these patients are reviewed.CONCLUSION:
Closure of EAC can be done with relatively low risk. Close and careful follow-up is required for early detection of a developing cholesteatoma.
Buscar en Google
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Procedimientos Quirúrgicos Otológicos
/
Colesteatoma del Oído Medio
/
Implantación Coclear
/
Oído Externo
/
Pérdida Auditiva Sensorineural
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Child
/
Child, preschool
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Otol Neurotol
Asunto de la revista:
NEUROLOGIA
/
OTORRINOLARINGOLOGIA
Año:
2003
Tipo del documento:
Article
País de afiliación:
Estados Unidos