Current trends on subtotal petrosectomy with cochlear implantation in recalcitrant chronic middle ear disorders.
Acta Otorhinolaryngol Ital
; 43(Suppl. 1): S67-S75, 2023 Apr.
Article
in 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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Otitis Media, Suppurative
/
Cholesteatoma
/
Cochlear Implantation
Type of study:
Observational_studies
Limits:
Humans
Language:
En
Journal:
Acta Otorhinolaryngol Ital
Year:
2023
Document type:
Article
Affiliation country:
Italy