The role of subtotal petrosectomy in cochlear implantation

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

© Copyright JLO (1984) Limited 2016Â.Background: Subtotal petrosectomy combined with cochlear implantation is a procedure required in specific situations. Methods: A retrospective review of all cases of subtotal petrosectomy in cochlear implant surgery over a five-year period was performed. The indications, complications and outcomes for this procedure are outlined. Results: Sixteen patients underwent cochlear implantation in combination with subtotal petrosectomy and blind sac closure of the external auditory meatus from 2008 to 2013. Seventy-five per cent of these were completed as a two-stage procedure and 25 per cent as a single-stage procedure. The most common indications for the procedure were chronic otitis media, previous radical cavity, and for surgical access in challenging anatomy or in drill-out procedures. Mastoids were obliterated with fat or musculoperiosteal flaps. The complication rate relating to blind sac closure was 6 per cent. Cochlear implants were successfully placed in all cases and there was no incidence of device failure. Conclusion: For patients with chronic suppurative otitis media or existing mastoid cavities, subtotal petrosectomy with blind sac closure of the external auditory canal, closure of the eustachian tube, and cavity obliteration is an effective technique to facilitate safe cochlear implantation.
Original languageEnglish
Pages (from-to)S35-S40
JournalJournal of Laryngology and Otology
Volume130
Issue numberS4
DOIs
Publication statusPublished - 2016

Fingerprint

Cochlear Implantation
Mastoid
Cochlear Implants
Equipment Failure
Suppurative Otitis Media
Eustachian Tube
Mandrillus
Ear Canal
Otitis Media
Anatomy
Fats
Incidence

Cite this

@article{434288c5134d4869b280d8666e162eee,
title = "The role of subtotal petrosectomy in cochlear implantation",
abstract = "{\circledC} Copyright JLO (1984) Limited 2016{\^A}.Background: Subtotal petrosectomy combined with cochlear implantation is a procedure required in specific situations. Methods: A retrospective review of all cases of subtotal petrosectomy in cochlear implant surgery over a five-year period was performed. The indications, complications and outcomes for this procedure are outlined. Results: Sixteen patients underwent cochlear implantation in combination with subtotal petrosectomy and blind sac closure of the external auditory meatus from 2008 to 2013. Seventy-five per cent of these were completed as a two-stage procedure and 25 per cent as a single-stage procedure. The most common indications for the procedure were chronic otitis media, previous radical cavity, and for surgical access in challenging anatomy or in drill-out procedures. Mastoids were obliterated with fat or musculoperiosteal flaps. The complication rate relating to blind sac closure was 6 per cent. Cochlear implants were successfully placed in all cases and there was no incidence of device failure. Conclusion: For patients with chronic suppurative otitis media or existing mastoid cavities, subtotal petrosectomy with blind sac closure of the external auditory canal, closure of the eustachian tube, and cavity obliteration is an effective technique to facilitate safe cochlear implantation.",
author = "P. Casserly and Friedland, {Peter L.} and Atlas, {Marcus D.}",
year = "2016",
doi = "10.1017/S0022215116000979",
language = "English",
volume = "130",
pages = "S35--S40",
journal = "The Journal of Laryngology & Otology",
issn = "0022-2151",
publisher = "Cambridge University Press",
number = "S4",

}

The role of subtotal petrosectomy in cochlear implantation. / Casserly, P.; Friedland, Peter L.; Atlas, Marcus D.

In: Journal of Laryngology and Otology, Vol. 130, No. S4, 2016, p. S35-S40.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The role of subtotal petrosectomy in cochlear implantation

AU - Casserly, P.

AU - Friedland, Peter L.

AU - Atlas, Marcus D.

PY - 2016

Y1 - 2016

N2 - © Copyright JLO (1984) Limited 2016Â.Background: Subtotal petrosectomy combined with cochlear implantation is a procedure required in specific situations. Methods: A retrospective review of all cases of subtotal petrosectomy in cochlear implant surgery over a five-year period was performed. The indications, complications and outcomes for this procedure are outlined. Results: Sixteen patients underwent cochlear implantation in combination with subtotal petrosectomy and blind sac closure of the external auditory meatus from 2008 to 2013. Seventy-five per cent of these were completed as a two-stage procedure and 25 per cent as a single-stage procedure. The most common indications for the procedure were chronic otitis media, previous radical cavity, and for surgical access in challenging anatomy or in drill-out procedures. Mastoids were obliterated with fat or musculoperiosteal flaps. The complication rate relating to blind sac closure was 6 per cent. Cochlear implants were successfully placed in all cases and there was no incidence of device failure. Conclusion: For patients with chronic suppurative otitis media or existing mastoid cavities, subtotal petrosectomy with blind sac closure of the external auditory canal, closure of the eustachian tube, and cavity obliteration is an effective technique to facilitate safe cochlear implantation.

AB - © Copyright JLO (1984) Limited 2016Â.Background: Subtotal petrosectomy combined with cochlear implantation is a procedure required in specific situations. Methods: A retrospective review of all cases of subtotal petrosectomy in cochlear implant surgery over a five-year period was performed. The indications, complications and outcomes for this procedure are outlined. Results: Sixteen patients underwent cochlear implantation in combination with subtotal petrosectomy and blind sac closure of the external auditory meatus from 2008 to 2013. Seventy-five per cent of these were completed as a two-stage procedure and 25 per cent as a single-stage procedure. The most common indications for the procedure were chronic otitis media, previous radical cavity, and for surgical access in challenging anatomy or in drill-out procedures. Mastoids were obliterated with fat or musculoperiosteal flaps. The complication rate relating to blind sac closure was 6 per cent. Cochlear implants were successfully placed in all cases and there was no incidence of device failure. Conclusion: For patients with chronic suppurative otitis media or existing mastoid cavities, subtotal petrosectomy with blind sac closure of the external auditory canal, closure of the eustachian tube, and cavity obliteration is an effective technique to facilitate safe cochlear implantation.

U2 - 10.1017/S0022215116000979

DO - 10.1017/S0022215116000979

M3 - Article

VL - 130

SP - S35-S40

JO - The Journal of Laryngology & Otology

JF - The Journal of Laryngology & Otology

SN - 0022-2151

IS - S4

ER -