دورية أكاديمية
Cochlear Implant Surgery: Endomeatal Approach versus Posterior Tympanotomy.
العنوان: | Cochlear Implant Surgery: Endomeatal Approach versus Posterior Tympanotomy. |
---|---|
المؤلفون: | Freni F; Department of Adult and Development Age Human Pathology 'Gaetano Barresi', Unit of Otorhinolaryngology, University of Messina, 98125 Messina, Italy., Gazia F; Department of Adult and Development Age Human Pathology 'Gaetano Barresi', Unit of Otorhinolaryngology, University of Messina, 98125 Messina, Italy., Slavutsky V; Ent Clinic, Barcelona 08001, Spain., Scherdel EP; Servicio de ORL, Hospital Universitario Vall d'Hebron, 08001 Barcelona, Spain., Nicenboim L; Ear Institute, Universidad Abierta Interamericana, Rosario S2000, Argentina., Posada R; Servicio de ORL, Universidad Tecnológica de Pereira, Pereira 660001, Colombia., Portelli D; Department of Adult and Development Age Human Pathology 'Gaetano Barresi', Unit of Otorhinolaryngology, University of Messina, 98125 Messina, Italy., Galletti B; Department of Adult and Development Age Human Pathology 'Gaetano Barresi', Unit of Otorhinolaryngology, University of Messina, 98125 Messina, Italy., Galletti F; Department of Adult and Development Age Human Pathology 'Gaetano Barresi', Unit of Otorhinolaryngology, University of Messina, 98125 Messina, Italy. |
المصدر: | International journal of environmental research and public health [Int J Environ Res Public Health] 2020 Jun 12; Vol. 17 (12). Date of Electronic Publication: 2020 Jun 12. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Basel : MDPI, c2004- |
مواضيع طبية MeSH: | Cochlear Implantation*/methods , Cochlear Implants*, Adult ; Female ; Humans ; Male ; Middle Aged ; Postoperative Period ; Tinnitus ; Treatment Outcome ; Visual Analog Scale |
مستخلص: | The aim of the present study was to compare the posterior tympanotomy (PT) technique to the endomeatal approach. The endomeatal approach (EMA) for Cochlear Implant (CI) surgery was performed on 98 patients with procident lateral sinus or a small mastoid cavity, on 103 ears (Group A). Conventional mastoidectomy and PT was performed on the other 104 patients, on 107 ears (Group B). Data on all patients were then collected for the following: intra- and post-operative complications, Tinnitus Handicap Inventory (THI), Vertigo Symptom Scale (VSS), duration of surgery, and postoperative discomfort. The difference in the total number of major and minor complications between the case group and the control group was not statistically significant. There was a statistically significant difference in discomfort between the two groups using the Visual Analogue Scale (VAS), both immediately postsurgery ( p = 0.02) and after one month ( p = 0.04). The mean duration of surgery was 102 ± 29 min for EMA and 118 ± 15 min for the PT technique ( p = 0.008). EMA is a faster technique resulting in reduced postoperative patient discomfort in comparison to the PT method. The experience of the surgeon as well as the correct choice of surgical technique are fundamental to successful outcomes for cochlear implant surgery. Competing Interests: The authors declare no conflict of interest. |
References: | Otolaryngol Clin North Am. 2015 Dec;48(6):1097-116. (PMID: 26443490) Int Arch Otorhinolaryngol. 2016 Apr;20(2):180-4. (PMID: 27096025) Acta Otorrinolaringol Esp. 2012 Sep-Oct;63(5):327-31. (PMID: 22425203) Cochlear Implants Int. 2009 Dec;10(4):218-28. (PMID: 19370541) Ann Otol Rhinol Laryngol. 2019 Jun;128(6_suppl):38S-44S. (PMID: 31092036) Clin Otolaryngol. 2007 Dec;32(6):440-6. (PMID: 18076429) Laryngoscope. 2016 Mar;126(3):689-92. (PMID: 26154143) Acta Otolaryngol. 2002 Oct;122(7):715-9. (PMID: 12484647) Eur Arch Otorhinolaryngol. 2016 Mar;273(3):621-9. (PMID: 25814389) Arch Otolaryngol Head Neck Surg. 1996 Feb;122(2):143-8. (PMID: 8630207) Clin Anat. 2000;13(4):251-6. (PMID: 10873216) Am J Case Rep. 2019 Feb 12;20:184-188. (PMID: 30745558) Otolaryngol Head Neck Surg. 1997 Sep;117(3 Pt 1):214-6. (PMID: 9334767) Eur Arch Otorhinolaryngol. 2009 Apr;266(4):481-8. (PMID: 18636268) J Craniofac Surg. 2013 Mar;24(2):614-6. (PMID: 23524757) BMJ Case Rep. 2019 Jun 6;12(6):. (PMID: 31175116) J Otolaryngol Head Neck Surg. 2017 Jun 8;46(1):44. (PMID: 28595652) Otol Neurotol. 2017 Jun;38(5):694-700. (PMID: 28353621) |
فهرسة مساهمة: | Keywords: Endomeatal approach; cochlear implant; hearing loss; posterior tympanotomy; tinnitus; without mastoidectomy |
تواريخ الأحداث: | Date Created: 20200618 Date Completed: 20201006 Latest Revision: 20201006 |
رمز التحديث: | 20221213 |
مُعرف محوري في PubMed: | PMC7346090 |
DOI: | 10.3390/ijerph17124187 |
PMID: | 32545440 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1660-4601 |
---|---|
DOI: | 10.3390/ijerph17124187 |