Device fixation and small incision access for pediatric cochlear implants

International Journal of Pediatric Otorhinolaryngology
Adrian L James, Blake C Papsin

Abstract

Small incision cochlear implant surgery has been advocated to improve cosmesis and reduce post-operative morbidity. However, with standard small incision techniques, it is not possible to securely fix the device in place. This risks displacement of the device, particularly in active children. This paper describes the development of a technique which combines secure ligature tie-down of the device with a small incision. A 25 mm skin incision is positioned close to the hair line behind the pinna. Specially modified instruments are used to drill a well for the receiver-stimulator pedestal down to dura. In younger children, ligature tie-down holes are drilled through the calvarium. Alternative methods for older children are described. Outcome data are reviewed. One hundred children have been implanted with the small incision technique. No complications have occurred related to the current technique (maximum follow up 22 months). In five cases, during early development of the technique, the receiver-stimulator device was only secured by a tight periosteal pocket. In one of these cases, the device became dislodged from its well. Secure fixation of the receiver-stimulator unit of a cochlear implant is particularly important in childre...Continue Reading

References

Feb 1, 1991·The Annals of Otology, Rhinology, and Laryngology·R L WebbB K Franz
Sep 1, 1995·The Journal of Laryngology and Otology·W P GibsonC Prowse
Sep 30, 1999·International Journal of Pediatric Otorhinolaryngology·H DayaB C Papsin
Nov 20, 2002·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Gerard M O'Donoghue, Thomas P Nikolopoulos
Dec 20, 2007·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Sarah S ConnellAdrien A Eshraghi

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Citations

Jun 28, 2011·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Thomas StarkHolger Sudhoff
Jan 1, 2010·Cochlear Implants International·Pedro Clarós, Christina Valor
Apr 12, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Martine VanlommelPierre Dolhen
Jan 12, 2011·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Paolo Boscolo-RizzoFranco Trabalzini
May 19, 2012·International Journal of Pediatric Otorhinolaryngology·Jeremy D PragerJohn H Greinwald
Nov 27, 2009·International Journal of Pediatric Otorhinolaryngology·Petros V VlastarakosThomas P Nikolopoulos
Mar 4, 2008·International Journal of Pediatric Otorhinolaryngology·Sharon L CushingBlake C Papsin
Nov 27, 2004·The Laryngoscope·Adrian L James, Blake C Papsin
Apr 1, 2009·The Laryngoscope·Taryn DavidsBlake C Papsin
Sep 16, 2008·Cochlear Implants International·Joseph B RobersonLisa Tonokawa
Jun 21, 2005·International Journal of Pediatric Otorhinolaryngology·P CampisiB Papsin
Sep 26, 2015·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Mahmood Shishegar, Seyed Basir Hashemi
Mar 25, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Johannes SchnablGeorg Sprinzl
Sep 24, 2010·The Annals of Otology, Rhinology, and Laryngology·Nicolas GuevaraIvan Gahide
Apr 16, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Nathan S AlexanderAudie L Woolley
Jan 22, 2015·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Alex D SweeneyDavid S Haynes
Dec 19, 2006·Trends in Amplification·James F PatrickPeter J Gibson
Jun 20, 2007·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Oliver F Adunka, Craig A Buchman
Apr 16, 2010·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Noriko YoshikawaFred F Telischi
Oct 16, 2012·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Clough Shelton, Frank M Warren
Oct 11, 2012·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Johannes SchnablGeorg Sprinzl
Mar 14, 2014·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Rabea M AlsabellhaSoha N Garadat
Jun 8, 2011·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Prodip K Das PurkayasthaBlake Papsin
Apr 21, 2012·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·F AchenaA L Nucaro
Jul 21, 2021·Trends in Hearing·Patricia L PurcellKaren A Gordon

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