Our Extra-scalar Operating Method of Cochlear Implantation:<i>Experience with 46 Cases</i>

Banfai, P; Kubík, S; Hortmann, G.

doi:10.3109/00016488409099535

Cited by 105 publications

(25 citation statements)

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“…Cochlear implant surgery with transcanal insertion of the electrode was tried 23 years ago by several surgeons (Banfai et al, 1983;Schindler, 1985). Electrodes were positioned directly under the skin in some cases and, as a result, extrusions occurred.…”

Section: Discussionmentioning

confidence: 99%

The transmeatal approach: a new technique in cochlear and middle ear implants

Taibah¹

2009

Cochlear Implants Int.

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The transmeatal approach (TMA) is a new approach for cochlear and middle-ear implantation. It is an open-tunnel technique that differs from closed transcanal non-mastoidectomy approaches. The TMA involves creating an open transcanal tunnel starting from the annulus superior to the chorda tympani laterally towards the suprameatal region. Then, through the open tunnel, a bony groove is created in the bone underneath the length of the external auditory canal (EAC) to protect the electrode from extrusion

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Section: Discussionmentioning

confidence: 99%

The transmeatal approach: a new technique in cochlear and middle ear implants

Taibah¹

2009

Cochlear Implants Int.

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“…An approach through the middle fossa was described by Colletti et al [3] in 1998, Kiratzidis et al [4] drilled a tunnel through the posterio-superior ear canal wall and Häusler [5] revived the direct approach through the external ear canal, which had previously been performed in the very early days of cochlear implantation [6]. In 1999 Kronenberg et al [7] introduced a new non-mastoidectomy technique, the suprameatal approach (SMA).…”

Section: Introductionmentioning

confidence: 99%

Surgical considerations in cochlear implantation in children and adults: A review of 342 cases in Vienna

Arnoldner

Baumgartner²,

Gstœttner³

et al. 2005

Acta Oto-Laryngologica

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The etiology of deafness was predominantly congenital or progressive (66.89%). The routine mastoidectomy approach was chosen in 300 patients (87.72%) and the suprameatal approach in 42 (12.28%). Intraoperatively, 4 children (2.53%) had a cerebrospinal fluid fistula and 35 patients (10.23%) showed cochlear ossification. Three adults (1.63%) and two children (1.27%) had facial nerves with an aberrant course. The overall complication rate was 12.2%, the rate of major complications was 4.97% and the rate of minor complications was 4.09%. There were no cases of either postoperative meningitis or facial nerve palsy. Both flap necrosis and electrode dislocation occurred in one adult patient (0.54%), but in none of the children. Formation of cholesteatoma was found in one adult (0.54%) and one child (0.63%). The rate of device failure was 7.07% for adults and 13.92% for children.

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“…There have been several alternatives to this established technique in the literature, including the endomeatal approach [9,10], middle fossa approach [11], mastoid tunnel technique [12], and pericanal electrode insertion technique [13]. All of these approaches were developed to avoid the risk of facial nerve injury; however, other complications were deemed more serious than the risk of nerve injury in the classic approach, which limited the development of those techniques.…”

Section: Introductionmentioning

confidence: 99%