Subtotal petrosectomy and cochlear implantation

D’Angelo, Giulia; Donati, Giulia; Bacciu, Andrea; Guida, Maurizio; Falcioni, Maurizio

doi:10.14639/0392-100x-n0931

Cited by 10 publications

(15 citation statements)

References 24 publications

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“…As with COM, many authors have proposed using this technique when combined with CI [ 1 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 12 , 16 , 17 , 18 , 19 , 20 , 21 ]. One of the differences lies in the risk of residual disease.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, when fat is used as an obliterating material, HRCT may show a different density between fat and rounded residual disease, which can help in identifying it. Removal of the magnet will allow one to perform diffusion-weighted non-EPI MRI to check for residual disease, if necessary [ 21 ]. Staging the procedure may reduce persistent infection or residual disease and could be preferred by some surgeons.…”

Section: Discussionmentioning

confidence: 99%

“…The presence of a CI will limit the use of MRI for this purpose, although bone window HRCT scan (as mentioned in Section 4.3 ) may be helpful if fat is used as material for obliteration to detect potential residuals. Diffusion-weighted non-EPI MRI may be performed, if necessary, by removing the magnet that may create a shadow impeding the vision of the surgical area [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…This indication may be controversial, but it has the advantage of preventing the impact of potential bouts of acute otitis media in patients with a cochlear implant in site. Other authors have also included this condition as an indication of CI associated with SP [ 8 , 10 , 21 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

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Subtotal Petrosectomy (SP) in Cochlear Implantation (CI): A Report of 92 Cases

et al. 2022

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In most cases, cochlear implantation is a straightforward procedure. Nevertheless, there are clinical situations in which the presence of the middle ear may compromise access and/or the outcome in terms of complications. This article includes a series of patients for whom we eliminated the middle ear to facilitate placement of the electrode array of the implant and/or reduce potential complications. A total of 92 cases in 83 patients, managed by the senior author, are included in this series. Different indications are outlined that justify associating a subtotal petrosectomy technique with cochlear implantation. The steps of the technique are described. We include complications from this series that compare favorably with standard techniques.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Subtotal Petrosectomy (SP) in Cochlear Implantation (CI): A Report of 92 Cases

et al. 2022

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“…Subtotal petrosectomy is defined as complete exenteration of all pneumatic cell tracts of the temporal bone with or without removal of the otic capsule. [6,7]. [8].…”

Section: Introductionmentioning

confidence: 99%

Medially-invasive cholesteatoma

Rouev

2021

International Bulletin of Otorhinolaryngology

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Cholesteatoma is life-threatening disease due to its intracranial complications. Some of cholesteatoma cases we define as aggressive cholesteatoma. In this category we include children cholesteatoma, medially-invasive cholesteatoma and petrous apex cholesteatoma which does not originate in the petrous apex. Another special form of cholesteatoma is petrous bone cholesteatoma. Retrospective study of 176 cholesteatoma operations (38.85%) from 453 consecutive middle ear surgeries for 4 years and 4 months in Trakia Park Hospital Stara Zagora, Bulgaria were rewieved. The same surgeon performs 106 Primary Cholesteatoma Surgery, 49 Revision Surgery and 21 Second-Look Surgery. In this 176 cholesteatoma cases the cholesteatoma matrix involve the otic capsule, petrous apex or skull base in 5 patients, who are defined as medially-invasive cholesteatoma (2.84%). In this medially-invasive cholesteatoma patients surgical resection with canal wall down operation remains the best treatment option.

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Surgical results and quality of life after subtotal petrosectomy

Geerse

Haan²,

Ebbens³

et al. 2022

Eur Arch Otorhinolaryngol

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Purpose Few data are available regarding subjective complaints and quality of life (QoL) after subtotal petrosectomy (STP). The purpose of our study was to assess long-term surgical results after STP, and to evaluate disease-specific, patient-reported outcomes including QoL and subjective hearing. Methods A retrospective cohort study, including a postal survey, was performed in the Amsterdam University Medical Centers (Amsterdam UMC) location Academic Medical Centre (AMC). All patients who underwent a STP between 1990 and 2018 were included. Patient characteristics, indication for surgery, adverse events, disease recidivism, and patient-reported health outcomes were evaluated. Results 181 patients (183 ears) underwent a STP for several indications. The main indication was chronic otitis media (COM) with or without cholesteatoma (69%). In the total cohort, 8 residual cholesteatoma (5%) and 6 inclusion cholesteatoma 4% were detected. Postoperative (functional) health outcomes showed a significant negative impact on QoL in the STP cohort compared to normative data. Compared to patients without ear problems, the postoperative STP patients scored worse on almost all domains of the Chronic Ear Survey (CES) (p < 0.001). SF-36 scores of postoperative STP data showed negative Z-scores in almost all subscales, indicating lower levels of QoL compared to Dutch reference values. Most subscales of the Amsterdam Inventory for Auditory Disability and Handicap (AIADH) demonstrate a large-effect size in disadvantage of the STP cohort when compared to Dutch reference values. Conclusion STP is a suitable technique to tackle severe ear disease. Despite its favourable surgical results, STP has a negative impact on several domains of patient’s QoL.

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Subtotal petrosectomy and cochlear implantation

Cited by 10 publications

References 24 publications

Subtotal Petrosectomy (SP) in Cochlear Implantation (CI): A Report of 92 Cases

Subtotal Petrosectomy (SP) in Cochlear Implantation (CI): A Report of 92 Cases

Medially-invasive cholesteatoma

Surgical results and quality of life after subtotal petrosectomy

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