Cochlear orientation : pre-operative evaluation and intra-operative significance

OBJECTIVE: The study primarily aimed to calculate the orientation of the cochlea pre-operatively, using high-resolution computed tomography of the temporal bone, and predict the ease of electrode insertion.

METHODS: Pre-operatively, high-resolution computed tomography scans were conducted on children scheduled for cochlear implantation, and two angles, α and β, were calculated. The values of α and β were then correlated with intra-operative difficulty in insertion of the electrode array.

RESULTS: Ninety-six children were included in the study. Of the seven patients who had an α angle of less than 50 degrees, the surgeon experienced difficulties in electrode insertion. However, there were four patients with an α angle of more than 50 degrees for whom the surgeon also experienced difficulties in electrode insertion. In all these patients, the β angle was more than 20 degrees.

CONCLUSION: Calculation of cochlear orientation and its angle with the surgical axis (α and β) can aid the planning of surgery, particularly with regard to the cochleostomy site and preservation of residual hearing.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:132

Enthalten in:

The Journal of laryngology and otology - 132(2018), 6 vom: 15. Juni, Seite 540-543

Sprache:

Englisch

Beteiligte Personen:

Sharma, S [VerfasserIn]
Grover, M [VerfasserIn]
Singh, S N [VerfasserIn]
Kataria, T [VerfasserIn]
Lakhawat, R S [VerfasserIn]

Links:

Volltext

Themen:

Cochlear Implants
Journal Article
Radiology
Sensorineural Hearing Loss

Anmerkungen:

Date Completed 23.07.2018

Date Revised 23.07.2018

published: Print

Citation Status MEDLINE

doi:

10.1017/S002221511800066X

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM286604558