Long-term complications of the transmeatal approach (Open Transcanal) in cochlear implants: A follow-up study

Multiple alternative approaches of cochlear implant surgery have been described, such as the suprameatal approach, transcanal approach, transmeatal approach and middle cranial fossa approach. Transmeatal (open trnascanal) approach has not been adapted since first described in the clinical field. we...

Full description

Saved in:
Bibliographic Details
Published in:Journal of otology (Beijing) 2023-01, Vol.18 (1), p.33-37
Main Authors: Almofada, Hesham Saleh, Almutairi, Nasser K., Timms, Michael Steven
Format: Article
Language:English
Subjects:
Cochlear implant
Open transcanal approach
Surgical complication
Transmeatal approach
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Multiple alternative approaches of cochlear implant surgery have been described, such as the suprameatal approach, transcanal approach, transmeatal approach and middle cranial fossa approach. Transmeatal (open trnascanal) approach has not been adapted since first described in the clinical field. we aimed to assess the long-term complications of the transmeatal approach in a series of 131 patients at our center between 2004 and 2008. This study was a retrospective case series of all patients who underwent cochlear implants with the transmeatal (open transcanal) approach from May 2004 to December 2008 at King Faisal Specialist and Research Hospital (Riyadh, Saudi Arabia), which were conducted by the same surgeon. Complications were observed often with various combinations—recurrent otitis externa, posterior tympanic membrane perforation, electrode extrusion, cholesteatoma, and chronic mastoiditis. The overall long-term complication rate was 16% (21/131). The gap between the implantation and the diagnosis of a complication ranged from
ISSN:1672-2930
2524-1753
DOI:10.1016/j.joto.2022.12.002