Universität zu Köln

Stuermer, Konrad, Winter, Tanja, Nachtsheim, Lisa ORCID: 0000-0002-0261-4511, Klussmann, Jens Peter and Luers, Jan Christoffer . Round window accessibility during cochlear implantation. Eur. Arch. Oto-Rhino-Laryn.. NEW YORK: SPRINGER. ISSN 1434-4726

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Abstract

Objective To assess data regarding round window (RW) visibility and surgical approaches in cochlear implant cases, and to describe and analyze surgical steps relevant for the RW approach in cochlear implantation. Study design Prospective clinical study. Methods A questionnaire was completed by surgeons after each of altogether 110 cochlear implantations. Round window membrane (RWM) visibility was graded according to the St Thomas Hospital (STH) classification. Results Performing different surgical steps during the preparation of the RW niche, the RWM could be fully exposed (STH Type I) in 87%. A RW approach could be used for electrode insertion in 89% of the adult and 78% of the pediatric cases. The distribution of RW types differed significantly between adults and children. Drilling of the superior bony lip was the surgical step most frequently needed in adult as well as pediatric cases to obtain optimal RW exposure. Conclusion In children, optimized surgical exposure of the RW niche resulted in only 52% full RWM visibility; whereas in adults, this could be achieved in 87%. The facial nerve (FN) had to be exposed at the level of the posterior tympanotomy in more than 70% of pediatric cases with full RWM visibility; while in adult cases with 100% visibility, such specific exposure was necessary in only 33%. Thus, surgical preparation of the RW niche seems to be more demanding in children than in adults.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Stuermer, Konrad UNSPECIFIED UNSPECIFIED UNSPECIFIED Winter, Tanja UNSPECIFIED UNSPECIFIED UNSPECIFIED Nachtsheim, Lisa UNSPECIFIED orcid.org/0000-0002-0261-4511 UNSPECIFIED Klussmann, Jens Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Luers, Jan Christoffer UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-330518
DOI:	10.1007/s00405-020-06095-4
Journal or Publication Title:	Eur. Arch. Oto-Rhino-Laryn.
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1434-4726
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CHORDA TYMPANI NERVE; SURGICAL ANATOMY; FACIAL-NERVE; POSTERIOR TYMPANOTOMY; ELECTRODE INSERTION; COCHLEOSTOMY Multiple languages Otorhinolaryngology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33051