Skip to main content
×
×
Home

Evaluation of receiver–stimulator migration in cochlear implantation using the subperiosteal pocket technique: a prospective clinical study

  • Y Güldiken (a1), B Polat (a1), N Enver (a1), L Aydemir (a2), Ş Çomoğlu (a1) and K S Orhan (a1)...
Abstract
Abstract Objective:

This study aimed to evaluate migration of the receiver–stimulator after cochlear implantation using the subperiosteal pocket technique.

Methods:

A prospective clinical study was performed of 32 paediatric patients (aged between 12 months and 8 years; mean ± standard deviation, 28 ± 19 months) who underwent cochlear implantation in tertiary referral centres. The degree of migration was evaluated using measurements between the receiver–stimulator and selected reference points: the lateral canthus, tragus and mastoid tip. All distances were measured during and six months after surgery.

Results:

No receiver–stimulator migration was observed when using the subperiosteal pocket technique.

Conclusion:

Concerns about implant migration in the subperiosteal pocket technique are unwarranted: this is a safe technique to use for cochlear implantation.

Copyright
Corresponding author
Address for correspondence: Dr B Polat, Department of ORL and Head and Neck Surgery, Istanbul Medical Faculty, University of Istanbul, 34270 Fatih, Istanbul, Turkey. Fax: +90 212 414 20 00 E-mail: beldanmdpolat@yahoo.com
References
Hide All
1 Gosepath J, Maurer J, Mann WJ. Epidural hematoma after cochlear implantation in a 2.5-year-old boy. Otol Neurotol 2005;26:202–4
2 Barraclough JP, Pearman K, Solanki G. Extradural haematoma presenting as a contralateral sixth nerve palsy after cochlear implantation. Cochlear Implants Int 2009;10:112–18
3 Arnoldner C, Baumgartner WD, Gstoettner W, Hamzavi J. Surgical considerations in cochlear implantation in children and adults: a review of 342 cases in Vienna. Acta Otolaryngol 2005;125:228–34
4 Staecker H, Chow H, Nadol JB. Osteomyelitis, lateral sinus thrombosis, and temporal lobe infarction caused by infection of a percutaneous cochlear implant. Am J Otol 1999;20:726–8
5 Davids T, Ramsden JD, Gordon KA, James AL, Papsin BC. Soft tissue complications after small incision pediatric cochlear implantation. Laryngoscope 2009;119:980–3
6 Molony TB, Giles JE, Thompson TL MD, Motamedi KK. Device fixation in cochlear implantation: is bone anchoring necessary? Laryngoscope 2010;120:1837–9
7 Black B. Keyhole cochlear implantation surgery. Cochlear Implants Int 2009;10:150–9
8 Shelton C, Warren FM. Minimal access cochlear implant fixation: temporalis pocket with a plate. Otol Neurotol 2012;33:1530–4
9 Causon A, Verschuur C, Newman TA. Trends in cochlear implant complications: implications for improving long-term outcomes. Otol Neurotol 2013;34:259–65
10 Wang JT, Wang AY, Psarros C, Da Cruz M. Rates of revision and device failure in cochlear implant surgery: a 30-year experience. Laryngoscope 2014;124:2393–9
11 Güldiken Y, Orhan KS, Yigit O, Başaran B, Polat B, Güneş S et al. Subperiosteal temporal pocket versus standard technique in cochlear implantation: a comparative clinical study. Otol Neurotol 2011;32:987–91
12 Jethanamest D, Channer GA, Moss WJ, Lustig LR, Telischi FF. Cochlear implant fixation using a subperiosteal tight pocket without either suture or bone-recess technique. Laryngoscope 2014;124:1674–7
13 Cuda D. A simplified fixation of the new thin cochlear implant receiver-stimulators in children: long term results with the ‘back-pocket’ technique. Int J Pediatr Otorhinolaryngol 2013;77:1158–61
14 Cohen MS, Ha AY, Kitsko DJ, Chi DH. Surgical outcomes with subperiosteal pocket technique for cochlear implantation in very young children. Int J Pediatr Otorhinolaryngol 2014;78:1545–7
15 Sweeney AD, Carlson ML, Valenzuela CV, Wanna GB, Rivas A, Bennett ML et al. 228 cases of cochlear implant receiver-stimulator placement in a tight subperiosteal pocket without fixation. Otolaryngol Head Neck Surg 2015;152:712–17
16 Verbist BM, Joemai RMS, Teeuwisse WM, Veldkamp WJH, Geleijns J, Frijns JHM. Evaluation of 4 multisection CT systems in postoperative imaging of a cochlear implant: a human cadaver and phantom study. AJNR Am J Neuroradiol 2008;29:1382–8
17 Verbist BM, Frijns JHM, Geleijns J, van Buchem MA. Multisection CT as a valuable tool in the postoperative assessment of cochlear implant patients. AJNR Am J Neuroradiol 2005;26:424–9
18 Trieger A, Schulze A, Schneider M, Zahnert T, Mürbe D. In vivo measurements of the insertion depth of cochlear implant arrays using flat-panel volume computed tomography. Otol Neurotol 2011;32:152–7
19 Lui C-C, Peng J-P, Li J-H, Yang C-H, Chen C-K, Hwang C-F. Detection of receiver location and migration after cochlear implantation using 3D rendering of computed tomography. Otol Neurotol 2013;34:1299–304
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 5
Total number of PDF views: 49 *
Loading metrics...

Abstract views

Total abstract views: 178 *
Loading metrics...

* Views captured on Cambridge Core between 14th March 2017 - 15th December 2017. This data will be updated every 24 hours.