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The effect of cochlear implant bed preparation and fixation technique on the revision cochlear implantation rate

Published online by Cambridge University Press:  11 June 2018

A E Pamuk ,
G Pamuk ,
S Jafarov ,
M D Bajin ,
S Saraç  and
L Sennaroğlu
A E Pamuk*
Affiliation:
Department of Otorhinolaryngology, Akyurt State Hospital, Ankara, Turkey
G Pamuk
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
S Jafarov
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
M D Bajin
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
S Saraç
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Koç University, Istanbul, Turkey
L Sennaroğlu
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
*
Address for correspondence: Dr Ahmet Erim Pamuk, Department of Otorhinolaryngology, Akyurt State Hospital, 06750 Akyurt, Ankara, Turkey Fax: +90 312 844 3016 E-mail: dr_erim@hotmail.com
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Abstract

Objective

This study aimed to determine the effect of the subperiosteal tight pocket technique versus the bone recess with suture fixation technique on the revision cochlear implantation rate and complications.

Methods

This retrospective study included 1514 patients who underwent cochlear implantation by 2 senior surgeons between October 2002 and January 2016. Revision cases were identified and analysed.

Results

In all, 52 patients (3.34 per cent) underwent revision cochlear implantation. The revision rate was 7.18 per cent in the subperiosteal tight pocket group versus 2.37 per cent in the bone recess with suture fixation group (p < 0.001). Device failure was the most common reason for revision surgery in both groups. There was a significant difference in the device failure rate between the bone recess with suture fixation group (2.11 per cent) and subperiosteal tight pocket group (6.88 per cent) (p < 0.001).

Conclusion

Accurate fixation of the cochlear implant receiver/stimulator is crucial for successful cochlear implantation. As the bone recess with suture fixation technique is associated with a lower revision rate and a similar complication rate as the subperiosteal tight pocket technique, it should be the preferred fixation technique for cochlear implantation.

Keywords

Cochlear ImplantationReoperationSurgeryHearing Loss
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 6 , June 2018 , pp. 534 - 539
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Dr A E Pamuk takes responsibility for the integrity of the content of the paper

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