New Instruments for the Management of Cochlear Implantation in an Individual with a Fracture of the Temporal Bone and Cochlear Ossification

Cochlear implant surgery can be highly complex in cases where ossification of the internal ear has taken place. In this case report, we report the use of new technological instruments to optimise the surgical process of implantation. These were the combined use of a surgical approach extended by a s...

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Main Authors: Antonio Frisina, Francesco Seno, Gionata Conni
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2024/3946072
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author Antonio Frisina
Francesco Seno
Gionata Conni
author_facet Antonio Frisina
Francesco Seno
Gionata Conni
author_sort Antonio Frisina
collection DOAJ
description Cochlear implant surgery can be highly complex in cases where ossification of the internal ear has taken place. In this case report, we report the use of new technological instruments to optimise the surgical process of implantation. These were the combined use of a surgical approach extended by a subtotal petrosectomy, a pre-operative radiological study with the OTOPLAN software for choosing the most suitable electrode array, and a residual functionality test of the auditory nerve using the ANTS test electrode array prior to inserting the cochlear implant electrode array. These were used to successfully treat a case of total deafness caused by a fracture in the temporal bone complicated with ossification of the basal turn of the cochlea. These instruments ensured that the operation was performed with excellent results, reducing the risk of failure to a minimum in this complex case.
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series Case Reports in Otolaryngology
spelling doaj-art-076beecc816a44718ba64361054b38992025-02-03T10:21:31ZengWileyCase Reports in Otolaryngology2090-67732024-01-01202410.1155/2024/3946072New Instruments for the Management of Cochlear Implantation in an Individual with a Fracture of the Temporal Bone and Cochlear OssificationAntonio Frisina0Francesco Seno1Gionata Conni2ENT Complex Operative Unit-Western District AULSS8 Berica HospitalMED-EL Italian Local UnitMED-EL Italian Local UnitCochlear implant surgery can be highly complex in cases where ossification of the internal ear has taken place. In this case report, we report the use of new technological instruments to optimise the surgical process of implantation. These were the combined use of a surgical approach extended by a subtotal petrosectomy, a pre-operative radiological study with the OTOPLAN software for choosing the most suitable electrode array, and a residual functionality test of the auditory nerve using the ANTS test electrode array prior to inserting the cochlear implant electrode array. These were used to successfully treat a case of total deafness caused by a fracture in the temporal bone complicated with ossification of the basal turn of the cochlea. These instruments ensured that the operation was performed with excellent results, reducing the risk of failure to a minimum in this complex case.http://dx.doi.org/10.1155/2024/3946072
spellingShingle Antonio Frisina
Francesco Seno
Gionata Conni
New Instruments for the Management of Cochlear Implantation in an Individual with a Fracture of the Temporal Bone and Cochlear Ossification
Case Reports in Otolaryngology
title New Instruments for the Management of Cochlear Implantation in an Individual with a Fracture of the Temporal Bone and Cochlear Ossification
title_full New Instruments for the Management of Cochlear Implantation in an Individual with a Fracture of the Temporal Bone and Cochlear Ossification
title_fullStr New Instruments for the Management of Cochlear Implantation in an Individual with a Fracture of the Temporal Bone and Cochlear Ossification
title_full_unstemmed New Instruments for the Management of Cochlear Implantation in an Individual with a Fracture of the Temporal Bone and Cochlear Ossification
title_short New Instruments for the Management of Cochlear Implantation in an Individual with a Fracture of the Temporal Bone and Cochlear Ossification
title_sort new instruments for the management of cochlear implantation in an individual with a fracture of the temporal bone and cochlear ossification
url http://dx.doi.org/10.1155/2024/3946072
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AT francescoseno newinstrumentsforthemanagementofcochlearimplantationinanindividualwithafractureofthetemporalboneandcochlearossification
AT gionataconni newinstrumentsforthemanagementofcochlearimplantationinanindividualwithafractureofthetemporalboneandcochlearossification