Transmeatal Section of the Array in Cochlear Implant Explantation and Reimplantation: How I Do It.

Stefano Concheri, Elisabetta Zanoletti, Sebastiano Franchella
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Abstract

BACKGROUND: Cochlear implant explantation and reimplantation (ERI) are rarely required, but the widespread use of implants has made it a procedure that every otologic surgical center must address. Although generally described as safe, ERI presents specific surgical challenges, par- ticularly concerning the replacement of the array. METHODS: The transmeatal section of the array as the initial step of cochlear implant ERI is proposed and described. RESULTS: A brief case series did not report any specific complications. CONCLUSION: The transmeatal section of the array allows for the early and safe removal of the cable portion within the mastoid, enabling the surgeon to address scar tissue and new bone formation without the hindrance of the cable and preventing the premature removal of the array in the cochlea.

在人工耳蜗移植和再植中的经颅切片:我是怎么做的?
背景:人工耳蜗移植和再植(ERI)很少被要求,但人工耳蜗的广泛使用使其成为每个耳科外科中心必须解决的一个问题。虽然ERI通常被描述为安全的,但它提出了特定的手术挑战,特别是关于阵列的更换。方法:提出并描述了阵列的经颅切片作为人工耳蜗ERI的第一步。结果:一个简短的病例系列没有报告任何特定的并发症。结论:经颅段阵列允许早期安全地切除乳突内的电缆部分,使外科医生能够在不阻碍电缆的情况下处理疤痕组织和新骨形成,并防止过早切除耳蜗内的阵列。
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