Pietro Canzi, Stefano Berrettini, Andrea Albera, Maurizio Barbara, Luca Bruschini, Andrea Canale, Elena Carlotto, Edoardo Covelli, Domenico Cuda, Francesco Dispenza, Maurizio Falcioni, Francesca Forli, Sebastiano Franchella, Lorenzo Gaini, Salvatore Gallina, Andrea Laborai, Ruggero Lapenna, Francesco Lazzerini, Stefano Malpede, Marco Mandalà, Domenico Minervini, Enrico Pasanisi, Giampietro Ricci, Francesca Viberti, Diego Zanetti, Elisabetta Zanoletti, Marco Benazzo
{"title":"顽固性慢性中耳疾病的次全岩石切除术联合人工耳蜗植入术的发展趋势。","authors":"Pietro Canzi, Stefano Berrettini, Andrea Albera, Maurizio Barbara, Luca Bruschini, Andrea Canale, Elena Carlotto, Edoardo Covelli, Domenico Cuda, Francesco Dispenza, Maurizio Falcioni, Francesca Forli, Sebastiano Franchella, Lorenzo Gaini, Salvatore Gallina, Andrea Laborai, Ruggero Lapenna, Francesco Lazzerini, Stefano Malpede, Marco Mandalà, Domenico Minervini, Enrico Pasanisi, Giampietro Ricci, Francesca Viberti, Diego Zanetti, Elisabetta Zanoletti, Marco Benazzo","doi":"10.14639/0392-100X-suppl.1-43-2023-09","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To establish the safety and effectiveness of subtotal petrosectomy with cochlear implantation in patients affected by chronic middle ear disorders to refractory to previous surgical treatments.</p><p><strong>Methods: </strong>A multicentre, retrospective study was conducted on patients affected by recalcitrant chronic middle ear disorders who underwent cochlear implantation in combination with subtotal petrosectomy. Patients' details were collected from databases of 11 Italian tertiary referral centres. Additionally, a review of the most updated literature was carried out.</p><p><strong>Results: </strong>55 patients were included with a mean follow-up time of 44 months. Cholesteatoma was the most common middle ear recurrent pathology and 50.9% of patients had an open cavity. 80% of patients underwent a single stage surgery. One case of explantation for device failure was reported among the 7 patients with post-operative complications.</p><p><strong>Conclusions: </strong>Subtotal petrosectomy with cochlear implantation is a benchmark for management of patients with recalcitrant chronic middle ear disorders. A single stage procedure is the most recommended strategy. Optimal follow-up is still debated. Further studies are required to investigate the role of this surgery in paediatric patients.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":"43 Suppl. 1","pages":"S67-S75"},"PeriodicalIF":2.1000,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/b0/aoi-2023-02-S67.PMC10159642.pdf","citationCount":"1","resultStr":"{\"title\":\"Current trends on subtotal petrosectomy with cochlear implantation in recalcitrant chronic middle ear disorders.\",\"authors\":\"Pietro Canzi, Stefano Berrettini, Andrea Albera, Maurizio Barbara, Luca Bruschini, Andrea Canale, Elena Carlotto, Edoardo Covelli, Domenico Cuda, Francesco Dispenza, Maurizio Falcioni, Francesca Forli, Sebastiano Franchella, Lorenzo Gaini, Salvatore Gallina, Andrea Laborai, Ruggero Lapenna, Francesco Lazzerini, Stefano Malpede, Marco Mandalà, Domenico Minervini, Enrico Pasanisi, Giampietro Ricci, Francesca Viberti, Diego Zanetti, Elisabetta Zanoletti, Marco Benazzo\",\"doi\":\"10.14639/0392-100X-suppl.1-43-2023-09\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To establish the safety and effectiveness of subtotal petrosectomy with cochlear implantation in patients affected by chronic middle ear disorders to refractory to previous surgical treatments.</p><p><strong>Methods: </strong>A multicentre, retrospective study was conducted on patients affected by recalcitrant chronic middle ear disorders who underwent cochlear implantation in combination with subtotal petrosectomy. Patients' details were collected from databases of 11 Italian tertiary referral centres. Additionally, a review of the most updated literature was carried out.</p><p><strong>Results: </strong>55 patients were included with a mean follow-up time of 44 months. Cholesteatoma was the most common middle ear recurrent pathology and 50.9% of patients had an open cavity. 80% of patients underwent a single stage surgery. One case of explantation for device failure was reported among the 7 patients with post-operative complications.</p><p><strong>Conclusions: </strong>Subtotal petrosectomy with cochlear implantation is a benchmark for management of patients with recalcitrant chronic middle ear disorders. A single stage procedure is the most recommended strategy. Optimal follow-up is still debated. 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Current trends on subtotal petrosectomy with cochlear implantation in recalcitrant chronic middle ear disorders.
Objective: To establish the safety and effectiveness of subtotal petrosectomy with cochlear implantation in patients affected by chronic middle ear disorders to refractory to previous surgical treatments.
Methods: A multicentre, retrospective study was conducted on patients affected by recalcitrant chronic middle ear disorders who underwent cochlear implantation in combination with subtotal petrosectomy. Patients' details were collected from databases of 11 Italian tertiary referral centres. Additionally, a review of the most updated literature was carried out.
Results: 55 patients were included with a mean follow-up time of 44 months. Cholesteatoma was the most common middle ear recurrent pathology and 50.9% of patients had an open cavity. 80% of patients underwent a single stage surgery. One case of explantation for device failure was reported among the 7 patients with post-operative complications.
Conclusions: Subtotal petrosectomy with cochlear implantation is a benchmark for management of patients with recalcitrant chronic middle ear disorders. A single stage procedure is the most recommended strategy. Optimal follow-up is still debated. Further studies are required to investigate the role of this surgery in paediatric patients.
期刊介绍：
Acta Otorhinolaryngologica Italica first appeared as “Annali di Laringologia Otologia e Faringologia” and was founded in 1901 by Giulio Masini.
It is the official publication of the Italian Hospital Otology Association (A.O.O.I.) and, since 1976, also of the Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale (S.I.O.Ch.C.-F.).
The journal publishes original articles (clinical trials, cohort studies, case-control studies, cross-sectional surveys, and diagnostic test assessments) of interest in the field of otorhinolaryngology as well as clinical techniques and technology (a short report of unique or original methods for surgical techniques, medical management or new devices or technology), editorials (including editorial guests – special contribution) and letters to the Editor-in-Chief.
Articles concerning science investigations and well prepared systematic reviews (including meta-analyses) on themes related to basic science, clinical otorhinolaryngology and head and neck surgery have high priority.
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