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Robotic Cochlear Implantation for Direct Cochlear Access
Published on: June 16, 2022
Revision cochlear implantation
J Thomas Roland1, Tina C Huang, Noel L Cohen
1Department of Otolaryngology, New York University School of Medicine, 530 First Avenue, Suite 3C, New York, NY 10016, USA. tom.roland@med.nyu.edu
Otolaryngologic Clinics of North America
|August 10, 2006
Summary
Revision cochlear implant surgery, though uncommon, addresses device issues like explantation or extrusion. Careful surgical principles are key for successful outcomes, though speech perception improvements are not guaranteed.
Area of Science:
- Otolaryngology
- Neurosurgery
- Biomedical Engineering
Background:
- Reoperation in patients with cochlear implants is infrequent.
- Reasons include device explantation, reimplantation, infection, migration, or electrode extrusion.
Purpose of the Study:
- To outline indications for revision cochlear implant surgery.
- To detail recommended surgical principles for these procedures.
- To review published outcomes of cochlear implant reimplantation.
Main Methods:
- Review of indications for revision surgery.
- Discussion of surgical techniques and principles.
- Analysis of outcomes data from existing literature.
Main Results:
- Revision surgery is necessary for specific complications like device failure or electrode issues.
- Adherence to surgical principles is crucial for successful revision outcomes.
- While good speech perception results are common post-revision, they are not universally assured.
Conclusions:
- Revision cochlear implant surgery requires meticulous surgical planning and execution.
- Outcomes are generally favorable but depend on various factors, including the reason for revision.