Subtotal petrosectomy and mastoid obliteration in adult and pediatric cochlear implant recipients

Christopher F Barañano; Jonathan C Kopelovich; Camille C Dunn; Bruce J Gantz; Marlan R Hansen

doi:10.1097/MAO.0b013e3182a006b6

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Subtotal petrosectomy and mastoid obliteration in adult and pediatric cochlear implant recipients

Journal article

Peer reviewed

Subtotal petrosectomy and mastoid obliteration in adult and pediatric cochlear implant recipients

Christopher F Barañano, Jonathan C Kopelovich, Camille C Dunn, Bruce J Gantz and Marlan R Hansen

Otology & neurotology, Vol.34(9), pp.1656-1659

12/2013

DOI: 10.1097/MAO.0b013e3182a006b6

PMCID: PMC3830621

PMID: 24136310

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http://doi.org/10.1097/MAO.0b013e3182a006b6View

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Abstract

To investigate the effect of subtotal petrosectomy and mastoid obliteration (SPMO) on the overall success of adult and pediatric cochlear implant (CI) recipients. Retrospective case series. Tertiary care referral center. Thirty-nine ears in 36 patients (23 adults and 13 children) received both surgeries between 1990 and 2012. CI candidates underwent SPMO to permit implantation and minimize the risks of infectious complications in the recipient ear. SPMO was performed before (69.3%), at the time of (25.6%), and after CI (5.13%). Mastoids were obliterated with fat (30.8%), muscle (66.7%), and bone pate (2.56%). Feasibility, complications, and success of SPMO and CI were assessed with standard statistical analysis and Fisher's exact test with 2-sided p values. Ear disease was definitively managed, and CI was successfully placed in all but one case. Complications including abscess (n = 3), subcutaneous emphysema (n = 1), ear canal granulation formation (n = 1), and electrode extrusion (n = 1) occurred in 15.4% of patients. Predisposing syndromes were present in children more often than adults (43.8% versus 13.0%, p = 0.0598). Adults more often than children had previous mastoid surgery for middle ear disease (30.4% versus 0.0%, p = 0.0288). CIs were placed under local anesthetic and sedation (n= 3) and after radiation treatment for nasopharyngeal cancer (n = 2) in adult ears. SPMO is an effective and safe procedure for definitively managing middle ear disease and implanting adult and pediatric CI candidates.

Mastoid - surgery

Humans

Middle Aged

Child, Preschool

Infant

Male

Treatment Outcome

Petrous Bone - surgery

Cholesteatoma, Middle Ear - surgery

Cochlear Implantation - methods

Aged, 80 and over

Adult

Female

Aged

Retrospective Studies

Cochlear Implants

Child

Ear, Middle - surgery

Details

Title: Subtitle: Subtotal petrosectomy and mastoid obliteration in adult and pediatric cochlear implant recipients
Creators: Christopher F Barañano - Department of Otolaryngology/Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, U.S.A
Jonathan C Kopelovich
Camille C Dunn
Bruce J Gantz
Marlan R Hansen
Resource Type: Journal article
Publication Details: Otology & neurotology, Vol.34(9), pp.1656-1659
DOI: 10.1097/MAO.0b013e3182a006b6
PMID: 24136310
PMCID: PMC3830621
NLM abbreviation: Otol Neurotol
ISSN: 1531-7129
eISSN: 1537-4505
Publisher: United States
Grant note: T32 DC000040 / NIDCD NIH HHS P50 DC000242 / NIDCD NIH HHS P50 DC 00242 / NIDCD NIH HHS
Language: English
Date published: 12/2013
Academic Unit: Communication Sciences and Disorders; Molecular Physiology and Biophysics; Neurosurgery; Otolaryngology
Record Identifier: 9984006318602771

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