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Tailed Palva flap in the subperiosteal pocket technique for cochlear implantation

Published online by Cambridge University Press:  28 August 2015

K S Orhan ,
B Polat ,
N Enver  and
Y Güldiken
K S Orhan*
Affiliation:
Department of ORL, Istanbul Faculty of Medicine, Istanbul University, Turkey
B Polat
Affiliation:
Department of ORL, Istanbul Faculty of Medicine, Istanbul University, Turkey
N Enver
Affiliation:
Department of ORL, Istanbul Faculty of Medicine, Istanbul University, Turkey
Y Güldiken
Affiliation:
Department of ORL, Istanbul Faculty of Medicine, Istanbul University, Turkey
*
Address for correspondence: Dr Kadir Serkan Orhan, Department of ORL, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey Fax: +90 212 6358522 E-mail: ksorhan@istanbul.edu.tr
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Abstract

Background:

In recent years, the subperiosteal pocket technique has become popular for minimal access cochlear implantation. Many incision techniques have been described in cochlear implantation.

Objective:

This study aimed to demonstrate the safety and reliability of a new periosteal incision, called tailed Palva incision, in cochlear implantation.

Methods:

A total of 280 patients who underwent cochlear implantation with the subperiosteal pocket technique between June 2008 and January 2013 were included in the study.

Results:

The patients were followed up for between 11 and 74 months (mean ± standard deviation = 34 ± 19 months). No intracranial complications were seen during or after the operations. Additionally, there was no migration of the receiver-stimulator. Revision surgery was performed in eight patients (3 per cent), one of whom (0.4 per cent) had local flap failure and infection.

Conclusion:

This study shows that the tailed Palva incision facilitates easy insertion of the implant and, by creating a one-way obscured pocket, this technique also enhances stabilisation of the receiver-stimulator, thereby avoiding anterior migration.

Keywords

Cochlear ImplantationPostoperative ComplicationsHearing Loss
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 9 , September 2015 , pp. 916 - 918
Copyright
Copyright © JLO (1984) Limited 2015 

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References

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