Hostname: page-component-76fb5796d-zzh7m Total loading time: 0 Render date: 2024-04-26T18:29:00.535Z Has data issue: false hasContentIssue false

Further experience with a straight, vertical incision for placement of cochlear implants

Published online by Cambridge University Press:  29 June 2007

W. P. R. Gibson
Affiliation:
Department of Otolaryngology, University of Sydney, Royal Prince Alfred Hospital, The Royal Alexandra Hospital for Children, Sydney, Australia
H. C. Harrison*
Affiliation:
The Royal Alexandra Hospital for Children and The Mater Misericordiae Hospital, Sydney, Australia.
*
Address for correspondence: Mr H. C. Harrison, BMA House, 135 Macquarie Street, Sydney 2000, Australia. Fax: 02-9247-2141

Abstract

Experience with a straight, vertical incision for cochlear implantation in 168 patients of all ages is reported and comparison made with previous experience using a 'C' shaped incision in 173 patients with regard to complications encountered. With the straight incision the only complication was a wound infection which settled in one week; this is in contrast to the 'C'shaped incision, which was associated with a number of serious complications. The straight incision also compared favourably with the other incisions commonly used for cochlear implantation and appears to offer advantages over them.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Clark, G. M., Pyman, B. C., Bailey, Q. R. (1979) The surgery for multiple-electrode cochlear implantations. Journal of Laryngologyand Otology 93: 215223.Google Scholar
Cohen, N. L. (1995) Personal communication.Google Scholar
Cohen, N. L., Hoffman, R. A., Stroschein, M. (1988) Medical or surgical complications related to the Nucleus multi- channel cochlear implant. Annals of Otology, Rhinology and Laryngology 97(Suppl. 135): 813.Google Scholar
El-Naggar, M., Hawthorne, M. (1995) Delayed extrusion of acochlear implant: a case report of an implant extruding 21 months after the original operation. Journal of Laryngology and Otology 109: 5657.CrossRefGoogle Scholar
Franz, B. K.-H. G., Kuzma, J. A., Lenhardt, E., Clark, G. M., Patrick, J. F., Laszig, R. (1989) Implantation of theMelbourne/Cochlear multiple electrode extracochlear prosthesis. Annals of Otology, Rhinology and Laryngology 98: 591595.CrossRefGoogle ScholarPubMed
Gibson, W. P. R., Harrison, H. C., Prowse, C. (1995) A new incision for placement of cochlear implants. Journal of Laryngology andOtology 109: 821825.Google Scholar
Haberkamp, T. J., Schwaber, M. K. (1992) Management of flap necrosis in cochlear implantation. Annals of Otology, Rhinology and Laryngology 101: 3841.Google Scholar
Harris, J. P., Cueva, R. A. (1987) Flap design for cochlear implantation: avoidance of a potential complication. Laryngoscope 97: 755757.Google Scholar
Harrison, H. C., Gibson, W. P. R. (1992) Complications of cochlear implantation in children. In Transplants and Implants in Otology, Vol II Cochlear implants. (Yanagihara, N., Suzuki, J.-L., eds: Gyo, K., Kdera, K., co-eds.). Kugler Publications, Amsterdam/New York, pp 327330.Google Scholar
Harrison, H. C., Gibson, W. P. R., Thompson, P. G. (1995) Cochlear implant extrusion in a young child–a preventative procedure. Journal of Laryngology and Otology 109: 425428.Google Scholar