Cochlear Implant Surgery and Anesthesia
Abstract
Cochlear implant, converting mechanical sound energy into electrical signal, is a device that can enables to detection of sounds from cochlea. Cochlear implantation is the name of cochlear implants to be placed in the cochlea. This procedure brings up some difficulties in terms of anesthesia and surgery. Both range of patients population and surgical complications make different implantation applications. Besides age group of children who underwent surgery, this procedure can be applied to all age groups. During surgery, anesthesia technics which allow the immobil bloodness field and fascial nerve neuromonitorisation must be performed. During recovery period from surgery, it is important that patient’s head movement must be kept slow and controlled for preventing implant replacement. Also in this period, neuromuscular blocking must be fully reversed for fascial nerve examination. In this article, preoperative preparation, anesthetic management and surgical aspects of cochlear implantation surgery were reviewed
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References
- Schultz B, Beger FA, Weber BP, Niclaus O, Lüllwitz E, Grouven U et al. Influence of EEG monitoring on intraoperative stapedius reflex threshold values in cochlear implantation in children. Paed Anaesthesia. 2003;13:790–6.
- Lenarz T, Lesinski-Schiedat A, Von Der Haar-Heise S, Illg A, Bertram B, Battmer RD et al. Cochlear implantation in children under the age of two: the MHH experience with the Clarion_ cochlear implant. Ann Otol Rhinol Laryngol. 1999;108:44–9.
- Colletti V, Carner M, Miorelli V, Guida M, Colletti L, Fiorino F.G. Cochlear implantation at under 12 months: report on 10 patients. Laryngoscope. 2005;115:445–9.
- Waltzman SB, Roland JT Jr. Cochlear implantation in children younger than 12 months. Pediatrics. 2005;116:e487-93.
- Trimble K, Blaser S, James AL, Papsin BC. Computed tomography and/or magnetic resonance imaging before paediatric cochlear implantation? developing an investigative strategy. Otol Neurotol. 2007;28:317-24.
- Sennaroğlu L, Saatçi I. A new classification for cochleovestibular malformations. Laryngoscope. 2002;112:2230-41
- Jackler RK, Luxford WM, House WF. Congenital malformations of the iner ear: a classification based on embryogenesis. Laryngoscope. 1987;97:2-14.
- Goel L, Bennur SK, Jambhale S. Treacher-collins syndrome-a challenge for anaesthesiologists. Indian J Anaesth. 2009;53:496-500.
- Stallmer ML, Vanaharam V, Mashour GA. Congenital cervical spine fusion and airway management: a case series of Klippel-fiel syndrome. J Clin Anesth. 2008;20:447-51.
- Watanabe K, Hagiya K, Inomata S, Miyabe M, Tanaka M, Mizutani T. Bilateralvocal cord paralysis in a patient with chronic renal failure associated withAlport syndrome. J Anaesth 2010;24:472-3.
