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Analysis of 36 patients underwent cochlear implantation surgery

Year 2012, Volume: 39 Issue: 2, 262 - 268, 01.06.2012
https://doi.org/10.5798/diclemedj.0921.2012.02.0138

Abstract

Objectives: The aim of this study was to analyze the etiology, surgical methods and complications of the patients who underwent cochlear implantation (CI) for bilateral sensorineural hearing loss. Materials and methods: Between October 2010 and February 2012, 36 patients who underwent CI were retrospectively analyzed in terms of age, sex, etiology of hearing loss, surgical approach and complications. Results: The age range of patients was 1-52 years [15 female (% 41.7), 21 male (% 58.3]. Thirty-three of the patients (average age 4.2±1.8) were in pediatric age group, remaining three patients (29, 45, 51 years old) were adult. All of pediatric patients were diagnosed as congenital hearing loss (31 patients idiopathic, 1 Goldenhar syndrome, 1 ectodermal dysplasia). Adult patients were operated due to hearing loss secondary to bilateral temporal bone fracture, chronic otitis media surgery, and meningitis. Thirty-four patients operated via a mastoidectomy-posterior tympanotomy and extended round window approach. One patient operated via a suprameatal approach. One patient was operated using two-stage procedure. Three patients had a perilymph gusher. No major or minor complications occurred in patients. We operated the selected patients as a beginner cochlear implant center. Conclusion: Despite limited number of our study group, it can be concluded that cochlear implantaiton is an effective treatment for adults and children with profound bilateral sensorineural deafness. It was found as a safe low morbidity technique with low complication rates in the presented patients.

References

  • Öğüt F, Engin EZ. Koklear implantlar ve konuşma işlemci stratejileri. Türkiye Klinikleri Cerrahi Tıp Bilimleri Dergi- si Kulak Burun Boğaz. Koklear İmplantasyon Özel Sayısı 2006;2(10):7-14.
  • Altay B, Kondrot A. Koklear implantın tarihçesi ve ülkemiz- deki gelişimi. Türkiye Klinikleri Cerrahi Tıp Bilimleri Der- gisi Kulak Burun Boğaz. Koklear İmplantasyon Özel Sayısı 2006;2(10):1-6.
  • Koklear İmplant Derneği web sitesi: http://koklearimplant- dernegi.org.tr/index.php?pid=4
  • Sennaroglu L, Sarac S, Turan E. Modified minimal access surgery for MedEl and Clarion cochlear implants. Laryngo- scope 2005;115(5):921-4.
  • Sennaroglu L, Saatci I. A new classification for cochleoves- tibular malformations. Laryngoscope 2002;112(12):2230- 41.
  • Balkany TJ, Hodges AV, Eshraghi AA, et al. Cochlear implants in children-a review. Acta Otolaryngol 2002;122(4):356- 62.
  • Scholtz AW, Fish JH, Kammen-Jolly K, et al. Goldenhar’s syndrome: congenital hearing deficit of conductive or sen- sorineural origin? Temporal bone histopathologic study. Otol Neurotol 2001;22(4):501-5.
  • Shin JJ, Hartnick CJ. Otologic manifestations of ecto- dermal dysplasia. Arch Otolaryngol Head Neck Surg 2004;130(9):1104-7.
  • Snik AF, Makhdoum MJ, Vermeulen AM, Brokx JP, van den Broek P. The relation between age at the time of cochlear implantation and long-term speech perception abilities in congenitally deaf subjects. Int J Pediatr Otorhinolaryngol 1997;41(2):121–31.
  • Manrique M, Cervera-Paz FJ, Huarte A, Molina M. Advan- tages of cochlear implantation in prelingual deaf children before 2 years of age when compared with later implanta- tion. Laryngoscope 2004;114(8):1462–9.
  • Waltzman SB, Cohen NL. Cochlear implantation in children younger than 2 years old. Am J Otol 1998;19(2):158–62.
  • Olgun L. Koklear implant cerrahisi. Türkiye Klinikleri Cerrahi Tıp Bilimleri Dergisi Kulak Burun Boğaz. Koklear İmplantasyon Özel Sayısı 2006;2(10):37-40.
  • O’Donoghue GM, Nikolopoulos TP. Minimal access sur- gery for pediatric cochlear implantation. Otol Neurotol 2002;23(6):891-4.
  • Balkany TJ, Whitley M, Shapira Y, et al. The temporalis pocket technique for cochlear implantation: an anatomic and clinical study. Otol Neurotol 2009;30(7):903–7.
  • Gosepath J, Maurer J, Mann WJ. Epidural hematoma after cochlear implantation in a 2.5-year-old boy. Otol Neurotol 2005;26(2):202–4.
  • Friedland DR, Runge-Samuelson C. Soft cochlear implan- tation: rationale for the surgical approach. Trends Amplif 2009;13(2):124-38.
  • Derinsu U, Serin GM, Akdaş F, Batman Ç. Cochlear im- plantation: is hearing preservation necessary in severe to profound hearing loss? J Craniofac Surg 2011;22(2):520-2.
  • Adunka O, Unkelbach MH, Mack M, Hambek M, Gstoettner W, Kiefer J. Cochlear implantation via the round window membrane minimizes trauma to cochlear structures: a his- tologically controlled insertion study. Acta Otolaryngol 2004;124(7):807-12.
  • Stark T, Niedermeyer HP, Knopf A, Sudhoff H. Surgical technique for implantation of the MED-EL SONATATI. ORL J Otorhinolaryngol Relat Spec 2011;73(4):196-200.
  • Kronenberg J, Migirov L, Dagan T. Suprameatal approach: new surgical approach for cochlear implantation. J Laryn- gol Otol 2001;115(4):283-5.
  • Shapira Y, Sultan AA, Kronenberg J. The insertion trajec- tory in cochlear implantation - comparison between two ap- proaches. Acta Otolaryngol 2011;131(9):958-61.
  • Postelmans JT, Tange RA, Stokroos RJ, Grolman W. The suprameatal approach: a safe alternative surgical technique for cochlear implantation. Otol Neurotol 2010;31(2):196- 203.
  • Guevara N, Bailleux S, Santini J, Castillo L, Gahide I. Cochlear implantation surgery without posterior tym- panotomy: can we still improve it? Acta Otolaryngol 2010;130(1):37-41.
  • Kojima H, Sakurai Y, Rikitake M, Tanaka Y, Kawano A, Moriyama H. Cochlear implantation in patients with chron- ic otitis media. Auris Nasus Larynx 2010;37(4):415-21.
  • Leung R, Briggs RJ. Indications for and outcomes of mas- toid obliteration in cochlear implantation. Otol Neurotol 2007;28(3):330–4.
  • Tuncer Ü. Koklear implant komplikasyonları. Türkiye Kli- nikleri Cerrahi Tıp Bilimleri Dergisi Kulak Burun Boğaz. Koklear İmplantasyon Özel Sayısı 2006; 2(10):37-40.
  • Qiu J, Chen Y, Tan P, Chen J, Han Y, Gao L, Lu Y, Du B. Complications and clinical analysis of 416 consecu- tive cochlear implantations. Int J Pediatr Otorhinolaryngol 2011;75(9):1143-6.
  • Ciorba A, Bovo R, Trevisi P, et al. Postoperative complica- tions in cochlear implants: a retrospective analysis of 438 consecutive cases. Eur Arch Otorhinolaryngol 2011 Nov 1. [In press]
  • Bhatia K, Gibbin KP, Nikolopoulos TP, O’Donoghue GM. Surgical complications and their management in a series of 300 consecutive pediatric cochlear implantations. Otol Neurotol 2004;25(5):730-9.

Analysis of 36 patients underwent cochlear implantation surgery

Year 2012, Volume: 39 Issue: 2, 262 - 268, 01.06.2012
https://doi.org/10.5798/diclemedj.0921.2012.02.0138

Abstract

Amaç: Çalışmamızın amacı iki taraflı sensörinöral tip işitme kaybı sebebiyle koklear implantasyon yapılan hastaları etiyoloji, cerrahi yöntem ve komplikasyonlar açısından analiz etmektir. Gereç ve yöntem: Kasım 2010 ile Şubat 2012 arasında koklear implantasyon yapılan toplam 36 hasta yaş, cinsiyet, işitme kaybı sebebi, cerrahi yaklaşım ve komplikasyonlar açısından retrospektif olarak incelendi. Bulgular: Hastaların yaşları 1 ile 52 arasında idi (15 bayan (% 41.7), 21 erkek (% 58.3). Otuz üç hasta çocuk (ortalama yaş 4.2±1.8), kalan üç hasta erişkin idi (29, 45, 51 yaşlarında). Çocuk hastaların tümü doğuştan işitme kaybı idi (31 hasta idiyopatik, 1 hasta Goldenhar sendromu, 1 hasta ektodermal displazi). Erişkin hastalar ise iki taraflı temporal kemik kırığına, kronik otitis media operasyonuna ve menenjite bağlı işitme kayıpları sebebiyle opere edildiler. Otuz dört hastaya mastoidektomi-posterior timpanotomi ve genişletilmiş yuvarlak pencere metoduyla implantasyon yapıldı. Bir hasta ise suprameatal yaklaşımla opere edildi. Açık radikal mastoidektomi kavitesi olan bir hastaya ise iki seanslı implantasyon yapıldı. Üç hastada perilenf sızıntısı gelişti. Hastalarımızın hiçbirinde minör ve major komplikasyon gelişmedi. Kliniğimizde başlangıç olarak seçilmiş hastalarda implantasyon uygulamıştır. Sonuç: Sınırlı sayıdaki hasta grubumuza rağmen koklear implantasyonun çocuk ve erişkinlerdeki ileri işitme kayıplarında etkili bir tedavi yöntemi olduğu sonucuna varıldı. Sunulan hasta serisinde düşük komplikasyon oranları ile koklear implantasyonun güvenli ve düşük morbiditeli bir yöntem olduğu görüldü.

References

  • Öğüt F, Engin EZ. Koklear implantlar ve konuşma işlemci stratejileri. Türkiye Klinikleri Cerrahi Tıp Bilimleri Dergi- si Kulak Burun Boğaz. Koklear İmplantasyon Özel Sayısı 2006;2(10):7-14.
  • Altay B, Kondrot A. Koklear implantın tarihçesi ve ülkemiz- deki gelişimi. Türkiye Klinikleri Cerrahi Tıp Bilimleri Der- gisi Kulak Burun Boğaz. Koklear İmplantasyon Özel Sayısı 2006;2(10):1-6.
  • Koklear İmplant Derneği web sitesi: http://koklearimplant- dernegi.org.tr/index.php?pid=4
  • Sennaroglu L, Sarac S, Turan E. Modified minimal access surgery for MedEl and Clarion cochlear implants. Laryngo- scope 2005;115(5):921-4.
  • Sennaroglu L, Saatci I. A new classification for cochleoves- tibular malformations. Laryngoscope 2002;112(12):2230- 41.
  • Balkany TJ, Hodges AV, Eshraghi AA, et al. Cochlear implants in children-a review. Acta Otolaryngol 2002;122(4):356- 62.
  • Scholtz AW, Fish JH, Kammen-Jolly K, et al. Goldenhar’s syndrome: congenital hearing deficit of conductive or sen- sorineural origin? Temporal bone histopathologic study. Otol Neurotol 2001;22(4):501-5.
  • Shin JJ, Hartnick CJ. Otologic manifestations of ecto- dermal dysplasia. Arch Otolaryngol Head Neck Surg 2004;130(9):1104-7.
  • Snik AF, Makhdoum MJ, Vermeulen AM, Brokx JP, van den Broek P. The relation between age at the time of cochlear implantation and long-term speech perception abilities in congenitally deaf subjects. Int J Pediatr Otorhinolaryngol 1997;41(2):121–31.
  • Manrique M, Cervera-Paz FJ, Huarte A, Molina M. Advan- tages of cochlear implantation in prelingual deaf children before 2 years of age when compared with later implanta- tion. Laryngoscope 2004;114(8):1462–9.
  • Waltzman SB, Cohen NL. Cochlear implantation in children younger than 2 years old. Am J Otol 1998;19(2):158–62.
  • Olgun L. Koklear implant cerrahisi. Türkiye Klinikleri Cerrahi Tıp Bilimleri Dergisi Kulak Burun Boğaz. Koklear İmplantasyon Özel Sayısı 2006;2(10):37-40.
  • O’Donoghue GM, Nikolopoulos TP. Minimal access sur- gery for pediatric cochlear implantation. Otol Neurotol 2002;23(6):891-4.
  • Balkany TJ, Whitley M, Shapira Y, et al. The temporalis pocket technique for cochlear implantation: an anatomic and clinical study. Otol Neurotol 2009;30(7):903–7.
  • Gosepath J, Maurer J, Mann WJ. Epidural hematoma after cochlear implantation in a 2.5-year-old boy. Otol Neurotol 2005;26(2):202–4.
  • Friedland DR, Runge-Samuelson C. Soft cochlear implan- tation: rationale for the surgical approach. Trends Amplif 2009;13(2):124-38.
  • Derinsu U, Serin GM, Akdaş F, Batman Ç. Cochlear im- plantation: is hearing preservation necessary in severe to profound hearing loss? J Craniofac Surg 2011;22(2):520-2.
  • Adunka O, Unkelbach MH, Mack M, Hambek M, Gstoettner W, Kiefer J. Cochlear implantation via the round window membrane minimizes trauma to cochlear structures: a his- tologically controlled insertion study. Acta Otolaryngol 2004;124(7):807-12.
  • Stark T, Niedermeyer HP, Knopf A, Sudhoff H. Surgical technique for implantation of the MED-EL SONATATI. ORL J Otorhinolaryngol Relat Spec 2011;73(4):196-200.
  • Kronenberg J, Migirov L, Dagan T. Suprameatal approach: new surgical approach for cochlear implantation. J Laryn- gol Otol 2001;115(4):283-5.
  • Shapira Y, Sultan AA, Kronenberg J. The insertion trajec- tory in cochlear implantation - comparison between two ap- proaches. Acta Otolaryngol 2011;131(9):958-61.
  • Postelmans JT, Tange RA, Stokroos RJ, Grolman W. The suprameatal approach: a safe alternative surgical technique for cochlear implantation. Otol Neurotol 2010;31(2):196- 203.
  • Guevara N, Bailleux S, Santini J, Castillo L, Gahide I. Cochlear implantation surgery without posterior tym- panotomy: can we still improve it? Acta Otolaryngol 2010;130(1):37-41.
  • Kojima H, Sakurai Y, Rikitake M, Tanaka Y, Kawano A, Moriyama H. Cochlear implantation in patients with chron- ic otitis media. Auris Nasus Larynx 2010;37(4):415-21.
  • Leung R, Briggs RJ. Indications for and outcomes of mas- toid obliteration in cochlear implantation. Otol Neurotol 2007;28(3):330–4.
  • Tuncer Ü. Koklear implant komplikasyonları. Türkiye Kli- nikleri Cerrahi Tıp Bilimleri Dergisi Kulak Burun Boğaz. Koklear İmplantasyon Özel Sayısı 2006; 2(10):37-40.
  • Qiu J, Chen Y, Tan P, Chen J, Han Y, Gao L, Lu Y, Du B. Complications and clinical analysis of 416 consecu- tive cochlear implantations. Int J Pediatr Otorhinolaryngol 2011;75(9):1143-6.
  • Ciorba A, Bovo R, Trevisi P, et al. Postoperative complica- tions in cochlear implants: a retrospective analysis of 438 consecutive cases. Eur Arch Otorhinolaryngol 2011 Nov 1. [In press]
  • Bhatia K, Gibbin KP, Nikolopoulos TP, O’Donoghue GM. Surgical complications and their management in a series of 300 consecutive pediatric cochlear implantations. Otol Neurotol 2004;25(5):730-9.
There are 29 citations in total.

Details

Primary Language Turkish
Journal Section Research Articles
Authors

Ediz Yorgancılar This is me

Müzeyyen Yıldırım This is me

Ramazan Gün This is me

Salih Bakır This is me

Vefa Kınış This is me

Musa Özbay This is me

Faruk Meriç This is me

İsmail Topçu This is me

Publication Date June 1, 2012
Submission Date March 2, 2015
Published in Issue Year 2012 Volume: 39 Issue: 2

Cite

APA Yorgancılar, E., Yıldırım, M., Gün, R., Bakır, S., et al. (2012). Analysis of 36 patients underwent cochlear implantation surgery. Dicle Tıp Dergisi, 39(2), 262-268. https://doi.org/10.5798/diclemedj.0921.2012.02.0138
AMA Yorgancılar E, Yıldırım M, Gün R, Bakır S, Kınış V, Özbay M, Meriç F, Topçu İ. Analysis of 36 patients underwent cochlear implantation surgery. diclemedj. June 2012;39(2):262-268. doi:10.5798/diclemedj.0921.2012.02.0138
Chicago Yorgancılar, Ediz, Müzeyyen Yıldırım, Ramazan Gün, Salih Bakır, Vefa Kınış, Musa Özbay, Faruk Meriç, and İsmail Topçu. “Analysis of 36 Patients Underwent Cochlear Implantation Surgery”. Dicle Tıp Dergisi 39, no. 2 (June 2012): 262-68. https://doi.org/10.5798/diclemedj.0921.2012.02.0138.
EndNote Yorgancılar E, Yıldırım M, Gün R, Bakır S, Kınış V, Özbay M, Meriç F, Topçu İ (June 1, 2012) Analysis of 36 patients underwent cochlear implantation surgery. Dicle Tıp Dergisi 39 2 262–268.
IEEE E. Yorgancılar, “Analysis of 36 patients underwent cochlear implantation surgery”, diclemedj, vol. 39, no. 2, pp. 262–268, 2012, doi: 10.5798/diclemedj.0921.2012.02.0138.
ISNAD Yorgancılar, Ediz et al. “Analysis of 36 Patients Underwent Cochlear Implantation Surgery”. Dicle Tıp Dergisi 39/2 (June 2012), 262-268. https://doi.org/10.5798/diclemedj.0921.2012.02.0138.
JAMA Yorgancılar E, Yıldırım M, Gün R, Bakır S, Kınış V, Özbay M, Meriç F, Topçu İ. Analysis of 36 patients underwent cochlear implantation surgery. diclemedj. 2012;39:262–268.
MLA Yorgancılar, Ediz et al. “Analysis of 36 Patients Underwent Cochlear Implantation Surgery”. Dicle Tıp Dergisi, vol. 39, no. 2, 2012, pp. 262-8, doi:10.5798/diclemedj.0921.2012.02.0138.
Vancouver Yorgancılar E, Yıldırım M, Gün R, Bakır S, Kınış V, Özbay M, Meriç F, Topçu İ. Analysis of 36 patients underwent cochlear implantation surgery. diclemedj. 2012;39(2):262-8.