Surgery for cochlear and other auditory implants:
Gespeichert in:
| Hauptverfasser: | , , , |
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| Format: | Buch |
| Sprache: | English |
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Stuttgart ; New York ; Delhi ; Rio de Janeiro
Thieme
[2016]
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| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | xiv, 400 Seiten |
| ISBN: | 9783132431904 9783131764416 |
Internformat
MARC
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| 245 | 1 | 0 | |a Surgery for cochlear and other auditory implants |c Mario Sanna, Rolien Free, Paul Merkus, Maurizio Falcioni |
| 264 | 1 | |a Stuttgart ; New York ; Delhi ; Rio de Janeiro |b Thieme |c [2016] | |
| 264 | 4 | |c © 2016 | |
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| 700 | 1 | |a Falcioni, Maurizio |e Verfasser |0 (DE-588)1188257196 |4 aut | |
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Datensatz im Suchindex
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Contents
Cases.............................................................................................................. ix
Videos ............................................................................................................ xi
Preface........................................................................................................... xii
Contributors..................................................................................................... xiii
About the Authors................................................................................................. xiv
1 History of Auditory Implantation................... 1
1.1 Forerunners........................................ 1
1.1.1 Alessandro Volta (1745-1827)....................... 1
1.1.2 Homer Dudley: the Vocoder.......................... 1
1.1.3 Wever and Bray: the Cochlear Microphonic...... 2
1.1.4 S.S. Stevens: Electrophonic Hearing................ 2
1.2 Pioneers and Experimentation....................... 2
1.2.1 InFrance........................................... 2
1.2.2 Early American Years............................... 3
1.2.3 Later American Years............................... 4
1.3 Feasibility, Safety, and Evaluation Studies........ 4
1.3.1 The Bilger Report.................................. 4
1.4 Development of a Multichannel Device............... 5
1.4.1 United States, Australia, Austria, and France. 5
1.4.2 Graeme Clark, Melbourne University Australia (1935) 5
1.4.3 Anxiety and Hostility in Deaf Communities..... 6
1.5 Development of the Auditory Brainstem Implant 6
1.5.1 Auditory Brainstem Implant......................... 6
1.5.2 Summary of Discoveries and Developments....... 6
1.5.3 New Developments and Future........................ 6
2 Surgical Anatomy in Auditory Implantation. . . 9
2.1 Anatomy of the Middle Ear and Mastoid.............. 9
2.1.1 The Mastoid........................................ 9
2.1.2 The Antrum......................................... 9
2.1.3 The Tympanic Cavity.............................. 9
2.1.4 The Ossicles.................................... 10
2.1.5 The Oval Window................................. 10
2.1.6 The Facial Nerve................................ 11
2.1.7 The Chorda Tympani................................ 11
2.1.8 The Cochleariform Process and
Tensor Tympani Muscle............................. 11
2.1.9 The Round Window.................................. 12
2.1.10 The Facial Recess and the Posterior Tympanotomy 13
2.1.11 The Labyrinth.................................... 13
2.1.12 The Sigmoid Sinus and Jugular Bulb.............. 15
2.1.13 The Carotid Artery.............................. 17
2.1.14 Facial Recess versus Subtotal Petrosectomy.. 17
2.2 Anatomical Dissection of Left Temporal Bone for
Cochlear Implantation ............................ 18
2.3 Anatomy of the Lateral Skull Base, Brainstem,
and Cochlear Nucleus.............................. 20
2.3.1 Internal Auditory Canal........................... 20
2.3.2 Anatomy of the Posterior Fossa Related to
AB! Surgery....................................... 20
3 Radiology in Auditory Implantation................ 28
3.1 General Radiology of the Temporal Bone............ 28
3.1.1 Computed Tomography............................... 28
3.1.2 Magnetic Resonance Imaging........................ 28
3.2 Radiology in Cochlear Implantation................. 29
3.3 Radiology in Auditory Brainstem Implantation ... 29
3.4 Axial and Coronal CT Sections...................... 30
3.4.1 CT Mastoid Axial Images........................ 31
3.4.2 CT Mastoid Coronal Images......................... 34
3.5 Magnetic Resonance Imaging......................... 34
3.5.1 Artifact of Cochlear and Auditory Brainstem Implant
on MRI......................................... 41
4 Instruments and Implants........................... 43
4.1 Cochlear Implantation: Instruments, Monitoring,
and Implants...................................... 43
4.1.1 Instruments for Cochlear Implant (Cl) Surgery ... 43
4.1.2 Perioperative Medication in Cl Surgery............ 47
4.1.3 Monitoring and Electrophysiologic
Testing during Cl Surgery......................... 48
4.1.4 Cochlear Implants and Electrodes Currently
Available...................................... 51
4.2 Auditory Brainstem Implantation: Instruments,
Monitoring, and Implants.......................... 54
4.2.1 Surgical Instruments in AB1 Surgery............... 54
4.2.2 Management of Bleeding in AB1 Surgery............. 56
4.2.3 Monitoring of Facial and Cochlear Nerves in AB1
(or Cl) Surgery................................... 58
4.2.4 Intraoperative Cochlear Nerve Monitoring
(ABR and CNAP).................................... 60
4.2.5 Perioperative Medication and Care in AB1 Surgery 64
4.2.6 Implants for Brainstem Implantation............... 64
5 Cochlear Implantation.............................. 66
5.1 Cochlear Implant Candidates........................ 66
5.2 Etiology of Hearing Loss........................... 66
5.3 Current Indications for Cochlear Implantation ... 67
5.3.1 Contraindications for Cochlear Implantation..... 67
5.3.2 Special Indications, Differential Work-up, and Special
Surgical Techniques............................... 67
5.4 Surgical Steps..................................... 67
5.4.1 Skin Incision..................................... 67
5.4.2 Musculoperiosteal Layer........................... 68
5.4.3 Mastoidectomy and Posterior Tympanotomy .... 69
5.4.4 Exposure of the Round Window...................... 69
5.4.5 Drill-out of the Receiver Well.................... 69
5.4.6 Fixation of the Implant........................... 69
5.4.7 Cochleostomy...................................... 69
5.4.8 Insertion of the Cochlear Electrode............... 70
5.4.9 Electrophysiologic Testing........................ 73
5.4.10 Fixation of the Implant.......................... 73
5.4.11 Closure.......................................... 73
Cases 5.1-5.2 ........................................... 74
5.5 Risks and Complications of Cochlear Implantation 89
vi Contents
6 Special Considerations in Pediatric Cochlear
Implantation........................................ 90
6.1 Position of the Facial Nerve......................... 90
6.2 The Anatomical Relations between
the Facial Recess, the Round Window, and the
Basal Turn in Children.............................. 90
6.3 Growth of the Temporal Bone.......................... 90
6.4 Bone Marrow and Blood Loss........................... 90
6.5 Fixation of the Receiver-Stimulator.................. 90
6.6 Anesthesiologie Technique............................ 91
6.7 Electrophysiologic Measurements...................... 91
6.8 Bilateral Pediatric Cochlear Implantation............ 91
6.8.1 Surgical Considerations in Bilateral Implantation. . 92
6.8.2 Special Steps in Bilateral Implantation............. 99
7 Complications and Revision Surgery in Cochlear
Implantation....................................... 105
7.1 Major Complications................................. 105
7.2 Minor Complications................................. 105
7.3 Device Failure Complications........................ 105
7.3.1 Hard Device Failure................................. 106
7.3.2 Soft Device Failure................................ 106
7.4 Pediatric vs. Adult Complication Rate............... 106
7.5 Bilateral vs. Unilateral Implant Complication Rates 106
7.6 Therapeutic Options for Several Complications.. . 106
7.6.1 Flap lnfection/Subcutaneous Hematoma or Seroma 106
7.6.2 Receiver-Stimulator or Electrode Extrusion.... 106
7.6.3 Facial Nerve Stimulation........................... 107
7.6.4 Facial Nerve Injury................................ 107
7.6.5 Electrode Placement................................ 107
7.6.6 CSF Gusher/CSF leakage............................. 107
7.6.7 Revision Surgery/Re-implantation .................. 108
Cases 7.1-7.10....................................... 109
8 Auditory Brainstem Implantation..................... 138
8.1 Rationale........................................... 138
8.2 Indications......................................... 138
8.2.1 Neurofibromatosis Type 2............................ 138
8.2.2 Postmeningitis Ossification........................ 138
8.2.3 Inner Ear Malformation............................. 138
8.2.4 Cochlear Nerve Aplasia/Cochlear Nerve Deficiency 138
8.3 Controversial indications........................... 139
8.3.1 Otic Capsule Fracture and Cochlear Nerve Avulsion 139
8.3.2 Bilateral or Unilateral Patent Cochlea............. 139
8.3.3 Vestibular Schwannoma in the Only Hearing Ear . . 139
8.3.4 Autoimmune Inner Ear Disease....................... 139
8.3.5 Von Hippel-Lindau Disease.......................... 139
8.3.6 Auditory Neuropathy................................ 140
8.3.7 Otosclerosis....................................... 140
8.4 Indications for ABI/CI: Summary..................... 140
8.5 Surgical Steps of Auditory Brainstem
Implantation....................................... 140
8.5.1 Surgical Anatomy................................... 140
8.5.2 Surgical Approach.................................. 141
8.5.3 Intraoperative Monitoring.......................... 141
8.6 Surgical Anatomy in Auditory Brainstem
Implantation .................................. 141
8.7 Surgical Steps in Auditory Brainstem Implantation 142
8.8 Surgical Steps According to the Indication...... 143
8.9 Summary of Auditory Brainstem Implants............ 148
9 Electroacoustic Stimulation..................... 151
9.1 Hearing Preservation and Electroacoustic
Stimulation.................................... 151
9.2 Indication for EAS................................ 152
9.3 Influential Factors in Hearing Preservation..... 152
9.3.1 Atraumatic Surgical Technique................... 152
9.3.2 Atraumatic Electrode Design...................... 152
9.3.3 Perioperative Use of Medication.................. 152
Cases 9.1-9.2 .......................................... 153
10 Subtotal Petrosectomy in
Cochlear Implantation............................ 158
10.1 Indications....................................... 158
10.1.1 Chronic Otitis Media/Cholesteatoma/
Osteoradionecrosis of the Temporal Bone.......... 158
10.1.2 Presence of a Radical Cavity/Canal Wall Down
Technique........................................ 159
10.1.3 Cochlear Ossification/Obliteration.............. 159
10.1.4 Inner Ear Malformations......................... 159
10.1.5 Fracture of the Temporal Bone with
Otic Capsule Involvement......................... 159
10.1.6 Revision Cases.................................. 160
10.1.7 Unfavorable Anatomical Conditions for
Posterior Tympanotomy............................ 160
10.2 Contraindications................................. 160
10.3 Surgical Procedure..............................
10.3.1 Skin Incision.................................... 160
10.3.2 Anterior Pedicled Flap.......................... 160
10.3.3 Blind-sac Closure of the External Meatus........ 160
10.3.4 Removal of the Skin of the Lateral Portion of
the External Ear Canal........................... 161
10.3.5 Canal Wall Down Mastoidectomy................... 161
10.3.6 Removal of the Skin of the Medial Portion
of the External Ear Canal with Annulus,
Malleus, and Incus............................... 161
10.3.7 Exposure and Closure of Eustachian Tube......... 161
10.3.8 Drill-out of the Receiver Well.................. 161
10.3.9 Harvesting of Abdominal Fat..................... 161
10.3.10 Exposure of the Round Window................... 161
10.3.11 Insertion of the Cochlear Electrode............ 161
10.3.12 Electrophysiologic Testing..................... 161
10.3.13 Fixation of the Implant........................ 161
10.3.14 Obliteration of Cavity with Fat................ 161
10.3.15 Closure........................................ 161
Case 10.1............................................... 162
11 Cochlear Implantation in
Cochlear Ossification............................ 179
11.1 Fibrosis and Ossification Process................. 179
11.2 Management Work-up................................ 180
11.2.1 Fast Diagnostic Work-up.......................... 180
11.2.2 Extended Diagnostic Work-up..................... 180
Contents VII
11.3 Audiometric Evaluation............................. 180
11.4 CT and MRI......................................... 181
11.4.1 Fibrosis and Ossification on Imaging.............. 181
11.5 Surgical Planning.................................. 181
11.5.1 Classification of Ossification and Surgical Strategy 181
11.5.2 Autoimmune Inner Ear Disease...................... 184
11.6 Indication for Bilateral Implantation.............. 184
11.7 Creating Awareness................................. 184
11.8 Surgical Steps in Ossification..................... 184
11.8.1 Partial Drill-out of the Basal Turn............... 185
11.8.2 Scala Vestibuli Insertion......................... 185
11.8.3 Complete Basal Turn Drill-out..................... 185
11.8.4 Middle Turn Cochleostomy with
Double Array Insertion............................. 186
11.8.5 Middle Turn Drill-out with
Double Array Insertion............................. 187
11.8.6 No Lumen Found: Indication for ABI................ 187
11.9 Types of Electrodes................................ 187
11.9.1 Dummy Electrode................................... 187
Cases 11.1-11.3......................................... 188
11.10 Risks in Surgery for Ossified Cochlea............. 192
12 Meningitis and Implantation........................ 195
12.1 Introduction...................................... 195
12.2 Hearing Loss after Bacterial Meningitis........... 195
12.3 Audiologic Follow-up after Meningitis............. 195
12.4 Postmeningitis Hearing Evaluation and Treatment
Flowchart.......................................... 195
12.4.1 First Hearing Evaluation.......................... 197
12.4.2 Dexamethasone..................................... 197
12.4.3 Obliteration...................................... 197
12.4.4 Hearing Loss of 30 dB or More..................... 197
12.4.5 Radiologic Phases of Inflammation, Fibrosis,
and Ossification14·23·24........................... 197
12.5 Early Postmeningitis Radiology and
Decision Making.................................... 199
12.5.1 Unilateral Hearing Loss and Radiology............. 201
12.5.2 Bilateral 0-30 dB Loss and Radiology.............. 201
12.5.3 Bilateral 30-70 dB Loss and Radiology............. 201
12.5.4 Bilateral 70 dB Loss and Radiology.............. 201
12.6 Difficulties in the Assessment Phase.............. 201
12.6.1 Audiologic Assessment in Infants.................. 201
12.6.2 Imaging in Infants................................ 202
12.6.3 Other Sequelae of Meningitis...................... 202
12.6.4 Counseling Parents................................ 202
12.7 Decision Making................................... 202
12.7.1 Hearing and MR1 Assessment........................ 202
12.7.2 Ossification...................................... 202
12.7.3 ABI in Postmeningitis Cases....................... 203
Cases 12.1-12.6......................................... 203
13 Auditory Implantation in Otosclerosis
Patients........................................... 225
13.1 Otosclerosis....................................... 225
13.2 CT Classification in Otosclerosis.................. 225
13.3 Decision Making in Otosclerosis.................... 225
13.4 Treatment Algorithm............................... 227
13.5 Surgical Difficulties and Management in Cochlear
Implantation in Advanced Otosclerosis............ 227
Cases 13.1-13.8....................................... 229
14 Otomastoiditis and Cochlear Implantation ... 258
14.1 Chronic Suppurative Otitis Media.................. 258
14.1.1 Preoperative Evaluation.......................... 258
14.1.2 Surgical Treatment.............................. 258
14.1.3 Postoperative Imaging........................... 259
14.1.4 Special Populations............................. 259
14.2 Otitis Media with Effusion........................ 260
14.3 Postoperative Chronic Middle Ear and
Mastoid Disease.................................. 260
14.4 Acute Postoperative Middle Ear and
Mastoid Infection................................ 261
14.5 Removal of Cochlear Electrode and Use of Dummy
Electrode........................................ 261
14.5.1 Dummy Electrode.................................. 262
Cases 14.1-14.3....................................... 262
15 Inner Ear Malformations and Implantation . . . 272
15.1 Introduction..................................... 272
15.2 Embryology....................................... 272
15.3 Classification of Malformations.................. 272
15.3.1 Malformation of the Membranous Labyrinth .... 272
15.3.2 Malformations of the Membranous and Osseous
Labyrinth........................................ 273
15.3.3 Malformation of the Cochlear Nerve and Inner
Ear Canal........................................ 282
15.4 Cochlear and Auditory Brainstem Implantation
in Malformations................................. 284
15.4.1 Cochlear Implantation in IP-2.................... 284
15.4.2 Cochlear Implantation in IP-3................... 284
15.4.3 Cochlear Implantation in Cochlear Hypoplasia ... 284
15.4.4 Cochlear Implantation in IP-1................... 284
15.4.5 Cochlear Implantation in Common Cavity.......... 285
15.4.6 Cochlear Implantation or ABI in CHARGE.......... 285
15.4.7 ABI or Cl in Common Cavity or Aplasia
of the Cochlea?................................ 285
15.4.8 ABI or Cl in Cochlear Nerve Aplasia or a Small IAC? 285
15.4.9 Auditory Brainstem Implantation in Labyrinthine
Aplasia (Michel Deformity)....................... 285
15.5 Risks in Malformation Cl Surgery.................. 286
15.5.1 Facial Nerve Injury.............................. 286
15.5.2 Facial Nerve Stimulation........................ 286
15.5.3 CSF Gusher...................................... 286
15.5.4 Meningitis...................................... 286
15.5.5 Complications................................... 286
15.5.6 No Auditory Effect/Nonuse....................... 286
15.6 Summary......................................... 286
15.6.1 Inner Ear Malformations.......................... 286
15.6.2 Internal Auditory Canal and Vestibulocochlear Nerve
Malformations.................................... 287
15.6.3 Cl or ABI....................................... 287
15.6.4 Results of Implantation......................... 287
Cases 15.1-15.7....................................... 288
viii Contents
16 Neurofibromatosis Type 2 and Auditory
Implantation.................................... 320
16.1 Difference in Comparison with Sporadic
Vestibular Schwannoma........................... 320
16.2 Clinical Diagnosis............................... 320
16.3 Clinical Manifestations of Disease............ 321
16.4 Management.................................... 321
16.5 Vestibular Schwannoma............................ 321
16.6 Other Tumors..................................... 322
16.7 Surveillance..................................... 323
16.8 Decision Making.................................. 323
16.8.1 Tumor Size...................................... 323
16.8.2 Preoperative Hearing........................... 323
16.8.3 Complications of the Tumor..................... 323
16.9 Type of Operation................................ 323
16.10 Operation Side.................................. 324
16.11 ABI in Neurofibromatosis Type 2................. 324
16.12 Indications and Contraindications for Auditory
Brainstem Implants.............................. 324
16.13 Removable Magnet in ABI Implants................ 324
16.14 First-side Versus Second-side Surgery........... 324
16.15 Promontory Testing.............................. 325
16.16 Surgical Considerations......................... 325
16.16.1 Intraoperative Monitoring..................... 325
Cases 16.1-16.5........................................ 326
16.17 Summary of NF2 and Implantation................. 340
17 Implantation in Skull Base and Temporal
Bone Lesions.................................... 342
17.1 Cl versus ABI................................. 342
17.2 Preoperative Conditions.......................... 342
17.3 Intraoperative Audiometric Testing............... 343
17.4 Indications...................................... 343
17.4.1 Skull Base Lesions............................. 343
17.4.2 Previous Radiotherapy.......................... 343
17.4.3 Non-Skull Base Lesions......................... 343
17.5 Contraindications and Risks of Implantation
in Skull Base Surgery/Neurotology............... 344
Cases 17.1-17.4........................................ 345
18 Bone Conduction Implants......................... 359
18.1 Indications...................................... 359
18.1.1 Audiologic Indications.......................... 359
18.1.2 Otologic Indications........................... 359
18.2 Contraindications.............................. 360
18.3 Implantable Devices with Transcutaneous
Abutment............................................ 360
18.3.1 Preoperative Evaluation............................ 360
18.3.2 Key Features of the Devices........................ 360
18.3.3 Specific Indications............................... 361
18.3.4 Contraindications.................................. 361
18.3.5 Surgical Technique................................. 361
18.3.6 Postoperative Management and Follow-up............. 361
18.3.7 Placement of an Implantable Device with
Transcutaneous Abutment Using the Skin Thinning
Technique: Surgical Steps................. 361
Cases 18.1-18.2............................................ 363
18.4 Complications........................................ 372
18.4.1 Intraoperative Complications....................... 372
18.4.2 Postoperative Complications........................ 372
18.5 Implantable Devices without Transcutaneous
Abutment............................................ 372
18.5.1 Preoperative Evaluation............................ 372
18.5.2 Key Features of the Devices........................ 372
18.5.3 Specific Indications............................... 373
18.5.4 Contraindications.................................. 373
18.5.5 Postoperative Management and Follow-up............. 373
18.5.6 Placement of the Bonebridge System:
Surgical Steps...................................... 373
Case 18.3.................................................. 374
18.5.7 Placement of the Alpha System: Surgical Steps . . . 376
Case 18.4.................................................. 377
19 Active Middle Ear Implants:
Vibrant Soundbridge................................. 379
19.1 Indications.......................................... 379
19.2 Contraindications.................................... 380
19.3 Preoperative Evaluation.............................. 380
19.4 Postoperative Management and Follow Up......... 380
19.5 Surgical Steps: Incus Vibroplasty.................... 380
19.5.1 Incision of Skin and Soft Tissues................... 381
19.5.2 Mastoidectomy and Posterior Tympanotomy .... 381
19.5.3 Implant Positioning................................ 381
19.5.4 Audiometric Testing................................ 381
19.5.5 Closure............................................ 381
Case 19.1.................................................. 382
19.6 Surgical Steps: Round Window Vibroplasty....... 386
19.6.1 Incision of Skin and Soft Tissues.................. 386
19.6.2 Subtotal Petrosectomy.............................. 386
19.6.3 Implant Positioning................................ 387
19.6.4 Audiometric Testing................................ 387
19.6.5 Closure............................................ 387
Case 19.2.................................................. 388
19.7 Results and Complications of VSB placement .... 391
Index
393
ix
Cases
5 Cochlear Implantation
Case 5.1 Surgical Steps
Standard Cochlear Implantation (Left Ear)............
Case 5.2 Surgical Steps
Standard Cochlear Implantation (Left Ear)............
7 Complications and Revision Surgery in Cochlear
Implantation
Case 7.1 Extrusion of the Electrode Array (Left Ear) ...
Case 7.2 Revision Surgery after Placement of
Electrode in the Carotid Canal (Right Ear)...........
Case 7.3 Cholesteatoma and Kinking of the Electrode . .
Case 7.4 Infection of the Cochlea. 6 Months after Cochlear
Electrode Insertion..................................
Case 7.5 Mastoiditis after Cochlear Implantation.....
Case 7.6 Cochlear Implantation Revision Surgery
Due to Device Failure................................
Case 7.7 Implant Displacement........................
Case 7.8 Implant Displacement........................
Case 7.9 Infection in the Operative Cavity
at Implantation......................................
Case 7.10 CI Explantation and Simultaneous
Re-implantation......................................
9 Electroacoustic Stimulation
Case 9.1 Cochlear Implantation with Attempt at Hearing
Preservation Using Slim Straight Regular Electrode . 160
Case 9.2 Cochlear Implantation with Attempt at Hearing
Preservation Using Hybrid Electrode..................
10 Subtotal Petrosectomy in Cochlear Implantation
Case 10.1 Surgical Steps.............................
11 Cochlear Implantation in Cochlear Ossification
Case 11.1 Round Window Drill-out.....................
Case 11.2 Basal Turn Drill-out ......................
Case 11.3 Scala Tympani Insertion with Vision
of Scala Vestibuli (Left Ear)........................
12 Meningitis and Implantation
Case 12.1 Bilateral Cl in a Young Patient with Active
Postmeningitis Enhancement of the Cochlea ................ 230
Case 12.2 Bilateral Cl in a Case with Active Postmeningitis
Enhancement of the Cochlea with Intracochleär Fibrosis 231
Case 12.3 Scala Vestibuli Insertion in a Young Boy .... 233
Case 12.4 Double Array Insertion Due to Post Meningitis
Fibrosis and Ossification................................. 234
Case 12.5 Drill-out after Cl Insertion Attempts........ 235
Case 12.6 ABI after Cochlear Drill-out Attempt............ 236
13 Auditory Implantation in Otosclerosis Patients
Case 13.1 Stapedotomy in a Cochlear Implant Candidate
with Otosclerosis......................................... 242
Case 13.2 Retrofenestral Otosclerosis with Round Window
Ossification (Right Ear) ................................ 244
Case 13.3 Round Window and Oval Window Ossification:
Subtotal Petrosectomy and Cl............................... 247
Case 13.4 Cochlear Implantation in a Patient with an
Otosclerotic Scala Tympani Ossification at the Basal Turn 236
Case 13.5 Cochlear Implantation with Subtotal Petrosectomy
in a Patient with Basal Turn Ossification................ 252
Case 13.6 Otosclerosis Grade 2, Perioperative Placement
of the Electrode into the Double Ring.................... 257
Case 13.7 Severe Cochlear Otosclerosis (Grade 3). Sequential
Cl Placement with Unilateral Placement of the Electrode
into the Internal Auditory Canal........................... 259
Case 13.8 Revision Surgery with Cochlear Ossification after
Stapedotomy................................................ 266
14 Otomastoiditis and Cochlear Implantation
Case 14.1 Cochlear Implantation in a Patient with Radical
Cavity Right Ear.......................................... 275
Case 14.2 Cochlear Implantation in Patient with
Chronic Otitis Media Right Ear with Presence
of Perforation ........................................... 281
Case 14.3 Cochlear Implantation in a Patient
with a Radical Cavity Left Ear............................ 282
74
82
109
110
114
118
122
126
129
131
137
138
161
181
202
203
203
X Cases
15 Inner Ear Malformations and Implantation
Case 15.1 Incomplete Partition Type 2 and Bilateral Cl
Implantation.......................................... 301
Case 15.2 Cl and Subtotal Petrosectomy in Patient with
CHARGE Syndrome....................................... 303
Case 15.3 Cl in a Patient with Cochlear Hypoplasia ... . 308
Case 15.4 Cl and Subtotal Petrosectomy in Patient
with IP-1............................................. 309
Case 15.5 Unilateral IP-1 Malformation with
Cl Implantation in Two Attempts....................... 299
Case 15.6 X-linked IP-3 Malformation; Cl with Subtotal
Petrosectomy Because of CSF Gusher.................... 319
Case 15.7 A Patient with Cochlear Nerve Aplasia;
Cl Implantation Converted to ABI Placement ........... 323
16 Neurofibromatosis Type 2 and Auditory Implanta-
tion
Case 16.1 Cochlear Implantation in NF2 Patient with
Small VS .............................................. 339
Case 16.2 Right-sided (Second) Tumor Removal with ABI
Placement in a Bilaterally Deaf NF2 Patient.............. 340
Case 16.3 Left ABI in NF2 Case with Deaf Left Ear
and Normal Hearing on the Right........................ 348
Case 16.4 Right-sided (First) Tumor Removal and ABI
Placement in an NF2 Patient.............................. 350
Case 16.5 Cl Placement and Meningioma Removal via
Translabyrinthine Approach in an NF2 Patient............. 352
17 Implantation in Skull Base and Temporal Bone Le-
sions
Case 17.1 Cochlear Implantation Combined with
Removal of Small Vestibular Schwannoma Left Ear..... 358
Case 17.2 Cochlear Implantation Combined with
Labyrinthectomy in Meniere Disease (Left Ear)......... 362
Case 17.3 Bilateral Fracture of Otic Capsule with Bilateral
Deafness.............................................. 366
Case 17.4 Supralabyrinthine Petrous Bone Cholesteatoma:
Simultaneous Removal of the Cholesteatoma Right Ear and
Cochlear Implantation................................. 367
18 Bone Conduction Implants
Case 18.1 Bone Anchored Hearing Aid.................. 376
Case 18.2 Bone Anchored Hearing Aid ................. 381
Case 18.3 Bonebridge................................. 387
Case 18.4 Otomag (Alpha 2 System).................... 390
19 Active Middle Ear Implants: Vibrant Soundbridge
Case 19.1 Incus Vibroplasty.......................... 395
Case 19.2 Round Window Vibroplasty................... 401
|
| any_adam_object | 1 |
| author | Sanna, Mario Free, Rolien Merkus, Paul Falcioni, Maurizio |
| author_GND | (DE-588)118051032 (DE-588)1188257048 (DE-588)1188247360 (DE-588)1188257196 |
| author_facet | Sanna, Mario Free, Rolien Merkus, Paul Falcioni, Maurizio |
| author_role | aut aut aut aut |
| author_sort | Sanna, Mario |
| author_variant | m s ms r f rf p m pm m f mf |
| building | Verbundindex |
| bvnumber | BV042934480 |
| classification_rvk | YN 3600 |
| ctrlnum | (OCoLC)935521364 (DE-599)DNB105235923X |
| discipline | Medizin |
| format | Book |
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| genre | (DE-588)4143303-8 Atlas gnd-content |
| genre_facet | Atlas |
| id | DE-604.BV042934480 |
| illustrated | Not Illustrated |
| indexdate | 2024-07-10T07:13:10Z |
| institution | BVB |
| isbn | 9783132431904 9783131764416 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-028361162 |
| oclc_num | 935521364 |
| open_access_boolean | |
| owner | DE-355 DE-BY-UBR |
| owner_facet | DE-355 DE-BY-UBR |
| physical | xiv, 400 Seiten |
| publishDate | 2016 |
| publishDateSearch | 2016 |
| publishDateSort | 2016 |
| publisher | Thieme |
| record_format | marc |
| spelling | Sanna, Mario Verfasser (DE-588)118051032 aut Surgery for cochlear and other auditory implants Mario Sanna, Rolien Free, Paul Merkus, Maurizio Falcioni Stuttgart ; New York ; Delhi ; Rio de Janeiro Thieme [2016] © 2016 xiv, 400 Seiten txt rdacontent n rdamedia nc rdacarrier Hörstörung (DE-588)4025437-9 gnd rswk-swf Operationstechnik (DE-588)4215428-5 gnd rswk-swf Hörschädigung (DE-588)4134997-0 gnd rswk-swf Implantiertes medizinisches Gerät (DE-588)4161411-2 gnd rswk-swf Cochlear-Implantat (DE-588)4127103-8 gnd rswk-swf (DE-588)4143303-8 Atlas gnd-content Cochlear-Implantat (DE-588)4127103-8 s Operationstechnik (DE-588)4215428-5 s DE-604 Hörschädigung (DE-588)4134997-0 s Hörstörung (DE-588)4025437-9 s Implantiertes medizinisches Gerät (DE-588)4161411-2 s Free, Rolien Verfasser (DE-588)1188257048 aut Merkus, Paul Verfasser (DE-588)1188247360 aut Falcioni, Maurizio Verfasser (DE-588)1188257196 aut Erscheint auch als Online-Ausgabe 978-3-13-176451-5 Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028361162&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Sanna, Mario Free, Rolien Merkus, Paul Falcioni, Maurizio Surgery for cochlear and other auditory implants Hörstörung (DE-588)4025437-9 gnd Operationstechnik (DE-588)4215428-5 gnd Hörschädigung (DE-588)4134997-0 gnd Implantiertes medizinisches Gerät (DE-588)4161411-2 gnd Cochlear-Implantat (DE-588)4127103-8 gnd |
| subject_GND | (DE-588)4025437-9 (DE-588)4215428-5 (DE-588)4134997-0 (DE-588)4161411-2 (DE-588)4127103-8 (DE-588)4143303-8 |
| title | Surgery for cochlear and other auditory implants |
| title_auth | Surgery for cochlear and other auditory implants |
| title_exact_search | Surgery for cochlear and other auditory implants |
| title_full | Surgery for cochlear and other auditory implants Mario Sanna, Rolien Free, Paul Merkus, Maurizio Falcioni |
| title_fullStr | Surgery for cochlear and other auditory implants Mario Sanna, Rolien Free, Paul Merkus, Maurizio Falcioni |
| title_full_unstemmed | Surgery for cochlear and other auditory implants Mario Sanna, Rolien Free, Paul Merkus, Maurizio Falcioni |
| title_short | Surgery for cochlear and other auditory implants |
| title_sort | surgery for cochlear and other auditory implants |
| topic | Hörstörung (DE-588)4025437-9 gnd Operationstechnik (DE-588)4215428-5 gnd Hörschädigung (DE-588)4134997-0 gnd Implantiertes medizinisches Gerät (DE-588)4161411-2 gnd Cochlear-Implantat (DE-588)4127103-8 gnd |
| topic_facet | Hörstörung Operationstechnik Hörschädigung Implantiertes medizinisches Gerät Cochlear-Implantat Atlas |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028361162&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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