Current trends on subtotal petrosectomy with cochlear implantation in recalcitrant chronic middle ear disorders

被引：5

作者：

Canzi, Pietro ^{[1
,2
]}

Berrettini, Stefano ^{[3
]}

Albera, Andrea ^{[4
]}

Barbara, Maurizio ^{[5
]}

Bruschini, Luca ^{[3
]}

Canale, Andrea ^{[4
]}

Carlotto, Elena ^{[2
]}

Covelli, Edoardo ^{[5
]}

Cuda, Domenico ^{[6
]}

Dispenza, Francesco ^{[7
]}

Falcioni, Maurizio ^{[8
]}

Forli, Francesca ^{[3
]}

Franchella, Sebastiano ^{[9
]}

Gaini, Lorenzo ^{[10
]}

Gallina, Salvatore ^{[7
]}

Laborai, Andrea ^{[6
]}

Lapenna, Ruggero ^{[11
]}

Lazzerini, Francesco ^{[3
]}

Malpede, Stefano ^{[2
]}

Mandala, Marco ^{[12
]}

Minervini, Domenico ^{[2
]}

Pasanisi, Enrico ^{[8
]}

Ricci, Giampietro ^{[11
]}

Viberti, Francesca ^{[12
]}

Zanetti, Diego ^{[13
,14
]}

Zanoletti, Elisabetta ^{[9
]}

Benazzo, Marco ^{[1
,2
]}

机构：

[1] Univ Pavia, Dept Clin Surg Diagnost & Pediat Sci, Pavia, Italy

[2] Univ Pavia, Fdn IRCCS Policlin San Matteo, Dept Otorhinolaryngol, Viale C Golgi 19, I-27100 Pavia, Italy

[3] Univ Pisa, Otolaryngol Audiol & Phoniatr Unit, Pisa, Italy

[4] Univ Turin, Div Otorhinolaryngol, Dept Surg Sci, Turin, Italy

[5] Sapienza Univ, Fac Med & Psychol, Dept Neurosci Mental Hlth & Sensory Organs, Rome, Italy

[6] Guglielmo da Saliceto Hosp, Dept Otolaryngol, Piacenza, Italy

[7] Univ Palermo, Azienda Osped Univ Policlin Paolo Giacco, Dept Biomed Neurosci & Adv Diagnost, Palermo, Italy

[8] Univ Hosp Parma, Otorhinolaryngol & Otoneurosurg Dept, Parma, Italy

[9] Padova Univ, Otolaryngol Sect, Dept Neurosci DNS, Padua, Italy

[10] Fdn IRCCS Ca Granda Osped Maggiore Policlin, Dept Otolaryngol & Head & Neck Surg, Milan, Italy

[11] Univ Perugia, Sect Otorhinolaryngol, Dept Surg & Biomed Sci, Perugia, Italy

[12] Azienda Osped Univ Senese, Dept Otol & Skull Base Surg, Siena, Italy

[13] Osped Maggiore Policlin Milan, Fdn IRCCS Ca Granda, Audiol Unit, Dept Specialist Surg Sci, Milan, Italy

[14] Univ Milan, Dept Clin Sci & Community Hlth, Milan, Italy

来源：

ACTA OTORHINOLARYNGOLOGICA ITALICA | 2023年 / 43卷

关键词：

subtotal petrosectomy; cochlear implant; cochlear implantation; chronic otitis media; chronic middle ear disorders; recalcitrant; refractory; recurrent; MASTOID OBLITERATION; SURGICAL COMPLICATIONS; OUTCOMES;

D O I：

10.14639/0392-100X-suppl.1-43-2023-09

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Objective. To establish the safety and effectiveness of subtotal petrosectomy with cochlear implantation in patients affected by chronic middle ear disorders to refractory to previous surgical treatments. Methods. A multicentre, retrospective study was conducted on patients affected by recalcitrant chronic middle ear disorders who underwent cochlear implantation in combination with subtotal petrosectomy. Patients' details were collected from databases of 11 Italian tertiary referral centres. Additionally, a review of the most updated literature was carried out. Results. 55 patients were included with a mean follow-up time of 44 months. Cholesteatoma was the most common middle ear recurrent pathology and 50.9% of patients had an open cavity. 80% of patients underwent a single stage surgery. One case of explantation for device failure was reported among the 7 patients with post-operative complications. Conclusions. Subtotal petrosectomy with cochlear implantation is a benchmark for management of patients with recalcitrant chronic middle ear disorders. A single stage procedure is the most recommended strategy. Optimal follow-up is still debated. Further studies are required to investigate the role of this surgery in paediatric patients.

引用

页码：S67 / S75

页数：9

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