Search results for " cochlear implant"
showing 6 items of 6 documents
E-ABR in Patients with Cochlear Implant: A Comparison between Patients with Malformed Cochlea and Normal Cochlea
2019
Objectives This study aims to compare the electrical auditory brainstem response (EABR) following cochlear implant (CI) surgery in pediatric subjects with cochlear malformation and a normal cochlea, in order to assess the sensitivity of EABR and to evaluate the surgery outcome. Materials and methods A total of 26 pediatric subjects who were deaf and scheduled for CI surgery were enrolled into this case control study. Group A (n=20) included subjects with a normo-conformed cochlea. Group B (n=6) included subjects with cochlear malformation. Subjects were evaluated with EABR immediately (T0) and 6 months (T1) post-CI surgery. The EABR Waves III and V average amplitude and latency were compare…
Augmented Reality in minimally invasive otologic surgery and transmodiolar cochlear implantation
2021
Optimal exposure is necessary for minimally invasive otologic surgery. Augmented reality allows to enrich the real environment by adding data without replacing it by a virtual environment and to view this information on a single screen by combining the vision of the operating field and the imaging. This technique is very little described in otology in the literature. This project aims to develop augmented reality solutions for otological surgeries and transmodiolar implantation. To prepare this augmented reality project, we studied the visualization of the middle ear by a virtual endoscope based on preoperative high resolution CT-scans. Then, we worked on the application of augmented realit…
Current trends on subtotal petrosectomy with cochlear implantation in recalcitrant chronic middle ear disorders
2023
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 combi-nation 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. Cholestea-toma was the most common middle ear recurren…
Prospective Validation of Facial Nerve Monitoring to Prevent Nerve Damage During Robotic Drilling
2019
Facial nerve damage has a detrimental effect on a patient's life, therefore safety mechanisms to ensure its preservation are essential during lateral skull base surgery. During robotic cochlear implantation a trajectory passing the facial nerve at <0.5 mm is needed. Recently a stimulation probe and nerve monitoring approach were developed and introduced clinically, however for patient safety no trajectory was drilled closer than 0.4 mm. Here we assess the performance of the nerve monitoring system at closer distances. In a sheep model eight trajectories were drilled to test the setup followed by 12 trajectories during which the ENT surgeon relied solely on the nerve monitoring system and…
Comparison Between Simulated and Actual Unilateral Hearing in Sequentially Implanted Cochlear Implant Users, a Cohort Study
2019
Introduction: Previous studies have proven the effectiveness of bilateral cochlear implantation compared to unilateral cochlear implantation. In many of these studies the unilateral hearing situation was simulated by switching off one of the cochlear implants in bilateral cochlear implant users. In the current study we assess the accuracy of this test method. Does simulated unilateral hearing (switching off one cochlear implant) result in the same outcomes as real life unilateral hearing with one cochlear implant and a non-implanted contralateral ear? Study design: We assessed the outcomes of one arm of a multicenter randomized controlled trial. Methods: In the original trial, 38 postlingua…
Speech intelligibility and perception after cochlear implant in deaf children with or without associated disabilities: A review
2014
The ability to make oneself understood is critical to most human interaction, and as such, the failure to develop fully intelligible speech may result in a significant handicap especially in the child in learning phase. World literature has demonstrated improved speech intelligibility and speech perception as well as a good development of communication skills in prelingual profound sensorineural hearing loss (SNHL) children after cochlear implantation. The literature considered as universally-accepted the usefulness/effectiveness of unilateral early cochlear implantation in severely-profoundly deaf children with or without associated disabilities. In fact this procedure, for children implan…