Electrode Afterload: A Valuable Technique in a Case of Short Electrode Insertion
المؤلفون المشاركون
Sudhoff, H.
Todt, Ingo
Riemann, C.
Scholz, S.
المصدر
Case Reports in Otolaryngology
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-02-14
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Introduction.
The location of the electrode inside the cochlea is important for speech performance.
However, many variables, including array length, insertion depth, and individual anatomy, may affect the intracochlear position of the electrode.
Insertion deeper than 20 mm and revision surgery are critical situations in which residual hearing and electrode integrity may be at risk.
This case report challenges this hypothesis and raises the following question: is it possible to achieve a better speech understanding with an electrode afterload without compromising residual hearing? Case Report.
A 73-year-old female patient showed up for evaluation of hearing loss.
The patient was operated four times in an external hospital due to cholesteatoma formation in the right ear.
Related to a poor aided speech understanding, a CI-surgery was performed.
5 months after the surgery, the subject returned with poor speech understanding.
A revision surgery was performed, where the first white marker of the electrode was seen in the round window (20 mm).
The electrode was inserted 4 mm deeper into the cochlea.
After six and twelve months, the results of the Freiburger monosyllabic speech test improved till 25% and 45%, respectively.
Discussion.
Hearing preservation is possible with a revisional deeper insertion from 20 mm to 24 mm.
In this case, a partial obliteration of an open cavity made the electrode surgically easily accessible.
This allowed the deeper insertion during the revision surgery.
In a regular surgical field with a posterior tympanotomy, the revision surgery is more challenging and brings the electrode into the risk of an iatrogenic destruction.
Conclusion.
This case of an electrode afterload after having inserted the electrode initially to mm, demonstrates that hearing can be preserved and speech perception can improve after performing this maneuver.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Riemann, C.& Scholz, S.& Sudhoff, H.& Todt, Ingo. 2020. Electrode Afterload: A Valuable Technique in a Case of Short Electrode Insertion. Case Reports in Otolaryngology،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1150230
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Riemann, C.…[et al.]. Electrode Afterload: A Valuable Technique in a Case of Short Electrode Insertion. Case Reports in Otolaryngology No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1150230
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Riemann, C.& Scholz, S.& Sudhoff, H.& Todt, Ingo. Electrode Afterload: A Valuable Technique in a Case of Short Electrode Insertion. Case Reports in Otolaryngology. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1150230
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1150230
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر