Cochlear implant fixation and dura exposure

Noriko Yoshikawa, Barry Hirsch, Fred F Telischi

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective: To determine the current common practices and techniques used to fixate and stabilize internal receivers. Study Design: Retrospective, anonymized, cross-sectional survey. Setting: William House Cochlear Implant Study Group Meeting in September 2008. Results: A total of 62 surveys were received of the 106 people who had signed in. In adults, 83.3% of the respondents said that they always, 6.7% usually, 3.3% sometimes, 3.3% rarely, and 3.3% never drilled wells for the internal receiver. In pediatric patients, respondents said that they would always 78.6%, usually 8.9%, sometimes 3.6%, rarely 5.4%, and never 3.6% drill wells. Regarding the securing of the internal receiver, 56.1% always, 10.5% usually, 3.5% sometimes, 12.3% rarely, and 17.5% never secured the internal receiver in adults. In the pediatric patient population, 50% always, 12.5% usually, 7.1% sometimes, 12.5% usually, and 17.9% never secured the device. In adults, 50% reported using bone holes, 30% fascial sutures, and 20% screws. In the pediatric population, 45.5% indicated that they used bone holes, 34.5% fascial sutures, and 20% screws. Most respondents rarely or never drilled down to the dura for bone holes. Conclusion: Whereas the majority of respondents do drill wells for the internal receiver in both adults and children, those that did not were represented. The result of this survey emphasizes that alternatives are available and acceptable. There is no significant evidence in the literature to support 1 specific method of fixation.

Original languageEnglish
Pages (from-to)1211-1214
Number of pages4
JournalOtology and Neurotology
Volume31
Issue number8
DOIs
StatePublished - Oct 1 2010

Fingerprint

Cochlear Implants
Pediatrics
Bone and Bones
Sutures
Mandrillus
Group Processes
Population
Surveys and Questionnaires
Retrospective Studies
Cross-Sectional Studies
Equipment and Supplies

Keywords

  • Cochlear implant
  • Fixation
  • Technique

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Clinical Neurology
  • Sensory Systems
  • Medicine(all)

Cite this

Cochlear implant fixation and dura exposure. / Yoshikawa, Noriko; Hirsch, Barry; Telischi, Fred F.

In: Otology and Neurotology, Vol. 31, No. 8, 01.10.2010, p. 1211-1214.

Research output: Contribution to journalArticle

Yoshikawa, Noriko ; Hirsch, Barry ; Telischi, Fred F. / Cochlear implant fixation and dura exposure. In: Otology and Neurotology. 2010 ; Vol. 31, No. 8. pp. 1211-1214.
@article{3ae0b3a1bfa64c06aea99130c9cf1a7e,
title = "Cochlear implant fixation and dura exposure",
abstract = "Objective: To determine the current common practices and techniques used to fixate and stabilize internal receivers. Study Design: Retrospective, anonymized, cross-sectional survey. Setting: William House Cochlear Implant Study Group Meeting in September 2008. Results: A total of 62 surveys were received of the 106 people who had signed in. In adults, 83.3{\%} of the respondents said that they always, 6.7{\%} usually, 3.3{\%} sometimes, 3.3{\%} rarely, and 3.3{\%} never drilled wells for the internal receiver. In pediatric patients, respondents said that they would always 78.6{\%}, usually 8.9{\%}, sometimes 3.6{\%}, rarely 5.4{\%}, and never 3.6{\%} drill wells. Regarding the securing of the internal receiver, 56.1{\%} always, 10.5{\%} usually, 3.5{\%} sometimes, 12.3{\%} rarely, and 17.5{\%} never secured the internal receiver in adults. In the pediatric patient population, 50{\%} always, 12.5{\%} usually, 7.1{\%} sometimes, 12.5{\%} usually, and 17.9{\%} never secured the device. In adults, 50{\%} reported using bone holes, 30{\%} fascial sutures, and 20{\%} screws. In the pediatric population, 45.5{\%} indicated that they used bone holes, 34.5{\%} fascial sutures, and 20{\%} screws. Most respondents rarely or never drilled down to the dura for bone holes. Conclusion: Whereas the majority of respondents do drill wells for the internal receiver in both adults and children, those that did not were represented. The result of this survey emphasizes that alternatives are available and acceptable. There is no significant evidence in the literature to support 1 specific method of fixation.",
keywords = "Cochlear implant, Fixation, Technique",
author = "Noriko Yoshikawa and Barry Hirsch and Telischi, {Fred F}",
year = "2010",
month = "10",
day = "1",
doi = "10.1097/MAO.0b013e3181dd1400",
language = "English",
volume = "31",
pages = "1211--1214",
journal = "Otology and Neurotology",
issn = "1531-7129",
publisher = "Lippincott Williams and Wilkins",
number = "8",

}

TY - JOUR

T1 - Cochlear implant fixation and dura exposure

AU - Yoshikawa, Noriko

AU - Hirsch, Barry

AU - Telischi, Fred F

PY - 2010/10/1

Y1 - 2010/10/1

N2 - Objective: To determine the current common practices and techniques used to fixate and stabilize internal receivers. Study Design: Retrospective, anonymized, cross-sectional survey. Setting: William House Cochlear Implant Study Group Meeting in September 2008. Results: A total of 62 surveys were received of the 106 people who had signed in. In adults, 83.3% of the respondents said that they always, 6.7% usually, 3.3% sometimes, 3.3% rarely, and 3.3% never drilled wells for the internal receiver. In pediatric patients, respondents said that they would always 78.6%, usually 8.9%, sometimes 3.6%, rarely 5.4%, and never 3.6% drill wells. Regarding the securing of the internal receiver, 56.1% always, 10.5% usually, 3.5% sometimes, 12.3% rarely, and 17.5% never secured the internal receiver in adults. In the pediatric patient population, 50% always, 12.5% usually, 7.1% sometimes, 12.5% usually, and 17.9% never secured the device. In adults, 50% reported using bone holes, 30% fascial sutures, and 20% screws. In the pediatric population, 45.5% indicated that they used bone holes, 34.5% fascial sutures, and 20% screws. Most respondents rarely or never drilled down to the dura for bone holes. Conclusion: Whereas the majority of respondents do drill wells for the internal receiver in both adults and children, those that did not were represented. The result of this survey emphasizes that alternatives are available and acceptable. There is no significant evidence in the literature to support 1 specific method of fixation.

AB - Objective: To determine the current common practices and techniques used to fixate and stabilize internal receivers. Study Design: Retrospective, anonymized, cross-sectional survey. Setting: William House Cochlear Implant Study Group Meeting in September 2008. Results: A total of 62 surveys were received of the 106 people who had signed in. In adults, 83.3% of the respondents said that they always, 6.7% usually, 3.3% sometimes, 3.3% rarely, and 3.3% never drilled wells for the internal receiver. In pediatric patients, respondents said that they would always 78.6%, usually 8.9%, sometimes 3.6%, rarely 5.4%, and never 3.6% drill wells. Regarding the securing of the internal receiver, 56.1% always, 10.5% usually, 3.5% sometimes, 12.3% rarely, and 17.5% never secured the internal receiver in adults. In the pediatric patient population, 50% always, 12.5% usually, 7.1% sometimes, 12.5% usually, and 17.9% never secured the device. In adults, 50% reported using bone holes, 30% fascial sutures, and 20% screws. In the pediatric population, 45.5% indicated that they used bone holes, 34.5% fascial sutures, and 20% screws. Most respondents rarely or never drilled down to the dura for bone holes. Conclusion: Whereas the majority of respondents do drill wells for the internal receiver in both adults and children, those that did not were represented. The result of this survey emphasizes that alternatives are available and acceptable. There is no significant evidence in the literature to support 1 specific method of fixation.

KW - Cochlear implant

KW - Fixation

KW - Technique

UR - http://www.scopus.com/inward/record.url?scp=77958091762&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77958091762&partnerID=8YFLogxK

U2 - 10.1097/MAO.0b013e3181dd1400

DO - 10.1097/MAO.0b013e3181dd1400

M3 - Article

C2 - 20393371

AN - SCOPUS:77958091762

VL - 31

SP - 1211

EP - 1214

JO - Otology and Neurotology

JF - Otology and Neurotology

SN - 1531-7129

IS - 8

ER -