Objective: The objective of this study is to analyse surgical outcomes in a series of patients who underwent subtotal petrosectomy in combination with cochlear implantation.
Methods: Retrospective chart review. Thirty patients (32 ears) underwent subtotal petrosectomy and cochlear implantation in one stage. Indications for subtotal petrosectomy included the following: cholesteatoma, chronic otitis media, previous canal wall-down, osteoradionecrosis, revision surgery for clinical reasons, inner ear malformations, middle ear anatomical variations and severe cochlear ossification.
Results: Follow-up ranged from 2 to 54 months. Only 2 complications related to the subtotal petrosectomy (1 subcutaneous abdominal haematoma and 1 subcutaneous abdominal seroma) occurred in this series. Complete electrode insertion was achieved in all but 4 cases.
Conclusions: Subtotal petrosectomy is a safe procedure and can offer technical advantages in some cases of complex cochlear implantation.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7889253 | PMC |
| http://dx.doi.org/10.14639/0392-100X-N0931 | DOI Listing |
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Article Synopsis
- Subtotal petrosectomy is an important surgical procedure for treating advanced cases of cholesteatoma, especially when previous treatments have failed or serious infections are present.
- The procedure involves removing all infected areas of the temporal bone and sealing the ear canal to enhance recovery.
- By doing so, subtotal petrosectomy significantly increases the likelihood of fully eliminating cholesteatoma and reducing the chances of it returning.
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