Subtotal petrosectomy in cochlear implantation: Gruppo Otologico experience after 348 cases

Although in most cases, standardized trans mastoid facial recess technique for cochlear implantation is ideal as the surgical risks are minimal, in complicated cases such as concomitant chronic otitis media, prior canal wall-down cases, radical cavities, or inner ear abnormalities with high risk of cerebrospinal fluid leak subtotal petrosectomy should be the first choice of management with complete disease clearance. Close clinical and radiological follow-up is therefore mandatory. Single-stage implantation is preferred to staging the procedure unless one is unsure of disease clearance.

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Publication Details

Journal
European Archives of Oto-Rhino-Laryngology
Published
2025-05-15
DOI
https://doi.org/10.1007/s00405-025-09431-8
Citations
6
Primary Topic
Hearing Loss and Rehabilitation
Type
article
Field-Weighted Citation Impact
8.59

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article

Subtotal petrosectomy in cochlear implantation: Gruppo Otologico experience after 348 cases

Sachin K. Damam, Giuseppe Fancello, Antonio Caruso, Luca Morelli et al.
6 citations
European Archives of Oto-Rhino-Laryngology
Hearing Loss and Rehabilitation
8.59
article

Subtotal petrosectomy in cochlear implantation: Gruppo Otologico experience after 348 cases

Sachin K. Damam, Giuseppe Fancello, Antonio Caruso, Luca Morelli, M Sanna, M. Ferraro, Hailu Yilala M
article en
6 citations

Abstract

Although in most cases, standardized trans mastoid facial recess technique for cochlear implantation is ideal as the surgical risks are minimal, in complicated cases such as concomitant chronic otitis media, prior canal wall-down cases, radical cavities, or inner ear abnormalities with high risk of cerebrospinal fluid leak subtotal petrosectomy should be the first choice of management with complete disease clearance. Close clinical and radiological follow-up is therefore mandatory. Single-stage implantation is preferred to staging the procedure unless one is unsure of disease clearance.

European Archives of Oto-Rhino-LaryngologyVol. 282(10)
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico (IT), North American Skull Base Society (US), Azienda Ospedaliera Universitaria Integrata Verona (IT), Bangalore Diabetes Centre (IN), Ospedaliera di Piacenza (IT), Addis Ababa University (ET)
Università degli Studi di Milano
Gender equality
Openalex Percentile: Top 2%
Hearing Loss and Rehabilitation
8.59
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