Factors Associated with Incomplete Insertion of Electrodes in Cochlear Implant Surgery: A Histopathologic Study
Author(s) -
Joonhan Lee,
Joseph B. Nadol,
Donald K. Eddington
Publication year - 2010
Publication title -
audiology and neurotology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.106
H-Index - 78
eISSN - 1421-9700
pISSN - 1420-3030
DOI - 10.1159/000316445
Subject(s) - temporal bone , cochlear implant , electrode array , basilar membrane , electrode , cochlea , spiral ligament , medicine , otosclerosis , spiral ganglion , anatomy , implant , cochlear implantation , surgery , audiology , chemistry , organ of corti
Atraumatic and complete insertion of the electrode array is a stated objective of cochlear implant surgery. However, it is known that obstructions within the cochlea such as new bone formation, cochlear otosclerosis, temporal bone fracture, and cochlear anomalies may limit the depth of insertion of the electrode array. In addition, even among patients without obvious clinical or radiographic indicators of obstruction, incomplete insertion may occur. The current study is a histopathologic evaluation of possible sources of resistance to insertion of the electrode array using the temporal bone collection of the Massachusetts Eye and Ear Infirmary.
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