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The Egyptian Journal of Otolaryngology
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Incus buttress approach as an alternative safe technique for cochlear implantation; preliminary results with review of literature

The Egyptian Journal of Otolaryngology volume 34, pages 29–32 (2018)Cite this article

Abstract

Aim

Report our preliminary experience with an alternative technique for cochlear implantation.

Setting

Tertiary referral cochlear implant center.

Study design

Retrospective case series.

Subjects and method

Fifteen patients have been operated using incus buttress approach. The procedure involves classical cortical mastoidectomy and identification of short process of the incus. Bony incus buttress was removed moving inferiorly toward facial recess. Round window was identified then marginal cochleostmy was performed and finally insertion of the electrode into the cochlea via the widened aditus.

Results

Fifteen implants were performed on 15 patients. All were children (mean age of 3.2 years). All the children were pre-lingual. A Med-el SONATA implant (MED-EL, Innsbruck, Austria) was used in all patients. Mean duration of surgery was 12015 minutes. The minimum follow-up was 6 months. No complications were observed during the procedure or during postoperative follow-up.

Conclusion

Here, we describe a new alternative technique for cochlear implantation and report our preliminary results. The procedure has advantages over the existing alternatives techniques and avoids the potential complications of posterior tympanotomy.

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Author information

Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, Tanta University, 16th Hasan Haseb Street, El-Andalus Building, Apt. 1, El-Gharbia Governorate, Tanta City, PO, 31511, Egypt

    Mahmoud F. Mandour MD, PhD, Mohammed A. Khalifa & Hossam M. Adel Khalifa

Authors
  1. Mahmoud F. Mandour MD, PhD
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  2. Mohammed A. Khalifa
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  3. Hossam M. Adel Khalifa
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Corresponding author

Correspondence to Mahmoud F. Mandour MD, PhD.

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Mandour, M.F., Khalifa, M.A. & Khalifa, H.M.A. Incus buttress approach as an alternative safe technique for cochlear implantation; preliminary results with review of literature. Egypt J Otolaryngol 34, 29–32 (2018). https://doi.org/10.4103/ejo.ejo_57_17

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  • DOI: https://doi.org/10.4103/ejo.ejo_57_17

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