Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-20T00:19:32.916Z Has data issue: false hasContentIssue false

Cochlear implantation in otosclerosis: a unique positioning and programming problem

Published online by Cambridge University Press:  29 June 2007

Richard Ramsden*
Affiliation:
Department of Otolaryngology, Manchester Royal Infirmary, Victoria University of Manchester, UK.
Manohar Bance
Affiliation:
Manchester cochlear implant programme, Centre for Audiology Education of the Deaf and Speech Pathology, Victoria University of Manchester, UK.
Ellen Giles
Affiliation:
Manchester cochlear implant programme, Centre for Audiology Education of the Deaf and Speech Pathology, Victoria University of Manchester, UK.
Deborah Mawman
Affiliation:
Manchester cochlear implant programme, Centre for Audiology Education of the Deaf and Speech Pathology, Victoria University of Manchester, UK.
*
Address for correspondence: Professor Richard Ramsden, Department of Otolaryngology, Manchester Royal Infirmary, Oxford Road, ManchesterM13 9WL.

Abstract

A case is reported in which a Nucleus 22 channel cochlear implant was inserted into the basal turn of the cochlea of a patient with advanced otosclerosis. It then passed out of the anterior end of the basal turn into an otospongiotic cavity related to the cochlea. Seven electrodes were located in the basal turn and it was possible to map them sufficiently well for the patient to derive considerable benefit from the implant. The problem of implant induced facial nerve stimulation in otospongiosis is also discussed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Camilleri, A. E., Toner, J. G., Howarth, K. L., Hampton, S., Ramsden, R. T. (1996) Cochlear implantation in temporal bone fracture. Journal of Laryngology and Otology (in press).Google Scholar
Clopton, , Spelman, (1982) Neural mechanisms relevant to the design of an auditory prosthesis. Location and electrical characteristics. Annals of Otology, Rhinology and Laryngology 91 (Suppl 98): 914.Google Scholar
Cohen, N. L., Hoffman, R. L., Stroschein, M. (1988) Medical or surgical complications related to the Nucleus multi-channel cochlear implant. Annals of Otology, Rhinology and Laryngology (Suppl. 133): 813.CrossRefGoogle ScholarPubMed
Graham, J. M., East, C. A., Fraser, J. G. (1989) UCH/RHIND single channel cochlear implant: surgical technique. Journal of Laryngology and Otology (Suppl. 18): 1419.Google Scholar
Maas, S., Bance, M., O'Driscoll, M., Mawman, D., Ramsden, R. T. (1996) Explantation of a nucleus multichannel cochlear implant with reimplantation into the contralateral ear. A case report of a new strategy. Journal of Laryngology and Otology 110: 881883.CrossRefGoogle Scholar
Muckle, R. P., Levine, S. C. (1994) Facial nerve stimulation produced by cochlear implants in patients with cochlear otosclerosis. American Journal of Otology 15: 394399.Google ScholarPubMed
Niparko, J. K., Oviatt, D. L., Coker, N. J., Sutton, L., Waltzmann, S. B., Cohen, N. L. (1991) Facial nerve stimulation with cochlear implantation. VA co-operative study group on cochlear implantation. Otolaryngology, Head and Neck Surgery 104: 826830.CrossRefGoogle Scholar
Schuknecht, H. F. (1974) Pathology of the Ear. Harvard University Press, Cambridge Massachusetts, and London, pp 352361.Google Scholar
Schwartz, J. D., Mandell, D. W., Bermon, S. E., Wolfson, R. J., Marlow, F. L., Popey, G. L. (1985) Cochlear otosclerosis (Otospongiosis) CT analysis with CT correlation. Radiology 155: 147150.CrossRefGoogle Scholar
Summerfield, A. Q., Marshall, D. H. (1995) Cochlear Implantation in the UK 1990–1994. Report by the MRC Institute of Hearing Research on the Evaluation of the National Cochlear Implant Programme. HMSO.Google Scholar
Valvassori, G. E. (1984) New imaging tests for otology. American Journal of Otology 5: 434437.Google ScholarPubMed
Weber, B. P., Lenarz, T., Battmer, R. D., Hartrampf, R.. Dahm, M. C., Dietrich, B. (1995) Otosclerosis and facial nerve stimulation. Annals of Otology, Rhinology and Laryngology (Suppl 166): 445447.Google ScholarPubMed