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A new incision for placement of cochlear implants

Published online by Cambridge University Press:  29 June 2007

W. P. R Gibson ,
H. C. Harrison  and
C. Prowse
W. P. R Gibson
Affiliation:
Departments of Otolaryngology, University of Sydney, Sydney, Australia. Department of Otolaryngology, Royal Prince Alfred Hospital, Sydney, Australia. Department of Otolaryngology, The Royal Alexandra Hospital for Chidren, Sydney, Australia.
H. C. Harrison*
Affiliation:
Department of Otolaryngology, The Royal Alexandra Hospital for Chidren, Sydney, Australia.
C. Prowse
Affiliation:
Department of Otolaryngology, Royal Prince Alfred Hospital, Sydney, Australia.
*
Mr H. C. Harrison, F.R.C.S., 135 Macquarie Street, Sydney 2000, Australia.
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Abstract

A straight, vertical post-aural incision for the ‘Cochlear’ multichannel cochlear implants has been evaluated in 52 patients (20 adults and 32 children). Nineteen of the children were under three years of age and five of these were under two years of age.

The 7cm long incision is placed approximately 3 mm behind the post-auricular crease and runs from the tip of the mastoid to a point 3 cm above the superior attachment of the pinna. The incision heals within several days.

Because the incision is straight interruption of the blood supply to the flaps raised is the least possible. This also minimizes the possiblity of scalp necrosis and impaltn exrusion. The likelihood of infection is reduced by the small size of the incision, minimal soft tissue dissection and small amount of dead space. Rapid healing has occurred in all cases despite infection in one.

Keywords

Cochlear implantSurgeryWound infection
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 9 , September 1995 , pp. 821 - 825
Copyright
Copyright © JLO (1984) Limited 1995

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References

Cohen, N. L., Hoffman, R. A., Stroschein, M. (1988) Medical or surgical complications related to the Nucleus multichannel cochlear implant. Annals of Otology, Rhinology and Laryngology 97 (suppl. 135): 8–13.CrossRefGoogle Scholar
Clark, G. M., Pyman, B. C., Bailey, Q. R. (1979) the surgery for multiple-electrode cochlear implantations. Journal of Laryngology and Otology 93: 215–223.CrossRefGoogle ScholarPubMed
El-Naggar, M., Hawthorne, M. (1995) Delayed extrusion of a cochlear implant: a case report of an implant extruding 21 months after the original operation. Journal of Laryngology and Otology 109: 56–57.CrossRefGoogle ScholarPubMed
Franz, B. K.-H. G., Kuzma, J. A., Lenhardt, E., Clark, G. M., Patrick, J. F., Laszig, R. (1989) Implantation of the Melbourne/Cochlear multiple electrode extracochlear prosthesis. Annals of Otology, Rhinology and Laryngology 98: 591–596.CrossRefGoogle ScholarPubMed
Haberkamp, T. J., Schwaber, M. K. (1992) Management of flap necrosis in cochlear implantation. Annals of Otology, Rhinology and Laryngology 101: 38–41.CrossRefGoogle ScholarPubMed
Harris, J. P., Cueva, R. A. (1987) Flap design for cochlear implantation: avoidance of a potential complication. Laryngoscope 97: 755–757.CrossRefGoogle ScholarPubMed
Harrison, H. C., Gibson, W. P. R. (1992) Complications of cochlear implantation in children. In Transplants and Implants in Otology. Vol. II Cochlear implants. (Yanagihara, N., Suzuki, J.-L., eds: Gyo, K., Kdera, K., co-eds.). Kugler Publications, Amsterdam/New York pp. 327–330.Google Scholar
Harrison, H. C., Gibson, W. P. R., Thompson, P. G. (1995) Cochlear implant extrusion in a young child – a preventative procedure. Journal of Laryngology and Otology 109: 425–428.CrossRefGoogle Scholar