Osteoneogenesis at the Round Window: A Possible Cause of Cochlear Implant Failure?
Surgery for cochlear implant is a traumatic procedure, with inflammatory responses leading to immediate and delayed intracochlear changes, resulting in newly formed fibrous and bony tissue. This newly formed tissue is thought to affect speech perception with cochlear implants and can also play a rol...
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| Published in: | Audiology research (Pavia, Italy) Vol. 14; no. 1; pp. 1 - 8 |
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| Abstract | Surgery for cochlear implant is a traumatic procedure, with inflammatory responses leading to immediate and delayed intracochlear changes, resulting in newly formed fibrous and bony tissue. This newly formed tissue is thought to affect speech perception with cochlear implants and can also play a role in causing device malfunctioning and soft failures. We present a case of left cochlear implant explantation and reimplantation in a 15-year-old girl, who experienced deterioration of speech perception and device failure associated with osteoneogenesis of the round window, which could represent a cause of cochlear implant failure. To avoid surgical trauma of the cochlear lateral wall, enlarged round window insertion rather than a cochleostomy, soft surgical techniques, and the application of steroids are all important issues to prevent new tissue formation, although special attention should also be given to the trauma of round window borders. |
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| AbstractList | Surgery for cochlear implant is a traumatic procedure, with inflammatory responses leading to immediate and delayed intracochlear changes, resulting in newly formed fibrous and bony tissue. This newly formed tissue is thought to affect speech perception with cochlear implants and can also play a role in causing device malfunctioning and soft failures. We present a case of left cochlear implant explantation and reimplantation in a 15-year-old girl, who experienced deterioration of speech perception and device failure associated with osteoneogenesis of the round window, which could represent a cause of cochlear implant failure. To avoid surgical trauma of the cochlear lateral wall, enlarged round window insertion rather than a cochleostomy, soft surgical techniques, and the application of steroids are all important issues to prevent new tissue formation, although special attention should also be given to the trauma of round window borders. |
| Author | Donati, Giulia Redaelli de Zinis, Luca Oscar Nassif, Nader |
| Author_xml | – sequence: 1 givenname: Giulia surname: Donati fullname: Donati, Giulia – sequence: 2 givenname: Nader surname: Nassif fullname: Nassif, Nader – sequence: 3 givenname: Luca Oscar orcidid: 0000-0001-6524-1815 surname: Redaelli de Zinis fullname: Redaelli de Zinis, Luca Oscar |
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| Cites_doi | 10.1080/14670100.2020.1823128 10.1097/01.mao.0000178121.28365.0d 10.1097/MAO.0000000000003106 10.1097/00005537-199903000-00002 10.1177/000348940711601004 10.1016/j.otohns.2009.03.031 10.1016/j.ijporl.2023.111460 10.1097/MAO.0000000000003910 10.1097/00005537-199910000-00023 10.1017/S0022215119001919 10.3390/jcm11113148 10.3390/jcm10153215 10.1097/MAO.0b013e31818c33cf 10.1097/MAO.0b013e3182544fff 10.1179/146701010X12711475887234 10.1080/00016480410018179 10.1016/j.amjoto.2023.104080 10.1159/000103208 10.1097/AUD.0000000000001266 10.1002/lary.24649 10.1097/MAO.0000000000003819 10.1016/j.ijporl.2019.109781 10.1002/lary.27198 10.1097/01.mlg.0000227176.09500.28 10.1186/s40463-023-00652-7 10.1080/00016489850183386 10.1097/MAO.0b013e318263d56d 10.14639/0392-100X-N2096 10.1097/MAO.0000000000000540 10.1080/00016489.2023.2270701 10.1177/0194599820912032 10.1097/MAO.0b013e3181d2798e 10.1177/000348940111000914 10.1016/j.anorl.2021.11.004 |
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| SubjectTerms | Bones Case reports cochlear implant Cochlear implants device failure Electrodes Failure Head injuries Hearing aids Hematoma Hypotheses Infections Meningitis osteoneogenesis round window Speech Surgery Transplants & implants Trauma |
| Title | Osteoneogenesis at the Round Window: A Possible Cause of Cochlear Implant Failure? |
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