Skip to main content
Log in

Evaluation of a minimally invasive surgical fixation technique for young children with the Concerto Pin cochlear implant system

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

In 2011, Med-El (Innsbruck, Austria) introduced a new cochlear implant system, designed to require a minimally invasive surgical technique and allow greater positional flexibility for its fixation on the skull. The Concerto Pin implant system is a good option for patients with thinner bone, such as children and elderly. The aim of this study was to investigate the implant’s stability in children using our minimally invasive surgical technique. This was a prospective, longitudinal study with a single-subject, repeated-examination design. Six children, implanted with a Concerto Pin using our minimally invasive surgical technique between October 2011 and September 2012, were assessed 1, 3 and 6 months after surgery. In each case, the implant remained in a stable position and no adverse events or problems with healing were observed at any time during the investigation. The minimally invasive technique and the method of implant fixation that bypass drilling a deep implant bed constitute a good option for patients with thinner bone, such as children. This clinical study shows the safety and stability of the Concerto Pin implant system using a minimally invasive surgical technique.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Alexander NS, Caron E, Woolley AL (2011) Fixation methods in pediatric cochlear implants: retrospective review of an evolution of 3 techniques. Otolaryngol Head Neck Surg 144:427–430

    Article  PubMed  Google Scholar 

  2. Cuda D (2013) A simplified fixation of the new thin cochlear implant receiver-stimulators in children: long term results with the “back-pocket” technique. Int J Pediatr Otorhinolaryngol 77:1158–1161

    Article  PubMed  Google Scholar 

  3. Adunka OF, Buchman CA (2007) Cochlear implant fixation in children using periosteal sutures. Otol Neurotol 28:768–770

    Article  PubMed  Google Scholar 

  4. Cuda D (2009) Cochlear implantation with Pulsar Med El: a novel small incision technique. Acta Otorhinolaryngol Ital 29:76–78

    CAS  PubMed Central  PubMed  Google Scholar 

  5. Dalchow CV, Werner JA (2005) A new instrument for minimal access surgery in cochlear implantation. Otol Neurotol 26:678–679

    Article  PubMed  Google Scholar 

  6. Davis BM, Labadie RF, McMenomey SO, Haynes DS (2004) Cochlear implant fixation using polypropylene mesh and titanium screws. Laryngoscope 114:2116–2118

    Article  PubMed  Google Scholar 

  7. Molony TB, Giles JE, Thompson TL, Motamedi KK (2010) Device fixation in cochlear implantation: is bone anchoring necessary? Laryngoscope 120:1837–1839

    Article  PubMed  Google Scholar 

  8. Djalilian HR, King T, Faust RA, Smith S, Levine SC (2001) Securing cochlear implants to the skull: two alternate methods. Ear Nose Throat J 80:171–173

    CAS  PubMed  Google Scholar 

  9. Guevara N, Sterkers O, Bebear JP, Meller R, Magnan J, Mosnier I, Amstutz I, Lerosey Y, Triglia JM, Roman S, Gahide I (2010) Multicenter evaluation of the digisonic SP cochlear implant fixation system with titanium screws in 156 patients. Ann Otol Rhinol Laryngol 119:501–505

    Article  PubMed  Google Scholar 

  10. Gekeler J, Luers JC, Lang-Roth R, Beutner D (2013) Cochlear implant fixation: are sutures really necessary? Eur Arch Otorhinolaryngol 270:483–487

    Article  PubMed  Google Scholar 

  11. Guldiken Y, Orhan KS, Yigit O, Basaran B, Polat B, Gunes S, Acoglu E, Deger K (2011) Subperiosteal temporal pocket versus standard technique in cochlear implantation: a comparative clinical study. Otol Neurotol 32:987–991

    Article  PubMed  Google Scholar 

  12. Costain N, Cavanagh J, Bance M, Morris DP, Hong P (2013) A musculoperiosteal flap cochlear implant device fixation technique: our experience in one hundred and seventy nine patients. Clin Otolaryngol 38:86–89

    Article  CAS  PubMed  Google Scholar 

  13. Balkany TJ, Whitley M, Shapira Y, Angeli SI, Brown K, Eter E, Van De Water T, Telischi FF, Eshraghi AA, Treaba C (2009) The temporalis pocket technique for cochlear implantation: an anatomic and clinical study. Otol Neurotol 30:903–907

    Article  PubMed  Google Scholar 

  14. James AL, Papsin BC (2004) Device fixation and small incision access for pediatric cochlear implants. Int J Pediatr Otorhinolaryngol 68:1017–1022

    Article  PubMed  Google Scholar 

  15. de Varebeke SP, Govaerts P, Cox T, Deben K, Ketelslagers K, Waelkens B (2012) Fixation of cochlear implants: an evidence-based review of literature. B-ENT 8:85–94

    PubMed  Google Scholar 

  16. Schnabl J, Markl A, Hormann R, Wolf-Magele A, Schartinger V, Sprinzl G (2012) Concerto Pin: a novel concept of cochlear implant fixation. Otol Neurotol 33:1525–1529

    Article  PubMed  Google Scholar 

  17. Loh C, Jiang D, Dezso A, Fitzgerald O’Connor A (2008) Non-sutured fixation of cochlear implants using a minimally-invasive approach. Clin Otolaryngol 33:255–264

  18. Otto RA, Lane AP, Carrasco VN (1999) A new technique for securing cochlear implants. Otolaryngol Head Neck Surg 120:897–898

    Article  CAS  PubMed  Google Scholar 

  19. O’Donoghue GM, Nikolopoulos TP (2002) Minimal access surgery for pediatric cochlear implantation. Otol Neurotol 23:891–894

    Article  PubMed  Google Scholar 

  20. Campisi P, Hayward L, Papsin B (2005) Mitek QuickAnchor fixation of cochlear implants using a minimal access technique. Int J Pediatr Otorhinolaryngol 69:1655–1658

    Article  CAS  PubMed  Google Scholar 

  21. Black B (2009) Keyhole cochlear implantation surgery. Cochlear Implants Int 10:150–159

    Article  PubMed  Google Scholar 

  22. Jethanamest D, Channer GA, Moss WJ, Lustig LR, Telischi FF (2013) Cochlear implant fixation using a subperiosteal tight pocket without either suture or bone-recess technique. Laryngoscope. doi:10.1002/lary.24426

  23. Boscolo-Rizzo P, Muzzi E, Barillari MR, Trabalzini F (2011) Non-sutured fixation of the internal receiver-stimulator in cochlear implantation. Eur Arch Otorhinolaryngol 268:961–965

    Article  PubMed  Google Scholar 

  24. Dirr F, Hempel JM, Krause E, Muller J, Berghaus A, Ertl-Wagner B, Braun T (2013) Value of routine plain X-ray position checks after cochlear implantation. Otol Neurotol 34:1666–1669

    Article  PubMed  Google Scholar 

  25. Bremke M, Luers JC, Stenner M, Bovenschulte H, Dorn F, Unkel C, Hollering J, Beutner D (2013) Radiologic examinations in human temporal bone specimens using digital volume tomography and high-resolution computed tomography after implantation of middle ear prosthesis and cochlear implant electrode array. Otol Neurotol 34:1321–1328

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

All authors declare that the manuscript has not been published previously or under review by another journal. The paper has not been presented to any professional society. Furthermore, all authors declare that no financial interest, commercial financial support or personal relationship with other people or organizations that could influence this work exist.

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Johannes Schnabl or Georg Sprinzl.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schnabl, J., Wolf-Magele, A., Pok, S.M. et al. Evaluation of a minimally invasive surgical fixation technique for young children with the Concerto Pin cochlear implant system. Eur Arch Otorhinolaryngol 272, 1893–1898 (2015). https://doi.org/10.1007/s00405-014-2993-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-014-2993-7

Keywords

Navigation