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Cochlear implantation outcomes in patients with otosclerosis: a single-centre study

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

Abstract

Purpose

To analyse surgical and auditory outcomes after cochlear implantation in otosclerosis and to compare them to the outcomes in patients with post-lingual hearing loss with different aetiology.

Methods

Medical records of 17 subjects (22 ears) diagnosed with otosclerosis were compared to 21 controls (25 ears) matched by age, sex, duration of hearing loss and experience with cochlear implant in years. Demographic characteristics, surgical complications, facial nerve stimulation, number and reason for deactivated electrodes and auditory outcome (monosyllabic word score) were analysed. The auditory outcome was further evaluated according to the anatomical localisation of the otosclerotic lesions (grades) and compared between patients with active and deactivated electrodes.

Results

Otosclerotic patients showed similar surgical outcome in comparison to the controls. A low frequency (13.6%) of facial nerve stimulation was observed in otosclerosis. A significantly higher (p = 0.014) number of deactivated electrodes (4.3%) in subjects with otosclerosis in comparison to non-otosclerosis patients (1.6%) was found. A trend of less speech discrimination of monosyllabic words (65%) in otosclerosis than in non-otosclerosis patients (80%) (p = 0.109) and no difference in the postoperative auditory assessment with regard to the disease grade and electrode disabling was found.

Conclusions

Cochlear implantation by otosclerosis provides excellent auditory outcome with a low rate of surgical complications. Alteration in fitting strategy as electrodes disabling is frequently needed to overcome complications as incomplete insertion, facial nerve stimulation and poor sound quality.

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References

  1. Babcock TA, Liu XZ (2018) Otosclerosis: from genetics to molecular biology. Otolaryngol Clin N Am 51:305–318. https://doi.org/10.1016/j.otc.2017.11.002

    Article  Google Scholar 

  2. Mosnier I, Bouccara D, Ambert-Dahan E, Ferrary E, Sterkers O (2007) Cochlear implantation and far-advanced otosclerosis. Adv Otorhinolaryngol 65:323–327. https://doi.org/10.1159/000098854

    Article  CAS  PubMed  Google Scholar 

  3. Calvino M, Sánchez-Cuadrado I, Gavilán J, Lassaletta L (2018) Cochlear implant users with otosclerosis: are hearing and quality of life outcomes worse than in cochlear implant users without otosclerosis? Audiol Neurootol 23:345–355. https://doi.org/10.1159/000496191

    Article  PubMed  Google Scholar 

  4. Kelsall DC, Shallop JK, Brammeier TG, Prenger EC (1997) Facial nerve stimulation after Nucleus 22-channel cochlear implantation. Am J Otol 18:336–341

    CAS  PubMed  Google Scholar 

  5. Weber BP, Lenarz T, Battmer RD, Hartrampf R, Dahm MC, Dietrich B (1995) Otosclerosis and facial nerve stimulation. Ann Otol Rhinol Laryngol Suppl 166:445–447

    CAS  PubMed  Google Scholar 

  6. Makarem AO, Hoang TA, Lo WW, Linthicum FH Jr, Fayad JN (2010) Cavitating otosclerosis: clinical, radiologic, and histopathologic correlations. Otol Neurotol 31:381–384. https://doi.org/10.1097/MAO.0b013e3181d275e8

    Article  PubMed  PubMed Central  Google Scholar 

  7. Kabbara B, Gauche C, Calmels MN, Lepage B, Escude B, Deguine O, Fraysse B, Marx M (2015) Decisive criteria between stapedotomy and cochlear implantation in patients with far advanced otosclerosis. Otol Neurotol 36:e73-78. https://doi.org/10.1097/MAO.0000000000000692

    Article  PubMed  Google Scholar 

  8. Rotteveel LJ, Proops DW, Ramsden RT, Saeed SR, van Olphen AF, Mylanus EA (2004) Cochlear implantation in 53 patients with otosclerosis: demographics, computed tomographic scanning, surgery, and complications. Otol Neurotol 25:943–952. https://doi.org/10.1097/00129492-200411000-00014

    Article  PubMed  Google Scholar 

  9. Quaranta N, Bartoli R, Lopriore A, Fernandez-Vega S, Giagnotti F, Quaranta A (2005) Cochlear implantation in otosclerosis. Otol Neurotol 26:983–987. https://doi.org/10.1097/01.mao.0000185047.77017.31

    Article  PubMed  Google Scholar 

  10. Marshall AH, Fanning N, Symons S, Shipp D, Chen JM, Nedzelski JM (2005) Cochlear implantation in cochlear otosclerosis. Laryngoscope 115:1728–1733. https://doi.org/10.1097/01.mlg.0000171052.34196

    Article  CAS  PubMed  Google Scholar 

  11. Rother T, Albrecht C, Issing PR (2011) Pneumolabyrinth after cochlear implantation in large vestibular aqueduct syndrome: a case report. Am J Otolaryngol 32:430–432. https://doi.org/10.1016/j.amjoto.2010.07.011

    Article  PubMed  Google Scholar 

  12. House JW, Brackmann DE (1985) Facial nerve grading system. Otolaryngol Head Neck Surg 93:146–147

    Article  CAS  Google Scholar 

  13. Ramsden R, Rotteveel L, Proops D, Saeed S, van Olphen A, Mylanus E (2007) Cochlear implantation in otosclerotic deafness. Adv Otorhinolaryngol 65:328–334. https://doi.org/10.1159/000098855

    Article  PubMed  Google Scholar 

  14. Muckle RP, Levine SC (1994) Facial nerve stimulation produced by cochlear implants in patients with cochlear otosclerosis. Am J Otol 15:394–398

    CAS  PubMed  Google Scholar 

  15. Toung JS, Zwolan T, Spooner TR, Telian SA (2004) Late failure of cochlear implantation resulting from advanced cochlear otosclerosis: surgical and programming challenges. Otol Neurotol 25:723–726. https://doi.org/10.1097/00129492-200409000-00013

    Article  PubMed  Google Scholar 

  16. Vashishth A, Fulcheri A, Rossi G, Prasad SC, Caruso A, Sanna M (2017) Cochlear implantation in otosclerosis: surgical and auditory outcomes with a brief on facial nerve stimulation. Otol Neurotol 38:e345–e353. https://doi.org/10.1097/MAO.0000000000001552

    Article  PubMed  Google Scholar 

  17. Vashishth A, Fulcheri A, Prasad SC, Bassi M, Rossi G, Caruso A, Sanna M (2018) Cochlear implantation in cochlear ossification: retrospective review of etiologies, surgical considerations, and auditory outcomes. Otol Neurotol 39:17–28. https://doi.org/10.1097/MAO.0000000000001613

    Article  PubMed  Google Scholar 

  18. Rotteveel LJ, Snik AF, Cooper H, Mawman DJ, van Olphen AF, Mylanus EA (2010) Speech perception after cochlear implantation in 53 patients with otosclerosis: multicentre results. Audiol Neurootol 15:128–136. https://doi.org/10.1159/000235578

    Article  PubMed  Google Scholar 

  19. Sainz M, García-Valdecasas J, Garófano M, Ballesteros JM (2007) Otosclerosis: mid-term results of cochlear implantation. Audiol Neurootol 12:401–406. https://doi.org/10.1159/000106773

    Article  CAS  PubMed  Google Scholar 

  20. Semaan MT, Gehani NC, Tummala N, Coughlan C, Fares SA, Hsu DP, Murray GS, Lippy WH, Megerian CA (2012) Cochlear implantation outcomes in patients with far advanced otosclerosis. Am J Otolaryngol 33:608–614. https://doi.org/10.1016/j.amjoto.2012.05.001

    Article  PubMed  Google Scholar 

  21. Kraaijenga VJ, Smit AL, Stegeman I, Smilde JJ, van Zanten GA, Grolman W (2016) Factors that influence outcomes in cochlear implantation in adults, based on patient-related characteristics—a retrospective study. Clin Otolaryngol 41:585–592. https://doi.org/10.1111/coa.12571

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Head, Neck and Facial Plastic Surgery, Klinikum Bad Hersfeld, Seilerweg 29, 36251, Bad Hersfeld, Germany

    Srebrena Atanasova-Koch & Peter Rolf Issing

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  1. Srebrena Atanasova-Koch
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  2. Peter Rolf Issing
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Correspondence to Srebrena Atanasova-Koch.

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Atanasova-Koch, S., Issing, P.R. Cochlear implantation outcomes in patients with otosclerosis: a single-centre study. Eur Arch Otorhinolaryngol 279, 3929–3936 (2022). https://doi.org/10.1007/s00405-021-07157-x

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  • DOI: https://doi.org/10.1007/s00405-021-07157-x

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