Skip to main content
SpringerLink
Log in

Subtotal Petrosectomy and Cochlear Implantation

  • Chapter
  • First Online:
Cochlear Implants

  • 744 Accesses

Abstract

Cochlear implant (CI) surgery in specific situations necessitates a different surgical technique. The objective of subtotal petrosectomy (STP) with closure of the external auditory canal (EAC) and eustachian tube (ET), combined to cavity obliteration with abdominal fat, is to isolate the cavity from the external environment. Moreover, this technique can be used to obtain an easier access to and better visibility of the middle ear and cochlea. The decision to perform STP is not taken lightly when normal hearing is still present, but in a CI candidate, this consideration is of importance only if residual hearing is present and electroacoustic stimulation is intended. Finally, an STP should be performed and preferred to a standard cochlear implantation technique in the presence of otitis media, cholesteatoma, cochlear ossification, inner ear malformation or fracture of the temporal bone.

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

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Sanna M, Free R, Merkus P, et al. Surgery for cochlear and other auditory implants. Stuttgart: Georg Thieme Verlag; 2016.

    Book  Google Scholar 

  2. Casserly P, Friedland PL, Atlas MD. The role of subtotal petrosectomy in cochlear implantation. J Laryngol Otol. 2016;130:S35–40.

    Article  Google Scholar 

  3. Polo R, Del Mar MM, Arístegui M, et al. Subtotal petrosectomy for cochlear implantation: lessons learned after 110 cases. Ann Otol Rhinol Laryngol. 2016;125:485–94.

    Article  Google Scholar 

  4. Barañano CF, Kopelovich JC, Dunn CC, Gantz BJ, Hansen MR. Subtotal petrosectomy and mastoid obliteration in adult and pediatric cochlear implant recipients. Otol Neurotol. 2013;34(9):1656–9.

    Article  Google Scholar 

  5. Szymański M, Ataide A, Linder T. The use of subtotal petrosectomy in cochlear implant candidates with chronic otitis media. Eur Arch Otorhinolaryngol. 2016;273:363–70.

    Article  Google Scholar 

  6. Postelmans JTF, Stokroos RJ, Linmans JJ, Kremer B. Cochlear implantations in patients with chronic otitis media: 7-years’ experience in Maastricht. Eur Arch Otorhinolaryngol. 2009;266:1159–65.

    Article  Google Scholar 

  7. Bernardeschi D, Nguyen Y, Smail M, et al. Middle ear and mastoid obliteration for cochlear implant in adults: indications and anatomical results. Otol Neurotol. 2015;36:604–9.

    Article  Google Scholar 

  8. Free RH, Falcioni M, Di Trapani G, Giannuzzi AL, Russo A, Sanna M. The role of subtotal petrosectomy in cochlear implant surgery—a report of 32 cases and review on indications. Otol Neurotol. 2013;34:1033–40.

    Article  Google Scholar 

  9. Altuna X, García L, Martínez Z, Pinedo MF. The role of subtotal petrosectomy in cochlear implant recipients. Eur Arch Otorhinolaryngol. 2017;274:4149.

    Article  Google Scholar 

  10. Issing PR, Schonermark MP, Winkelmann S, et al. Cochlear implantation in patients with chronic otitis: indications for subtotal petrosectomy and obliteration of the middle ear. Skull Base. 1998;3:127–31.

    Article  Google Scholar 

  11. Gray RF, Irving RM. Cochlear implants in chronic suppurative otitis media. Am J Otol. 1995;16:682–6.

    CAS  PubMed  Google Scholar 

  12. Leung R, Briggs RJS. Indications for and outcomes of mastoid obliteration in cochlear implantation. Otol Neurotol. 2007;28:330–4.

    Article  Google Scholar 

  13. Vincenti V, Pasanisi E, Bacciu A, Bacciu S. Long-term results of external auditory canal closure and mastoid obliteration in cochlear implantation after radical mastoidectomy: a clinical and radiological study. Eur Arch Otolaryngol. 2014;27:2127–30.

    Article  Google Scholar 

  14. Kim CS, Chang SO, Lee HJ, et al. Cochlear implantation in patients with a history of chronic otitis media. Acta Otolaryngol. 2004;124:1033–8.

    Article  Google Scholar 

  15. Incesulu A, Kocaturk S, Vural M. Cochlear implantation in chronic otitis media. J Laryngol Otol. 2004;118:3–7.

    Article  CAS  Google Scholar 

  16. Sanna M, Dispenza F, Flanagan S, De Stefano A, Falcioni M. Management of chronic otitis by middle ear obliteration with blind sac closure of the external auditory canal. Otol Neurotol. 2008;29:19–22.

    Article  Google Scholar 

  17. Prasad SC, Roustan V, Piras G, Caruso A, Lauda L, Sanna M. Subtotal petrosectomy: surgical technique, indications, outcomes, and comprehensive review of literature. Laryngoscope. 2017;127:2833–42.

    Article  Google Scholar 

  18. Vashishth A, Fulcheri A, Prasad SC, Dandinarasaiah M, Caruso A, Sanna M. Cochlear implantation in chronic otitis media with cholesteatoma and open cavities: long-term surgical outcomes. Otol Neurotol. 2018;39:45–53.

    Article  Google Scholar 

  19. Cohen NL, Hoffman R. Complications of cochlear implant surgery in adults and children. Ann Otol Rhinol Laryngol. 1991;100:708–11.

    Article  CAS  Google Scholar 

  20. Fisch U, Mattox D. Microsurgery of the skull base. Stuttgart: Georg Thieme Verlag; 1988.

    Google Scholar 

  21. Roehm PC, Gantz BJ. Cochlear implant explantation as a sequel of severe chronic otitis media: case report and review of the literature. Otol Neurotol. 2006;27:332–6.

    Article  Google Scholar 

  22. van der Putten L, de Bree R, Plukker JT, Langendijk JA, Smits C, Burlage FR, Leemans CR. Permanent unilateral hearing loss after radiotherapy for parotid gland tumors. Head Neck. 2006;28(10):902–8.

    Article  Google Scholar 

  23. Adunka OF, Buchman CA. Cochlear implantation in the irradiated temporal bone. J Laryngol Otol. 2007;121(1):83–6.

    Article  CAS  Google Scholar 

  24. Pasanisi E, Vincenti V, Bacciu A, Guida M, Berghenti T. Cochlear implantation in radical mastoidectomy cavities. Otolaryngol Head Neck Surg. 2002;127:432–6.

    Article  Google Scholar 

  25. Vashishth A, Fulcheri A, Prasad SC, Bassi M, Rossi G, Caruso A, Sanna M. Cochlear implantation in cochlear ossification: retrospective review of etiologies, surgical considerations, and auditory outcomes. Otol Neurotol. 2018;39:17–28.

    Article  Google Scholar 

  26. Vashishth A, Fulcheri A, Rossi G, Prasad SC, Caruso A, Sanna M. Cochlear implantation in otosclerosis: surgical and auditory outcomes with a brief on facial nerve stimulation. Otol Neurotol. 2017;38:e345–53.

    Article  Google Scholar 

  27. Sanna M, Khrais T, Guida M, Falcioni M. Auditory brainstem implant in a child with severely ossified cochlea. Laryngoscope. 2006;116:1700–3.

    Article  Google Scholar 

  28. Sennaroglu L. Cochlear implantation in inner ear malformations – a review article. Cochlear Implants Int. 2010;11(1):4–41.

    Article  Google Scholar 

  29. Farhood Z, Nguyen SA, Miller SC, Holcomb MA, Meyer TA, Rizk HG. Cochlear implantation in inner ear malformations: systematic review of speech perception outcomes and intraoperative findings. 2017;156:783–93.

    Google Scholar 

  30. Isaiah A, Lee D, Lenes-Voit F, et al. Clinical outcomes following cochlear implantation in children with inner ear anomalies. Int J Pediatr Otorhinolaryngol. 2017;93:1–6.

    Article  Google Scholar 

  31. Ehmer DR Jr, Booth T, Kutz JW Jr, Roland PS. Radiographic diagnosis of trans-stapedial cerebrospinal fluid fistula. Otolaryngol Head Neck Surg. 2010;142(5):694–8.

    Article  Google Scholar 

  32. McElveen JT, Carrasco VN, Miyamoto RT, Linthicum FH. Cochlear implantation in common cavity malformations using a transmastoid labryinthotomy approach. Laryngescope. 1997;107:1032–6.

    Article  Google Scholar 

  33. Khwaja S, Mawman D, Nichani J, Bruce I, Green K, Lloyd S. Cochlear implantation in patients profoundly deafened after head injury. Otol Neurotol. 2012;33:1328–32.

    Article  Google Scholar 

  34. Serin GM, Derinsu U, Sarı M, et al. Cochlear implantation in patients with 470 bilateral cochlear trauma. Am J Otolaryngol. 2010;31:350–5.

    Article  Google Scholar 

  35. Medina M, Di Lella F, Di Trapani G, et al. Cochlear implantation versus auditory brainstem implantation in bilateral total deafness after head trauma: personal experience and review of the literature. Otol Neurotol. 2014;35:260–70.

    Article  Google Scholar 

  36. Sudhoff H, Linthicum FH. Temporal bone fracture and latent meningitis: temporal bone histopathology – study of the month. Otol Neurotol. 2003;24:521–2.

    Article  Google Scholar 

  37. Feenstra L, Sanna M, Zini C, Gamoletti R, Delogu P. Surgical treatment of brain herniation into the middle ear and mastoid. Am J Otolaryngol. 1985;4:311–3.

    Google Scholar 

  38. Von Ilberg CA, Baumann U, Kiefer J, Tillein J, Adunka OF. Electric-acoustic stimulation of the auditory system: a review of the first decade. Audiol Neurootol. 2011;16:1–30.

    Article  Google Scholar 

  39. De Foer B, Vercruysse JP, Pouillon M, et al. Value of high-resolution computed tomography and magnetic resonance imaging in the detection of residual cholesteatomas in primary bony obliterated mastoids. Am J Otolaryngol. 2007;28:230–4.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Gruppo Otologico and Mario Sanna Foundation, Piacenza-Rome, Italy

    Mario Sanna, Gianluca Piras & Lorenzo Lauda

Authors
  1. Mario Sanna
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Gianluca Piras
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Lorenzo Lauda
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mario Sanna .

Editor information

Editors and Affiliations

  1. Otorhinolaryngologist, Jaslok Hospital, Mumbai, Maharashtra, India

    Sandra DeSaSouza

13.1 Electronic Supplementary Material

Subtotal Petrosectomy with Cochlear implantation in a case of cochlear ossification (MP4 296950 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Sanna, M., Piras, G., Lauda, L. (2022). Subtotal Petrosectomy and Cochlear Implantation. In: DeSaSouza, S. (eds) Cochlear Implants. Springer, Singapore. https://doi.org/10.1007/978-981-19-0452-3_13

Download citation

  • DOI: https://doi.org/10.1007/978-981-19-0452-3_13

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-0451-6

  • Online ISBN: 978-981-19-0452-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation