Cervicofacial surgery and implantable hearing device extrusion: management of challenging cases.

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dc.contributor.author Carnevale, C.
dc.contributor.author Til-Pérez, G.
dc.contributor.author Arancibia-Tagle, D.
dc.contributor.author Tomás-Barberán, M.
dc.contributor.author Sarría-Echegaray, P.
dc.date.accessioned 2022-02-23T09:43:24Z
dc.identifier.uri http://hdl.handle.net/11201/157937
dc.description.abstract [eng] Objective. To describe our management of implantable hearing device extrusion in cases of previous cervicofacial surgery. Methods. A review was conducted of a retrospectively acquired database of surgical procedures for implantable hearing devices performed at our department between January 2011 and December 2019. Cases of device extrusion and previous cervicofacial surgery are included. Medical and surgical management is discussed. Results. Four cases of implant extrusion following cervicofacial surgery were identified: one involving a Bonebridge system and three involving cochlear implants. In all cases, antibiotic treatment was administered and surgical debridement performed. The same Bonebridge system was implanted in the middle fossa. The three cochlear implants were removed, and new devices were implanted in a more posterior region. Conclusion. Previous cervicofacial surgery is a risk factor for hearing implant extrusion. The middle fossa approach is the best option for the Bonebridge system. Regarding the cochlear implant, it is always suitable to place it in a more posterior area. An inferiorly based fascio-muscular flap may be a good option to reduce the risk of extrusion.
dc.format application/pdf
dc.relation.isformatof Reproducció del document publicat a: https://doi.org/10.1017/S0022215121000505
dc.relation.ispartof Journal of Laryngology and Otology, 2021, vol. 135, num. 3, p. 212-216
dc.subject.classification 61 - Medicina
dc.subject.other 61 - Medical sciences
dc.title Cervicofacial surgery and implantable hearing device extrusion: management of challenging cases.
dc.type info:eu-repo/semantics/article
dc.type info:eu-repo/semantics/publishedVersion
dc.date.updated 2022-02-23T09:43:25Z
dc.date.embargoEndDate info:eu-repo/date/embargoEnd/2026-12-31
dc.embargo 2026-12-31
dc.subject.keywords implant coclear
dc.subject.keywords Implantación dispositivos de conducción ósea
dc.subject.keywords hipoacusia
dc.subject.keywords Cirugía de cabeza y cuello
dc.rights.accessRights info:eu-repo/semantics/embargoedAccess
dc.identifier.doi https://doi.org/10.1017/S0022215121000505

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