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European Archives of Oto-Rhino-Laryngology

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25-11-2023 | Cochlear Implant | How I do it

Inverted clip technique for cochlear implant electrode array fixation: how I do it

Authors: José Manuel Morales-Puebla, Javier Gavilán, Luis Lassaletta

Published in: European Archives of Oto-Rhino-Laryngology | Issue 2/2024

Abstract

Background

Electrode migration has been identified as a complication primarily related to straight electrodes. To address this issue, the use of a fixation clip has been suggested as an alternative to stabilize the electrode lead and reduce the risk of migration.

Methods

A modified approach to the standard fixation clip procedure is introduced. Steps and technical considerations are presented in the video attached.

Conclusions

This novel configuration offers enhanced fixation of the electrode array without requiring additional surgical time and without posing any additional risk to the facial nerve.

Available only for authorised users

Cochlear implants (2021) U.S. Department of Health and Human Services. https://www.nidcd.nih.gov/health/cochlear-implants. Accessed 29 May 2023

Van de Heyning P, Roland P, Lassaletta L, Agrawal S, Atlas M, Baumgartner WD, Brown K, Caversaccio M, Dazert S, Gstoettner W, Hagen R, Hagr A, Jablonski GE, Kameswaran M, Kuzovkov V, Leinung M, Li Y, Loth A, Magele A, Mlynski R, Mueller J, Parnes L, Radeloff A, Raine C, Rajan G, Schmutzhard J, Skarzynski H, Skarzynski PH, Sprinzl G, Staecker H, Stöver T, Tavora-Viera D, Topsakal V, Usami SI, Van Rompaey V, Weiss NM, Wimmer W, Zernotti M, Gavilan J (2022) Suitable electrode choice for robotic-assisted cochlear implant surgery: a systematic literature review of manual electrode insertion adverse events. Front Surg 9:823219. https://doi.org/10.3389/fsurg.2022.823219CrossRefPubMedPubMedCentral

Fixation Clip—MED-EL. MedEl. https://s3.medel.com/pdf/FixationClip%20Factsheet.pdf. Accessed 29 May 2023

Müller J, Schön F, Helms J (1998) Reliable fixation of cochlear implant electrode mountings in children and adults–initial experiences with a new titanium clip. Laryngorhinootologie 77(4):238–240. https://doi.org/10.1055/s-2007-996968CrossRefPubMed

House WF (1976) Cochlear implants. Ann Otol Rhinol Laryngol 85 Suppl 27(3 Pt 2):1–93PubMed

Mangus B, Rivas A, Tsai BS, Haynes DS, Roland JT Jr (2012) Surgical techniques in cochlear implants. Otolaryngol Clin N Am 45(1):69–80. https://doi.org/10.1016/j.otc.2011.08.017CrossRef

Hsieh HS, Wu CM, Zhuo MY, Yang CH, Hwang CF (2015) Intraoperative facial nerve monitoring during cochlear implant surgery: an observational study. Medicine (Baltimore) 94(4):e456. https://doi.org/10.1097/md.0000000000000456CrossRefPubMedPubMedCentral

Title: Inverted clip technique for cochlear implant electrode array fixation: how I do it
Authors: José Manuel Morales-Puebla
Javier Gavilán
Luis Lassaletta
Publication date: 25-11-2023
Publisher: Springer Berlin Heidelberg
Keywords: Cochlear Implant
Tympanotomy
Published in: European Archives of Oto-Rhino-Laryngology / Issue 2/2024
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08329-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Inverted clip technique for cochlear implant electrode array fixation: how I do it

Abstract

Background

Methods

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Conclusions

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