surgflix logo image close button
컴퓨터 경고창 이미지

You are using a Internet Explorer 10 or earlier version
that is not supported by SURGFLIX.com.
This may result in Video is not playing.
Please use a other browser.

You can view 3D videos using VR headset. popup close button image
Home Otorhinolaryngology  Cochlear implantation

Up Next

Canal Wall Up Tympanomastoidectomy, Rt. Jugular Bulb Repositioning

Prof. Inseok Moon

Next Contents Thumbnail
play icon

CANCEL

Cochlear implantation
2D
3D
Prof. Jawon Koo Seoul National University Bundang Hospital | Republic of Korea Speciality : Otorhinolaryngology
22:56

Tags :
Published : 2017-06-29  Views : 1,123 Likes :
+ Add to Album
Information

Summary
A cochlear implant is a surgically implanted neuroprosthetic device that provides a sense of sound to a person with moderate to profound sensorineural hearing loss.
This operation was performed using L-shape incision technique through retroauricular approach.
The type of cochlear implants used here is MEDEL



Techniques
Facial recess approach

Pericanal technique
  - C shape
  - J shape
  - Inverted U
  - A least across-segment variance (LASV) S
  - Straight



Part of Cochlear implant
External
  - Microphone
  - Speech processor
  - Transmitter

Internal
  - Receiver and stimulator
  - An array of up to 22 eletrodes



Type of Cochlear implant
  - Advanced Bionics
  - Nucleus
  - MED-EL



Application
  - Bilateral severe to profound Sensorineural Hearing Loss (SNHL)
  - Little or no benefit fromm hearing aids
  - no medical contraindication for surgery
  - Realistic expectation
  - adequate cognitive function to be able to use the device



Complication
Elary stage
  - Scalp flap problems ( Infection, Necrosis, Thickness )
  - Otitis media
  - Meningitis
  - Facial nerve paralysis
  - Tinnitus
  - Vertigo
  - Device migration
  - Device failure
  - Facial nerve stimulation

Late stage
  - Exposure of device & extrusion
  - Displacement of device
  - Pain at the site of implant
  - Device failure



Patient
Gender
Male

Age
63

Diagnosis
Sensorineural Hearing Loss, Both

Chief Complaint
Hearing loss, Both
■ Microscope : CarlZeiss Pentero

■ Navigation :    -

■ Surgical Drill : B. BRAUN Aesculap

■ 3D Camera : 3DMedivision M-Flix

■ 3D Recorder : 3DMedivision R-Flix
위로 올라가기 버튼