1. Cochlear implant surgery through oval window: A novel approach in a child with facial nerve aberration
- Author
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Jingyuan Chen, Biao Chen, Yongxin Li, Lifang Zhang, Ying Shi, Jing Xie, Simeng Lu, and Danmo Cui
- Subjects
geography ,medicine.medical_specialty ,Promontory ,geography.geographical_feature_category ,Round window ,business.industry ,Oval window ,Inferior displacement ,General Medicine ,Facial nerve ,03 medical and health sciences ,Cochlear implant surgery ,0302 clinical medicine ,medicine.anatomical_structure ,Otorhinolaryngology ,030225 pediatrics ,Pediatrics, Perinatology and Child Health ,medicine ,Radiology ,030223 otorhinolaryngology ,Cochlear implantation ,business - Abstract
Cochlear implantation is safe for simple case presentations. However, facial nerve (FN) aberrations may impede insertion of the electrode through a round window and increase the risk of iatrogenic FN injury. We developed a novel method of cochlear implantation, a present the case of a child with FN aberrations. Inferior displacement of a horizontal segment of FN lay on the surface of th e promontory, obscuring the round window. The oval window was used and the electrode successfully inserted. No postoperative complications occurred, and significant improvement in speech perception was achieved. This novel approach is suitable for patients with FN aberrations.
- Published
- 2020
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