The pattern of outcomes in minimally invasive veria technique of cochlear implants -A comparative study
Dr Gautam Kumar
, Dr Sunil Ramnani , Dr Durgesh Gajendra , Dr Hansa Banjara
post-operative complications, minimally invasive surgery, Veria technique, Retrospective Study
The Pattern of Outcome in minimally invasive (Veria) Technique of cochlear implant surgery: A Retrospective Study Abstract Background: Mastoidectomy and posterior tympanotomy are the classical surgical techniques for cochlear implantation (CI). These classical techniques often accompany extensive bone work, destruction of the mastoid air cell system, and facial nerve injury. Various modification in CI surgery has been done. Veria technique can minimize these complications. Aims and objectives: To evaluate the outcome pattern in the minimally invasive Veria technique of CI surgery and major and minor intra and post-operative complications. Materials and Methods: One hundred and ninety-four patients undergoing Veria technique for CI were studied in a facility-based, retrospective observational study in the Department of Otorhinolaryngology in a tertiary care center of Raipur Chhattisgarh from January 2009 to December 2020. Sex, implantation side, type of implantation, duration of profound hearing loss, type of CI, antenatal/natal/post-natal history, developmental history, and immunization history was recorded. The follow-up time was at least six months of post-op. Duration and etiology of deafness, communication mode, age at implantation, duration of implant usage, and pre-usage of hearing aids were the outcome variable measured. Results: The majority were 3.1-5 years (39.17%) old and were males (52.06%). Out of 194 Patients, 2.06% had EV bleeding, 1.03% had Perilymph gusher, 0.51% had chorda tympani and canal wall injury, and 1.03% had difficulty while electrode insertion. Only 1 (0.51%) patient had TM Injury as an intra-operative complication. The most common major post-operative complication was FN paralysis/ paresis and ASOM in 1.03%, 1.03% had wound dehiscence in the early period, 1.03% showed device extrusion, only 1 (0.51%) showed electrode migration in the late period. Minor post-operative complications included wound infection in 1.03%, 1.02% had FN paresis due to thermal injury, and one patient developed seroma in the late period. Five patients had explantation due to hard device failure. Conclusion: Veria technique is a well-known and accepted surgical procedure with fewer minor complications. It is also less time-consuming with equal efficacy and results as the classical technique.
"The pattern of outcomes in minimally invasive veria technique of cochlear implants -A comparative study ", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.8, Issue 1, page no.492 - 496, January-2023, Available :https://ijsdr.org/papers/IJSDR2301081.pdf
Volume 8
Issue 1,
January-2023
Pages : 492 - 496
Paper Reg. ID: IJSDR_203334
Published Paper Id: IJSDR2301081
Downloads: 000347285
Research Area: Medical Science
Country: Bhagalpur , Bihar , India
DOI: https://doi.org/10.5281/zenodo.10551221
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
