Laila M. Telmesani
King Fahd University Hospital
Saudi Arabia
Title: Challenges in cochlear implantation
Biography
Biography: Laila M. Telmesani
Abstract
From April 2009 to date, in the cochlear implant unit at King Fahd University Hospital, University of Dammam, we operated on more than 100 cases of cochlear implantations, 8% adult and more than 90% of the cases were children pre-operative. CT scan showed that 29% of them have abnormal inner ears, intra-operative difficulties increase when operating on abnormal bony inner ears. Aberrant facial nerve may force the surgeon to change his approach, unfavorable presentation of round window niche and membrane may make the surgeon modify the soft surgery to bony cochleaostomy, in addition to CSF leak in the form of oozing or gusher. It is a retrospective review of all the cases in respect to the location of the vertical segment of the facial nerve, the unfavorable orientation of the round window niche and the incidence of CSF leak, the author will talk about alternative approaches, is there a way to predict these difficulties radiologically preoperative? Is there a difference between children and adults? All can take place in patients with normal inner ears; review of the literature; what are the recommendations in respect to patients’ counseling, proper CT findings and surgery.