Journal Article

New Frontiers in Pediatric Cochlear Implant Surgery – A Single Center Experience with the 3-Dimensional Exoscope

Miller, Benjamin, Amin, Nikul, Jiang, Dan, Keane, Emma, Claerhout, Michiel, Pai, Irumee, Bharghava, Eishaan

2024

Overview

Since its introduction by Wullstein, the binocular surgical microscope has remained the gold standard of visualization in the field of otology. All pediatric patients (age <18) were included without exclusion criteria, and our experience and conversion to microscope rates are reported. Since the introduction of the exoscope to our unit, we have successfully performed 68 cases, of which 53 were bilateral cochlear implantations. In relation to cochlear implantation, a systematic review has concluded the paucity of relevant studies signifies its use as the primary modality cannot be supported.· Also, as the basal turn of the cochlea follows a more posterior angle than that of the ear canal, the trajectory of the classical posterior tympanotomy remains the most suitable pathway for access.' RESULTS At the time of publication, there are 2 surgeons routinely utilizing the exoscope for Cl surgery. Since the introduction of the exoscope to our unit, we have successfully performed 115 CI surgeries, of which 43 were primary bilateral cochlear implantations. [...]the post hoc power analysis revealed that our study is in fact underpowered to demonstrate smaller differences in operating times (Dz < 0.4) Complications and Conversion to Microscopic Technique No complications were noted during this time period.

• Publisher: Mediterranean Society for Otology and Audiology
• Subject: Cameras / Cochlear implants / Conversion / Learning curves / Otolaryngology / Otology / Patients / Pediatrics / Surgeons / Surgery / Transplants & implants / Visualization