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The common cavity deformity (CCD) of the inner ear is characterized by cochlea and vestibule forming a single cavity. It indicates cochlear implantation (CI) and about 15% to 25% of inner ear malformation. However, complications such as facial nerve injury, penetration of the electrode array into the internal auditory canal (IAC) and electrode displacement are common, leading to unsatisfied outcomes. This book describes the embryology of CCD, preoperative auditory, balance and vestibular evaluation, and electrophysiology and radiology aspect for CCD. In addition, the surgical technique and CI outcomes will be focused. The electrode array design is also a highlight for CCD surgery, and will be discussed in details. Last but not least, the balance and vestibular function research of CCD patients before and after surgery is also thoroughly reviewed. It will be a good reference for otologist and practitioners in related field to understand more about CCD.
The purpose of this book is to contribute to basic and clinical medical research on cochlear implants for inner ear malformation and cochlear nerve deficiency. Cochlear implantation for children is performed worldwide, and the outcomes concerning speech and hearing acquisition are epoch-making. However, there are some difficulties associated with applying this operative treatment to patients who have complicated inner ear malformations or cochlear nerve deficiencies that have slowed the development of their speech, hearing, and/or sense of balance. The first part of the book outlines the fundamental aspects of inner ear maldevelopment to facilitate readers’ understanding of cochlear implantation from the point of view of embryology, morphology, and genetics. In turn, the second part describes current clinical cases and presents successful clinical reports. The book offers a primary resource for otolaryngologists, neurologists, and pediatricians with an interest in this field.
Clinical information for Otolaryngologists is provided in topics that include: Imaging and Anatomy; Genetics of Hearing Loss, Testing and Relevance to Cochlear Implantation; Candidacy Evaluation, Medical and Surgical Considerations, expanding criteria in Children; Surgical Technique and Accepted Variations in Children; Bilateral Cochlear Implantation; Implanting Obstructed and Malformed Cochleae; Device Programming NRT, NRI, Streamlined programming; Cochlear Implants and Music; Rehabilitation and Educational Considerations; Outcomes and Variables Affecting Outcomes; Language Development and Cochlear Implantation; New Frontiers in Cochlear Implantation, electroacoustic, hearing preservation, etc; Revision Cochlear Implantation in Children; and Current and Future Device Options.
This comprehensive, high-level surgical reference and atlas is tailored for surgeons who are undertaking training for cochlear implant procedures and implantable auditory devices and for experienced surgeons who would like to expand their knowledge, improve their skills and outcomes, and learn advanced surgical techniques. Following the principle underlying Professor Sanna's other successful publications, Surgery for Cochlear and Other Auditory Implants takes an integrated approach to anatomy, imaging, technology, decision making, surgical procedures described step by step, and clinical cases. This book allows readers to: Improve the efficiency and outcomes of cochlear implantation and other auditory implant surgeries Learn the required basic and advanced surgical techniques Evaluate different surgical options and types of implants Review common and uncommon variations of anatomy and malformations Understand issues and surgical modifications unique to pediatric cochlear implantation, to revision surgery, and in postmeningitis, otosclerosis, and NF2 cases Find decision-making algorithms for difficult pathologies Examine common and not so common intraoperative dilemmas and identify strategies to resolve them Review preoperative assessment and set up and outcomes Find out about classification systems in cochlear implant failure, malformations, otosclerosis, and post meningitis Supplementing the 1200 images within the book are 15 outstanding videos available on Thieme's MediaCenter demonstrating the implantation of the different cochlear implantation devices that are currently available and the application of brainstem implants in these situations: tumor removal, malformation (missing auditory nerve in children), and cochlear ossification.
Introduction On behalf of the Organizing Committee of the Third Congress of Asia Pacific Symposium on Cochlear Implant and Related Sciences (3rd APSCI), I would like to extend my heartfelt thanks to all the attendants at the meeting, as well as to the contributors to these Proceedings. As most of you will have realized, the meeting was a great success both from a scientific as well as a social point of view. Almost four hundred attendants from 25 countries gathered in the Osaka Convention Hall. The program consisted of three parallel workshops spanning one and a half days, and three full days of scientific sessions. The weather was ideal, and our guests were able to see the cherry trees in full blossom and to enjoy their fill of Japanese culture. We have great pleasure in sending you your copy of the Proceedings of the 3rd APSCI, which contains all the updated information and state-of-the-art knowledge on cochlear implants and implantable hearing devices. As is indicated in the title of the meeting, this book covers many areas that are of scientific interest to us. The articles cover subjects ranging from surgical issues with regard to cochlear implantation, to basic studies on the auditory system, developmental studies in children, communication skills, speech, and education, etc. In addition, the reader will observe that some of the articles are related to implantable middle ear devices, a subject which was not covered in the proceedings of the 1st and 2nd APSCI meetings. The editors sincerely hope that this book will contribute to the development of cochlear implants and middle ear devices. Takeshi Kubo, MD President, 3rd APSCI
A cochlear implant is a surgically implanted electronic device that provides a sense of sound to a person who has a severe or profound hearing loss. A cochlear implant does not cure deafness or hearing impairment, but is a prosthetic substitute which directly stimulates the cochlea. There are over 250,000 users worldwide with 12,000 in the UK. This book is a multidisciplinary guide to cochlear implantation in children and adults with sensorineural hearing loss (where the root cause lies in the inner ear or sensory organ, ie the cochlear and associated organs). Beginning with discussion on the aetiology of hearing loss and assessment of cochlear implant candidacy, the next chapter discusses preoperative cochlear implant imaging. Each of the following sections provides in depth coverage of different types of cochlear implantation and their potential outcomes. The final sections examine miscellaneous topics such as music perception in cochlear implantation, drug eluting electrodes, cost effectiveness, and reliability reporting. Authored by internationally recognised, US-based specialists, the text is further enhanced by clinical and surgical photographs and illustrations. Key points Multidisciplinary guide to cochlear implantation in children and adults Covers different types of cochlear implant and potential outcomes Includes miscellaneous topics such as music perception, drug eluting electrodes, and reliability reporting Internationally recognised, US-based author team
Implantable Hearing Devices is written for ear, nose, and throat surgeons in training who must know about implantable hearing devices as they advance in otologic surgery. It is also a resource for otologic surgeons desiring to know more about the devices available. The technology is evolving rapidly along with the criteria for candidacy, and this text covers the entire spectrum of implantable hearing devices that are available, including but not limited to cochlear implants. Complex issues are presented in an easy to understand format by a host of internationally well-respected authors. Many practitioners have to refer to multiple resources for answers to their questions because the discipline is changing so rapidly. Implantable Hearing Devices is a clear, concise, but comprehensive book that offers answers to the universal problems that otologic surgeons face. Disclaimer: Please note that ancillary content (such as documents, audio, and video, etc.) may not be included as published in the original print version of this book.