! ORL via Alexandros G.Sfakianakis on Inoreader: Tailed Palva flap in the subperiosteal pocket technique for cochlear implantation.

! ORL via Alexandros G.Sfakianakis on Inoreader

Tailed Palva flap in the subperiosteal pocket technique for cochlear implantation. Sep 1st 2015, 11:06, by Orhan KS, Polat B, Enver N, Güldiken Y Related Articles Tailed Palva flap in the subperiosteal pocket technique for cochlear implantation. J Laryngol Otol. 2015 Sep;129(9):916-8 Authors: Orhan KS, Polat B, Enver N, Güldiken Y Abstract BACKGROUND: In recent years, the subperiosteal pocket technique has become popular for minimal access cochlear implantation. Many incision techniques have been described in cochlear implantation. OBJECTIVE: This study aimed to demonstrate the safety and reliability of a new periosteal incision, called tailed Palva incision, in cochlear implantation. METHODS: A total of 280 patients who underwent cochlear implantation with the subperiosteal pocket technique between June 2008 and January 2013 were included in the study. RESULTS: The patients were followed up for between 11 and 74 months (mean ± standard deviation = 34 ± 19 months). No intracranial complications were seen during or after the operations. Additionally, there was no migration of the receiver-stimulator. Revision surgery was performed in eight patients (3 per cent), one of whom (0.4 per cent) had local flap failure and infection. CONCLUSION: This study shows that the tailed Palva incision facilitates easy insertion of the implant and, by creating a one-way obscured pocket, this technique also enhances stabilisation of the receiver-stimulator, thereby avoiding anterior migration. PMID: 26314323 [PubMed - in process]

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