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2024, Number 3

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Investigación en Discapacidad 2024; 10 (3)

Progression of patients diagnosed with far-advanced otosclerosis undergoing cochlear implantation: a case series

López GRA, Luna RFA, Mena RME, Schobert CIH
Full text How to cite this article 10.35366/118257

DOI

DOI: 10.35366/118257
URL: https://dx.doi.org/10.35366/118257

Language: Spanish
References: 9
Page: 183-186
PDF size: 256.95 Kb.


Key words:

far-advanced otosclerosis, cochlear implant, auditory performance.

ABSTRACT

Far-Advanced otosclerosis is a condition characterized by significant hearing loss due to the abnormal growth of bone in the inner ear. Traditional hearing aids often prove insufficient in providing adequate auditory discrimination for affected individuals. Cochlear implantation has emerged as a potential treatment option for far-advanced otosclerosis, particularly when hearing aids fail to offer satisfactory outcomes. The procedure involves surgically implanting a device that directly stimulates the auditory nerve, bypassing damaged structures within the inner ear. Despite its potential benefits, cochlear implantation in advanced otosclerosis presents unique challenges. The ossification of the cochlea, a common feature in advanced cases, complicates the surgical process and can lead to suboptimal auditory outcomes. Research into cochlear implantation for advanced otosclerosis is ongoing, aiming to improve surgical techniques and patient selection criteria. Additionally, studies focus on optimizing rehabilitation strategies to maximize auditory function post-implantation. Although controversial in some cases, cochlear implantation remains a promising option for individuals with advanced otosclerosis, offering the possibility of improved communication and quality of life.


REFERENCES

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  2. House HP, Sheehy JL. Stapes surgery: selection of the patient. Ann Otol Rhinol Laryngol [Internet]. 1961; 70 (4): 1062-1068. Available in: http://dx.doi.org/10.1177/000348946107000411

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  6. Messineo D, Ralli M, Greco A, Di Stadio A. Double Ring in cochlear otosclerosis: a limit to cochlear implantation? The solution is the surgical approach. Ear Nose Throat J. 2021; 100 (3_suppl): 235S-237S. doi: 10.1177/0145561319895601.

  7. van Loon MC, Merkus P, Smit CF, Smits C, Witte BI, Hensen EF. Stapedotomy in cochlear implant candidates with far advanced otosclerosis: a systematic review of the literature and meta-analysis. Otol Neurotol. 2014; 35 (10): 1707-1714.

  8. Calmels MN, Viana C, Wanna G, Marx M, James C, Deguine O et al. Very far-advanced otosclerosis: stapedotomy or cochlear implantation. Acta Otolaryngol. 2007; 127 (6): 574-578.

  9. Lenarz T, Zwartenkot JW, Stieger C, Schwab B, Mylanus EA, Caversaccio M et al. Multicenter study with a direct acoustic cochlear implant. Otol Neurotol. 2013; 34 (7): 1215-1225.




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Investigación en Discapacidad. 2024;10