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Cochlear implantation through the round window with a straight slotted electrode array: optimizing the surgical procedure

Overview of attention for article published in European Archives of Oto-Rhino-Laryngology, April 2015
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Title
Cochlear implantation through the round window with a straight slotted electrode array: optimizing the surgical procedure
Published in
European Archives of Oto-Rhino-Laryngology, April 2015
DOI 10.1007/s00405-015-3623-8
Pubmed ID
Authors

Thierry Mom, Aurélie Bachy, Aubry Houette, Yoann Pavier, Rémy Pastourel, Jean Gabrillargues, Nicolas Saroul, Laurent Gilain, Paul Avan

Abstract

The question addressed here is how optimizing the quality of insertion through the round window with the lower morbidity, when using a straight and slotted electrode array of regular length. This retrospective analysis includes all cases implanted with a cochlear implant Digisonic SP (Neurelec-Oticon Medical) since 2004. We checked the operative charts, the depth of insertion, and the follow-up. For comparisons, contingency tables were used and a Chi-square test was performed. A p value <0.05 was considered significant. 126 cases of patients with non-malformed cochleas were implanted through the round window. The mean age was 53.8 ± 16.2 for adults and 3.6 ± 2.6 for children (24 cases). The mean follow-up was 33 ± 22 months. The straight electrode array had either a square or a soft pointed tip (n = 84). Full insertion was achieved in 79 out of 84 cases with a soft tip vs. 18 out of 42 square tips (χ (2) = 41.41, DOF = 1, p < 0.0001). Two cases were stuck at the round window niche by a prominent crista fenestrae. In all cases but one, the chorda tympany was preserved. In one case, a misrouting to the vestibule required a revision surgery. Implantation through the round window with a straight and slotted electrode array with a soft tip (Digisonic SP, Neurelec-Oticon Medical) can lead to a full insertion in 94 % of cases. Drilling out a prominent crista fenestrae is recommended.

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Mendeley readers

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Geographical breakdown

Country Count As %
Unknown 15 100%

Demographic breakdown

Readers by professional status Count As %
Professor 3 20%
Other 2 13%
Student > Doctoral Student 2 13%
Student > Ph. D. Student 2 13%
Student > Bachelor 1 7%
Other 3 20%
Unknown 2 13%
Readers by discipline Count As %
Medicine and Dentistry 7 47%
Engineering 2 13%
Neuroscience 1 7%
Unspecified 1 7%
Unknown 4 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 April 2015.
All research outputs
#20,273,512
of 22,805,349 outputs
Outputs from European Archives of Oto-Rhino-Laryngology
#2,023
of 3,068 outputs
Outputs of similar age
#223,637
of 264,844 outputs
Outputs of similar age from European Archives of Oto-Rhino-Laryngology
#27
of 51 outputs
Altmetric has tracked 22,805,349 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,068 research outputs from this source. They receive a mean Attention Score of 3.1. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 51 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.