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FRANCESCO DISPENZA

Current trends on subtotal petrosectomy with cochlear implantation in recalcitrant chronic middle ear disorders

  • Authors: Canzi, Pietro; Berrettini, Stefano; Albera, Andrea; Barbara, Maurizio; Bruschini, Luca; Canale, Andrea; Carlotto, Elena; Covelli, Edoardo; Cuda, Domenico; Dispenza, Francesco; Falcioni, Maurizio; Forli, Francesca; Franchella, Sebastiano; Gaini, Lorenzo; Gallina, Salvatore; Laborai, Andrea; Lapenna, Ruggero; Lazzerini, Francesco; Malpede, Stefano; Mandalà, Marco; Minervini, Domenico; Pasanisi, Enrico; Ricci, Giampietro; Viberti, Francesca; Zanetti, Diego; Zanoletti, Elisabetta; Benazzo, Marco
  • Publication year: 2023
  • Type: Articolo in rivista
  • OA Link: http://hdl.handle.net/10447/591022

Abstract

Objective. To establish the safety and effectiveness of subtotal petrosectomy with cochlear implantation in patients affected by chronic middle ear disorders to refractory to previous surgical treatments. Methods. A multicentre, retrospective study was conducted on patients affected by recalcitrant chronic middle ear disorders who underwent cochlear implantation in combi-nation with subtotal petrosectomy. Patients’ details were collected from databases of 11 Italian tertiary referral centres. Additionally, a review of the most updated literature was carried out. Results. 55 patients were included with a mean follow-up time of 44 months. Cholestea-toma was the most common middle ear recurrent pathology and 50.9% of patients had an open cavity. 80% of patients underwent a single stage surgery. One case of explantation for device failure was reported among the 7 patients with post-operative complications. Conclusions. Subtotal petrosectomy with cochlear implantation is a benchmark for management of patients with recalcitrant chronic middle ear disorders. A single stage procedure is the most recommended strategy. Optimal follow-up is still debated. Further studies are required to investigate the role of this surgery in paediatric patients. © Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale.