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- W2017442263 abstract "<i>Aims:</i> To describe and evaluate a minimally invasive cochlear implantation approach using mastoidal three-layer flap (TLF) technique. <i>Methods:</i> We conducted a prospective clinical study at a tertiary referral center. The study population comprised 32 males and 16 females, with an age range of 1–51 years. Thirty-nine patients were operated on using the TLF technique and 9 patients were operated on using a classical cochlear implantation technique. The TLF technique was based on using the superficial musculoaponeurotic system (SMAS) as an additional, strong flap layer. The TLF, with 3 different pedicules, comprised an anteriorly based 4-cm skin flap, a superiorly based temporomastoidal flap, which included the SMAS, and an anteriorly based periostal Palva type flap in the same mastoidal area. <i>Results:</i> No major complications, including flap-wound problems and receiver-stimulator migration or extrusion, were encountered. The mean operation time was 66 min in the TLF population and 92 min in the classical operation population, which shows a statistically significant difference noted in the time of operation (p = 0.0001). <i>Conclusion:</i> The TLF cochlear implantation enables complete receiver-stimulator coverage and safe fixation without any additional procedures, while allowing reduced operation time." @default.
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- W2017442263 date "2009-01-01" @default.
- W2017442263 modified "2023-10-11" @default.
- W2017442263 title "Minimally Invasive Cochlear Implantation with Mastoidal Three-Layer Flap Technique" @default.
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- W2017442263 doi "https://doi.org/10.1159/000258680" @default.
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