caa a22 4500 388084499 CHVBK 20180307125226.0 cr unu---uuuuu 161130e199904 xx s 000 0 eng 10.1017/S0022215100143889 doi S0022215100143889 pii (NATIONALLICENCE)cambridge-10.1017/S0022215100143889 Clarion® cochlear implants: surgical implications [Elektronische Daten] The surgical aspects of 34 Clarion® cochlear implants, positioned during a five-year period on 31 profoundly-deaf subjects as primary (11 children, 20 adults) and revision surgery (one child, three adults) were taken into consideration. Intra-and post-operative complications related to the specific structure of this device were considered along with the benefits obtained by update of the hardware and surgical approach. A smaller thickness of the internal receiver as well as the shifting from a retro-auricular/subtemporal (RA-ST) to an endaural-retromastoid (EA-RM) approach have contributed to a dramatic drop in post-operative complications, such as skin defect or device extrusion. Special care should, however, be taken when cochlear implantation is planned in ears with chronic otitis or its surgical sequelae. From the two revised cases (hardware failure, electrode displacement) in whom re-implantation in the same side was performed, it has been demonstrated that the helicoidal shape of the electrode carrier is not inducing any additional trauma to the cohlear structure. Copyright © JLO (1984) Limited 1999 Cochlear implant nationallicence Surgery nationallicence Reoperation nationallicence Intraoperative complications nationallicence Post-operative complications nationallicence Filipo R. Department of Otolaryngology, University of Rome ‘La Sapienza', 00185 Rome, Italy. Barbara M. Department of Otolaryngology, University of Rome ‘La Sapienza', 00185 Rome, Italy. Monini S. Department of Otolaryngology, University of Rome ‘La Sapienza', 00185 Rome, Italy. Mancini P. Department of Otolaryngology, University of Rome ‘La Sapienza', 00185 Rome, Italy. The Journal of Laryngology & Otology Cambridge University Press 113/4(1999-04), 321-325 0022-2151 113:4<321 1999 113 JLO https://doi.org/10.1017/S0022215100143889 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0022215100143889 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Filipo R. Department of Otolaryngology, University of Rome ‘La Sapienza', 00185 Rome, Italy NATIONALLICENCE 700 1- Barbara M. Department of Otolaryngology, University of Rome ‘La Sapienza', 00185 Rome, Italy NATIONALLICENCE 700 1- Monini S. Department of Otolaryngology, University of Rome ‘La Sapienza', 00185 Rome, Italy NATIONALLICENCE 700 1- Mancini P. Department of Otolaryngology, University of Rome ‘La Sapienza', 00185 Rome, Italy NATIONALLICENCE 773 0- The Journal of Laryngology & Otology Cambridge University Press 113/4(1999-04), 321-325 0022-2151 113:4<321 1999 113 JLO CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge