caa a22 4500 606182411 CHVBK 20210128100815.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00405-013-2831-3 doi (NATIONALLICENCE)springer-10.1007/s00405-013-2831-3 Long-term results of the transattical approach: an alternative technique for cochlear implantation [Elektronische Daten] [Miguel Vaca, Auxiliadora Gutiérrez, Rubén Polo, Antonio Alonso, Felipe Álvarez] Cochlear implantation through the standard posterior tympanotomy approach may sometimes be challenging. In cases with complicated anatomy or malformations, an alternative surgical technique may be chosen. The transattical approach is a simple technique based on a mastoidectomy and a transmeatal cochleostomy. The electrode is driven to the middle ear through the attic. This way it overcomes some of the standard technique's drawbacks. Our aim is to assess the value of this alternative approach in cochlear implant surgery. We conducted a comparative retrospective study; we included 74 patients operated by transattical approach and 59 patients operated with the standard technique. Auditory performance and complications at long term follow-up were compared. The consequences of the different trajectory of the electrode in the transattical approach were also studied. No significant differences were found between both groups regarding complication rates and cochlear implant performance. The electrode's integrity was not significantly affected by its different position and angles, when compared to the standard approach. We conclude that transattical approach is a safe technique for cochlear implantation. It may be considered as an alternative to the posterior tympanotomy approach for those cases where this cannot be performed. Springer-Verlag Berlin Heidelberg, 2013 Cochlear implant nationallicence Surgical technique nationallicence Transattical approach nationallicence Mastoidectomy-posterior tympanotomy approach nationallicence Vaca Miguel Department of Otolaryngology, Hospital Universitario Ramón Y Cajal, Carretera Colmenar Km 9, 28034, Madrid, Spain aut Gutiérrez Auxiliadora Department of Otolaryngology, Hospital Universitario Ramón Y Cajal, Carretera Colmenar Km 9, 28034, Madrid, Spain aut Polo Rubén Department of Otolaryngology, Hospital Universitario Ramón Y Cajal, Carretera Colmenar Km 9, 28034, Madrid, Spain aut Alonso Antonio Department of Otolaryngology, Hospital Universitario Ramón Y Cajal, Carretera Colmenar Km 9, 28034, Madrid, Spain aut Álvarez Felipe Department of Otolaryngology, Hospital Universitario Ramón Y Cajal, Carretera Colmenar Km 9, 28034, Madrid, Spain aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/1(2015-01-01), 35-41 0937-4477 272:1<35 2015 272 405 https://doi.org/10.1007/s00405-013-2831-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-013-2831-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Vaca Miguel Department of Otolaryngology, Hospital Universitario Ramón Y Cajal, Carretera Colmenar Km 9, 28034, Madrid, Spain aut NATIONALLICENCE 700 1- Gutiérrez Auxiliadora Department of Otolaryngology, Hospital Universitario Ramón Y Cajal, Carretera Colmenar Km 9, 28034, Madrid, Spain aut NATIONALLICENCE 700 1- Polo Rubén Department of Otolaryngology, Hospital Universitario Ramón Y Cajal, Carretera Colmenar Km 9, 28034, Madrid, Spain aut NATIONALLICENCE 700 1- Alonso Antonio Department of Otolaryngology, Hospital Universitario Ramón Y Cajal, Carretera Colmenar Km 9, 28034, Madrid, Spain aut NATIONALLICENCE 700 1- Álvarez Felipe Department of Otolaryngology, Hospital Universitario Ramón Y Cajal, Carretera Colmenar Km 9, 28034, Madrid, Spain aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/1(2015-01-01), 35-41 0937-4477 272:1<35 2015 272 405