title: [Reliable fixation of cochlear implant electrode mountings in children and adults--initial experiences with a new titanium clip].
abstract: BACKGROUND
  There is a reported 1% incidence of delayed migration of extrusions of the electrode arrays out of the cochlea.
  
  
  METHODS
  A titanium clip to fix the electrode array of the MED EL Combi 40 Cochlear Implant System is described. The clip is designed and shaped in a double U configuration. The clip material allows easy adaption to the individual anatomical situation. The clip is fixed to a bony bridge at the incus bar and fixes the electrode in a plane parallel to the chorda facial angle. It is closed around the electrode similarly to a stapes piston around the incus. Additional tests which examined the possible risk of damaging the electrode carrier and clinical findings are described.
  
  
  RESULTS
  The clip was used in 23 cases with a follow-up period up to 1 year. No signs for dislocation of the electrode were found. In one revision case the clip was covered with a thin mucosal layer. The electrode array showed no signs of damage. Intraoperative findings confirmed the experimental tests on the electrode fixation.
  
  
  CONCLUSIONS
  The titanium clip facilitates safe and quick fixation of the electrode array and prevents dislocation. its flexibility and shape minimizes the risk of damage.
authors.affiliation: Klinik für Hals-, Nasen-, Ohren-Heilkunde, Universität Würzburg.
authors.forename: J
authors.initials: J
authors.lastname: Müller
authors.forename: F
authors.initials: F
authors.lastname: Schön
authors.forename: J
authors.initials: J
authors.lastname: Helms
mesh_terms: D000328:Adult; D002648:Child; D019929:Cochlear Implantation / Q000295:instrumentation*; D004567:Electrodes, Implanted; D005500:Follow-Up Studies; D006801:Humans; D011475:Prosthesis Failure; D017755:Prosthesis Fitting; D013525:Surgical Instruments; D014025:Titanium
chemical_list: D014025:Titanium
vernacular_title: Sichere Fixierung von Cochlear-Implant-Elektrodenträgern bei Kindern und Erwachsenen--erste Erfahrungen mit einem neuen Titan-Clip.