title: Non-sutured fixation of the internal receiver-stimulator in cochlear implantation.
abstract: The aim of this study is to describe an alternative technique to secure the receiver-stimulator of the cochlear implant to the skull with a tailored flap of periosteum. Other techniques are also reviewed and discussed. 179 consecutive patients were implanted by the same surgeon in a tertiary care setting. Age ranged from 11 months to 74 years. Patients were retrospectively evaluated for device migration. No cases of migration were observed during follow up, ranged 1-99 months with a median of 48 months. The alternative technique proposed is safe and reliable.
authors.affiliation: Department of Medical and Surgical Specialities, Section of Otolaryngology, University of Padua, School of Medicine, Treviso Regional Hospital, Treviso, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Boscolo-Rizzo
authors.forename: Enrico
authors.initials: E
authors.lastname: Muzzi
authors.forename: Maria Rosaria
authors.initials: MR
authors.lastname: Barillari
authors.forename: Franco
authors.initials: F
authors.lastname: Trabalzini
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D019929:Cochlear Implantation / Q000379:methods*; D003054:Cochlear Implants; D015331:Cohort Studies; D034381:Hearing Loss / Q000628:therapy*; D006801:Humans; D007223:Infant; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D010521:Periosteum / Q000601:surgery; D013524:Surgical Flaps; D013537:Sutures; D055815:Young Adult