PMID- 28498488 OWN - NLM STAT- MEDLINE DCOM- 20181005 LR - 20181005 IS - 1531-4995 (Electronic) IS - 0023-852X (Linking) VI - 128 IP - 2 DP - 2018 Feb TI - Slotted labyrinthotomy approach with customized electrode for patients with common cavity deformity. PG - 468-472 LID - 10.1002/lary.26627 [doi] AB - OBJECTIVES/HYPOTHESIS: Cochlear implantation for patients with common cavity deformity (CCD) can be difficult, with a higher incidence of intra- and postoperative complications; outcomes with CCD patients are also highly variable. In this study, surgical time was compared between the traditional facial recess approach (TFRA) and the transmastoid slotted labyrinthotomy approach (TSLA). Audiological outcomes and the benefit of using customized electrode arrays for CCD patients are also discussed. STUDY DESIGN: Retrospective review of 13 cochlear implant (CI) patients with CCD. METHODS: Six patients were implanted with the TFRA using traditional electrodes, and seven patients were implanted with the TSLA using customized electrodes. Intra- and postoperative complications were reviewed. Audiological outcomes were measured 3 months to 2 years after CI activation. RESULTS: The mean surgical time for TSLA group was nearly half as long as for the TRFA group (P < .05). Although mean audiological outcomes were better for the TSLA group, there was no significant difference between groups (P > .05). CONCLUSIONS: For CCD patients, TSLA for cochlear implantation is recommended due to shortened surgical time; customized electrode arrays may be additionally advantageous in terms of audiological outcomes. LEVEL OF EVIDENCE: 4. Laryngoscope, 128:468-472, 2018. CI - (c) 2017 The American Laryngological, Rhinological and Otological Society, Inc. FAU - Wei, Xingmei AU - Wei X AUID- ORCID: 0000-0001-7188-485X AD - Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Li, Yongxin AU - Li Y AD - Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Fu, Qian-Jie AU - Fu QJ AD - Department of Head and Neck Surgery, University of California, Los Angeles, Los Angeles, California, U.S.A. . FAU - Gong, Yue AU - Gong Y AD - Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Chen, Biao AU - Chen B AD - Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Chen, Jingyuan AU - Chen J AD - Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Shi, Ying AU - Shi Y AD - Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Su, Qiaotong AU - Su Q AD - Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Cui, Danmo AU - Cui D AD - Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Liu, Ting AU - Liu T AD - Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170512 PL - United States TA - Laryngoscope JT - The Laryngoscope JID - 8607378 SB - IM MH - Adult MH - Audiometry MH - Child, Preschool MH - Cochlear Implantation/instrumentation/*methods MH - Cochlear Implants MH - Ear, Inner/*abnormalities/*surgery MH - *Electrodes, Implanted MH - Evoked Potentials, Auditory MH - Face/surgery MH - Female MH - Hearing Loss/congenital/physiopathology/*surgery MH - Humans MH - Infant MH - Male MH - Mastoid/surgery MH - Operative Time MH - Postoperative Period MH - Retrospective Studies MH - Speech Intelligibility MH - Treatment Outcome OTO - NOTNLM OT - Cochlear implantation OT - common cavity deformity OT - customized electrode array OT - surgical approach EDAT- 2017/05/13 06:00 MHDA- 2018/10/06 06:00 CRDT- 2017/05/13 06:00 PHST- 2016/12/27 00:00 [received] PHST- 2017/03/20 00:00 [revised] PHST- 2017/03/22 00:00 [accepted] PHST- 2017/05/13 06:00 [pubmed] PHST- 2018/10/06 06:00 [medline] PHST- 2017/05/13 06:00 [entrez] AID - 10.1002/lary.26627 [doi] PST - ppublish SO - Laryngoscope. 2018 Feb;128(2):468-472. doi: 10.1002/lary.26627. Epub 2017 May 12.