gms | German Medical Science

80. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

20.05. - 24.05.2009, Rostock

Magnetless cochlear implant – an alternative for special cases

Meeting Abstract

Suche in Medline nach

  • corresponding author Peter Rolf Issing - ENT-Department, Bad Hersfeld, Germany
  • Joachim Hammersen - ENT-Department, Bad Hersfeld, Germany
  • Martin Spreng - ENT-Department, Bad Hersfeld, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 80th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Rostock, 20.-24.05.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09hno012

DOI: 10.3205/09hno012, URN: urn:nbn:de:0183-09hno0123

Veröffentlicht: 22. Juli 2009

© 2009 Issing et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: The fixation of a headset for a cochlear implant (CI) is usually provided with a magnet. However, ferromagnetic materials are considered relative contraindications for MRI. When MRI-imaging is essential in case of special comorbidities, a magnetless CI may be an interesting alternative.

Material and methods: We report on a patient who developed bilateral deafness due to a Cogan-syndrome. He had been implanted with a magnetless CI of Advanced Bionics some years earlier, because a simultaneous disseminated encephalitis afforded repeated MRI-controls postoperatively. The still as an engineer employed patient, wished a bilateral implantation to improve his speech understanding in noisy surroundings.

Results: The patient chose a HiRes® 90K Implant of Advanced Bionics due to his positive experiences with this company. As a consequence of the above mentioned issues we decided in consent with the patient to exchange the implants magnet with a non-ferromagnetic dummy during the implantation. The problem of fixation of the headpiece was solved by a custom made ear mould with a wire construction to the region of the CI. The position of the implant was untypically placed further anteriorly, and the long axis cranially to achieve a small as possible torque on the ear mould. The implantation and the postoperative course were completely uneventful. The fitting of the speech processor could be managed easily. The construction enabled a a stable and ergonomic positioning for the ear mould and headset for our patient.

Conclusion: This case proves the possibility of a magnetless cochlear implantation in special cases. An appropriate planning of the implants location is mandatory during surgery.