Use of CO2 laser in preparation for cochlear implant via round window

Video Type: CVideo
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Author: Ravi N. Samy, MD, FACS
Published:
Specialties: Neurotology Otology, Otolaryngology, Pediatric Otolaryngology
Schools: University of Cincinnati CCHMC
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Basic Info

Use of CO2 laser in preparation for cochlear implant via round window

Advanced

Procedure

Right Cochlear Implant - CO2 laser to reduce bleeding in prep for CI.
CO2 laser could be substituted by Argon or KTP

Indications

Peds/Adult Patients, profound hearing loss, hybrid or electroaccustic stimulation

Contraindications

None

Instrumentation

Setup

CO2 laser, omniguide laser, microscope, drill, facial nerve monitoring

Preoperative Workup

Audiogram, audiologic consultation, CT or MRI imaging, medical evaluation

Anatomy and Landmarks

Noted in video

Advantages/Disadvantages

Complications/Risks

CSF leak, facial nerve injury, dizziness, wound infection, device failure, meningitis, realistic expectations, underperformance of CI

Disclosure of Conflicts

Research with cochlear corporation, research funding with Otonomy, Auris Medical

Acknowledgements

Noted in video

References

None

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