OTOPLAN-Based Study of Intracochlear Electrode Position Through Cochleostomy and Round Window in Transcanal Veria Technique

Kranti Bhavana; Sailaja Timmaraju; Vijay Kumar; Chandan Kumar; Bhartendu Bharti; Rudra Prakash; Upasana Sinha

doi:10.1007/s12070-022-03228-5

OTOPLAN-Based Study of Intracochlear Electrode Position Through Cochleostomy and Round Window in Transcanal Veria Technique

Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(4):575-581. doi: 10.1007/s12070-022-03228-5. Epub 2022 Oct 15.

Authors

Kranti Bhavana¹, Sailaja Timmaraju², Vijay Kumar¹, Chandan Kumar³, Bhartendu Bharti¹, Rudra Prakash¹, Upasana Sinha⁴

Affiliations

¹ Department of Otorhinolaryngology, AIIMS Patna, Phulwarisharif, Patna, 801507 India.
² Education and Training, MED-EL India, New Delhi, India.
³ Speech and Hearing Care Pvt Ltd, Patna, India.
⁴ Department of Radiodiagnosis, AIIMS Patna, Patna, India.

Abstract

To study the postoperative visualisation of the electrode array insertion angle through transcanal Veria approach in both round window and cochleostomy techniques. Retrospective study. Tertiary care centre. 26 subjects aged 2-15 years implanted with a MED-EL STANDARD electrode array (31.5 mm) through Veria technique were selected. 16 had the electrode insertion through the round window, 10 through anteroinferior cochleostomy. DICOM files of postoperative computer tomography (CT) scans were collected and analysed using the OTOPLAN 3.0 software. Examined parameters were cochlear duct length, average angle of insertion depth. Pearson's Correlation Test was utilized for statistical analysis. Average cochlear duct length was 38.12 mm, ranging from 34.2 to 43 mm. Average angle of insertion depth was 666 degrees through round window insertion and 670 degrees through cochleostomy insertion. Pearson's correlation showed no significant difference in average angle of insertion depth between subjects with cochleostomy and round window insertion. Detailed study on the OTOPLAN software has established that there remains no difference between round window insertion or cochleostomy insertion when it comes to electrode array position and placement in the scala tympani. It is feasible to perform round window insertion and cochleostomy insertion through transcanal Veria approach as this technique provides good visualisation.

Supplementary information: The online version contains supplementary material available at 10.1007/s12070-022-03228-5.

Keywords: Angle of Insertion; Cochlear Duct length; Cochleostomy; Otoplan; Round window insertion; Veria technique.

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