• Users Online: 99
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2020  |  Volume : 22  |  Issue : 2  |  Page : 82-85

Skeletonizing the facial nerve underwater: A pilot study


1 Department of Otolaryngology, College of Medicine, Imam Mohammad Ibn Saud Islamic University; King Abdullah Ear Specialist Center, King Saud University, Riyadh, Saudi Arabia
2 Department of Managements Information Systems, College of Business Administration, King Saud University, Riyadh, Saudi Arabia
3 King Abdullah Ear Specialist Center, King Saud University, Riyadh, Saudi Arabia

Correspondence Address:
Dr. Eman Hajr
Department of Otolaryngology, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh
Saudi Arabia
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/SJOH.SJOH_34_20

Rights and Permissions

Objective: Drilling of the facial recess represents an important step in cochlear implant (CI) surgery. It is crucial for the next step of exposing the round window. This study sought to evaluate the efficacy of underwater drilling (UWD) during the opening of the facial recess for CI surgery. Materials and Methods: This was a prospective clinical pilot study performed at a quaternary care center. We included adult and pediatric patients who underwent bilateral simultaneous CI surgeries. Any patients with facial nerve anomalies or previous ear surgery were excluded from the study. Drilling of the facial recess on one side was performed using UWD (case side); on the other side (control side), drilling was performed by minimal water drilling (MWD). Drilling was performed by the same surgeon on both sides. The time differences between the procedures were recorded. Results: A total of 21 patients were included in this study; 66% (14/21) were males, and the mean age was 8.25 years (standard deviation ± 12.00 years) at the time of surgery. UWD was completed, and the results of a normal facial nerve examination were documented postoperatively. The time needed for UWD (12 ± 6.72 min) was slightly shorter than the time needed for MWD (13 ± 6.15 min), but that difference was not significant (P = 0.71). Conclusion: The drilling of facial recess is one of the most stressful steps during CI surgery, we recommend the use of UWD because of its good safety profile and protective measures.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed92    
    Printed2    
    Emailed0    
    PDF Downloaded21    
    Comments [Add]    

Recommend this journal