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Aim <p>To analyze surgical outcome in a series of patients who required Subtotal petrosectomy (STP) with cochlear implantation (CI) in cases of chronic otitis media (COM).</p> Materials and Methods <p>It is an ambispective interventional study that included all cases of COM who underwent STP with CI at a tertiary care center over a period of three years. Pitfalls were noted from six retrospective cases, and technical modifications were applied to two prospective cases.</p> Results <p>A total of 8 STPs with CI in seven patients were done. Blind sac dehiscence occurred due to deficient cartilage in two patients. In one case with a previous mastoid cavity and deficient subperiosteal layer, an L-shaped incision led to implant exposure. Surgical site infection (SSI) was observed in one patient where fat was utilized for mastoid obliteration. Technical modifications were utilized in two prospective cases. There were no complications in these.</p> Conclusion <p>STP with CI is an effective surgery for carefully selected patients of COM. It has minimal complications in experienced hands.</p>

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Subtotal Petrosectomy With Cochlear Implantation in Chronic Otitis Media: Our Experience From Perils Till Pearls

  • 期刊论文

  • 发表日期：

    2025年8月13日

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  • Roohie Singh,
  • Anncy V. Abraham,
  • Kunal Sarin,
  • Prasanth L.,
  • Angshuman Dutta

摘要

Aim

To analyze surgical outcome in a series of patients who required Subtotal petrosectomy (STP) with cochlear implantation (CI) in cases of chronic otitis media (COM).

Materials and Methods

It is an ambispective interventional study that included all cases of COM who underwent STP with CI at a tertiary care center over a period of three years. Pitfalls were noted from six retrospective cases, and technical modifications were applied to two prospective cases.

Results

A total of 8 STPs with CI in seven patients were done. Blind sac dehiscence occurred due to deficient cartilage in two patients. In one case with a previous mastoid cavity and deficient subperiosteal layer, an L-shaped incision led to implant exposure. Surgical site infection (SSI) was observed in one patient where fat was utilized for mastoid obliteration. Technical modifications were utilized in two prospective cases. There were no complications in these.

Conclusion

STP with CI is an effective surgery for carefully selected patients of COM. It has minimal complications in experienced hands.