{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T21:04:29Z","timestamp":1779915869817,"version":"3.53.1"},"reference-count":21,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2020,6,12]],"date-time":"2020-06-12T00:00:00Z","timestamp":1591920000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The aim of the present study was to compare the posterior tympanotomy (PT) technique to the endomeatal approach. The endomeatal approach (EMA) for Cochlear Implant (CI) surgery was performed on 98 patients with procident lateral sinus or a small mastoid cavity, on 103 ears (Group A). Conventional mastoidectomy and PT was performed on the other 104 patients, on 107 ears (Group B). Data on all patients were then collected for the following: intra- and post-operative complications, Tinnitus Handicap Inventory (THI), Vertigo Symptom Scale (VSS), duration of surgery, and postoperative discomfort. The difference in the total number of major and minor complications between the case group and the control group was not statistically significant. There was a statistically significant difference in discomfort between the two groups using the Visual Analogue Scale (VAS), both immediately postsurgery (p = 0.02) and after one month (p = 0.04). The mean duration of surgery was 102 \u00b1 29 min for EMA and 118 \u00b1 15 min for the PT technique (p = 0.008). EMA is a faster technique resulting in reduced postoperative patient discomfort in comparison to the PT method. The experience of the surgeon as well as the correct choice of surgical technique are fundamental to successful outcomes for cochlear implant surgery.<\/jats:p>","DOI":"10.3390\/ijerph17124187","type":"journal-article","created":{"date-parts":[[2020,6,12]],"date-time":"2020-06-12T05:02:24Z","timestamp":1591938144000},"page":"4187","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Cochlear Implant Surgery: Endomeatal Approach versus Posterior Tympanotomy"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5664-7493","authenticated-orcid":false,"given":"Francesco","family":"Freni","sequence":"first","affiliation":[{"name":"Department of Adult and Development Age Human Pathology \u201cGaetano Barresi\u201d, Unit of Otorhinolaryngology, University of Messina, 98125 Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2429-6590","authenticated-orcid":false,"given":"Francesco","family":"Gazia","sequence":"additional","affiliation":[{"name":"Department of Adult and Development Age Human Pathology \u201cGaetano Barresi\u201d, Unit of Otorhinolaryngology, University of Messina, 98125 Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Slavutsky","sequence":"additional","affiliation":[{"name":"Ent Clinic, 08001 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrique","family":"Perello Scherdel","sequence":"additional","affiliation":[{"name":"Servicio de ORL, Hospital Universitario Vall d\u2019Hebron, 08001 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Nicenboim","sequence":"additional","affiliation":[{"name":"Ear Institute, Universidad Abierta Interamericana, Rosario S2000, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"Posada","sequence":"additional","affiliation":[{"name":"Servicio de ORL, Universidad Tecnol\u00f3gica de Pereira, Pereira 660001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Portelli","sequence":"additional","affiliation":[{"name":"Department of Adult and Development Age Human Pathology \u201cGaetano Barresi\u201d, Unit of Otorhinolaryngology, University of Messina, 98125 Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Galletti","sequence":"additional","affiliation":[{"name":"Department of Adult and Development Age Human Pathology \u201cGaetano Barresi\u201d, Unit of Otorhinolaryngology, University of Messina, 98125 Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Galletti","sequence":"additional","affiliation":[{"name":"Department of Adult and Development Age Human Pathology \u201cGaetano Barresi\u201d, Unit of Otorhinolaryngology, University of Messina, 98125 Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,6,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"184","DOI":"10.12659\/AJCR.914514","article-title":"Use of 3D volume rendering based on high-resolution computed tomography temporal bone in patients with cochlear implants","volume":"20","author":"Ciodaro","year":"2019","journal-title":"Am. 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