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Minimal Incision Technique with Nucleus, Combi-40 and Clarion

Less painLess hypesthesiaLess stimulation delayPsychologicalCosmetic. Putative Advantages . . Less accessMore timeIncision over device. Potential Disadvantages. . Adequate exposureGentle handling of tissueCareful hemostatisAnatomic basis. Surgical Principles. . Bone seatBone sutur

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Minimal Incision Technique with Nucleus, Combi-40 and Clarion

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    1. Minimal Incision Technique with Nucleus, Combi-40 and Clarion Pr. Thomas J Balkany, MD, FACS, FAAP Adrien Eshraghi, MD Fred F Telischi, MD, MEE, FACS Simon Angeli, MD

    2. Less pain Less hypesthesia Less stimulation delay Psychological Cosmetic

    3. Less access More time Incision over device

    4. Adequate exposure Gentle handling of tissue Careful hemostatis Anatomic basis

    16. Adults - 22 Children - 28 Nucleus 24 Combi 40 + Clarion C II

    17. Complications - 0 OR Time - 60 to 110 minutes Acceptance - High

    18. NUCLEUS More soft tissue dissection

    19. Across Table Head Lamp Army-Navy retractor Avoid buttonhole Extend incision Stimulation 2 weeks

    20. Joseph Roberson et al: Cochlear implantation: minimal hair removal technique. Otolaryngol Head & Neck Surg. 2000; 122:(5):625-9. Gerard O’Donoghue et al: Minimally invasive surgery for paediatric cochlear implantation. Nucleus Report (Cochlear Corporation)September 2001.

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