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Table 4 CI surgery in 10 patients with MYH9 -RD

From: Cochlear implantation is safe and effective in patients with MYH9-related disease

Patient/family

CI side

Surgical approach1

Device

Prophylaxis for bleeding

Intraoperative bleeding2

Postoperative bleeding

1/1

R

Round window

Digisonic SP (Neurelec)

Platelet apheresis, 1U pre + 1U post

1

None

2/2

R

Round window

Nucleus CI24RE (Cochlear)

Platelet apheresis, 1U pre

3

None

3/3

L

Round window

Maestro Concerto Flex 28 (Med-el)

Platelet apheresis, 1U pre + 1U post

1

None

4/4

R

Round window

Nucleus Freedom CI24RE (Cochlear)

None

1

None

5/5

L + R

Cochleostomy

Nucleus Mini22 (Cochlear)

nd

1

None

6/6

L

Round window

Digisonic SP (Neurelec)

Platelet apheresis, 1U pre phenocompatible

1

None

7/7

L

Cochleostomy

Nucleus CI512 (Cochlear)

None

1

None

8/7

R

Cochleostomy

Nucleus CI24R (CA) (Cochlear)

None

2

Hematoma at the site of surgical wound

9/7

L

Cochleostomy

Mini-system 22 CI22M (Cochlear)

None

1

None

10/8

R

Round window

Maestro Concerto Flex 28 (Med-el)

Tranexamic acid 1 g i.v. pre, then 1500 mg/day p.o. post for 7 days

1

None

  1. Notes: 1 = use of cochleostomy or round window for positioning of the device. 2 = Bleeding score adapted according to Boezaart et al., [24]: Grade 1: minimal suction. Grade 2: slight bleeding, infrequent suction. Grade 3: brisk bleeding, frequent suction. Grade 4: strong bleeding, bleeding covers surgical field after removal of suction before instrument can perform manoeuver; Grade 5: uncontrolled bleeding, bleeding out of mastoid cavity on removal of suction. Abbreviations: pre = preoperative, post = postoperatively.