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New SMS classification of cochleovestibular malformation and its impact on decision-making

Published online by Cambridge University Press:  08 May 2019

M Grover ,
S Sharma ,
C Preetam ,
G Gupta ,
S Samdani ,
S Agarwal ,
S N Singh  and
M P Sharma
M Grover
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, SMS (Sawai Man Singh) Medical College and Hospital, Jaipur, Rajasthan, India
S Sharma*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, SMS (Sawai Man Singh) Medical College and Hospital, Jaipur, Rajasthan, India
C Preetam
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India
G Gupta
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Sardar Patel Medical College, Bikaner, Rajasthan, India
S Samdani
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, SMS (Sawai Man Singh) Medical College and Hospital, Jaipur, Rajasthan, India
S Agarwal
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, SMS (Sawai Man Singh) Medical College and Hospital, Jaipur, Rajasthan, India
S N Singh
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, SMS (Sawai Man Singh) Medical College and Hospital, Jaipur, Rajasthan, India
M P Sharma
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, SMS (Sawai Man Singh) Medical College and Hospital, Jaipur, Rajasthan, India
*
Author for correspondence: Dr Shitanshu Sharma, Department of Otorhinolaryngology and Head and Neck Surgery, SMS Medical College and Hospital, Jaipur 302004, Rajasthan, India E-mail: [email protected]
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Abstract

Objective

To propose a new classification of inner-ear anomalies that is more clinically oriented and surgically relevant: the SMS (Sawai Man Singh) classification of cochleovestibular malformations.

Methods

A retrospective multicentric study was conducted of 436 cochlear implantations carried out in 3 Indian tertiary care institutes. Patients with anomalous anatomy were included and classified, as per the new SMS classification, into cochleovestibular malformation types I, II, III and IV, based on cochlear morphology, modiolus and lamina cribrosa.

Results

There were 19, 23, 8 and 4 patients with cochleovestibular malformation types I, II, III and IV, respectively. Two-year post-operative Meaningful Auditory Integration Scale scores were statistically analysed.

Conclusion

This new classification for inner-ear anomalies is a simpler, more practical, outcome-oriented classification that can be used to better plan the surgery. These merits make it a more uniform classification for recording results.

Keywords

Retrospective StudiesClinical Decision-MakingCochlear ImplantationCochleaEar, InnerCochleovestibular MalformationsPrognosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 5 , May 2019 , pp. 368 - 375
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr S Sharma takes responsibility for the integrity of the content of the paper

References

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