ENT · Otologic Surgery and Implants (Tympanoplasty, Mastoidectomy, Cochlear/BAHA Implants)

One week after cochlear implantation, a patient reports weak sound perception and facial twitching with certain programs. Plain radiography of the temporal bone is advised to check the electrode position. The classically described view for confirming full electrode insertion is the:

  • A Schuller's view
  • B Caldwell's view
  • C Towne's view
  • D Modified Stenver's view
Correct answer: D. Modified Stenver's view

Explanation

The modified Stenver's view profiles the petrous pyramid and displays the whole electrode array within the cochlear turns, allowing detection of tip fold-over or incomplete insertion. Schuller's view is for mastoid air cells and EAC assessment, Caldwell's for frontal sinuses and orbits, and Towne's for the occiput and internal acoustic meatus, none of which profile the basal coil adequately.

Reference: Diseases of Ear, Nose and Throat, Dhingra, 8th ed.

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