Rapid Communication| Volume 38, ISSUE 6, P739-742, December 2011

Safe use of bipolar radiofrequency induced thermotherapy (RFITT) for nasal surgery in patients with cochlear implants


      Treatment of nasal turbinate hypertrophy with bipolar radiofrequency-induced thermotherapy (RFITT) is a common indication in patients affected by chronic vasomotor rhinitis. Nonetheless, there are no reports about the safety of such a surgical procedure in cochlear implant (CI) users, due to concerns that the spread of electrical current and heat could damage the CI inner component. We report two cases of CI recipients successfully and safely undergoing RFITT performed by means of the Olympus® Celon-ProBreath bipolar coagulation electrode.


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        • Smith T.L.
        • Smith J.M.
        Electrosurgery in otolaryngology-head and neck surgery: principles, advances, and complications.
        Laryngoscope. 2001; 111: 769-780
      1. Physician's package insert for Nucleus 24 Contour cochlear implants CI24R(CS), CI24R(CA), CI24RE(CA).
        Cochlear Ltd, Lane Cove, NSW, Australia2004
      2. Package insert for HiResolution bionic ear system.
        Advanced Bionics Corporation, Sylmar, CA2004
      3. Package insert for COMBI 40+ cochlear implant system.
        MED-EL Elektromedizinische Geraete GmbH, Innsbruck, Austria2004
      4. Olympus Celon-ProBreath, instructions for use.
        Celon AG Medical Instruments, Teltow, Germany2005
        • Antonelli P.J.
        • Baratelli R.
        Cochlear implant integrity after adenoidectomy with coblation and monopolar electrosurgery.
        Am J Otolaryngol. 2007; 28: 9-12
        • Roland J.T.
        • Fishman A.J.
        • Waltzman S.B.
        • Cohen N.L.
        Shaw scalpel in revision cochlear implant surgery.
        Ann Otol Rhinol Laryngol. 2000; 185: 23-25
        • Laszig R.
        • Ridder G.J.
        • Aschendorff A.
        • Fradis M.
        Ultracision: an alternative to electrocautery in revision cochlear implant surgery.
        Laryngoscope. 2002; 112: 190-191