伴分泌性中耳炎患儿的圆窗入路人工耳蜗植入术

Cochlear Implantation with Round Window Insertion in Patients with Otitis Media with Effusion

孙家强;孙敬武;侯晓燕;张波;

1:安徽省立医院耳鼻咽喉头颈外科

摘要
目的探讨双侧重度感音神经性聋合并分泌性中耳炎患儿人工耳蜗植入的方法及效果。方法对30例双侧重度感音神经性聋合并分泌性中耳炎的患者经圆窗入路行人工耳蜗植入术,术后随访13年,观察植入效果。结果 30例患者人工耳蜗电极均顺利植入,未出现一例颅内外感染,开机后人工耳蜗工作正常,无电极及磁体裸露、脱出,电极阻抗正常,听觉反应良好,分泌性中耳炎也治愈。结论合并分泌性中耳炎重度感音神经性聋的患儿可行人工耳蜗植入,圆窗入路是一安全有效的手术方式。
关键词
分泌性中耳炎;人工耳蜗植入;圆窗
基金项目(Foundation):
作者
孙家强;孙敬武;侯晓燕;张波;
参考文献

1 Kennedy RJ,Shelton C.Ventilation tubes and cochlear implants:what do we do[J]?Otol Neurotol,2005,26:438.

2 杨华,曹克利,陈晓巍,等.中耳炎性病变患者的人工耳蜗植入[J].中华耳鼻咽喉头颈外科杂志,2006,41:908.

3 Reefhuls J,Honein MA,Whitney CG,et a1.Risk of bacterial meningitis in children with cochlear implants[J].N Engl J Med,2003,349:435.

4 Arnold WG,Bredberg W,Gstotner J,et a1.Meningitis following cochlear implantation pathomechanisms,clinical symptoms,conservative and surgicaltreatments[J].ORL,2002,64:382.

5 Luntz M,Teszler CB,Shpak T.Cochlear impla tation in children with otitis media:second stage of a long-term prospective study[J].Int J Pediatr Otorhinolaryngo,2004,68:273.

6 郑军,李永新,雷雳,等.中耳乳突炎性病变的人工耳蜗植入术[J].中国耳鼻咽喉头颈外科,2006,13:479.

7 陈涛,杨海弟,郑亿庆,等.感音神经性聋并分泌性中耳炎患者一期人工耳蜗植入[J].听力学及言语疾病杂志,2013,21:80.

8 Lehnhardt E.Intracochlear placement of cochlear implant electrodes in soft surgery technique[J].HNO,1993,41:356.

9 Adunka OF,Buchman CA.Scala tympani cochleostomy I:results of a survey[J].Laryngoscope,2007,117:2 187.

10 Skarzynski H,Lorens A,Piotrowska A,et al.Partial deafness cochlear implantation provides benefit to a new population of individuals with hearing loss[J].Acta Otolaryngol,2006,126:934.

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