Niemczyk Kazimierz, Bruzgielewicz Antoni, Maniecka-Aleksandrowicz Barbara, Mikołajewska Lidia, Piotrowski Juliusz, Mazur Agata, Stykowska Małgorzata, Kilijańska Irena
Katedra i Klinika Otolaryngologii AM w Warszawie.
Otolaryngol Pol. 2003;57(6):871-5.
Cochlear implantation by facial recess is nowadays the approach of choice in normal anatomical conditions in the middle and inner ear. When deafness is coincident with chronic otitis media or partial obliteration of the cochlea, others approaches can be applied. Authors presented lateral petrosectomy as an approach for cochlear implantation in two cases. In both patients all the electrodes were inserted. There were any complications in postoperative period. Lateral petrosectomy is nowadays well codified technique. It is possible to apply this approach for cochlear implantation in cases with chronic otitis media. Good access to the cochlea especially to its basal turn allows for good insertion even in partial obliteration of the scala tympani.
经面隐窝行人工耳蜗植入术是目前中耳和内耳解剖结构正常情况下的首选入路。当耳聋合并慢性中耳炎或耳蜗部分闭塞时，可采用其他入路。作者报告了两例经岩骨外侧切除术行人工耳蜗植入的病例。两名患者的所有电极均已插入。术后无任何并发症。岩骨外侧切除术是目前技术成熟的手术方法。对于慢性中耳炎患者，可采用这种入路进行人工耳蜗植入。即使在鼓阶部分闭塞的情况下，通过良好的入路进入耳蜗，尤其是其基底转，也能实现良好的电极插入。
