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[轮廓式人工耳蜗植入治疗耳硬化症患者的结果]

[Results with the Contour cochlear implant in patients with cochlear otosclerosis].

作者信息

Jaekel K, Aschendorff A, Klenzner T, Laszig R

机构信息

Universitäts-Hals-Nasen-Ohren-Klinik Freiburg.

出版信息

Laryngorhinootologie. 2004 Jul;83(7):457-60. doi: 10.1055/s-2004-814456.

Abstract

BACKGROUND

Results after cochlear implant surgery may be complicated by postoperative facial nerve stimulation. Aim of the study presented was to evaluate postoperative results in implanting the straight Nucleus electrode array and the preformed Contour array in patients with deafness due to cochlear otosclerosis.

METHODS

A retrospective analysis of intra- and postoperative reports of all patients with cochlear otosclerosis was carried out. Results with the Nucleus straight electrode array and the Contour array were compared with regard to postoperative facial nerve stimulation.

RESULTS AND CONCLUSION

None of the Contour patients (n = 7) presented with postoperative facial nerve stimulation. This is in contrast to the majority (4 of 6) of patients being implanted with the straight electrode array. Our results indicate that the use of the Contour array is advantageous in patients being at risk for facial nerve stimulation. In addition intraoperative reports suggest a more reliable insertion of the Contour electrode array in cochlear otosclerosis with partial obliteration.

摘要

背景

人工耳蜗植入术后的结果可能因术后面神经刺激而变得复杂。本研究的目的是评估在患有耳蜗性耳硬化症的耳聋患者中植入直形Nucleus电极阵列和预成型Contour阵列后的术后结果。

方法

对所有耳蜗性耳硬化症患者的术中和术后报告进行回顾性分析。比较了Nucleus直电极阵列和Contour阵列在术后面神经刺激方面的结果。

结果与结论

Contour阵列组的所有患者(n = 7)均未出现术后面神经刺激。这与大多数(6例中的4例)植入直电极阵列的患者形成对比。我们的结果表明,对于有面神经刺激风险的患者,使用Contour阵列具有优势。此外,术中报告表明,在部分闭塞的耳蜗性耳硬化症中,Contour电极阵列的插入更可靠。

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