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被动和主动式中耳植入物。

Passive and active middle ear implants.

作者信息

Beutner Dirk, Hüttenbrink Karl-Bernd

机构信息

Universitäts-HNO-Klinik, Köln, Germany.

出版信息

GMS Curr Top Otorhinolaryngol Head Neck Surg. 2009;8:Doc09. doi: 10.3205/cto000061. Epub 2011 Mar 10.

DOI:10.3205/cto000061
PMID:22073102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3199819/
Abstract

Besides eradication of chronic middle ear disease, the reconstruction of the sound conduction apparatus is a major goal of modern ear microsurgery. The material of choice in cases of partial ossicular replacement prosthesis is the autogenous ossicle. In the event of more extensive destruction of the ossicular chain diverse alloplastic materials, e.g. metals, ceramics, plastics or composits are used for total reconstruction. Their specialised role in conducting sound energy within a half-open implant bed sets high demands on the biocompatibility as well as the acoustic-mechanic properties of the prosthesis. Recently, sophisticated titanium middle ear implants allowing individual adaptation to anatomical variations are widely used for this procedure. However, despite modern developments, hearing restoration with passive implants often faces its limitations due to tubal-middle-ear dysfunction. Here, implantable hearing aids, successfully used in cases of sensorineural hearing loss, offer a promising alternative. This article reviews the actual state of affairs of passive and active middle ear implants.

摘要

除了根除慢性中耳疾病外，重建声音传导装置是现代耳显微外科的一个主要目标。在部分听小骨置换假体的情况下，首选材料是自体听小骨。如果听骨链受到更广泛的破坏，则使用各种异体材料，如金属、陶瓷、塑料或复合材料进行全重建。它们在半开放式植入床内传导声能的特殊作用对假体的生物相容性以及声学机械性能提出了很高的要求。最近，复杂的钛质中耳植入物能够根据解剖变异进行个性化调整，被广泛用于此手术。然而，尽管有现代的发展，但由于咽鼓管-中耳功能障碍，被动植入物恢复听力往往面临其局限性。在此，可植入式助听器在感音神经性听力损失病例中成功应用，提供了一种有前景的替代方案。本文综述了被动和主动中耳植入物的实际情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/74c69449de7c/CTO-08-09-g-009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/4bedd249fa53/CTO-08-09-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/25dd27cf13b4/CTO-08-09-t-002.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/e459c3aa7b74/CTO-08-09-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/5222b77eba73/CTO-08-09-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/72bc9296cb05/CTO-08-09-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/30db91a48e69/CTO-08-09-g-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/7cba177bc67a/CTO-08-09-g-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/d56debd76f9d/CTO-08-09-g-006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/1ebefcdccb09/CTO-08-09-g-007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/12dd073dbaae/CTO-08-09-g-008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/74c69449de7c/CTO-08-09-g-009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/4bedd249fa53/CTO-08-09-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/25dd27cf13b4/CTO-08-09-t-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/a5797e8995fb/CTO-08-09-t-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/e459c3aa7b74/CTO-08-09-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/5222b77eba73/CTO-08-09-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/72bc9296cb05/CTO-08-09-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/30db91a48e69/CTO-08-09-g-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/7cba177bc67a/CTO-08-09-g-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/d56debd76f9d/CTO-08-09-g-006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/1ebefcdccb09/CTO-08-09-g-007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/12dd073dbaae/CTO-08-09-g-008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1f/3199819/74c69449de7c/CTO-08-09-g-009.jpg

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