小儿人工耳蜗植入术中采用“C”形和“新”切口的皮瓣结果
Flap outcome using "c" shaped and "new" incisions in pediatric cochlear implantation.
作者信息
Ajalloueyan M, Amirsalari S, Radfar Sh, Tavallaee A, Khoshini S
机构信息
Baqiyatallah Cochlear Implant Centre, Baqiyatallah University of Medical Sciences, Tehran, Iran.
出版信息
Iran Red Crescent Med J. 2012 Apr;14(4):218-21. Epub 2012 Apr 1.
BACKGROUND
Skin flap failure is a significant, though relatively uncommon complication of cochlear implant surgery. To achieve a good surgical result, a proper plan to locate the prospective implant is required. Thus, a new design of flap was evaluated in this regard.
METHODS
Two hundred and eleven consecutive children undergoing cochlear implantation in Baqiyatallah Cochlear Implant Center were compared with 75 cases who were operated through the classic "C shaped" fashion from Jul/14/2007 to Feb/14/2009.
RESULTS
There was one case of flap necrosis in the classic approach but there were no major flap complications in "new" design, also keloid formation as a minor complication was rare in the "new" method.
CONCLUSION
The "new" design is easier to apply with fewer complications, so it can be recommended in children undergoing cochlear implantation.
背景
皮瓣坏死是人工耳蜗植入手术中一种严重但相对不常见的并发症。为了获得良好的手术效果，需要一个合适的计划来确定预期植入物的位置。因此，在这方面对一种新的皮瓣设计进行了评估。
方法
将2011年在巴奇亚塔拉人工耳蜗植入中心连续接受人工耳蜗植入的儿童与2007年7月14日至2009年2月14日采用经典“C形”方式手术的75例患者进行比较。
结果
经典术式中有1例皮瓣坏死，但“新”设计中未出现重大皮瓣并发症，“新”方法中作为轻微并发症的瘢痕疙瘩形成也很少见。
结论
“新”设计应用更简便，并发症更少，因此可推荐用于接受人工耳蜗植入的儿童。
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