Wang Line, Yang Jigang, Jiang Changcan, Zhang Daoxing
Department of Otorhinolaryngology Head and Neck Surgery, China.
Acta Otolaryngol. 2013 Sep;133(9):935-8. doi: 10.3109/00016489.2013.797602. Epub 2013 Jun 14.
The new method of facial recess enlargement through suspending, antedisplacing, and adhering the chorda tympani nerve to the posterior wall of the auditory canal can expose the round window, make electrode insertion easier, and preserve the function of the facial nerve and chorda tympani nerve.
To describe and report cochlear implantation surgery in patients with narrow facial recess, including surgical technique and postoperative outcomes.
Cochlear implantation surgery was performed in our hospital in 39 cases with narrow facial recess by enlarging the facial recess. To enlarge the distance between the facial nerve and chorda tympani nerve, the chorda tympani nerve was suspended. The chorda tympani was anteplaced and adhered to the posterior wall of the auditory canal.
Among the 39 cases, the narrowest distance between the facial nerve and the chorda tympani nerve was less than 1.0 mm. All patients successfully underwent cochlear implantation surgery. No injuries of the facial nerve, chorda tympani nerve, or the posterior wall of the auditory canal were reported in any of the patients. There were significant differences in the injuries of the facial nerve, chorda tympani nerve, and posterior wall of the auditory canal in these cases compared with previous approaches to this operation.
通过悬吊、前移鼓索神经并将其附着于外耳道后壁来扩大面神经隐窝的新方法，能够暴露圆窗，使电极插入更容易，并保留面神经和鼓索神经的功能。
描述并报告在面神经隐窝狭窄患者中进行人工耳蜗植入手术的情况，包括手术技术和术后结果。
我院对39例面神经隐窝狭窄患者采用扩大面神经隐窝的方法进行人工耳蜗植入手术。为增加面神经与鼓索神经之间的距离，对鼓索神经进行悬吊。将鼓索神经前移并附着于外耳道后壁。
39例患者中，面神经与鼓索神经之间的最窄距离小于1.0毫米。所有患者均成功接受了人工耳蜗植入手术。所有患者均未出现面神经、鼓索神经或外耳道后壁损伤的情况。与该手术以往的方法相比，这些病例在面神经、鼓索神经和外耳道后壁损伤方面存在显著差异。
