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新型骨传导植入物:手术技术及结果。

A new bone conduction implant: surgical technique and results.

机构信息

Otorhinolaryngology Department, University Clinic of Navarra, Pamplona, Spain.

出版信息

Otol Neurotol. 2014 Feb;35(2):216-20. doi: 10.1097/MAO.0000000000000253.

DOI:10.1097/MAO.0000000000000253
PMID:24448280
Abstract

OBJECTIVE

To describe the surgical technique under local or general anesthesia of 5 cases that have undergone this procedure and the audiologic results obtained with this new device.

PATIENTS

Four patients with mixed hearing loss and 1 patient with single-sided deafness.

INTERVENTION

Therapeutic.

MAIN OUTCOME MEASURES

The surgery was planned beforehand with a 3D reconstruction of a CT scan. The procedure was documented and timed in every case. Air and bone conductive pure tone audiometry and disyllabic words discrimination were tested after and before the procedure. Results were statistically analyzed.

RESULTS

All patients tolerated well the procedure. Four patients were intervened under local anesthesia and 1 under general anesthesia because of an associated procedure. All patients showed statistically significant difference between the presurgery and postsurgery audiologic tests.

CONCLUSION

Implantation of the Bonebridge with local or general anesthesia is a safe and feasible procedure, with audiometric results that can come close with the ones provided by BAHD users.

摘要

目的

描述 5 例接受该手术的患者在局部或全身麻醉下的手术技术及该新装置获得的听力结果。

患者

4 例混合性听力损失患者和 1 例单侧耳聋患者。

干预措施

治疗。

主要观察指标

手术均预先进行 CT 扫描的三维重建。在每种情况下均记录并计时手术过程。在手术前后分别进行气导和骨导纯音听阈测试和双音节词识别测试。对结果进行统计学分析。

结果

所有患者均能很好地耐受手术。4 例患者在局部麻醉下进行干预,1 例患者因合并手术而在全身麻醉下进行干预。所有患者术后听力测试均与术前相比差异有统计学意义。

结论

局部或全身麻醉下植入 Bonebridge 是一种安全可行的手术,其听力结果可与 BAHD 用户提供的结果相接近。

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Otol Neurotol. 2014 Feb;35(2):216-20. doi: 10.1097/MAO.0000000000000253.
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