Sun Jia-Qiang, Sun Jing-Wu, Hou Xiao-Yan
Department of Otolaryngology - Head and Neck Surgery, Anhui Provincial Hospital, Hefei, China.
ORL J Otorhinolaryngol Relat Spec. 2014;76(1):13-8. doi: 10.1159/000360007. Epub 2014 Feb 22.
To discuss indications and surgical techniques for cochlear implantation (CI) in children with profound sensorineural hearing loss and otitis media with effusion (OME).
Between January 2003 and May 2013, a total of 550 patients received cochlear implants at the Anhui Provincial Hospital, Hefei, China. Of these, 30 children with OME underwent CI with round window insertion in one stage.
One-stage operations of CI with round window insertion were carried out in 30 children with OME. All electrodes were implanted successfully. CI was performed without complications and the electrode arrays were protected well. All implant devices worked normally and all patients performed well during an average follow-up period of 12 months. None of the patients experienced any immediate or delayed postoperative infection-related complications.
CI with round window insertion could be safely and effectively performed in one stage in children with profound sensorineural hearing loss and OME. It is unnecessary to delay implantation to control OME, but it remains a challenging problem in operation.
探讨重度感音神经性听力损失合并中耳积液(OME)患儿人工耳蜗植入(CI)的适应证及手术技巧。
2003年1月至2013年5月,中国合肥安徽省立医院共有550例患者接受了人工耳蜗植入。其中,30例OME患儿一期经圆窗植入人工耳蜗。
30例OME患儿行一期经圆窗人工耳蜗植入术。所有电极均成功植入。人工耳蜗植入无并发症,电极阵列得到良好保护。所有植入装置工作正常,所有患者在平均12个月的随访期内情况良好。所有患者均未出现任何术后即刻或延迟的感染相关并发症。
重度感音神经性听力损失合并OME的患儿一期经圆窗人工耳蜗植入术可安全有效地进行。无需延迟植入以控制OME,但手术仍具挑战性。