Schnabl Johannes, Wolf-Magele Astrid, Pok Stefan Marcel, Url Christoph, Zorowka Patrick, Sprinzl Georg
Eur Arch Otorhinolaryngol. 2015 Aug;272(8):1893-8. doi: 10.1007/s00405-014-2993-7.
In 2011, Med-El (Innsbruck, Austria) introduced a new cochlear implant system, designed to require a minimally invasive surgical technique and allow greater positional flexibility for its fixation on the skull. The Concerto Pin implant system is a good option for patients with thinner bone, such as children and elderly. The aim of this study was to investigate the implant’s stability in children using our minimally invasive surgical technique. This was a prospective, longitudinal study with a single-subject, repeated-examination design. Six children, implanted with a Concerto Pin using our minimally invasive surgical technique between October 2011 and September 2012, were assessed 1, 3 and 6 months after surgery. In each case, the implant remained in a stable position and no adverse events or problems with healing were observed at any time during the investigation. The minimally invasive technique and the method of implant fixation that bypass drilling a deep implant bed constitute a good option for patients with thinner bone, such as children. This clinical study shows the safety and stability of the Concerto Pin implant system using a minimally invasive surgical technique.
2011年，奥地利因斯布鲁克的美迪乐公司推出了一种新型人工耳蜗植入系统，该系统旨在采用微创外科技术，并在固定于颅骨时具有更大的位置灵活性。协奏曲针式植入系统对于骨质较薄的患者（如儿童和老年人）是一个不错的选择。本研究的目的是使用我们的微创外科技术研究该植入物在儿童中的稳定性。这是一项采用单受试者、重复检查设计的前瞻性纵向研究。对2011年10月至2012年9月期间使用我们的微创外科技术植入协奏曲针式植入物的6名儿童在术后1、3和6个月进行了评估。在每种情况下，植入物均保持稳定位置，在调查期间的任何时候均未观察到不良事件或愈合问题。对于骨质较薄的患者（如儿童），微创技术和绕过钻深植入床的植入物固定方法是一个不错的选择。这项临床研究表明了使用微创外科技术的协奏曲针式植入系统的安全性和稳定性。
