特殊情况下的人工耳蜗植入
Cochlear Implantation in Extraordinary Cases.
作者信息
Çelenk Fatih, Cevizci Raşit, Altınyay Şenay, Bayazıt Yıldırım Ahmet
机构信息
Department of Otorhinolaryngology, Gaziantep University Faculty of Medicine, Gaziantep, Turkey.
Department of Otorhinolaryngology, Medipol University Faculty of Medicine, İstanbul, Turkey.
出版信息
Balkan Med J. 2015 Apr;32(2):208-13. doi: 10.5152/balkanmedj.2015.15937. Epub 2015 Apr 1.
BACKGROUND
Although cochlear implantation has been almost a standard otological procedure worldwide, it may still create a dilemma for the surgeon in some unusual instances such as Seckel syndrome, aural atresia and posterior fossa arachnoid cyst.
CASE REPORT
Three extraordinary cases of cochlear implantation were reported. The first case was a case of Seckel syndrome with a cardiac pacemaker due to complete atrioventricular block. The second case had posterior fossa arachnoid cyst that had retrosigmoid cyst removal and cochlear implantation simultaneously. The last case had cochlear implantation in the ear with congenital aural atresia. All cases could be implanted successfully with full electrode insertion and good audiological outcome. Delayed facial paralysis that occurred in the patient with arachnoid cyst resolved spontaneously.
CONCLUSION
This study addressed the efficiency of cochlear implantation in cases of Seckel syndrome, complete atrioventricular block managed with cardiac pacemaker, congenital aural atresia and posterior fossa arachnoid cyst. In addition, the retrosigmoid approach and cochlear implantation can be performed simultaneously.
背景
尽管人工耳蜗植入在全球范围内几乎已成为一种标准的耳科手术，但在某些特殊情况下，如塞克尔综合征、耳道闭锁和后颅窝蛛网膜囊肿，仍可能给外科医生带来两难选择。
病例报告
报告了三例特殊的人工耳蜗植入病例。第一例是一名患有塞克尔综合征且因完全性房室传导阻滞而植入心脏起搏器的患者。第二例患者患有后颅窝蛛网膜囊肿，同时进行了乙状窦后囊肿切除和人工耳蜗植入。最后一例是在先天性耳道闭锁的耳朵中植入人工耳蜗。所有病例均成功植入，电极完全插入，听力结果良好。蛛网膜囊肿患者出现的迟发性面瘫自发缓解。
结论
本研究探讨了在塞克尔综合征、使用心脏起搏器治疗的完全性房室传导阻滞、先天性耳道闭锁和后颅窝蛛网膜囊肿病例中人工耳蜗植入的有效性。此外，乙状窦后入路和人工耳蜗植入可以同时进行。
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