用于人工耳蜗植入的骨膜下袋技术中的带蒂帕尔瓦瓣
Tailed Palva flap in the subperiosteal pocket technique for cochlear implantation.
作者信息
Orhan K S, Polat B, Enver N, Güldiken Y
机构信息
Department of ORL,Istanbul Faculty of Medicine,Istanbul University,Turkey.
出版信息
J Laryngol Otol. 2015 Sep;129(9):916-8. doi: 10.1017/S0022215115001905.
BACKGROUND
In recent years, the subperiosteal pocket technique has become popular for minimal access cochlear implantation. Many incision techniques have been described in cochlear implantation.
OBJECTIVE
This study aimed to demonstrate the safety and reliability of a new periosteal incision, called tailed Palva incision, in cochlear implantation.
METHODS
A total of 280 patients who underwent cochlear implantation with the subperiosteal pocket technique between June 2008 and January 2013 were included in the study.
RESULTS
The patients were followed up for between 11 and 74 months (mean ± standard deviation = 34 ± 19 months). No intracranial complications were seen during or after the operations. Additionally, there was no migration of the receiver-stimulator. Revision surgery was performed in eight patients (3 per cent), one of whom (0.4 per cent) had local flap failure and infection.
CONCLUSION
This study shows that the tailed Palva incision facilitates easy insertion of the implant and, by creating a one-way obscured pocket, this technique also enhances stabilisation of the receiver-stimulator, thereby avoiding anterior migration.
背景
近年来，骨膜下口袋技术在微创人工耳蜗植入术中已变得流行。人工耳蜗植入术中已有多种切口技术被描述。
目的
本研究旨在证明一种名为带尾帕尔瓦切口的新型骨膜切口在人工耳蜗植入术中的安全性和可靠性。
方法
共有280例在2008年6月至2013年1月期间接受骨膜下口袋技术人工耳蜗植入术的患者纳入本研究。
结果
患者随访时间为11至74个月（平均±标准差=34±19个月）。手术期间及术后均未出现颅内并发症。此外，接收器刺激器无移位。8例患者（3%）进行了翻修手术，其中1例（0.4%）出现局部皮瓣失败和感染。
结论
本研究表明，带尾帕尔瓦切口便于植入物轻松插入，并且通过创建一个单向隐蔽口袋，该技术还增强了接收器刺激器的稳定性，从而避免向前移位。
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