Wang Danni, Zhao Shouqin, Zhang Qingguo, Li Yi, Ma Xiaobo, Ren Ran
Otolaryngology Head and Neck Surgery Department, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University), Ministry of Education, Beijing, China.
Otolaryngology Head and Neck Surgery Department, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University), Ministry of Education, Beijing, China.
Int J Pediatr Otorhinolaryngol. 2016 Jul;86:240-5. doi: 10.1016/j.ijporl.2016.05.006. Epub 2016 May 11.
To report an integrating surgical method of Vibrant SoundBridge (VSB) implant and auricle reconstruction.
4 cases of congenital bilateral external/middle ear malformation were enrolled. All of them were diagnosed as bilateral bony atresia and grade III microtia. Stapes vibroplasty was performed for all subjects in one operation with auricle reconstruction stage 3. The clinical information and hearing outcomes were analyzed.
Satisfied aesthetic outcomes were confirmed by sculptured outline and symmetric shape on both sides. Mean improvement in hearing threshold with VSB activation was 25.9 dB HL, while mean scores of speech recognition test were 21.8-46.3%.
Combined surgical method of VSB implant and aesthetic reconstruction is safe and efficient for congenital external/middle ear malformation case.
报告一种振动声桥（VSB）植入与耳廓重建的综合手术方法。
纳入4例先天性双侧外耳/中耳畸形患者。所有患者均被诊断为双侧骨性闭锁和Ⅲ度小耳畸形。所有受试者均在一次手术中进行镫骨振动成形术并同期进行耳廓重建第3阶段手术。分析临床资料及听力结果。
两侧耳廓外形轮廓塑造良好且形状对称，美学效果满意。VSB激活后听力阈值平均改善25.9dB HL，言语识别测试平均得分21.8 - 46.3%。
VSB植入与美学重建联合手术方法对于先天性外耳/中耳畸形病例安全有效。
