Bianchin Giovanni, Polizzi Valeria, Formigoni Patrizia, Russo Carmela, Tribi Lorenzo
Otorhinolaryngology and Audiology Department, ASMN-IRCCS Hospital, Reggio Emilia, Italy.
Int J Otolaryngol. 2016;2016:6591684. doi: 10.1155/2016/6591684. Epub 2016 Oct 26.
. To share our experience of cerebrospinal fluid gusher in cochlear implantation in patients with enlarged cochlear or vestibular aqueduct. . Case series with comparison and a review of the literature. . A retrospective study was performed. Demographic and radiological results of patients with enlarged cochlear aqueduct or enlarged vestibular aqueduct in 278 consecutive cochlear implant recipients, including children and adults, were evaluated between January 2000 and December 2015. . Six patients with enlarged cochlear aqueduct and eight patients with enlarged vestibular aqueduct were identified. Cerebrospinal fluid gusher occurs in five subjects with enlarged cochlear aqueduct and in only one case of enlarged vestibular aqueduct. . Based on these findings, enlarged cochlear aqueduct may be the best risk predictor of cerebrospinal fluid gusher at cochleostomy during cochlear implant surgery despite enlarged vestibular aqueduct.
分享我们在人工耳蜗植入术中，针对耳蜗或前庭导水管扩大患者出现脑脊液喷射的经验。病例系列研究及文献回顾。进行一项回顾性研究。对2000年1月至2015年12月期间连续278例接受人工耳蜗植入的患者（包括儿童和成人）中，耳蜗导水管扩大或前庭导水管扩大患者的人口统计学和影像学结果进行评估。确定了6例耳蜗导水管扩大患者和8例前庭导水管扩大患者。脑脊液喷射发生在5例耳蜗导水管扩大的受试者中，仅1例前庭导水管扩大患者出现。基于这些发现，尽管前庭导水管扩大，但耳蜗导水管扩大可能是人工耳蜗植入手术中蜗窗造口时脑脊液喷射的最佳风险预测指标。
