Karimnejad Kaveh, Akhter Asad Shahab, Walen Scott Gregory, Mikulec Anthony Alan
Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, St. Louis, MO, USA.
Saint Louis University School of Medicine, St. Louis, MO, USA.
Int J Pediatr Otorhinolaryngol. 2017 Mar;94:64-67. doi: 10.1016/j.ijporl.2017.01.020. Epub 2017 Jan 16.
The management of cochlear implant extrusion (CIE) can be challenging, particularly in the pediatric population in whom reconstructive options are limited. We describe the use of the temporoparietal fascia flap (TPFF) for this purpose due to its ease of use and limited morbidity. We present a case series of two pediatric patients who underwent explantation of their devices, followed by reimplantation with TPFF coverage. Our experience provides evidence that the TPFF can be used to prevent further CIE through a postauricular incision following cochlear reimplantation with successful long-term results.
人工耳蜗植入物外露（CIE）的处理可能具有挑战性，尤其是在重建选择有限的儿科患者中。由于颞顶筋膜瓣（TPFF）使用方便且发病率低，我们描述了将其用于此目的。我们展示了一个包含两名儿科患者的病例系列，他们接受了设备取出，随后在TPFF覆盖下进行了重新植入。我们的经验证明，在人工耳蜗重新植入后，通过耳后切口使用TPFF可防止CIE进一步发生，并取得了成功的长期效果。
