Altuna Xabier, García Leire, Martínez Zuriñe, de Pinedo Mercedes Fernández
Servicio de Otorrinolaringología, Hospital Universitario DonostiA, Pº Dr. Begiristain SN, 20014, San Sebastian, Spain.
Eur Arch Otorhinolaryngol. 2017 Dec;274(12):4149-4153. doi: 10.1007/s00405-017-4762-x. Epub 2017 Oct 16.
Describe the indications and outcome of subtotal petrosectomy for cochlear implant recipients. Tertiary care referral center. This is a retrospective study of all subtotal petrosectomies and cochlear implants performed between January 2012 and December 2014. We review the charts of these patients collecting the following data: age, gender, otologic history, audiologic tests, indication of subtotal petrosectomy, data of surgery, surgical and immediate complications, late complications and follow-up of for at least 2.5 years. 12 cases of subtotal petrosectomies with cochlear implantation in 11 patients were performed during this period; 2 children and 10 adults. The indication for a cochlear implant was in 10 cases bilateral severe to profound sensorineural hearing loss and in the remaining 2 cases was asymmetric hearing loss or unilateral hearing loss. The reason for performing a subtotal petrosectomy was chronic otitis media with or without cholesteatoma, radical cavities from previous surgeries or electrode extrusion of previously implanted devices. All cases were performed in one stage. One patient had an infectious complication that required revision surgery and finally an explantation. No other complications are described. Subtotal petrosectomy combined with cochlear implantation is a procedure required in certain situations. It is an effective and safe procedure for managing middle ear problems and creating a safe cavity to receive a cochlear implant either in adults and children.
描述人工耳蜗植入受者行部分岩骨切除术的适应证及结果。三级医疗转诊中心。这是一项对2012年1月至2014年12月期间所有进行的部分岩骨切除术和人工耳蜗植入术的回顾性研究。我们查阅了这些患者的病历，收集了以下数据：年龄、性别、耳科病史、听力测试、部分岩骨切除术的适应证、手术数据、手术及近期并发症、远期并发症以及至少2.5年的随访情况。在此期间，对11例患者进行了12例部分岩骨切除联合人工耳蜗植入术；其中2例为儿童，10例为成人。人工耳蜗植入的适应证为10例双侧重度至极重度感音神经性听力损失，其余2例为不对称听力损失或单侧听力损失。进行部分岩骨切除术的原因是慢性中耳炎伴或不伴胆脂瘤、既往手术导致的根治性术腔或先前植入装置的电极脱出。所有病例均一期完成手术。1例患者出现感染性并发症，需要进行翻修手术，最终取出植入物。未描述其他并发症。部分岩骨切除术联合人工耳蜗植入术是某些情况下所需的一种手术。对于处理成人和儿童的中耳问题以及创建一个安全的腔隙以植入人工耳蜗而言，这是一种有效且安全的手术。
