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人工耳蜗植入术后迷路切除术:一种控制眩晕的新方法病例

Labyrinthectomy after Cochlear Implantation: A Case of a Novel Approach for Vertigo Control.

作者信息

Todt I, Wilms K, Sudhoff H

机构信息

Department of Otolaryngology, Head and Neck Surgery, Klinikum Bielefeld, Bielefeld, Germany.

Department of Otolaryngology, Head and Neck Surgery, Unfallkrankenhaus Berlin, Berlin, Germany.

出版信息

Case Rep Otolaryngol. 2019 Mar 31;2019:2783752. doi: 10.1155/2019/2783752. eCollection 2019.

DOI:10.1155/2019/2783752
PMID:31049237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6462336/
Abstract

Vertigo control in cases of Ménière disease and deafness can be achieved by labyrinthectomy before or as a single-stage procedure during cochlear implantation. The aim was to describe a case in which a labyrinthectomy was performed after cochlear implantation. The scar tissue was removed from the electrode cable, and the receiver was removed from the periostal pocket and placed out without electrode dislocation. Labyrinthectomy was performed after securing the electrode at the external canal. The patient disclaimed after three months no disabling vertigo. Intraoperatively, the electrode was not dislocated. A labyrinthectomy can be performed even after cochlear implantation to treat vertigo.

摘要

梅尼埃病合并耳聋患者的眩晕控制可通过在人工耳蜗植入术前或作为单阶段手术进行迷路切除术来实现。目的是描述一例在人工耳蜗植入术后进行迷路切除术的病例。从电极电缆上移除瘢痕组织,将接收器从骨膜袋中取出并放置到体外,电极未发生移位。在将电极固定在外耳道后进行迷路切除术。三个月后患者称无致残性眩晕。术中电极未发生移位。即使在人工耳蜗植入术后也可进行迷路切除术来治疗眩晕。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6086/6462336/3f54b30891b0/CRIOT2019-2783752.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6086/6462336/f2b0dcb47378/CRIOT2019-2783752.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6086/6462336/7a851aa19e64/CRIOT2019-2783752.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6086/6462336/1c0b2050e0a9/CRIOT2019-2783752.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6086/6462336/3f54b30891b0/CRIOT2019-2783752.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6086/6462336/f2b0dcb47378/CRIOT2019-2783752.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6086/6462336/7a851aa19e64/CRIOT2019-2783752.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6086/6462336/1c0b2050e0a9/CRIOT2019-2783752.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6086/6462336/3f54b30891b0/CRIOT2019-2783752.004.jpg

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本文引用的文献

1
[Simultaneous triple semicircular canal plugging and cochlear implantation in advanced Meniere's disease].[晚期梅尼埃病的同期三半规管阻塞术与人工耳蜗植入术]
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Jan 7;52(1):25-30. doi: 10.3760/cma.j.issn.1673-0860.2017.01.005.
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Simultaneous Labyrinthectomy and Cochlear Implantation for Patients with Single-Sided Ménière's Disease and Profound Sensorineural Hearing Loss.单侧梅尼埃病伴重度感音神经性听力损失患者的同期迷路切除术和人工耳蜗植入术
Biomed Res Int. 2015;2015:457318. doi: 10.1155/2015/457318. Epub 2015 Aug 24.
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Lateral semicircular canal plugging in severe Ménière's disease: a clinical prospective study about 28 patients.
外侧半规管阻塞治疗梅尼埃病的前瞻性临床研究:28 例患者分析。
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