Al Omari Ahmad, Nuseir Amjad, Ata Majid Bani, Khasawneh Laith, Alhowary Ala A, Alzoubi Firas
Otolaryngology Department, Faculty of Medicine, Jordan University of Science and Technology , P.O Box 3030, Irbid 22110 , Jordan.
Otolaryngology Department, Faculty of Medicine, Hashemite University , P.O Box 3030127, Zarqa , Jordan.
Cochlear Implants Int. 2019 Nov;20(6):324-330. doi: 10.1080/14670100.2019.1656904. Epub 2019 Aug 29.
: To investigate the accuracy of intraoperative electrophysiological studies in detecting incorrectly positioned electrodes in cochlear implant surgery. : A retrospective chart review. : Tertiary referral centre. : In total, 104 consecutive patients with a mean age of 5 years underwent cochlear implant surgery at our centre between January 2012 and December 2013. All patients were implanted with Cochlear Nucleus Freedom implants. : A retrospective study to compare intraoperative neural response telemetry (NRT), impedance and electrode position using Stenver's transorbital plain X-ray view. : Intraoperative electrophysiological tests for patients with Cochlear Nucleus Freedom implants showed 97% sensitivity and 100% specificity compared with postoperative X-ray imaging. : NRT results for the position of cochlear implants were very accurate when checked by X-ray imaging showing that this technique is sufficient in most cases. Stenver's plain X-ray view is needed in complicated cases with abnormal NRT testing or difficult electrode insertion.
研究术中电生理检查在人工耳蜗植入手术中检测电极位置不当的准确性。
回顾性病历审查。
三级转诊中心。
2012年1月至2013年12月期间，共有104例平均年龄为5岁的患者在本中心接受了人工耳蜗植入手术。所有患者均植入了科利耳Nucleus Freedom植入体。
一项回顾性研究，采用斯滕弗氏经眶平片X线视图比较术中神经反应遥测（NRT）、阻抗和电极位置。
与术后X线成像相比，科利耳Nucleus Freedom植入体患者的术中电生理测试显示敏感性为97%，特异性为100%。当通过X线成像检查时，人工耳蜗位置的NRT结果非常准确，表明该技术在大多数情况下足够。在NRT测试异常或电极插入困难的复杂病例中，需要斯滕弗氏平片X线视图。
