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人工耳蜗植入手术:如何固定接收器/刺激器以避免移位。

Cochlear Implant Surgery: How to Fix Receiver/Stimulator Avoiding Extrusion.

作者信息

Gatto Annalisa, Tofanelli Margherita, Piccinato Alice, Antonio Jamile Karina, Zucchini Simone, Achilli Vittorio Pietro, Tirelli Giancarlo

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, 9315University of Trieste, Cattinara Hospital, Trieste, Italy.

ENT Department, Maggiore Hospital, Lodi, Italy.

出版信息

Ear Nose Throat J. 2021 Jun;100(3_suppl):212S-214S. doi: 10.1177/0145561319880625. Epub 2019 Oct 9.

Abstract

Cochlear implant (CI) surgery is generally safe and associated with a limited number of complications, among which the extrusion of the receiver/stimulator (R/S) or the electrode misplacement and migration might require a CI re-implantation. The aim of this pilot study is to describe a new technique to firmly fix the R/S using the Mitek suture anchors system (Depuy Mitek Surgical Products, Inc. Raynham, Massachusetts). We tested two different models and in our experience, the web of suture created with this device can improve the stability of the bond of the R/S to the underlying curved bone surface. So, this system resulted in a less laborious manner keeping low the complication rate.

摘要

人工耳蜗植入(CI)手术一般是安全的,并发症数量有限,其中接收器/刺激器(R/S)的外露或电极误置及移位可能需要再次植入人工耳蜗。本初步研究的目的是描述一种使用Mitek缝合锚钉系统(德普伊Mitek外科产品公司,马萨诸塞州雷纳姆)牢固固定R/S的新技术。我们测试了两种不同型号,根据我们的经验,用该装置形成的缝合网可提高R/S与下方弯曲骨表面结合的稳定性。因此,该系统以一种不那么费力的方式保持了较低的并发症发生率。

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