用于微创人工耳蜗植入的牵开器和肌瓣设计的改进。
Improvements to the retractor and muscle flap design for minimally invasive cochlear implantation.
作者信息
Liu Riyuan, Tan Zhiping, Li Jianan, Yan Yan, Ren Wei, Zhang Miao, Yang Shiming, Zhao Hui
机构信息
Department of Otolaryngology Head and Neck Surgery, Institute of Otolaryngology, Chinese PLA General Hospital, China National Clinical Research Center for Otolaryngologic Diseases, Beijing, 100853, China.
Zhejiang Nurotron Biotechnology Company Limited, Hangzhou, Zhejiang, 311121, China.
出版信息
J Otol. 2020 Mar;15(1):41-44. doi: 10.1016/j.joto.2019.09.003. Epub 2019 Sep 24.
OBJECTIVE
The aim of this study was to improve muscle flaps and to evaluate surgical outcomes with the use of a novel specialized retractor, which is a surgical instrument used to locate and shape a bony seat for minimally invasive cochlear implantation.
METHODS
50 patients aged 1-75 years with sensorineural hearing loss who required cochlear implantation were recruited. A small incision (<3 cm) was made, and the novel specialized retractor was used in the study group during cochlear implantation. The incision length, surgical outcomes and operative time were recorded and analyzed.
RESULTS
The incision length, total operative time and drilling bony time were shorter in the study group than in the control group ( < 0.05, respectively). All patients recovered well after the surgery without any severe complications.
CONCLUSION
The use of a novel specialized retractor standardized the surgical processes of cochlear implantation. The retractor helped locate and control the size of the bony well during bone drilling. The tool reduced the technical difficulty and improved the efficacy of this minimally invasive operation.
目的
本研究旨在改进肌瓣，并使用一种新型专用牵开器评估手术效果，该牵开器是一种用于为微创人工耳蜗植入定位和塑造骨座的手术器械。
方法
招募50例年龄在1至75岁之间、需要进行人工耳蜗植入的感音神经性听力损失患者。做一个小切口（<3厘米），研究组在人工耳蜗植入过程中使用新型专用牵开器。记录并分析切口长度、手术效果和手术时间。
结果
研究组的切口长度、总手术时间和钻孔时间均短于对照组（分别为<0.05）。所有患者术后恢复良好，无任何严重并发症。
结论
新型专用牵开器的使用使人工耳蜗植入的手术过程标准化。该牵开器有助于在钻孔时定位和控制骨窗的大小。该工具降低了技术难度，提高了这种微创手术的疗效。
Zotero 插件