Singhal Pawan, Nagaraj Sushmita, Verma Namita, Goyal Amit, Keshri Amit, Kapila Rajeev Kumar, Agarwal Sunita, Sharma Man Prakash
Department of Otorhinolaryngology, SMS Medical College, Jaipur, Rajasthan India.
Lipi Clinics, 78 A, Vishnupuri, Durgapura, Jaipur, Rajasthan 302018 India.
Indian J Otolaryngol Head Neck Surg. 2020 Sep;72(3):370-374. doi: 10.1007/s12070-020-01895-w. Epub 2020 Jun 9.
There are various surgical techniques for cochlear implantation, classical one being mastoidectomy and posterior tympanotomy which has some disadvantages and complications like extensive bone work, violation of mastoid air cell system and fear of injury to vital structures like facial nerve. To minimize these problems, various modifications in cochlear implantation surgery has been done which includes introduction of Veria technique which also has certain disadvantages like extensive dissection and prolonged surgical time. In this article we are introducing an innovative technique of cochlear implantation where we have modified the pre-existing Veria technique that has been described in detail in the coming sections. Total 9 cases have been done so far with this modified Veria technique. This technique includes postaural approach with minimal soft tissue and bone work, making the cochlear implantation simple, easily doable, with less operating time, with minimal morbidity, faster healing due to smaller incision and avoiding facial nerve injury.
人工耳蜗植入有多种手术技术,经典的是乳突切除术和后鼓室切开术,该方法存在一些缺点和并发症,如广泛的骨质操作、破坏乳突气房系统以及担心损伤面神经等重要结构。为了尽量减少这些问题,人们对人工耳蜗植入手术进行了各种改进,其中包括引入Veria技术,但该技术也有一些缺点,如广泛的解剖和较长的手术时间。在本文中,我们将介绍一种创新的人工耳蜗植入技术,即对现有的Veria技术进行了改进,后续章节将详细描述。到目前为止,采用这种改良的Veria技术共完成了9例手术。该技术包括耳后入路,软组织和骨质操作最少,使人工耳蜗植入简单易行,手术时间短,发病率低,切口小愈合快,且避免了面神经损伤。