Widmann Gerlig, Dejaco Daniel, Luger Anna, Schmutzhard Joachim
Department of Radiology, Medical University of Innsbruck, Anichstr. 35, A-6020, Innsbruck, Austria.
Department of Otorhinolaryngology-Head and Neck Surgery, Medical University of Innsbruck, Innsbruck, Austria.
Insights Imaging. 2020 Aug 15;11(1):93. doi: 10.1186/s13244-020-00902-6.
Cochlear implants are increasingly used to treat sensorineural hearing disorders in both children and adults. Pre-operative computed tomography and magnetic resonance imaging play a pivotal role in patient selection, to rule out findings that preclude surgery or identify conditions which may have an impact on the surgical procedure. The post-operative position of the electrode array within the cochlea can be reliably identified using cone-beam computed tomography. Recognition of scalar dislocation, cochlear dislocation, electrode fold, and malposition of the electrode array may have important consequences for the patient such as revision surgery or adapted fitting.
人工耳蜗越来越多地用于治疗儿童和成人的感音神经性听力障碍。术前计算机断层扫描和磁共振成像在患者选择中起着关键作用,以排除排除手术的发现或识别可能影响手术过程的情况。使用锥形束计算机断层扫描可以可靠地识别耳蜗内电极阵列的术后位置。识别蜗管脱位、耳蜗脱位、电极折叠和电极阵列位置异常可能对患者产生重要影响,如翻修手术或调整适配。