Department of Otolaryngology-Head and Neck Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland.
Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri.
Otol Neurotol. 2020 Oct;41(9):e1177. doi: 10.1097/MAO.0000000000002828.
: Cerebrospinal fluid (CSF) gusher encountered during cochlear implantation are most commonly encountered in the setting of an inner ear abnormality. Repair of the gusher is essential to prevent CSF egress postoperatively and to decrease the risk of meningitis. Various methods to repair a CSF gusher have been described, including tight packing of the cochleostomy with fascia, lumbar drainage, and Eustachian tube packing with ear canal overclosure. We describe a novel and simple technique using a fascia ring placed around the cochlear implantation electrode (Cochlear Corporation, CI522) as a means to treat CSF gusher. The fascia is slid down the electrode after insertion, allowing circumferential coverage of the defect. The following video will provide an overview of patients at risk for CSF gusher and demonstrate the technique described above.SDC video link: http://links.lww.com/MAO/B52.
脑脊液（CSF）喷涌在耳蜗植入术中很常见，通常发生在内耳异常的情况下。修复喷涌至关重要，可防止术后 CSF 外溢，并降低脑膜炎的风险。已经描述了各种修复 CSF 喷涌的方法，包括用筋膜紧密填塞耳蜗造口术、腰大池引流和用耳道封闭填塞咽鼓管。我们描述了一种使用放置在耳蜗植入电极（科利尔公司，CI522）周围的筋膜环的新颖而简单的技术，作为治疗 CSF 喷涌的一种手段。筋膜在插入后沿电极向下滑动，允许缺陷的圆周覆盖。下面的视频将概述有 CSF 喷涌风险的患者，并演示上述技术。
