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成人耳硬化症耳蜗骨化患者的听觉脑干植入。

Auditory Brainstem Implant in Adult Patient With Cochlear Ossification From Otosclerosis.

机构信息

Division of Neurotology, House Clinic, Los Angeles, California.

Tufts Medical Center, Boston, Massachusetts.

出版信息

Otol Neurotol. 2021 Feb 1;42(2):e114-e116. doi: 10.1097/MAO.0000000000002946.

Abstract

OBJECTIVE

The objective is to describe auditory brainstem implantation in a case of extensive cochlear otosclerosis.

PATIENT, INTERVENTION, AND RESULTS: A case is presented of a 65-year-old male with bilateral cochlear otosclerosis and profound sensorineural hearing loss. Imaging studies showed distorted cochlear anatomy bilaterally and ossification of cochlear ducts. He underwent successful placement of an auditory brainstem implant using a retrosigmoid craniotomy approach.

CONCLUSIONS

Extensive cochlear otosclerosis may distort cochlear anatomy such that cochlear implantation is expected to have a poor outcome. Auditory brainstem implantation may be an additional treatment option in these patients.

摘要

目的

描述一例广泛耳蜗耳硬化症的听觉脑干植入情况。

患者、干预措施和结果:本文报道了一例 65 岁男性双侧耳蜗耳硬化症和严重感音神经性听力损失患者。影像学检查显示双侧耳蜗解剖结构变形,耳蜗管骨化。患者成功接受了经乙状窦后颅中窝入路的听觉脑干植入术。

结论

广泛的耳蜗耳硬化症可能使耳蜗解剖结构变形,从而导致耳蜗植入术效果不佳。听觉脑干植入术可能是这些患者的另一种治疗选择。

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