部分岩骨切除术与人工耳蜗植入。
Subtotal petrosectomy and cochlear implantation.
机构信息
Otorhinolaryngology and Otoneurosurgery Department, University Hospital of Parma, Italy.
出版信息
Acta Otorhinolaryngol Ital. 2020 Dec;40(6):450-456. doi: 10.14639/0392-100X-N0931.
OBJECTIVE
The objective of this study is to analyse surgical outcomes in a series of patients who underwent subtotal petrosectomy in combination with cochlear implantation.
METHODS
Retrospective chart review. Thirty patients (32 ears) underwent subtotal petrosectomy and cochlear implantation in one stage. Indications for subtotal petrosectomy included the following: cholesteatoma, chronic otitis media, previous canal wall-down, osteoradionecrosis, revision surgery for clinical reasons, inner ear malformations, middle ear anatomical variations and severe cochlear ossification.
RESULTS
Follow-up ranged from 2 to 54 months. Only 2 complications related to the subtotal petrosectomy (1 subcutaneous abdominal haematoma and 1 subcutaneous abdominal seroma) occurred in this series. Complete electrode insertion was achieved in all but 4 cases.
CONCLUSIONS
Subtotal petrosectomy is a safe procedure and can offer technical advantages in some cases of complex cochlear implantation.
目的
本研究旨在分析一系列接受部分颞骨切除术并同时进行人工耳蜗植入术的患者的手术结果。
方法
回顾性病历分析。30 例（32 耳）患者一期行部分颞骨切除术和人工耳蜗植入术。行部分颞骨切除术的指征包括：胆脂瘤、慢性中耳炎、既往完壁式乳突切开术、放射性骨坏死、因临床原因行翻修手术、内耳畸形、中耳解剖变异和严重耳蜗骨化。
结果
随访时间为 2 至 54 个月。本系列中仅发生 2 例与部分颞骨切除术相关的并发症（1 例皮下腹部血肿，1 例皮下腹部血清肿）。除 4 例外，所有患者均完全插入电极。
结论
部分颞骨切除术是一种安全的手术方法，在某些复杂的人工耳蜗植入病例中具有技术优势。
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