Department of Otorhinolaryngology, Gujarat Medical Education and Research Society ('GMERS') Medical College and Hospital, Gandhinagar, India.
Asian Speech and Hearing Clinic, Ahmedabad, India.
J Laryngol Otol. 2021 Feb;135(2):125-129. doi: 10.1017/S0022215121000372. Epub 2021 Feb 11.
This study details the intra-operative complications, and compares auditory scales post-implantation of either profoundly deaf young children with radiologically normal inner ears (group A) or children with Mondini dysplasia (group B).
A retrospective survey was carried out of 338 patients with severe to profound sensorineural hearing loss who underwent cochlear implant surgery from February 2015 to May 2017. Patients were divided into 2 groups of 27 patients each. Both groups were followed up to three years post-implantation.
Cerebrospinal fluid ooze developed in 12 patients, and 2 patients had a cerebrospinal fluid 'gusher', one of which had to be explored within 24 hours. After implant use for one year, both groups had similar speech perception scores.
The cerebrospinal fluid gusher in Mondini dysplasia should be anticipated and adequately managed intra-operatively. This study highlights the tailoring of a post-implantation rehabilitation programme according to individual needs.
本研究详细介绍了术中并发症，并比较了影像学正常内耳（A 组）或 Mondini 发育不良患儿（B 组）植入后深聋年轻儿童的听觉量表。
对 2015 年 2 月至 2017 年 5 月接受人工耳蜗植入术的 338 例重度至极重度感音神经性听力损失患者进行了回顾性调查。患者分为 2 组，每组 27 例。两组均在植入后 3 年进行随访。
12 例患者出现脑脊液渗出，2 例患者出现脑脊液“喷涌”，其中 1 例需在 24 小时内探查。植入后使用 1 年后，两组的言语感知评分相似。
应预料到 Mondini 发育不良中的脑脊液喷涌，并在术中进行充分处理。本研究强调了根据个体需要制定植入后康复计划。
