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新冠疫情期间人工耳蜗植入手术的恢复

Resumption of Cochlear Implant Surgery under COVID-19 Pandemic Conditions.

作者信息

Skarzynski Henryk, Lorens Artur, Dziendziel Beata, Wlodarczyk Elzbieta, Obrycka Anita, Walkowiak Adam, Skarzynski Piotr Henryk

机构信息

World Hearing Center, Oto-Rhino-Laryngology Clinic, Institute of Physiology and Pathology of Hearing, 02-042 Warsaw, Poland.

World Hearing Center, Implant and Auditory Perception Department, Institute of Physiology and Pathology of Hearing, 02-042 Warsaw, Poland.

出版信息

Life (Basel). 2021 Sep 7;11(9):929. doi: 10.3390/life11090929.

Abstract

(1) Background: The novel coronavirus COVID-19 has been recognized by the World Health Organization as a public health emergency of international concern and has caused cancellation of elective cochlear implantation in many countries. This article sets out our experience with resuming cochlear implant (CI) surgery under COVID-19 conditions over a period of 3 months. In addition, early results of hearing preservation (HP) after CI surgery are presented; (2) Methods: We adopted epidemic management policies and procedures according to the National Consultant for Infectious Diseases recommendations. During preoperative visits, all patients were tested for COVID-19 with a RT-PCR test. One month postoperatively, HP values in the Partial Deafness Treatment (PDT) group of patients was established using the HEARRING group formula; (3) Results: Between January and March 2021, we performed 312 CI procedures in adult and pediatric patients. Of these, none were subsequently re-admitted to hospital and found to be COVID-19 positive. Postoperative audiometric results showed that complete or partial HP was achieved in more than half the PDT patients; (4) Conclusion: Cochlear implantation during the coronavirus disease pandemic is essential and, with careful planning, is perfectly feasible.

摘要

(1)背景:新型冠状病毒COVID-19已被世界卫生组织认定为国际关注的突发公共卫生事件,并导致许多国家取消了择期人工耳蜗植入手术。本文阐述了我们在COVID-19疫情期间3个月内恢复人工耳蜗(CI)手术的经验。此外,还介绍了CI手术后听力保留(HP)的早期结果;(2)方法:我们根据国家传染病顾问的建议采用了疫情管理政策和程序。在术前访视期间,所有患者均接受了逆转录聚合酶链反应(RT-PCR)检测以筛查COVID-19。术后1个月,使用HEARRING组公式确定部分听力损失治疗(PDT)组患者的HP值;(3)结果:在2021年1月至3月期间,我们对成人和儿童患者进行了312例CI手术。其中,没有患者随后再次入院并被检测出COVID-19呈阳性。术后听力测试结果显示,超过一半的PDT患者实现了完全或部分HP;(四)结论:在冠状病毒病大流行期间进行人工耳蜗植入手术至关重要,并且经过精心规划,完全可行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b350/8466866/dddd88e19dec/life-11-00929-g001a.jpg

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