Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery, Ministry of Education, Beijing, PR China.
J Int Med Res. 2021 Nov;49(11):3000605211057823. doi: 10.1177/03000605211057823.
Generally, cochlear implants (CIs) are effective in helping patients improve their hearing performance; however, some patients have poor hearing performance owing to facial nerve stimulation (FNS), which is often associated with cochlear anomalies. We report a case with a normal cochlea and severe and persistent FNS owing to cochlear-facial dehiscence (CFD) that affected the CI outcomes. Preoperatively, a careful review of the computed tomography images before CI surgery is necessary not only for patients with otosclerosis and inner ear malformations but also for patients with normal cochlear structures because facial nerve anomalies could be present.
一般来说，人工耳蜗（CI）植入术在帮助患者改善听力方面是有效的；然而，由于面神经刺激（FNS），一些患者的听力表现较差，而面神经刺激通常与耳蜗异常有关。我们报告了一例因耳蜗-面神经裂（CFD）而导致 CI 结果受影响的患者，该患者具有正常的耳蜗和严重且持续的 FNS。在 CI 手术前，不仅对于有耳硬化症和内耳畸形的患者，而且对于具有正常耳蜗结构的患者，仔细审查 CI 手术前的 CT 图像是必要的，因为面神经异常可能存在。
