Arístegui Ignacio, Aranguez Gracia, Casqueiro José Carlos, Gutiérrez-Triguero Manuel, Pozo Almudena Del, Arístegui Miguel
Otoneurology Division and Otology Section, ENT Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain.
Pediatric ENT Section, ENT Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain.
Audiol Res. 2022 Feb 25;12(2):113-125. doi: 10.3390/audiolres12020014.
In most cases, cochlear implantation is a straightforward procedure. Nevertheless, there are clinical situations in which the presence of the middle ear may compromise access and/or the outcome in terms of complications. This article includes a series of patients for whom we eliminated the middle ear to facilitate placement of the electrode array of the implant and/or reduce potential complications. A total of 92 cases in 83 patients, managed by the senior author, are included in this series. Different indications are outlined that justify associating a subtotal petrosectomy technique with cochlear implantation. The steps of the technique are described. We include complications from this series that compare favorably with standard techniques.
在大多数情况下,人工耳蜗植入是一个简单的手术。然而,在某些临床情况下,中耳的存在可能会影响手术入路和/或导致并发症,进而影响手术结果。本文纳入了一系列患者,我们通过切除中耳来便于植入电极阵列的放置和/或减少潜在并发症。本系列纳入了由资深作者管理的83例患者中的92例病例。文中概述了将部分岩骨切除术与人工耳蜗植入相结合的不同适应证,并描述了该技术的步骤。我们还纳入了本系列的并发症情况,与标准技术相比,效果良好。