Aljaber Ophthalmology and Otolaryngology Specialized Hospital, Ministry of Health, Ahsa, Saudi Arabia.
King Abdullah Ear Specialist Center, College of Medicine, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.
J Laryngol Otol. 2023 Oct;137(10):1064-1082. doi: 10.1017/S0022215122001438. Epub 2022 Jun 22.
Round window approaches are used to insert a cochlear implant electrode array into the scala tympani. This study aimed to review the literature to find the reported round window approaches.
This review was performed according to the Preferred Reporting Items for Systematic Review and Meta-Analyses ('PRISMA') guidelines. Articles that described their surgical approach to the round window were included. The PubMed, Scopus, Web of Science and Cochrane Library electronic databases were searched through to June 2021. The study protocol was registered on Prospero (reference number: CRD42021226940).
A total of 42 reports were included. The following approaches were documented: the standard facial recess, keyhole, retrofacial, modified suprameatal, transaditus, combined posterior tympanotomy and endomeatal, modified Veria, canal wall down approaches, and endoscopically assisted technique.
This review suggested that there are numerous distinct round window approaches, providing alternatives when the round window is inaccessible through the standard facial recess.
圆窗入路用于将耳蜗植入电极阵列插入鼓阶。本研究旨在回顾文献，以找到报道的圆窗入路。
本综述按照系统评价和荟萃分析的首选报告项目（PRISMA）指南进行。纳入描述其圆窗手术入路的文章。通过PubMed、Scopus、Web of Science 和 Cochrane Library 电子数据库检索至 2021 年 6 月。研究方案在 Prospero 上注册（参考编号：CRD42021226940）。
共纳入 42 篇报告。记录了以下入路：标准面神经隐窝、锁孔、面神经后、改良上鼓室、经鼓窦、后鼓室切开和经耳道联合、改良 Veria、骨壁下降和内镜辅助技术。
本综述表明，存在许多不同的圆窗入路，为标准面神经隐窝无法到达圆窗时提供了替代方法。
