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慢性化脓性中耳炎患儿的部分岩骨切除术与人工耳蜗植入:单机构经验

Subtotal Petrosectomy and Cochlear Implantation in Children With Chronic Suppurative Otitis Media: A Single Institutional Experience.

作者信息

Bako Peter, Kovacs Marton, Uzsaly Janos, Burian Andras, Bodzai Greta, Nemeth Adrienn, Toth Arnold, Szanyi Istvan, Gerlinger Imre

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, Medical School, University of Pécs, Pécs, Hungary.

Regenerative Science, Sport and Medicine Research Group, Szentágothai Research Centre, University of Pécs, Pécs, Hungary.

出版信息

J Audiol Otol. 2022 Oct;26(4):214-222. doi: 10.7874/jao.2022.00220. Epub 2022 Oct 10.

Abstract

BACKGROUND AND OBJECTIVES

Chronic suppurative otitis media (CSOM) with or without cholesteatoma is a frequent chronic inflammatory condition in children, which may lead to severe hearing loss that affects speech development. Treatment of recurrent CSOM associated with unserviceable hearing requires a specialized approach with regard to disease eradication and hearing rehabilitation. In this study, we investigated the advantages of subtotal petrosectomy (SP) combined with cochlear implantation (CI) in children with CSOM associated with unserviceable hearing and describe our experience with regard to the efficacy of this method, together with a literature review.

SUBJECTS AND METHODS

SP with sequential or simultaneous CI was performed in three children (four ears), and postoperative audiometric data were recorded.

RESULTS

The study included two male and one female patient. Mean age at the time of SP was 10.75 years (7-13 years). Sequential implantation was performed in three ears. Facial nerve palsy occurred after SP in one patient. The latest word recognition scores of Cases 1, 2, and 3 were 80% (at 60 dB), 75% (at 60 dB), and 70% (at 50 dB) and 90% (at 50 dB), respectively.

CONCLUSIONS

SP with CI may be safe and reliable in children with CSOM associated with unserviceable hearing.

摘要

背景与目的

伴有或不伴有胆脂瘤的慢性化脓性中耳炎(CSOM)是儿童常见的慢性炎症性疾病,可能导致严重听力损失,影响言语发育。对于伴有无法使用的听力的复发性CSOM的治疗,在疾病根除和听力康复方面需要一种专门的方法。在本研究中,我们调查了次全岩骨切除术(SP)联合人工耳蜗植入(CI)在伴有无法使用的听力的CSOM儿童中的优势,并描述了我们关于该方法疗效的经验,同时进行文献综述。

对象与方法

对3名儿童(4耳)进行了序贯或同期的SP联合CI手术,并记录术后听力测定数据。

结果

该研究包括2名男性和1名女性患者。SP时的平均年龄为10.75岁(7 - 13岁)。3耳进行了序贯植入。1例患者在SP后出现面神经麻痹。病例1、2和3的最新单词识别分数分别为80%(在60 dB时)、75%(在60 dB时)、70%(在50 dB时)和90%(在50 dB时)。

结论

对于伴有无法使用的听力的CSOM儿童,SP联合CI可能是安全可靠的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e045/9597276/9d3beaab717e/jao-2022-00220f1.jpg

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