Topsakal Vedat, Agrawal Sumit, Atlas Marcus, Baumgartner Wolf-Dieter, Brown Kevin, Bruce Iain A, Dazert Stefan, Hagen Rudolf, Lassaletta Luis, Mlynski Robert, Raine Christopher H, Rajan Gunesh P, Schmutzhard Joachim, Sprinzl Georg Mathias, Staecker Hinrich, Usami Shin-Ichi, Van Rompaey Vincent, Zernotti Mario, Heyning Paul van de
Department of Otorhinolaryngology, Head and Neck Surgery, Brussels Health Campus, University Hospital Brussels (UZ Brussel), Vrije Universiteit Brussel (VUB), 1090 Jette, Belgium.
Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital (UZA), University of Antwerp, 2610 Edegem, Belgium.
J Pers Med. 2022 Sep 21;12(10):1551. doi: 10.3390/jpm12101551.
This study aimed to discover expert opinion on the surgical techniques and materials most likely to achieve maximum postoperative residual hearing preservation in cochlear implant (CI) surgery and to determine how these opinions have changed since 2010. A previously published questionnaire used in a study published in 2010 was adapted and expanded. The questionnaire was distributed to an international group of experienced CI surgeons. Present results were compared, via descriptive statistics, to those from the 2010 survey. Eighteen surgeons completed the questionnaire. Respondents clearly favored the following: round window insertion, slow array insertion, and the peri- and postoperative use of systematic antibiotics. Insertion depth was regarded as important, and electrode arrays less likely to induce trauma were preferred. The usefulness of dedicated soft-surgery training was also recognized. A lack of agreement was found on whether the middle ear cavity should be flushed with a non-aminoglycoside antibiotic solution or whether a sheath or insertion tube should be used to avoid contaminating the array with blood or bone dust. In conclusion, this paper demonstrates how beliefs about CI soft surgery have changed since 2010 and shows areas of current consensus and disagreement.
本研究旨在了解专家对于在人工耳蜗（CI）手术中最有可能实现最大程度术后残余听力保留的手术技术和材料的看法，并确定自2010年以来这些看法有何变化。对2010年发表的一项研究中使用的一份先前已发表的问卷进行了改编和扩充。该问卷分发给了一组国际经验丰富的CI外科医生。通过描述性统计将当前结果与2010年调查的结果进行了比较。18名外科医生完成了问卷。受访者明确倾向于以下几点：圆窗插入、缓慢阵列插入以及围手术期和术后使用系统性抗生素。插入深度被认为很重要，并且更倾向于选用不太可能引起创伤的电极阵列。专门的软手术培训的有用性也得到了认可。对于中耳腔是否应使用非氨基糖苷类抗生素溶液冲洗，或者是否应使用护套或插入管以避免阵列被血液或骨屑污染，存在不同意见。总之，本文展示了自2010年以来关于CI软手术的观念如何变化，并显示了当前达成共识和存在分歧的领域。
