Jahangiri Reza, Hashemi Seyed Basir, Kohan Elahe, Babaei Amirhossein
Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran.
Iran J Otorhinolaryngol. 2024 Jan;36(1):377-380. doi: 10.22038/IJORL.2023.75088.3520.
Ear symptoms of granulomatosis with polyangiitis can range from ear fullness and otalgia to conductive or sensory neural hearing loss and sudden deafness. Cochlear implantation in these patients faces two challenges: access to the round window and control of mastoid and middle ear inflammation. The combined approach in cochlear implantation is a classic trans-facial recess approach facilitated by a trans-canal view.
In this case report, we present the "combined approach" in a 20-year-old lady with granulomatosis with polyangiitis who underwent cochlear implantation successfully using the combined approach.
Post-operative results suggest that the "combine approach" seems to be a safe, easy, and fast cochlear implantation technique for chronic otitis media with an atelectatic middle ear and retracted tympanic membrane or narrow facial recess space. It is a single-stage surgery that has no need for the obliteration of the ear and has less morbidity.
肉芽肿性多血管炎的耳部症状范围广泛，从耳部胀满、耳痛到传导性或感音神经性听力损失及突发性耳聋。这些患者进行人工耳蜗植入面临两个挑战：进入圆窗以及控制乳突和中耳炎症。人工耳蜗植入的联合方法是一种借助经耳道视野的经典经面隐窝入路。
在本病例报告中，我们介绍了一名20岁肉芽肿性多血管炎女性患者成功采用联合方法进行人工耳蜗植入的“联合方法”。
术后结果表明，“联合方法”对于伴有中耳萎陷、鼓膜内陷或面隐窝狭窄的慢性中耳炎似乎是一种安全、简便且快速的人工耳蜗植入技术。它是一种无需耳部填塞的一期手术，发病率较低。
