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用于管理颞骨骨折及耳蜗骨化个体的人工耳蜗植入的新器械

New Instruments for the Management of Cochlear Implantation in an Individual with a Fracture of the Temporal Bone and Cochlear Ossification.

作者信息

Frisina Antonio, Seno Francesco, Conni Gionata

机构信息

ENT Complex Operative Unit-Western District AULSS8 Berica Hospital, Valdagno, Italy.

MED-EL Italian Local Unit, Via Dei Vanga 1B, Bolzano 39100, Italy.

出版信息

Case Rep Otolaryngol. 2024 Sep 3;2024:3946072. doi: 10.1155/2024/3946072. eCollection 2024.

DOI:10.1155/2024/3946072
PMID:39257961
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11387084/
Abstract

Cochlear implant surgery can be highly complex in cases where ossification of the internal ear has taken place. In this case report, we report the use of new technological instruments to optimise the surgical process of implantation. These were the combined use of a surgical approach extended by a subtotal petrosectomy, a pre-operative radiological study with the OTOPLAN software for choosing the most suitable electrode array, and a residual functionality test of the auditory nerve using the ANTS test electrode array prior to inserting the cochlear implant electrode array. These were used to successfully treat a case of total deafness caused by a fracture in the temporal bone complicated with ossification of the basal turn of the cochlea. These instruments ensured that the operation was performed with excellent results, reducing the risk of failure to a minimum in this complex case.

摘要

在内耳发生骨化的情况下，人工耳蜗植入手术可能会非常复杂。在本病例报告中，我们报告了使用新技术器械来优化植入手术过程。这些技术包括通过部分岩骨切除术扩展手术入路、使用OTOPLAN软件进行术前放射学研究以选择最合适的电极阵列，以及在插入人工耳蜗电极阵列之前使用ANTS测试电极阵列对听神经进行残余功能测试。这些技术成功治疗了一例因颞骨骨折并发耳蜗底转骨化导致的全聋病例。这些器械确保了手术取得优异效果，将这一复杂病例中的失败风险降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24db/11387084/7923e2899ad8/CRIOT2024-3946072.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24db/11387084/6ecafa01142a/CRIOT2024-3946072.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24db/11387084/68cdc966446c/CRIOT2024-3946072.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24db/11387084/d54cad96fc27/CRIOT2024-3946072.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24db/11387084/198f109a3638/CRIOT2024-3946072.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24db/11387084/d335b1095939/CRIOT2024-3946072.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24db/11387084/76e887a85120/CRIOT2024-3946072.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24db/11387084/7923e2899ad8/CRIOT2024-3946072.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24db/11387084/6ecafa01142a/CRIOT2024-3946072.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24db/11387084/68cdc966446c/CRIOT2024-3946072.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24db/11387084/d54cad96fc27/CRIOT2024-3946072.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24db/11387084/198f109a3638/CRIOT2024-3946072.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24db/11387084/d335b1095939/CRIOT2024-3946072.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24db/11387084/76e887a85120/CRIOT2024-3946072.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24db/11387084/7923e2899ad8/CRIOT2024-3946072.007.jpg

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本文引用的文献

1
Special electrodes for demanding cochlear conditions.特殊电极，适用于苛刻的耳蜗条件。
Acta Otolaryngol. 2021 Mar;141(sup1):157-177. doi: 10.1080/00016489.2021.1888506.
2
Diagnostic Accuracy of Intracochlear Test Electrode for Acoustic Nerve Monitoring in Vestibular Schwannoma Surgery.耳蜗内测试电极在听神经瘤手术中进行听神经监测的诊断准确性。
Ear Hear. 2020 Nov/Dec;41(6):1648-1659. doi: 10.1097/AUD.0000000000000883.
3
Prediction of the Cochlear Implant Electrode Insertion Depth: Clinical Applicability of two Analytical Cochlear Models.
预测人工耳蜗电极植入深度：两种分析性人工耳蜗模型的临床适用性。
Sci Rep. 2020 Feb 24;10(1):3340. doi: 10.1038/s41598-020-58648-6.
4
Cochlear Implant Users with Otosclerosis: Are Hearing and Quality of Life Outcomes Worse than in Cochlear Implant Users without Otosclerosis?患有耳硬化症的人工耳蜗使用者：其听力和生活质量结果是否比未患耳硬化症的人工耳蜗使用者更差？
Audiol Neurootol. 2018;23(6):345-355. doi: 10.1159/000496191. Epub 2019 Feb 8.
5
Cochlear implantation in patients with ossified cochleas.耳蜗骨化患者的人工耳蜗植入
Am J Otolaryngol. 2019 Mar-Apr;40(2):183-186. doi: 10.1016/j.amjoto.2018.12.004. Epub 2018 Dec 8.
6
Otopathology of Unilateral Cochlear Implantation in Patients With Bilateral Temporal Bone Fracture.单侧人工耳蜗植入患者双侧颞骨骨折的耳科学研究
Otol Neurotol. 2019 Jan;40(1):e14-e19. doi: 10.1097/MAO.0000000000002057.
7
Usefulness of Electrical Auditory Brainstem Responses to Assess the Functionality of the Cochlear Nerve Using an Intracochlear Test Electrode.使用鼓阶内测试电极时，电听觉脑干反应评估蜗神经功能的效用。
Otol Neurotol. 2017 Dec;38(10):e413-e420. doi: 10.1097/MAO.0000000000001584.
8
Cochlear Implantation in Cochlear Ossification: Retrospective Review of Etiologies, Surgical Considerations, and Auditory Outcomes.耳蜗骨化患者的人工耳蜗植入：病因、手术考量及听觉结果的回顾性分析
Otol Neurotol. 2018 Jan;39(1):17-28. doi: 10.1097/MAO.0000000000001613.
9
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Otol Neurotol. 2017 Oct;38(9):e345-e353. doi: 10.1097/MAO.0000000000001552.
10
Subtotal petrosectomy: Surgical technique, indications, outcomes, and comprehensive review of literature.岩骨次全切除术：手术技术、适应证、结果及文献综述
Laryngoscope. 2017 Dec;127(12):2833-2842. doi: 10.1002/lary.26533. Epub 2017 Mar 27.