Ceviken Emirhan, Celik Serdal, Topcu Merve Torun, Kalcioglu Mahmut Tayyar
Department of Otorhinolaryngology, Faculty of Medicine, Istanbul Medeniyet University, Istanbul, Türkiye.
ENT Clinic, Goztepe Suleyman Yalcin City Hospital, Istanbul, Türkiye.
Eur Arch Otorhinolaryngol. 2025 May 30. doi: 10.1007/s00405-025-09491-w.
Although the number of cochlear implant surgeries performed to restore hearing in people with hearing loss is increasing with the expansion of indications, the likelihood of complications and revision surgeries is decreasing proportionally as surgical techniques and device technology have evolved over the years. In this case, a cartilage-reinforced flap approach was used to solve the problem of a patient whose implant electrode became visible under the skin five years after the initial surgery. Since it was not possible to replace the implant during revision surgery due to financial reasons, this surgical approach was preferred to preserve the device. In certain situations it may be necessary to develop solutions outside of established protocols. In this case, while the standard approach would be to remove the implant, create a new implant bed and perform a revision surgery with a new implant, the patient's inability to obtain a new device necessitated the preservation of the existing implant. This approach successfully resolved the problem and prevented the patient from losing access to sound.
尽管随着适应症的扩大，为恢复听力损失患者的听力而进行的人工耳蜗植入手术数量在增加，但随着多年来手术技术和设备技术的发展，并发症和翻修手术的可能性也在相应降低。在这种情况下，采用了软骨强化皮瓣方法来解决一名患者的问题，该患者在初次手术后五年，植入电极在皮下可见。由于经济原因，在翻修手术期间无法更换植入物，因此这种手术方法更适合保留该设备。在某些情况下，可能有必要制定既定方案之外的解决方案。在这种情况下，虽然标准方法是取出植入物、创建新的植入床并使用新的植入物进行翻修手术，但患者无法获得新设备使得必须保留现有植入物。这种方法成功解决了问题，并防止患者失去听力。
