中国听力语言康复科学杂志Issue(5)：354-357,4.DOI:10.3969/j.issn.1672-4933.2013.05.007
影像学评估对耳蜗骨化患者人工耳蜗植入手术及术后效果的影响*
The Effects of Imaging Evaluation on the Cochlear Implantation and the Postoperative Outcomes of Patients with Cochlear Ossification
摘要
Abstract
Objective To explore the effects of imaging evaluation on the cochlear implantation and postoperative outcomes of patients with cochlear ossification. Methods Seven cochlear implantees with cochlear ossification were retrospectively studied,including the imaging results, surgical approaches and postoperative rehabilitation outcomes. Results Temporal bone high-resolution(HR)CT and MRI scans, especially the virtual endoscopy of the inner ear, can help diagnose the cochlear ossification. The implantation failed in 1 case at the first time due to complete cochlear ossification in one ear and then was performed to the other ear successfully, while the electrodes were inserted completely in the rest cases. No serious complications occurred after implantation.The patients all had auditory sensations, but had different CAP and SIR scores. Conclusion Both HRCT and MRI are necessary for assessing the potential risks associated with cochlear implantation. The virtual endoscopy based on inner ear MRI is able to observe the structure and function of cochlea.Patients with mild ossified cochleae can benefit from cochlear implantation through mastoid-facial recess.The cochlear implantation can be performed to profoundly hearing-impaired patients with cochlear ossification and many factors may affect the postoperative rehabilitation outcomes.关键词
耳蜗骨化/人工耳蜗植入/颞骨高分辨率CT/MRI/仿真内窥镜Key words
Cochlear ossification/Cochlear implantation/Temporal bone high-resolution CT/MRI/Virtual endoscopy引用本文复制引用
郝青青,李佳楠,焦青山,孙丽,董思淇,刘日渊,赵辉,杨仕明..影像学评估对耳蜗骨化患者人工耳蜗植入手术及术后效果的影响*[J].中国听力语言康复科学杂志,2013,(5):354-357,4.基金项目
国家973计划重大科学研究计划干细胞项目（2012CB967900）；国家973计划重大科学问题导向项目（2011CBA01000）；国家自然科学基金面上项目（81271082，30600701）；教育部高等学校全国优秀博士学位论文作者专项资金 （）
