中国听力语言康复科学杂志2024，Vol.22Issue(4)：356-360,5.DOI:10.3969/j.issn.1672-4933.2024.04.006
伴有中耳胆脂瘤的重度或极重度感音神经性耳聋患者的人工耳蜗植入
Cochlear Implantation in Patients with Cholesteatoma and Severe or Profound Sensorineural Hearing Loss
张志利 1蒋壮 1李鹏军 1肖念慈 1周水洪1
作者信息
- 1. 浙江大学医学院附属第一医院耳鼻咽喉头颈外科 杭州 310000
- 折叠
摘要
Abstract
Objective This study aims to present the indications,surgical techniques,and management of complications associated with cholesteatoma excision and cochlear implantation in patients with profound sensorineural hearing loss.Methods This retrospective analysis included 7 patients treated from June 2022 to October 2023 in our department,who had profound sensorineural hearing loss associated with cholesteatoma.These patients received cochlear implantation surgeries after complete excision of the cholesteatoma.We analyzed the reasons for choosing surgical plans,the surgical techniques employed,and the management of postoperative complications.The patients'postoperative rehabilitation conditions were also tracked and observed.Results One patient received only 8 electrodes due to cochlear ossification exceeding 360°,while all other patients successfully received the full set of electrodes.As of now,except for the first patient who was followed up for 6 months,the other patients were followed up for 12 to 20 months.None of the patients experienced complications such as electrode exposure,displacement,surgical cavity infection,facial paralysis,or cholesteatoma recurrence.The first patient with partial electrode implantation has hearing but poor speech function,whereas the other patients showed significant improvement in hearing function and were satisfied with the use of the cochlear implant device.Conclusion For patients with cholesteatoma and profound sensorineural hearing loss,it is feasible to perform cochlear implantation early after complete excision of the cholesteatoma.关键词
人工耳蜗植入/中耳胆脂瘤/感音神经性耳聋Key words
Cochlear implantation/Cholesteatoma/Sensorineural hearing loss分类
医药卫生引用本文复制引用
张志利,蒋壮,李鹏军,肖念慈,周水洪..伴有中耳胆脂瘤的重度或极重度感音神经性耳聋患者的人工耳蜗植入[J].中国听力语言康复科学杂志,2024,22(4):356-360,5.
