微创入路人工耳蜗植入术

Cochlear implantation with minimal access

目的探讨微创入路人工耳蜗植入术的手术方式及其效果。方法回顾分析197例植入MedEl Combi40+、Pulsar或Sonata的病例,统计术后皮肤切口长度,手术历时及术后并发症的发生率。结果术后皮肤切口长度平均为3.0±0.3cm,手术时长平均为103.4±22.4分钟,在平均26.5个月的随访期内,无手术相关并发症发生。结论微创入路人工耳蜗植入术在不增加手术难度的同时有助于降低手术相关并发症的发生率,提高患者及家属的认同度。

Objective To described an approach of cochlear implantation with a smaller skin incision of 3-cm. Meth- ods A total of 197 patients received Combi 40＋ , Pulsar or Sonata implants with a novel approach of a 3-cm-long skin in- cision. The skin incision length was measured after closure of the skin. The operative duration and postoperative complications was also recorded. Results The average skin incision lengths after closure of the skin were 3.0 ＋ 0.3 cm. The average operative duration was 103.4 -＋ 22.4 min. No complications of cochlear implantation occurred during an average of 26.5 months of post- operative follow-up. Conclusions The minimal access for cochlea implantation can reduce the surgical complication rate with- out increasing operative difficulty, and cochlear implantation with a minimal access is more acceptable to the patients and their family.