慢性化脓性中耳炎患者的1期和分期人工耳蜗植入

Single stage and staged cochlear implant for chronic supprative otitis media suffers

目的:对合并慢性化脓性中耳炎的人工耳蜗植入的手术方式和手术分期进行总结和探讨,为慢性化脓性中耳炎患者的人工耳蜗植入提供参考。方法:回顾分析2009-06-2013-03期间我院行合并慢性化脓性中耳炎的人工耳蜗植入6例语后聋患者的临床资料,对手术分期选择、手术技巧、可能存在的风险及疗效进行分析和总结。结果:6例患者中3例接受1期颞骨岩部次全切除、人工耳蜗植入术。3例1期接受颞骨岩部次全切除,4～6个月后2期行人工耳蜗植入术。6例患者随访时间3～12个月。全部接受人工耳蜗植入手术未出现并发症,获得良好的开放语言识别能力。结论:对于合并慢性化脓性中耳炎的人工耳蜗植入,分期手术作为首选,1期人工耳蜗植入存在潜在的风险,应该慎重采用。手术成功的关键是彻底清理病变,这对手术技巧和显微镜等手术设备提出较高的要求。

Objective：To explore and summarize the operation method and operation stage for cochlear implant with chronic supprative otitis media, to provide the clinical reference for cochlear implant with chronic supprative otitis media. Method：The clinical data of 6 cases of cochlear implant with chronic supprative otitis media from Jun 2006 to Mar 2009 in our hospital was analyzed retrospectively. The operation stage, surgical skill, possible risk and prognosis was analyzed and summarized, Result： 3 of 6 cases received single stage subtotal petroseetomy and cochlear implant. 3 of 6 cases received subtotal petrosectomy, they received staged cochlear implant 4 to 6 months later. No complications occurred, all of the cochlear implantee had＇good open set speech perception. Conclusion： Staged operation was the first choice for cochlear implant- with chronic supprative otitis media. Single stage opera- tion took potential risks, it should be done cautiously. The key points for the operation was the clearance of the pathological tissue totally, this required good surgical skill and operation instrument.