关键词: Cochlear implantation Cochlear malformation Congenital hearing loss Facial nerve Veria technique

来  源:   DOI:10.1007/s12070-023-03535-5   PDF(Pubmed)

Abstract:
OBJECTIVE: To study and analyse the result obtained in cochlear implantation by Veria technique and evaluate the incidence of surgical complications and their management.
METHODS: Between Jan 1, 2014 to Jan 1, 2019, 602 cochlear implantations by Veria technique were done out of which 576 patients were analysed retrospectively for the study. The age range was between 18 months and 60 years.
RESULTS: All 576 patients were operated by Veria technique. Out of 576 patients, 57 (9.9%) had abnormal cochlear malformation. Cytomegalovirus (CMV) being the most common non genetic cause of congenital hearing loss accounting to 60%. The overall complication rate of 5.5% was observed in 576 implanted patients.
CONCLUSIONS: The analysis of the results shows that this method has certain advantages, which are: it is simple and therefore the learning curve is fast; it is safe for the facial nerve, as the drilling is precisely controlled by the special perforator; it produces minimal bone trauma and due fast healing, it permits early fitting a few days after operation; it can be used for very small children where the mastoid may have not been yet sufficiently developed.
摘要:
目的:研究分析Veria技术人工耳蜗植入术的结果,评估手术并发症的发生率及其处理方法。
方法:在2014年1月1日至2019年1月1日之间,通过Veria技术进行了602例人工耳蜗植入,其中576例患者进行了回顾性分析。年龄范围在18个月至60岁之间。
结果:所有576例患者均采用Veria技术进行手术。在576名患者中,57例(9.9%)存在异常耳蜗畸形。巨细胞病毒(CMV)是先天性听力损失最常见的非遗传原因,占60%。576例植入患者的总并发症发生率为5.5%。
结论:结果分析表明,该方法具有一定的优势,它们是:它很简单,因此学习曲线很快;它对面神经是安全的,由于钻孔由特殊穿孔器精确控制;它产生最小的骨创伤和快速愈合,它允许在手术后几天早期适应;它可以用于乳突可能尚未充分发育的非常小的儿童。
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