PDF(Pubmed)
Abstract：
UNASSIGNED: Since 20% of the patients with sensorineural hearing loss have confirmed radiographically inner ear malformation, this study aimed to compare the incidence rate of intra and postoperative complications of cochlear implantation amongst the patients with or without inner ear malformations.
UNASSIGNED: In this retrospective study, we evaluated the medical record of 954 patients who had undergone cochlear implantation. Seventeen patients had inner ear malformations and were selected as the case group, and 25 patients with normal inner ear were selected as the control group. Patient\'s information; including intraoperative complications, post-operative complications and neural response telemetry (NRT) immediately after the surgery were recorded. Finally, the collected data were analyzed, using the SPSS software, version 21.
UNASSIGNED: According to the CT-scan findings, the most observed internal ear abnormality was the temporal bone Mondini in 8 patients (47%), and the next inline was the common cavity at a frequency of (23.52%). Cerebrospinal fluid (CSF) gusher was detected in 11 patients (64.7%) of the case group, which was significantly higher than the other group. This includes mild CSF gusher in 7 cases (41.17%) and severe CSF gusher in 5 cases (29.41%). Interestingly, no significant post-operative complications were observed in either group, minor side effects were limited and not significantly different.
UNASSIGNED: In conclusion, despite the limitations of cochlear implantation surgery amongst patients with inner ear malformation with potential risk of early or late complications, it can still be recommended as an appropriate procedure to acquire hearing as well as auditory and speech perception.
UNASSIGNED: In this retrospective study, we evaluated the medical record of 954 patients who had undergone cochlear implantation. Seventeen patients had inner ear malformations and were selected as the case group, and 25 patients with normal inner ear were selected as the control group. Patient\'s information; including intraoperative complications, post-operative complications and neural response telemetry (NRT) immediately after the surgery were recorded. Finally, the collected data were analyzed, using the SPSS software, version 21.
UNASSIGNED: According to the CT-scan findings, the most observed internal ear abnormality was the temporal bone Mondini in 8 patients (47%), and the next inline was the common cavity at a frequency of (23.52%). Cerebrospinal fluid (CSF) gusher was detected in 11 patients (64.7%) of the case group, which was significantly higher than the other group. This includes mild CSF gusher in 7 cases (41.17%) and severe CSF gusher in 5 cases (29.41%). Interestingly, no significant post-operative complications were observed in either group, minor side effects were limited and not significantly different.
UNASSIGNED: In conclusion, despite the limitations of cochlear implantation surgery amongst patients with inner ear malformation with potential risk of early or late complications, it can still be recommended as an appropriate procedure to acquire hearing as well as auditory and speech perception.
摘要：
■由于20％的感觉神经性听力损失患者已通过影像学检查确认内耳畸形，这项研究的目的是比较有或没有内耳畸形的患者中人工耳蜗植入的术中和术后并发症的发生率。
■在这项回顾性研究中，我们评估了954例接受人工耳蜗植入的患者的医疗记录.内耳畸形17例,作为病例组,选择内耳正常的患者25例作为对照组。患者信息；包括术中并发症，记录术后并发症和术后即刻神经反应遥测（NRT）。最后,对收集的数据进行了分析，使用SPSS软件，版本21.
■根据CT扫描结果，最明显的内耳异常是8例患者的颞骨Mondini（47％），下一个内嵌式是普通腔，频率为（23.52%）。病例组11例(64.7%)患者发现脑脊液(CSF)涌出,明显高于另一组。其中轻度脑脊液涌出7例(41.17%)，重度脑脊液涌出5例(29.41%)。有趣的是,两组均无明显的术后并发症,轻微副作用有限,且无显著差异.
■总而言之，尽管耳蜗植入手术在内耳畸形患者中存在局限性，但有可能出现早期或晚期并发症，它仍然可以作为一个适当的程序来获得听力以及听觉和言语感知。
■在这项回顾性研究中，我们评估了954例接受人工耳蜗植入的患者的医疗记录.内耳畸形17例,作为病例组,选择内耳正常的患者25例作为对照组。患者信息；包括术中并发症，记录术后并发症和术后即刻神经反应遥测（NRT）。最后,对收集的数据进行了分析，使用SPSS软件，版本21.
■根据CT扫描结果，最明显的内耳异常是8例患者的颞骨Mondini（47％），下一个内嵌式是普通腔，频率为（23.52%）。病例组11例(64.7%)患者发现脑脊液(CSF)涌出,明显高于另一组。其中轻度脑脊液涌出7例(41.17%)，重度脑脊液涌出5例(29.41%)。有趣的是,两组均无明显的术后并发症,轻微副作用有限,且无显著差异.
■总而言之，尽管耳蜗植入手术在内耳畸形患者中存在局限性，但有可能出现早期或晚期并发症，它仍然可以作为一个适当的程序来获得听力以及听觉和言语感知。
