Mesh : Child, Preschool Humans Male Cochlea / surgery Cochlear Implantation / adverse effects methods Cochlear Implants / adverse effects Hearing Loss, Bilateral / surgery Hearing Loss, Sensorineural / diagnosis surgery Saline Solution Telemetry / methods

来  源:   DOI:10.5152/iao.2024.231116   PDF(Pubmed)

Abstract:
Cochlear implantation has become a standard of care for a child diagnosed with bilateral profound sensorineural hearing loss with a structured surgical standard operating procedure. A 3-year-old boy with bilateral profound prelingual sensorineural deafness underwent a Med-EL Sonata Ti100 implant. We faced a peculiar situation intraoperatively after inserting the electrodes and closing the wound. The impedance recording indicated high ground path impedance with short-circuiting of few electrodes. As a bionic implant, its electronic components may at times malfunction both intraoperatively and/or postoperatively; therefore, neural response telemetry (NRT) was invented to check it. By using NRT and a few milliliters of normal saline, we were able to diagnose as well as rectify the malfunctioning of the implant.
摘要:
人工耳蜗植入已成为通过结构化的外科手术标准操作程序诊断为双侧深度感觉神经性听力损失的儿童的护理标准。一名3岁的男孩患有双侧深的语前感音神经性耳聋,接受了Med-ELSonataTi100植入物。插入电极并闭合伤口后,我们在术中面临特殊情况。阻抗记录表明接地路径阻抗较高,几乎没有电极短路。作为一种仿生植入物,其电子元件有时可能在术中和/或术后发生故障;因此,神经反应遥测(NRT)被发明来检查它。通过使用NRT和几毫升生理盐水,我们能够诊断并纠正植入物的故障。
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