关键词: Atraumatic surgery Cochlear implant Electrode insertion Hearing preservation Residual hearing

来  源:   DOI:10.1007/s00405-024-08800-z

Abstract:
BACKGROUND: Preservation of intracochlear structures and residual hearing has become a major concern in modern cochlear implant. Consequently, many efforts have been made to minimize intraoperative trauma, especially while cochlear fenestration and electrode insertion.
METHODS: Building on the core concept of \"soft surgery\", a modified approach, described as diving technique for cochlear implant electrode array insertion is proposed. Steps and technical points are presented with figures, video and review of relevant anatomy.
CONCLUSIONS: This novel diving technique is operationally feasible and safe, promising to minimize intraoperative invasion and thus preserve residual hearing in cochlear implant.
摘要:
背景:保留耳蜗内结构和残余听力已成为现代耳蜗植入物的主要关注点。因此,已经做出了许多努力来尽量减少术中创伤,尤其是在耳蜗开窗和电极插入时。
方法:建立在“软手术”的核心概念上,一种改进的方法,提出了一种用于耳蜗植入电极阵列插入的潜水技术。步骤和技术要点用数字表示,视频和相关解剖学的回顾。
结论:这种新颖的潜水技术在操作上可行且安全,有望最大程度地减少术中侵入,从而保留人工耳蜗中的残余听力。
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