Surgical techniques and postoperative outcomes of cochlear implantation for incomplete partition type Ⅰ with cerebrospinal fluid leak
薛书锦 1魏兴梅 1陈彪 1高振橙 1崔丹默 1石颖 1陈婧媛 1孔颖 1李永新1
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作者信息
1. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京 100730
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摘要
目的 探究不全分隔Ⅰ 型(incomplete partition type Ⅰ,IP-Ⅰ)合并脑脊液漏患者人工耳蜗植入同期修补脑脊液漏手术技术及术后脑脊液漏控制及听觉言语康复效果.方法 回顾性分析8例IP-Ⅰ合并脑脊液耳漏的患者临床资料及术后随访结果.所有患者均行人工耳蜗植入同期行经水平半规管开窗脑脊液漏修补术,术后1周内使用抗生素治疗,术后1个月人工耳蜗开机,并开始接受听觉言语康复训练.结果 所有患者人工耳蜗电极顺利植入,术后随访时间1～17年,所有患者均未再次出现脑脊液耳漏,并获得不同程度的听觉获益.结论 人工耳蜗植入同期行经水平半规管开窗脑脊液漏修补的手术方法能够有效解决IP-Ⅰ合并脑脊液漏患者的相关症状,预防脑脊液漏复发并帮助患者重建听力.
Abstract
Objective To explore the surgical technique for cochlear implantation and simultaneous repair of cerebrospinal fluid(CSF)leaks in patients with incomplete partition type Ⅰ(IP-Ⅰ)combined with CSF leakage,as well as the postoperative control of CSF leaks and auditory-verbal rehabilitation outcomes.Methods A retrospective analysis was conducted on the clinical data and postoperative follow-up results of 8 patients with IP-Ⅰ combined with CSF otorrhea.All patients underwent cochlear implantation and simultaneous repair of CSF otorrhea via a transmastoid lateral semicircular canal approach.Antibiotic treatment was administered within the first week postoperation,and cochlear implants were activated one month post-surgery,followed by auditory-verbal rehabilitation training.Results Cochlear implant electrodes were successfully implanted in all patients.The follow-up period ranged from 1 to 17 years,during which no patients experienced recurrent CSF otorrhea,and all patients had varying degrees of auditory benefit.Conclusions The surgical method of cochlear implantation with simultaneous repair of CSF otorrhea via a transmastoid lateral semicircular canal approach effectively resolved symptoms associated with IP-Ⅰ combined with CSF leakage,prevented the recurrence of CSF leaks,and aided in hearing reconstruction.
关键词
不全分隔Ⅰ型/脑脊液耳漏/内耳畸形/人工耳蜗植入
Key words
incomplete partition type Ⅰ/cerebrospinal fluid otorrhea/inner ear malformation/cochlear implantation
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