Intraoperative CT-guided cochlear implantation in congenital ear deformity
Intraoperative CT-guided cochlear implantation in congenital ear deformity
复制标题
先天性耳畸形术中CT引导人工耳蜗植入术
DOI：
10.3109/00016489.2012.674214
复制
发表时间：
2012-08
影响因子：
1.4
通讯作者：
Han, Dong-Yi
中科院分区：
文献类型：
--
作者：
Dai, Pu;Song, Yue-Shuai;Chai, Ci-Man;Shen, Wei-Dong;Han, Wei-Ju;Liu, Jun;Wang, Guo-Jian;Dong, Tian-Xiang;Han, Dong-Yi
摘要结论：术中计算机断层扫描（iCT）引导的人工耳蜗植入术对于先天性内耳和/或复杂中耳畸形患者的耳蜗中正确放置电极是实用和有效的。目的：内耳和（或）复杂中耳畸形伴面神经走行异常手术困难。本研究评价了iCT引导下人工耳蜗植入术的有效性，以确保正确的电极放置。方法：这是一个前瞻性的介入性病例系列。入组了10名因耳部畸形而患有重度至极重度感音神经性听力损失的患者，并使用iCT确认电极的正确放置。结果：1例患者术中CT检查3次，2例2次，1例1次。每次iCT的手术过程中断时间为9.64 ± 0.63分钟，直到手术恢复。iCT显示2例患者的人工耳蜗植入体位置不正确，立即纠正。没有因电极错位而再次手术。iCT帮助一名面神经走行异常的患者定位中耳内的耳蜗。基于iCT结果的总体干预率为30%。证据等级：4级。
Abstract Conclusions: Intraoperative computed tomography (iCT)-guided cochlear implantation is practical and effective for correct electrode placement in the cochlea of patients with congenital inner ear and/or complex middle ear malformation. Objectives: The operation in patients with inner ear and/or complex middle ear malformation including abnormal facial nerve course is difficult. This study evaluated the efficacy of cochlear implantation under the guidance of iCT to insure correct electrode placement. Methods: This was a prospective interventional case series. Ten patients with severe to profound sensorineural hearing loss due to ear malformations were enrolled, and iCT was used to confirm the right placement of electrodes. Results: Intraoperative CT was performed three times in one patient, twice in two, and once in the others. Interruption of the surgical process for each iCT until resumption of surgery was 9.64 ± 0.63 min. iCT revealed incorrectly positioned cochlear implants in two patients, which were immediately corrected. There were no reoperations due to misplacement of electrodes. iCT helped locate the cochlea in the middle ear of one patient with an abnormal facial nerve course. The overall intervention rate based on iCT findings was 30%. Level of evidence: level 4.
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影响因子：
2.1
作者：
Mylanus, EAM;Rotteveel, LJC;Leeuw, RL
通讯作者：
Leeuw, RL
影响因子：
1.4
作者：
Martin Stieve;Burkard Schwab;C. Haupt;Sotirios Bisdas;R. Heermann;T. Lenarz
通讯作者：
Martin Stieve;Burkard Schwab;C. Haupt;Sotirios Bisdas;R. Heermann;T. Lenarz
DOI：
--
发表时间：
2010-04
影响因子：
--
作者：
Dong‐yi Han
通讯作者：
Dong‐yi Han
DOI：
10.1177/0194599811427379
发表时间：
2012-02
期刊：
Otolaryngology–Head and Neck Surgery
影响因子：
--
作者：
M. Pakdaman;B. Herrmann;H. Curtin;J. Van Beek-king;Daniel J. Lee
通讯作者：
M. Pakdaman;B. Herrmann;H. Curtin;J. Van Beek-king;Daniel J. Lee
DOI：
--
发表时间：
2009
期刊：
Radiologic Practice
影响因子：
--
作者：
Li Yu
通讯作者：
Li Yu