A minimally invasive approach for cochlear implantation using a microendoscope
A minimally invasive approach for cochlear implantation using a microendoscope
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DOI：
10.1007/s00405-012-2004-9
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发表时间：
2013-02-01
影响因子：
2.6
通讯作者：
Ito, Juichi
中科院分区：
文献类型：
--
作者：
Hiraumi, Harukazu;Yamamoto, Norio;Ito, Juichi
鉴于对耳蜗植入手术微创方法的需求日益增长，我们选择检查显微内窥镜手术的安全性。我们使用显微内窥镜对四个人颞骨进行了人工耳蜗植入手术，并评估了手术的安全性。用显微内窥镜打开面神经隐窝，将电极插入耳蜗。乳突切除术的尺寸范围为5 x 4至7 x 7 mm。对于其中3块颞骨，进行了手术，未对周围结构造成任何损伤。鼓索神经在一个颞骨中被无意中牺牲，我们跳过了对砧骨的识别。显微内窥镜允许耳蜗植入手术进行最小尺寸的乳突切除术。
Given the growing need for minimally invasive approaches to cochlear implantation surgery, we chose to examine the safety of a microendoscopic procedure for cochlear implantation. We performed cochlear implantation surgery on four human temporal bones using a microendoscope and evaluated the safety of the procedure. With a microendoscope, the facial recess was opened and electrodes were inserted into the cochlea. The size of the mastoidectomy ranged from 5 x 4 to 7 x 7 mm. For three of the temporal bones, the surgery was conducted without any damage to the surrounding structures. The chorda tympanic nerve was inadvertently sacrificed in one temporal bone, in which we skipped the identification of the incus. The microendoscope allowed cochlear implantation surgery to be performed with a mastoidectomy of minimal size.