Slotted Labyrinthotomy Approach With Customized Electrode for Patients With Common Cavity Deformity
Slotted Labyrinthotomy Approach With Customized Electrode for Patients With Common Cavity Deformity
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针对普通腔畸形患者使用定制电极的狭缝迷路切开术
DOI：
10.1002/lary.26627
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发表时间：
2018-02-01
期刊：
影响因子：
2.6
通讯作者：
Liu, Ting
中科院分区：
文献类型：
--
作者：
Wei, Xingmei;Li, Yongxin;Liu, Ting
目的/假设：共同腔畸形（CCD）患者的髋关节植入可能很困难，术中和术后并发症的发生率较高; CCD患者的结局也存在很大差异。本研究比较了传统面神经隐窝入路（TFRA）和经乳突骨槽切开入路（TSLA）的手术时间。听力学的结果和使用定制的电极阵列CCD patients.Study Design的好处：13个人工耳蜗植入（CI）患者与CCD.Methods的回顾性分析：6例患者植入TFRA使用传统的电极，和7例患者植入TSLA使用定制的电极。回顾了术中和术后并发症。结果：TSLA组的平均手术时间几乎是TRFA组的一半（P <0.05）。虽然TSLA组的平均听力学结果更好，但组间无显著差异（P > 0.05）。结论：对于CCD患者，由于手术时间缩短，建议采用TSLA进行人工耳蜗植入;定制电极阵列可能在听力学结果方面具有额外优势。
Objectives/Hypothesis: Cochlear implantation for patients with common cavity deformity (CCD) can be difficult, with a higher incidence of intra- and postoperative complications; outcomes with CCD patients are also highly variable. In this study, surgical time was compared between the traditional facial recess approach (TFRA) and the transmastoid slotted labyrinthotomy approach (TSLA). Audiological outcomes and the benefit of using customized electrode arrays for CCD patients are also discussed.Study Design: Retrospective review of 13 cochlear implant (CI) patients with CCD.Methods: Six patients were implanted with the TFRA using traditional electrodes, and seven patients were implanted with the TSLA using customized electrodes. Intra- and postoperative complications were reviewed. Audiological outcomes were measured 3 months to 2 years after CI activation.Results: The mean surgical time for TSLA group was nearly half as long as for the TRFA group (P < .05). Although mean audiological outcomes were better for the TSLA group, there was no significant difference between groups (P > .05).Conclusions: For CCD patients, TSLA for cochlear implantation is recommended due to shortened surgical time; customized electrode arrays may be additionally advantageous in terms of audiological outcomes.