在儿科耳植入器中保持静脉
Greg R Licameli1,2, Alicia Wang1, Guangwei Zhou1,2
1Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.
The Laryngoscope
|August 16, 2023
概括
儿童耳植入器手术显示出高维护前庭功能率,大多数儿童在手术后保持正常功能. 现代手术技术和电极似乎可以将严重前庭损失的风险降到最低.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 儿科听力学 儿科听力学
背景情况:
- 在儿科耳植入器中,保持垂体功能是关键考虑因素.
- 了解现代手术技术对前庭结局的影响对于优化患者护理至关重要.
研究的目的:
- 为了评估在接受耳植入手术的儿童中保持前庭功能的速度.
- 评估当代外科手术方法对前庭结局的影响.
主要方法:
- 在4年的时间里,对44名儿童 (59个植入耳朵) 进行了回顾性病例审查.
- 术前和术后的前体功能测试的比较,包括旋转椅,前体唤起肌能潜能,视频头部冲动测试和姿势学.
- 分析来自第三级儿科医院的数据.
主要成果:
- 在各种前体检测中观察到高的保存率:旋转椅 (75%),宫前体唤起肌能潜力 (75%),眼前体唤起肌能潜力 (85.7%),视频头部冲动测试 (100%),计算机化动态姿势学 (100%).
- 总的来说,62.5%的患者在术后没有出现新的前体缺陷.
- 大多数植入物通过圆窗方法使用了细小的,非造型的电极.
结论:
- 儿童耳植入器手术,特别是使用现代电极和技术,显示出良好的前置功能保存率.
- 新的,严重的双边前庭损失的风险似乎很低,这表明手术安全性得到改善.
- 建议进行进一步的研究,以阐明不同电极设计和插入方法对前庭结局的具体影响.
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