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在前庭神经瘤中进行耳植入:改变游戏规则? 一个叙事审查
Luis Lassaletta1, Miryam Calvino2, Isabel Sánchez-Cuadrado3
1Hospital Universitario La Paz, IdiPAZ Research Institute, Department of Otorhinolaryngology, Madrid, Spain; Biomedical Research Networking Centre on Rare Diseases (CIBERER), Institute of Health Carlos III, Madrid, Spain; Universidad Autónoma de Madrid, Madrid, Spain.
Brazilian journal of otorhinolaryngology
|February 6, 2025
概括
耳植入物 (CIs) 提供了一种解决方案,为选择的静脉瘤 (VS) 患者,虽然结果各不相同. 较小的瘤和更好的手术前听力改善了VS病例的CI益处.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 听力学 听力学是指听力学.
背景情况:
- 耳植入物 (CIs) 的前腔神经瘤 (VS) 指示正在增加.
- 对于小VS来说",等待和观察"的方法比手术或辐射更受青.
- 在VS患者中使用CI带来了独特的挑战和新出现的场景.
研究的目的:
- 讨论CIs在静脉瘤 (VS) 患者当前的作用.
- 为了解决听力学结果和预后因素的变化.
- 评估在对VS具有挑战性的CI病例中对手术内工具的需求.
主要方法:
- 进行了全面的Pubmed搜索,搜索有关VS和耳植入器的相关英语文章.
- 对所选研究进行了批判性评估.
- 包含了来自第三级中心的说明案例图片.
主要成果:
- 在VS患者中,CI的听力学结果是可变的,通常比传统CI候选者更糟糕.
- 瘤大小,手术前听力,先前照射,切除程度和NF2状态是潜在的预后因素.
- 术内测试有助于决策,但结果的可变性限制了在VS中常规CI的使用,同时对侧耳听力正常.
结论:
- 耳植入物 (CI) 是特定的静脉瘤 (VS) 患者的可行选择.
- 较小的瘤和更好的术前听力与VS中更好的CI结果相关.
- 虽然在某些场景中有利,包括观察后或辐射后,但在VS中IC的使用需要仔细考虑,因为结果的变化.
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