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Updated: Sep 14, 2025

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耳基底转向和面部神经的解剖关系在患者与尖端折叠在耳植入时使用苗条模块电极的耳植入过程中
Yeonjoo Choi1, Hye Ah Joo2, Woo Seok Kang2
1Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Korea.
概括
耳植入 (CI) 期间的尖端折叠 (TFO) 与面部神经有关.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 医疗成像医学成像
背景情况:
- 在耳植入 (CI) 期间插入电极可能因尖端折叠 (TFO) 而复杂.
- 识别TFO的解剖学预测因素对于改善外科手术结果至关重要.
研究的目的:
- 调查在CI中插入电极时导致TFO的解剖因素.
- 评估面部神经位置和TFO发生之间的关系.
主要方法:
- 使用Slim Modiolar Electrodes (SME) 对239个耳植入器的回顾性分析.
- 分析了手术前骨CT扫描,以测量耳基底转向和面部神经之间的位置关系.
主要成果:
- 在4.2%的病例中出现了尖端折叠 (TFO),需要多次重置尝试.
- 面部神经与耳基底转向相对侧向的位置与TFO有显著的关联 (90%对11.3%,p < 0.001).
- 耳基底转向与面部神经之间的平均角度在TFO组显著更为负 (-6.7°对比 -0.4°,p < 0.001).
结论:
- 侧面面部神经与耳基底转向相比的位置是CI期间TFO的显著解剖风险因素.
- 这种解剖学变异可能会导致电极与大 tympani 地板的过早接触.
- 对患有这种对TFO的解剖学倾向的患者来说,可能需要量身定制的手术方法.
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