低龄儿童经圆窗径路微创人工耳蜗植入术  

Minimally invasive surgical techniques of cochlear implantation with round window pathways in young children

作　　者：马静[1] 阮标[2] 毛志勇[1] 李树聆 高映勤[1] 林垦 张铁松[1] 

机构地区：[1]昆明市儿童医院(昆明医科大学附属儿童医院)耳鼻咽喉头颈外科,昆明650228 [2]昆明医科大学第一附属医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2016年第12期978-981,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：云南省科技厅-昆明医科大学联合专项(No:2015FB090);云南省卫生科技计划项目(No:2014NS054)

摘　　要：目的：探讨低龄儿童（≤3岁）采用圆窗径路行微创人工耳蜗植入术的手术方式及其效果。方法：160例双侧重度或极重度感音神经性聋的低龄患儿中,双侧中耳、内耳正常144例,Mondini畸形4例,大前庭导水管综合征12例。经圆窗径路行人工耳蜗植入术,采用奥地利MED-EL人工耳蜗。结果：160例患儿中,148例（92.5%）经圆窗径路行人工耳蜗植入术;12例圆窗暴露困难,经鼓岬开窗植入。单侧植入158例,双侧2例。术后随访8个月~3年,无脑脊液耳漏、面神经损伤等手术并发症,开机后人工耳蜗工作正常。结论：经圆窗径路人工耳蜗植入术对于双侧重度或极重度感音神经性聋的低龄儿童是一种安全有效的微创术式。Objective：To discuss the minimally invasive surgical techniques and the effect of cochlear implantation with round window pathways in young children（≤3years）.Method：One hundred and sixty patients with bilateral profound sensorineural hearin loss received MED-EL cochlear implantation,including 144 cases of normal middle and inner ear,4cases of Mondini deformity,12 cases of large vestibular aqueduct syndrome.Result：Of 160 patients underwent CIs,148 patients were performed with round window pathways,the rate was 92.5%.Iit＇s difficult to exposure round window in 12 patients,performing from promontory.All electrodes of 158 cases with unilateral CI and 2cases with bilateral CI were implanted successfully,in which the CI went normally and electrode array were protected well.All implant devices had worked normally and all patients had performed well during an average follow-up period of 8month-3years.Post-operatively complications of cerebrospinal fluid leakage,facial nerve injury haven＇t been found.Conclusion：Cochlear implantation could be performed in patients wit with round window pathways,and it is a safe and effective way in young children.

关 键 词：圆窗径路 耳蜗植入术 听觉丧失 感音神经性 

分 类 号：R764.5[医药卫生—耳鼻咽喉科]