微创人工耳蜗植入技术和残余听力保留策略  

Strategy for minimally invasivc cochlear implantation and residual hearing preservation

作　　者：黄玉宇 陈建勇[1] 沈敏[1] 杨军[1] 

机构地区：[1]上海交通大学医学院附属新华医院耳鼻咽喉头颈外科,200092

出　　处：《中华耳鼻咽喉头颈外科杂志》2018年第1期66-69,共4页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

摘　　要：在过去的几十年间，随着革新性耳蜗电极的出现和微创手术技术的进步，人工耳蜗植入手术取得了巨大的发展。微创人工耳蜗植入技术的应用让更好地保留低频残余听力成为可能。残余听力受损可由多因素引起，已有的研究表明，较缓慢地匀速植入电极和围手术期糖皮质激素的应用对听力保留有积极作用，但不同植入电极类型及植入径路对残余听力的保留并未体现出明显差异。In the past few decades, considerable development was achieved in the cochlear implantation following the emergence of innovative electrode array and advances in minimally invasive surgery. Minimally invasive technique led to a better preservation of residual low - frequency hearing. The loss of residual hearing was caused by complicated factors. According to previous studies, a slower and stable speed of electrode insertion and the use of perioperative steroids were demonstrated to have a positive impact on hearing preservation. The selection of electrode array or its insertion approaches didn＇t show any distinctive benefits in hearing preservation.

关 键 词：耳蜗植入术 听觉丧失 外科手术 微创性 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]