伴有中耳胆脂瘤的重度或极重度感音神经性耳聋患者的人工耳蜗植入

张志利; 蒋壮; 李鹏军; 肖念慈; 周水洪

doi:10.3969/j.issn.1672-4933.2024.04.006

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伴有中耳胆脂瘤的重度或极重度感音神经性耳聋患者的人工耳蜗植入

特殊病例的人工耳蜗植入 | 更新时间：2025-03-10

- 伴有中耳胆脂瘤的重度或极重度感音神经性耳聋患者的人工耳蜗植入
- Cochlear Implantation in Patients with Cholesteatoma and Severe or Profound Sensorineural Hearing Loss
- 中国听力语言康复科学杂志 2024年22卷第4期页码：356-360
- 作者机构：
  
  浙江大学医学院附属第一医院耳鼻咽喉头颈外科杭州 310000
- 作者简介：
  
  张志利，E-mail： zhangzhili@zju.edu.cn
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2024.04.006
  中图分类号： R764.43
- 收稿日期：2024-03-25，
  
  纸质出版日期：2024-07-15
- 稿件说明：
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张志利,蒋壮,李鹏军等.伴有中耳胆脂瘤的重度或极重度感音神经性耳聋患者的人工耳蜗植入[J].中国听力语言康复科学杂志,2024,22(04):356-360.

ZHANG Zhi-li,JIANG Zhuang,LI Peng-jun,et al.Cochlear Implantation in Patients with Cholesteatoma and Severe or Profound Sensorineural Hearing Loss[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(04):356-360.
张志利,蒋壮,李鹏军等.伴有中耳胆脂瘤的重度或极重度感音神经性耳聋患者的人工耳蜗植入[J].中国听力语言康复科学杂志,2024,22(04):356-360. DOI： 10.3969/j.issn.1672-4933.2024.04.006.

ZHANG Zhi-li,JIANG Zhuang,LI Peng-jun,et al.Cochlear Implantation in Patients with Cholesteatoma and Severe or Profound Sensorineural Hearing Loss[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(04):356-360. DOI： 10.3969/j.issn.1672-4933.2024.04.006.

摘要

目的

探讨在伴有中耳胆脂瘤的重度或极重度感音神经性耳聋患者中行胆脂瘤切除并人工耳蜗植入手术的适应证、手术技巧及术后并发症管理。

方法

回顾性分析2022年6月～2023年10月我科收治的7名伴有中耳胆脂瘤的极重度感音神经性耳聋患者。总结手术方案的选择、手术技巧及术后并发症的处理措施，对患者术后康复情况进行跟踪和观察。

结果

1例患者由于耳蜗骨化程度超过360°，因此仅植入了8个电极，其余患者均成功植入全部电极。截至目前，除首例患者随访6个月，其余患者随访12～20个月，均未出现电极裸露、移位、术腔感染、面瘫或胆脂瘤复发等并发症。1例部分植入电极的患者有听觉，但言语功能不佳，其他患者的听觉功能均得到显著改善，对人工耳蜗装置的使用感到满意。

结论

对于伴随中耳胆脂瘤及极重度感音神经性耳聋患者，彻底切除胆脂瘤并尽早行人工耳蜗植入是可行的。

Abstract

Objective

This study aims to present the indications

surgical techniques

and management of complications associated with cholesteatoma excision and cochlear implantation in patients with profound sensorineural hearing loss.

Methods

This retrospective analysis included 7 patients treated from June 2022 to October 2023 in our department

who had profound sensorineural hearing loss associated with cholesteatoma. These patients received cochlear implantation surgeries after complete excision of the cholesteatoma. We analyzed the reasons for choosing surgical plans

the surgical techniques employed

and the

management of postoperative complications. The patients' postoperative rehabilitation conditions were also tracked and observed

Results

One patient received only 8 electrodes due to cochlear ossification exceeding 360°

while all other patients successfully received the full set of electrodes. As of now

except for the first patient who was followed up for 6 months

the other patients were followed up for 12 to 20 months. None of the patients experienced complications such as electrode exposure

displacement

surgical cavity infection

facial paralysis

or cholesteatoma recurrence. The first patient with partial electrode implantation has hearing but poor speech function

whereas the other patients showed significant improvement in hearing function and were satisfied with the use of the cochlear implant device.

Conclusion

For patients with cholesteatoma and profound sensorineural hearing loss

it is feasible to perform cochlear implantation early after complete excision of the cholesteatoma.

关键词

Keywords

references

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