Surgical outcomes of simultaneous subtotal petrosectomy and cochlear implantation: a single institutional study.

IF 1.9 3区医学 Q2 OTORHINOLARYNGOLOGY

European Archives of Oto-Rhino-Laryngology Pub Date : 2025-04-01 Epub Date: 2024-11-28 DOI:10.1007/s00405-024-09063-4

Gianfranco Velasco, Hamzah Alshaikh, Chan Mi Lee, Min Chae Jeon, Jae Sang Han, Jae Hyun Seo, Shi Nae Park

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引用次数: 0

Abstract

Objectives: To report our institution's experience with patients who underwent subtotal petrosectomy (STP) for refractory ear disease who are candidates for cochlear implant (CI) and to highlight simultaneous STP with CI its advantages, surgical outcomes, post-operative complications management, and considerations for staging a procedure.

Methods: A retrospective study was performed in a single tertiary referral university hospital. The medical records of seventy patients (70 ears) who underwent STP for refractory ear disease who were candidates for CI were retrospectively evaluated.

Result: Seventy adults (age range 30-85) underwent STP with a median follow-up of 4.8 years (range 1.5-18.2). Twenty-seven (38.5%) had previous mastoid surgeries before STP. Most patients underwent simultaneous STP and CI (n = 36, 51.5%), followed by STP only (n = 28, 40%), with a smaller group having staged CI after STP (n = 6, 8.5%). Patients who underwent simultaneous STP and CI showed significant improvements in several measures, with mean pre-operative pure tone audiometry (PTA) of 98.7 dB HL (range 85-118; SD: ± 9.2) improving to 39.3 dB HL post-operatively (range 25-50; SD: ± 9.3, p < 0.001), mean pre-operative categories of auditory performance (CAP) score of 1.6 (range 0-4; SD: ± 1.3), increasing to 5.6 post-operatively (range 4-7; SD: ± 1.3, p < 0.001), and mean pre-operative open-set adult sentence score of 6.8% (range 0-40%), improving to 78.4% post-operatively (range 40-100%, p < 0.001). Three of the 36 patients (8.3%) who had simultaneous STP and CI developed post-operative complications (median follow-up: 4.2 years). No disease recurrence was reported.

Conclusion: STP is an effective intervention for refractory middle ear and mastoid diseases. It allows for a thorough disease removal and prepares the ear for subsequent implantation procedures. Simultaneous STP and CI provide the advantage of hearing rehabilitation, disease control, and a comparable complication rate to that of conventional CI procedures.

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同时进行肾盂次全切除术和人工耳蜗植入术的手术效果：一项单一机构研究。

目的：报告我院对因难治性耳病而接受耳廓次全切除术（STP）的患者的经验，这些患者都是人工耳蜗植入术（CI）的候选者，并重点介绍同时接受耳廓次全切除术和人工耳蜗植入术的优势、手术效果、术后并发症处理以及手术分期的注意事项：在一家三级转诊大学医院进行了一项回顾性研究。回顾性评估了七十名因难治性耳病接受 STP 的患者（70 耳）的病历，这些患者都是 CI 的候选者：结果：70 名成年人（年龄在 30-85 岁之间）接受了 STP，中位随访时间为 4.8 年（1.5-18.2 年）。其中 27 人（38.5%）在接受 STP 之前曾接受过乳突手术。大多数患者同时接受了 STP 和 CI（36 人，占 51.5%），其次是只接受了 STP（28 人，占 40%），还有一小部分患者在 STP 后接受了分期 CI（6 人，占 8.5%）。同时接受 STP 和 CI 的患者在多项指标上都有显著改善，术前纯音测听（PTA）的平均值为 98.7 dB HL（范围：85-118；标清：±9.2），术后改善至 39.3 dB HL（范围：25-50；标清：±9.3，P 结论：STP 是一种有效的反听干预措施：STP 是治疗难治性中耳和乳突疾病的有效方法。它能彻底清除疾病，为后续的植入手术做好准备。同时进行 STP 和 CI 可提供听力康复、疾病控制和与传统 CI 程序相当的并发症发生率等优势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Archives of Oto-Rhino-Laryngology 医学-耳鼻喉科学

CiteScore

5.30

自引率

7.70%

发文量

537

审稿时长

2-4 weeks

期刊介绍： Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.