邻近单极电刀致人工耳蜗损伤的罕见病例。

IF 1.8 4区医学 Q2 OTORHINOLARYNGOLOGY

American Journal of Otolaryngology Pub Date : 2025-01-01 DOI:10.1016/j.amjoto.2024.104588

Evan J. Patel , Colleen Polite , Jeffrey D. Sharon

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引用次数: 0

摘要

目的：报告一例罕见的人工耳蜗（CI）附近单极电手术损伤病例。患者：一名38岁的男性右侧脑梗死患者报告说，他的植入物在脑膜瘤切除术后立即停止发出声音。干预措施：使用单极电手术进行右侧翼点开颅。主要观察指标：人工耳蜗设备性能、术后单词识别评分（WRS）。结果：正式评估显示一个有缺陷的人工耳蜗。在翻修手术期间，没有注意到设备的严重缺陷，这表明故障是由于附近的电手术造成的电损伤。患者的右侧听力在更换CI后主观上恢复到基线，其WRS从开颅前的60%下降到46%。结论：靠近CI的单极电手术可导致设备故障。

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Rare case of cochlear implant damaged by nearby use of monopolar electrosurgery

Objectives

To present a rare case of a cochlear implant (CI) damaged by nearby use of monopolar electrosurgery.

Patient

A 38-year-old man with a right-sided CI reported that his implant had stopped producing sound immediately after his meningioma resection.

Interventions

Right pterional craniotomy with use of monopolar electrosurgery.

Main outcome measures

Cochlear implant device performance, post-operative word recognition score (WRS).

Results

Formal evaluation revealed a defective cochlear implant. During revision surgery no gross defect was noted to the device suggesting that malfunction was due to electrical damage from nearby electrosurgery. The patient's hearing on the right subjectively returned to baseline after replacement of the CI and his WRS dropped to 46 % from 60 % prior to his craniotomy.

Conclusions

Monopolar electrosurgery in the immediate proximity to a CI can result in device malfunction.

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来源期刊

American Journal of Otolaryngology 医学-耳鼻喉科学

CiteScore

4.40

自引率

4.00%

发文量

378

审稿时长

41 days

期刊介绍： Be fully informed about developments in otology, neurotology, audiology, rhinology, allergy, laryngology, speech science, bronchoesophagology, facial plastic surgery, and head and neck surgery. Featured sections include original contributions, grand rounds, current reviews, case reports and socioeconomics.