手术经验对薄型人工耳蜗电极尖端折叠发生率的影响。

IF 2.2 3区 医学 Q2 OTORHINOLARYNGOLOGY
Esther Knörle, Caterina Vazzana, Timo Stöver, Silke Helbig
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引用次数: 0

摘要

目的:评估在磨牙周植入薄预制电极阵列的经验是否能减少尖端折叠(TFO)的发生率。方法:回顾性研究纳入了2015年11月至2022年12月在一所大学人工耳蜗中心接受Slim Modiolar (SM)电极阵列(cochlear, Sydney, Australia)人工耳蜗植入(CI)的100例患者。术后影像学检查电极位置。我们回顾了三位经验丰富的CI外科医生的手术报告和影像学图像,并分析了TFO的发生率。此外,术中测量显示电极错位证据的发生率和随时间推移的平均手术持续时间被记录下来。结果:共纳入100例患者129例SM种植体。7例(5.4%)TFO被放射学检测并成功矫正。在8例(6.2%)中,电生理测量显示错位,并在同一手术中纠正了位置。对于一位外科医生来说,67个植入物中有5个(7.5%)受到TFO的影响,这种并发症的频率随着时间的推移而降低。所有外科医生的平均手术时间为122.2(±44.2)分钟,其中两名外科医生随着时间的推移而减少。结论:随着时间的推移,SM电极的植入有并发症发生率低、速度快的趋势。因此,可以假设,SM电极的植入需要一定的实践,即使是经验丰富的外科医生。术中电生理测量检测出71.4%的放射学证实的tfo,因此强烈推荐使用电生理测量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Influence of surgeon experience on the incidence of tip fold-over with slim preformed cochlear implant electrodes.

Influence of surgeon experience on the incidence of tip fold-over with slim preformed cochlear implant electrodes.

Influence of surgeon experience on the incidence of tip fold-over with slim preformed cochlear implant electrodes.

Influence of surgeon experience on the incidence of tip fold-over with slim preformed cochlear implant electrodes.

Purpose: To assess whether increasing experience with implantation of a thin preformed electrode array for perimodiolar insertion reduces the incidence of tip fold-over (TFO).

Methods: The retrospective study included 100 patients who received a cochlear implant (CI) with the Slim Modiolar (SM) electrode array (Cochlear, Sydney, Australia) at a university CI centre between November 2015 and December 2022. Postoperative radiological imaging was performed to verify electrode position. Surgical reports and radiological images were reviewed and the incidence of TFO was analyzed for three experienced CI surgeons. In addition, the incidence of intraoperative measurements showing evidence of electrode malposition and the mean duration of surgery over time were documented.

Results: 129 SM implantations in 100 patients were included. In seven cases (5.4%) TFO was radiologically detected and successfully revised. In eight cases (6.2%), electrophysiological measurements indicated misplacement and the position was corrected during the same surgery. For one surgeon, five out of 67 implantations (7.5%) were affected by TFO, with the frequency of this complication decreasing over time. The average surgery time for all surgeons was 122.2 (± 44.2) minutes, with two surgeons showing a decrease over time.

Conclusion: The results show a tendency that the SM electrodes can be implanted with a lower complication rate and faster over time. Therefore, it can be assumed that the implantation of the SM electrode requires a certain amount of practice, even for experienced surgeons. As intraoperative electrophysiological measurements detected 71.4% of all radiologically confirmed TFOs, their use is highly recommended.

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来源期刊
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.
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