Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2013
Implantation of the completely ossified cochlea: an image-guided approach.
СтатьяПоддержка NIH: внешняя программаНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wanna George B, Carlson Matthew L, Blachon Grégoire S, Noble Jack H, Dawant Benoit M, Labadie Robert F, Balachandran Ramya
Аннотация
OBJECTIVES: To report a novel modification of the cochlear drill-out procedure that uses customized microstereotactic frames as drill guides.
PATIENT(S): A 34-year-old man with an 18-year history of profound bilateral hearing loss and completely ossified cochleae that underwent a previous unsuccessful conventional cochlear drill-out procedure in the contralateral ear.
INTERVENTIONS: Image-guided cochlear implantation using customized microstereotactic frames to drill linear basal and apical cochlear tunnels.
MAIN OUTCOME MEASURES: Transfacial recess cochlear drill-out procedure with full electrode insertion.
RESULTS: Two linear paths were drilled using customized microstereotactic frames targeting the proximal and distal basal turn followed by a full split array insertion. Postoperative imaging confirmed 2 cochlear tunnels straddling the modiolus with adequate clearance of the facial nerve and internal carotid artery. The patient received auditory benefit with device use and did not experience any surgical complication.
CONCLUSION: Successful cochlear implantation in the setting of total scalar obliteration poses a significant challenge. Image guidance technology may assist in navigating the ossified cochlea facilitating safe and precise cochlear tunnel drilling.
PATIENT(S): A 34-year-old man with an 18-year history of profound bilateral hearing loss and completely ossified cochleae that underwent a previous unsuccessful conventional cochlear drill-out procedure in the contralateral ear.
INTERVENTIONS: Image-guided cochlear implantation using customized microstereotactic frames to drill linear basal and apical cochlear tunnels.
MAIN OUTCOME MEASURES: Transfacial recess cochlear drill-out procedure with full electrode insertion.
RESULTS: Two linear paths were drilled using customized microstereotactic frames targeting the proximal and distal basal turn followed by a full split array insertion. Postoperative imaging confirmed 2 cochlear tunnels straddling the modiolus with adequate clearance of the facial nerve and internal carotid artery. The patient received auditory benefit with device use and did not experience any surgical complication.
CONCLUSION: Successful cochlear implantation in the setting of total scalar obliteration poses a significant challenge. Image guidance technology may assist in navigating the ossified cochlea facilitating safe and precise cochlear tunnel drilling.