International journal of pediatric otorhinolaryngology · 2020
A retrofacial approach of round window vibroplasty during Vibrant Soundbridge implantation for patients with congenital ear malformation.
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Li Jie, Wang Danni, Zhao Chunli, Yang Lin, Ren Ran, Zhao Shouqin
Аннотация
OBJECTIVE: To describe the specific retrofacial surgical approach for application of Vibrant Soundbridge (VSB) to the round window (RW) in patients with congenital ear malformation.
METHODS: Four patients with congenital ear malformation were implanted with VSB unilaterally through a retrofacial approach in present study. During the operation, the round window niche was identified through a retrofacial pathway and the floating mass transducer (FMT) was attached to the RW inferiorly.
RESULTS: Satisfied outcomes were confirmed after surgery. No intraoperative or postoperative surgical complications were observed in all patients.
CONCLUSION: When the facial nerve was aberrant or it was unable to access the RW through the classic facial recess pathway during the round window vibroplasty, the retrofacial approach could be a valid and feasible alternative approach.
METHODS: Four patients with congenital ear malformation were implanted with VSB unilaterally through a retrofacial approach in present study. During the operation, the round window niche was identified through a retrofacial pathway and the floating mass transducer (FMT) was attached to the RW inferiorly.
RESULTS: Satisfied outcomes were confirmed after surgery. No intraoperative or postoperative surgical complications were observed in all patients.
CONCLUSION: When the facial nerve was aberrant or it was unable to access the RW through the classic facial recess pathway during the round window vibroplasty, the retrofacial approach could be a valid and feasible alternative approach.