摘要
Objective:Toinvestigatesurgicalindications,operativetechniques,complicationsandauditoryandspeechrehabilitationforcochlearimplant(CI)inchildrenwithotitismediawitheffusion(OME).Materia!andmethods:Thisisaretrospectivereviewofrecordsof24childrenwithbilateralprofoundsensorineuralhearinglossandOMEwhowereimplantedduringJanuary2011toNovember2014intheDepartmentofOtorhinolaryngologyandHeadandNeckSurgeryatthePLAHospital,usingone-stageimplantationviathefacialrecessapproachandroundwindowinsertion.Theincuswasremovedin8casesduringtheimplantationprocedure.Localinfiltrationofdexamethasoneandadrenalineinthemiddleearwasalsoperformed.Postoperativecomplicationswereexamined.PreoperativeandpostoperativequestionnairesincludingCategoriesofAuditoryPerformance(CAP).SpeechIntelligibilityRating(SIR),andtheMeaningfulAuditoryIntegrationScale(MAIS)werecollected.Results:Allelectrodeswereimplantedsuccessfullywithoutanyimmediateordelayedcomplications.Inllammatorychangesofmiddleearmucosawitheffusionwerenotedinallimplantedears.Thescoresofpost-implantCAPandSIRincreasedsignilicantlyinall24cases(t=-25.95and-14.09.respectivelyforCAPandSIR.p<0.05).Conclusions:One-stageCIviathefacialrecessapproachwithroundwindowinsertionissafeandeffectiveincochlearimplantcandidateswithOME,asseeninthe24childreninourstudywhoachievedimprovedauditoryperformanceandspeechintelligibilityafterCI.
出版日期
2015年03月13日（中国期刊网平台首次上网日期，不代表论文的发表时间）
