Preliminary Study on Simultaneous Cochlear Implantation in Patients with Cholesterol Granuloma in the Middle Ear
10.3969/j.issn.1006-7299.2024.04.009
- VernacularTitle:伴中耳胆固醇肉芽肿患者同期人工耳蜗植入的初步探讨
- Author:
Jing ZHANG
1
;
Jian ZHANG
;
Xuexue LU
;
Wei CAO
;
Jianxin QIU
;
Kun YAO
Author Information
1. 安徽医科大学附属阜阳医院耳鼻咽喉头颈外科(阜阳 236000)
- Keywords:
Cholesterol granuloma in the middle ear;
Cochlear implantation;
Postlingual deafness
- From:
Journal of Audiology and Speech Pathology
2024;32(4):330-333
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical experience of cochlear implantation(CI)in patients with postlingual hearing loss accompanied by cholesterol granuloma(CG)in the middle ear.Methods A retrospective study was conducted on the clinical data of 6 patients with postlingual hearing loss who underwent CI with middle ear CG at Fuyang hospital of Anhui Medical University from December 2018 to December 2022.The selection of surgical methods,surgical efficacy,and postoperative complications of patients undergoing CI surgery during the same period were summarized and analyzed.The categories of auditory performance(CAP)and speech intelligibility rating(SIR)were used to evaluate the effectiveness of auditory speech rehabilitation.Results Six patients were treated by individualized surgical methods based on preoperative CT findings and successfully completed cochlear im-plant surgery.According to the scope of the lesion,three patients were treated with canal wall up mastoidectomy(CWUM)and CI,the other three patients were treated with radical mastoidectomy(RM),CI and middle ear clo-sure(MEC).All patients did not experience complications such as incision infection,facial paralysis,labyrinthitis,intracranial infection,recurrence,or electrode exposure after surgery and during follow-up.The CAP and SIR scores of postoperative patients were significantly improved compared to preoperative with statistical significance(P＜0.05).Conclusion For patients with severe sensorineural hearing loss and middle ear CG,simultaneous cochlear implantation can achieve good auditory rehabilitation effects.However,appropriate surgical methods should be se-lected based on the lesion range,and the lesion must be completely removed to prevent postoperative complications.
