小切口及“T”形肌骨膜瓣在人工耳蜗植入手术中的应用

Application of small incision and T-shaped musculoskeletal flap in cochlear implantation

摘要:

目的 探讨小切口及“T”形肌骨膜瓣在人工耳蜗植入术中的应用及效果。方法 回顾性分析56例(57耳)就治于大理白族自治州人民医院的重度、极重度感音神经性聋患者，采用耳后皮肤小切口并制作“T”形肌骨膜瓣完成人工耳蜗植入手术，术后记录切口长度、操作时间及术后愈合情况。结果 平均切口长度为(3.5±0.5)cm；平均操作时间为(95±10)min。术后1耳出现切口感染植入体排除，其余患者愈合良好，未出现皮瓣相关并发症。结论 小切口、“T”形肌骨膜瓣应用于电子耳蜗植入手术，不增加手术操作时间，且具有较好的手术视野及较低的皮瓣并发症。

关键词:电子耳蜗;肌骨膜瓣;微创

Abstract:

Objective To explore the application and effect of small incision and “T” shaped musculoskeletal flap in cochlear implantation. Methods A retrospective analysis was performed on 56 patients(57 ears) with severe and extremely severe sensorineural deafness treated in Dali Bai Autonomous Prefecture People’s Hospital. A cochlear implant was surgically placed under the skin behind the ear with a small incision and a “T” shaped musculoskeletal flap. Postoperative incision length, operation time and postoperative healing were recorded. Results The average incision length was (3.5±0.5) cm. The average operation time was (95±10)min. Incision infection and implant exclusion occurred in 1 ear after surgery. The other patients healed well, who did not develop flap related complications. Conclusion The application of small incision and “T” shaped musculoskeletal flap in electronic cochlear implantation have better visual field and lower flap complications without increasing operation time.

Key words:Electronic cochlea;Musculoskeletal flap;Minimally invasive