JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (4): 19-21.doi: 10.6040/j.issn.1673-3770.0.2014.363

Previous Articles     Next Articles

Perioperative treatment and precautions in cochlear implantation.

YIN Haiying1,2, GU Lintao1, YU Shudong1, WANG Qirong1   

  1. 1. Department of Otolaryngology & Head and Neck Surgery, Shandong Provincial Qianfoshan Hospital, Jinan 250014, Shandong, China;
    2. Department of Aviation Persomnel Examination and Lolentification, Civil Aviation General Hospital, Beijing 100123, China
  • Received:2014-11-15 Revised:2015-04-07 Online:2015-08-16 Published:2015-08-16

Abstract: Objective To discuss the perioperative treatment and matters needing special attention in cochlear implantation to improve the success rates of surgery, promote postoperative speech quality, and reduce errors and complications. Methods Clinical data of 61 patients with cochlear implantation surgery was reviewed. We summarized the matters needing attention, including preoperative screening, perioperative complications and treatment, and postoperative mapping. Results Good results have been achieved in 61 patients with preverbal deafness, postverbal deafness, large vestibular aqueduct syndrome, Mondini deformity, large vestibular aqueduct syndrome plus Mondini deformities, concurrent cerebral white matter abnormalities, or secondary implantation. Conclusion Accurate preoperative assessment, standardized but individualized operation, postoperative mapping and speech rehabilitation training are the keys for cochlear implantation surgery.

Key words: Sensorineural deafness, Cochlear implantation, Large vestibular aqueduct syndrome, Cerebral white matter abnormalities, Mondini deformity

CLC Number: 

  • R764.35
[1] Roland P S, Tobey E. A tribute to a remarkably sound solution[J]. Cell, 2013, 154(6):1175-1177.
[2] Kitterick P T, O'Donoghue G M, Edmondson-Jones M, et al. Comparison of the benefits of cchlear implantation versus contra-lateral routing of signal hearing aids in adult patients with single-sided d eafness: study protocol for a prospective within-subject longitudinal trial[J]. BMC Ear Nose Throat Disord, 2014, 14(1):7.
[3] Skarzynski H, Lorens A, Matusiak M, et al. Cochlear implantation with the nucleus slim straight electrode in subjects with residual low-frequency hearing[J]. Ear Hear, 2014, 35(2):33-43.
[4] Mittmann P, Ernst A, Todt I. Intracochlear pressure changes due to round window opening a modelling approach[J]. ScientificWorldJournal, 2014: 341075.
[5] Niedermeier K, Braun S, Fauser C, et al. A safety evaluation of dexamethasone-releasingcochlear implants: Comparative study on the risk of otogenic meningitis ater implantation[J]. Acta Otolaryngol, 2012, 132(12):1252-1260.
[6] Ye Q, Tillein J, Hartmann R, et al. Application of a corticosteroid (Triamcinolon) protects inner ear function ater surgical intervention[J]. Ear Hear, 2007, 28(3):361-369.
[7] Todt I, Mittmann P, Ernst A. Intracochlear Fluid Pressure Changes Related to the Insertional Speed of a CI Electrode[J]. Biomed Res Int, 2014: 507241.
[8] Rajan G P, Kontorinis G, Kuthubutheen J. The effects of insertion speed on inner ear function during cochlear implantation: a comparison study[J]. Audiol Neurootol, 2013, 18(1):17-22.
[9] Richard C, Fayad J N, Doherty J, et al. Round window versus cochleostomy technique in cochlear implantation: histologic findings[J]. Otol Neurotol, 2012, 33(7):1181-1187.
[1] . Clinical analysis of language rehabilitation in 295 cases of cochlear implantation [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 62-65.
[2] GONG Shusheng, XIONG Wei. Cochlear implantation in intractable cases. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 4-9.
[3] WANG Qirong, YU Shudong, GU Lintao. Preoperative assessment of cochlear implantation. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 16-18.
[4] FENG Lei, WU Danfeng. Effect of cochlear implantation in combination with hearing aids on tone recognition. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 27-31.
[5] FU Ying, SUN Yongqiang, SONG Zhongyi, ZHANG Hanbing. A preliminary study on the bilateral residual hearing after unilateral cochlear implants. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 31-37.
[6] LIU Jun, JI Fei, LI Wanxin. Preliminary study of cochlear implantation in elderly individuals with severe-profound sensorineural hearing loss. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 10-15.
[7] ZHANG Hanbing. Progress in bilateral cochlear implant research. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 19-22.
[8] WANG Haixia, ZHENG Jinxiu, CHEN Xi. Discussion on MRI in cochlear implantation recipients. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 38-40.
[9] . Evaluation of hearing levels, speech functions and cognitive abilities of cochlear implantation in deaf children with abnormal white matter. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(2): 43-48.
[10] . Clinical efficacy of Tiebifu Granule in the treatment of deafness with iron deficiency. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(1): 75-79.
[11] WANG Jiefeng, WANG Huige. Hyperbaric oxygen therapy for 9 cases of sudden hearing loss with large vestibular aqueduct syndrome. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(4): 84-85.
[12] WANG Yihong, LI Ruiyu, CHEN Cailong, WANG Xiaoyan, LIN Meifu, ZHOU Shuo. Application of MSCT multimodal 3D reconstruction in the assessment of temporal bone structures and cochlear implantation [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 1-4.
[13] WANG Yaning, WANG Qirong. The use of homemade concave shape etractor in cochlear implantation [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(5): 91-91.
[14] SUN Changzhi, LIU Wenlong, LI Yan, LUO Renzhong. Diagnosis and treatment of otitis media with effusion in children with bilateral sensorineural deafness. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(4): 11-14.
[15] TIAN Ying, JI Xu, ZHANG Tao, YANG Ning, HUI Lian, JIANG Xue-jun. Change of ECAP thresholds in children with cochlear implant [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(5): 15-18.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!