目的：探讨双侧重度感音神经性聋合并分泌性中耳炎患儿人工耳蜗植入的方法及效果。方法对30例双侧重度感音神经性聋合并分泌性中耳炎的患者经圆窗入路行人工耳蜗植入术，术后随访1～3年，观察植入效果。结果30例患者人工耳蜗电极均顺利植入，未出现一例颅内外感染，开机后人工耳蜗工作正常，无电极及磁体裸露、脱出，电极阻抗正常，听觉反应良好，分泌性中耳炎也治愈。结论合并分泌性中耳炎重度感音神经性聋的患儿可行人工耳蜗植入，圆窗入路是一安全有效的手术方式。%Objective To study the indications ,surgical techniques of cochlear implantation in bilateral severe sensorineural hearing loss patients with otitis media with effusion .Methods Retrospective study of the data was col-lected from 30 bilateeral severe sensorineural hearing loss patients receiving cochlear implantation .CI was performed with round window insertion in 30 patients with otitis media with effusion .Results One stage operations of CI with round window insertion were carried out for 30 patients with otitis media with effusion .All electrodes were implan-ted successfully ,in which the CI went normally and electrode array were protected well .All implant devices had worked normally and all patients had performed well during an average of 1~3 years follow -up .Conclusion Bilat-eral severe sensorineural hearing loss patients with otitis media with effusion could be performed cochlear implanta-tion with round window insertion in one stage ,and it was safe and effective .
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