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Cochlear implant fixation using polypropylene mesh and titanium screws.

机译:使用聚丙烯网和钛螺钉固定人工耳蜗。

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摘要

HYPOTHESIS: Fixation of cochlear implants using prosthetic mesh is an improvement of the traditional fixation methods. STUDY DESIGN: A retrospective chart review was performed examining all adult and pediatric patients between 1998 and 2003 who underwent cochlear implantation using polypropylene mesh and titanium screws to fix the cochlear implant internal receiver. Patient age at implantation, postoperative infections, device failures, device migrations or extrusions, cerebrospinal fluid (CSF) leaks, flap complications, epidural hematoma data, and follow-up data were evaluated. RESULTS: Two hundred and eighty-five patients were identified who received cochlear implantation using the polypropylene mesh securing technique. There were five postoperative infections, two device failures, zero flap complications, zero device migrations or extrusions, zero cerebral spinal fluid leaks, and zero epidural hematomas. The two delayed device failures in this series were not related to fixation technique. CONCLUSIONS: We conclude that this technique is widely applicable, technically superior, and not associated with increased complications.
机译:假设:使用人工网眼固定人工耳蜗是对传统固定方法的改进。研究设计:回顾性图表审查了所有1998年至2003年间使用聚丙烯网和钛螺钉固定人工耳蜗内部接受器的人工耳蜗的成年和小儿患者。评估了患者在植入时的年龄,术后感染,设备故障,设备迁移或挤压,脑脊液(CSF)泄漏,皮瓣并发症,硬膜外血肿数据和随访数据。结果:鉴定出285例使用聚丙烯网状固定技术接受人工耳蜗植入的患者。术后有五种感染,两种设备故障,零瓣并发症,零设备迁移或挤压,零脑脊髓液漏和零硬膜外血肿。该系列中的两次延迟设备故障与修复技术无关。结论:我们得出结论,该技术是广泛适用的,技术上优越,并且与并发症的增加无关。

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