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首页> 外文期刊>Canadian Journal of Mathematics >Bhopal Technique of Cochlear Implantation: A Surgical Review of 50 Cases
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Bhopal Technique of Cochlear Implantation: A Surgical Review of 50 Cases

机译：耳蜗植入的博文技术：50例外科综述

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Cochlear Implant is the new age treatment for profound deafness especially in children who are unable to hear since birth. This is a life changing technology where in a surgically implanted device can stimulate the auditory nerve through electrical currents enabling the generation of auditory potential. Various surgical techniques have been described in literature but debate exists over Posterior Tympanotomy and Trans-canal "Veria" technique. We are presenting our experience of 50 cases with modified trans-canal technique "The Bhopal Technique" which combines the best of both. 50 patients with bilateral profound deafness in age group 1-5 years were included in this observational study. These children underwent cochlear implantation by Bhopal Technique. The data was categorised into age, gender, certain surgical parameters like time taken; exposure and complications. In present study. The average time taken for surgery was 77.6 min, with electrode insertion in first attempt in about 43 cases. Round Window exposure was adequate in 37 cases while scala tympani was entered in 49 cases. Average time taken for cochleostomy was 44.6 s. Most common complication was wound hyperemia followed by Perilymph Gusher. Explantation was seen in 1 case. Minor complications included Vertigo and Tinnitus. There was one tympanic membrane perforation at 3 months follow up and response to AVT was excellent in 12 children at 6 month follow up. Bhopal technique is emerging as a promising technique for upcoming cochlear implant surgeons due to its low complication rate, better exposure of surgical landmarks and comparable outcomes to Veria and Posterior tympanotomy techniques.
机译：耳蜗植入物是新时代治疗，耳聋，特别是在自出生以来无法听到的儿童。这是一种寿命改变技术，在手术植入装置中可以通过电流刺激听觉神经，从而能够产生听觉潜力。文献中已经描述了各种外科手术技术，但争论存在于后扰术和转速“Veria”技术上。我们正在通过改进的跨运送技术“Bhopal技术”提出我们50例的经验，这与两者均最好的轨道技术。 50名年龄组双侧深深耳聋的患者1-5岁被纳入这个观察项研究。这些儿童通过博文技术接受了耳蜗植入。数据被分类为年龄，性别，某些手术参数，如所花费的时间;暴露和并发症。在目前的研究中。手术所需的平均时间为77.6分钟，电极插入首次尝试约43例。圆形窗口暴露于37例，而Scala Tympani已进入49例。科学矫形术的平均时间是44.6秒。最常见的并发症是伤害的高血量，然后是漂亮的喷气机。在1例中看到了促进。轻微的并发症包括眩晕和耳鸣。 3个月有一个鼓膜穿孔，随访，6个月的12名儿童对AVT的回应是优质的。由于其低并发症率，更好地暴露了手术标志性和可与VIRIA和后后鼓膜或后扰动技术，因此是一种希望植入耳蜗植入外科医生的有前途的技术。

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