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A Rare Case of Cochlear Implant Electrode Array Misplacement Into the Posterior Semicircular Canal

机译:人工耳蜗电极阵列错位到后半规管的罕见病例

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摘要

Cochlear implant electrode array misplacement is a rare but serious complication that may result in failure of hearing rehabilitation, non‐auditory percepts, vestibular disturbance, or damage to adjacent neurovascular structures. We present a case of an elderly patient who suffered electrode array misplacement into the posterior semicircular canal, resulting in vestibular symptoms and severe downstream sequelae. The risk of misplacement may be higher in patients with a history of chronic otitis media or prior otologic surgery, and with the use of pre‐curved electrode arrays. Electrophysiological testing and intraoperative imaging may allow for early detection and intervention in these cases. Laryngoscope, 133:175–177, 2023
机译:人工耳蜗电极阵列错位是一种罕见但严重的并发症,可能导致听力康复失败、非听觉知觉、前庭紊乱或邻近神经血管结构损伤。我们介绍了一个老年患者的病例,该患者电极阵列错位到后半规管中,导致前庭症状和严重的下游后遗症。有慢性中耳炎病史或既往耳科手术史的患者,以及使用预弯曲电极阵列的患者,移位的风险可能更高。电生理学检查和术中影像学检查可能有助于在这些病例中进行早期发现和干预。喉镜,133:175–177,2023

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