鼓膜内注射庆大霉素治疗人工耳蜗植入术后的内淋巴水肿

Pietro Canzi, Elena Carlotto, Silvia Quaglieri, Maurizio Guida, Domenico Minervini, Ilaria Ottoboni, Cesare Chiapperini, Anna Chiara Stellato, Marco Lucio Manfrin, Marco Benazzo
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摘要

据记载,内淋巴水肿可能是人工耳蜗植入术的并发症之一;然而,很少有研究涉及其治疗方法。我们描述了首例人工耳蜗植入术后延迟性内淋巴水肿的病例,该病例通过鼓室内注射庆大霉素获得了成功治疗。我们将对该病例进行详细讨论,重点是其治疗方法和结果,并与文献数据进行对比。鼓室内注射庆大霉素已被证明是治疗人工耳蜗植入术后症状性内淋巴水肿的有效方法。我们主张进行进一步研究,以验证这种策略是手术切除迷宫的一种有前途的替代方法。
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Intratympanic Gentamicin Injection for Endolymphatic Hydrops After Cochlear Implantation.

Endolymphatic hydrops has been documented as a possible complication of cochlear implantation; however, few studies have addressed its treatment. We describe the first case ever reported of delayed endolymphatic hydrops after a cochlear implant successfully treated with intratympanic gentamicin injection. A detailed discussion of this case with a focus on its management and outcomes will be provided in comparison with literature data. The intratympanic gentamicin injection has been demonstrated to be an effective treatment for symptomatic endolymphatic hydrops after cochlear implantation. We advocate further studies to validate this strategy as a promising alternative to surgical labyrinthectomy.

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