Особенности хирургического этапа кохлеарной имплантации у пациентов, перенесших менингит
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При наличии оссификации базального завитка улитки более 6 мм, целесообразно использовать комбинированный подход (через мастоидотомию и заднюю тимпанотомию, а также посредством тимпанотомии через наружный слуховой проход) к барабанной полости, обеспечивает увеличение угла операционного действия, что дает доступ ко всем завиткам улитки. При наличии оссификации базального завитка улитки более 6 мм… Читать ещё >
Содержание
- ПЕРЕЧЕНЬ УСЛОВНЫХ СОКРАЩЕНИЙ
- Глава 1. ОБЗОР ИСТОЧНИКОВ ЛИТЕРАТУРЫ
- 1. 1. Сенсоневральная тугоухость
- 1. 2. Менингит — этиология и патогенез. 12 1.3.0ссификация внутреннего уха, как осложнение менингита. 14 1 АРентгенологические исследования
- 1. 5. Хирургические методики кохлеарной имплантации
- 1. 6. Развитие хирургической техники кохлеарной имплантации при наличии оссификации улитки
- Глава 2. ОБЩАЯ КЛИНИЧЕСКАЯ ХАРАКТЕРИСТИКА БОЛЬНЫХ И МЕТОДИКА ИХ ОБСЛЕДОВАНИЯ. 28 2.1 .Клиническая характеристика пациентов
- 2. 2. Методы предоперационного обследования пациентов
- 2. 3. Интраоерационные исследования
- 2. 4. Послеоперационное ведение пациентов
Глава 3. РЕЗУЛЬТАТЫ ПРЕДОПЕРАЦИОННОГО ОБСЛЕДОВАНИЯ. 3 9 3.1.Результаты клинико — аудиологического обследования. 39 3.2.Этиология менингита. 41 3.3 .Результаты компьютерной томографии височных костей. 43 3.4.Классификация оссификаций внутреннего уха.
Глава 4. РЕЗУЛЬТАТЫ ИССЛЕДОВАНИЙ ПРЕПАРАТОВ ВИСОЧНЫХ КОСТЕЙ.
Глава 5. ХИРУРГИЧЕСКАЯ ТАКТИКА КОХЛЕАРНОЙ ИМПЛАНТАЦИИ ПРИ РАЗЛИЧНОЙ СТЕПЕНИ ОССИФИКАЦИИ УЛИТКИ.
5.1.Хирургическая тактика при отсутствии изменений в улитке и оссификации менее 6 мм.
5.2.Хирургическая тактика при оссификациии базального завитка более 6 мм. 67 5.3.Хирургическая тактика при выраженной оссификации, затрагивающей более одного завитка.
Глава 6. БЛИЖАЙШИЕ РЕЗУЛЬТАТЫ СЛУХОРЕЧЕВОЙ РЕАБИЛИТАЦИИ ПОСЛЕ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ.
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