20.500.12556/DKUM-91697 Subtotalna petrozektomija pri kohlearni implantaciji Subtotal petrosectomy in cochlear implantation Glavna indikacija za subtotalno petrozektomijo (SP) pri kohlearni implantaciji je kronično vnetje srednjega ušesa z ali brez holesteatoma. Ob kroničnem otitisu sta pomembni indikaciji še malformacije notranjega ušesa z možnostjo likvoreje in anatomske nepravilnosti. Cilj posega je eliminacija vnetja iz operativne votline in varna vstavitev elektrode v notranje uho. Poseg smo v zadnjih 13 letih opravili pri 15 bolnikih s povprečno dobo sledenja 61 mesecev. Pri vseh je šlo za polno vstavitev elektrode in pri vseh je bila operativna votlina zapolnjena z abdominalnim maščevjem. Revizijo operativne votline smo opravili pri treh bolnikih, ohranili napravo in vsi bolniki še vedno lahko uporabljajo kohlearni implant.Subtotalna petrozektomija je varen poseg, ki zahteva sledenje bolnikov vsaj deset let po operaciji. Za uspeh operacije je ključna natančna kirurška tehnika, s katero odstranimo bolezen, sluznico in epitel iz srednjega ušesa, popolno zaprtje zunanjega sluhovoda in prekritje implanta. The main indication for subtotal petrosectomy (SP) in cochlear implant surgery is chronic otitis media with or without cholesteatoma. In addition to chronic otitis, other indications for surgery include inner ear malformations with the possibility of cerebrospinal fluid leakage and anatomical abnormalities. The main goal of the surgical technique is to eliminate the inf lammation in the mastoid cavity and insert an electrode into the inner ear. Over the past thirteen years, the procedure has been performed in 15 patients with an average follow-up of 61 months. In all patients, complete insertion of the electrode was achieved, and the cavity was filled with abdominal fat. Revision surgery was required in three patients with preservation of the device. All patients are still using the cochlear implant. Subtotal petrosectomy is a safe procedure. However, follow-up is required for at least ten years after surgery. Meticulous surgery with removal of all disease, middle ear mucosa, and epithelium, the complete sealing of the external ear canal, and covering of the implant to prevent extrusion are critical for a successful surgical result. subtotal petrosectomy cochlear implantation chronic otitis deafness inner ear malformations subtotalna petrozektomija kohlearna implantacija kronični otitis gluhota malformacije notranjega ušesa true true true MF UM Angleški jezik Slovenski jezik Znanstveno delo 2025-01-28 14:17:57 2025-01-28 14:22:22 2026-03-18 13:27:09 0000-00-00 00:00:00 2024 0 0 str. 24-29 št. 2 Letn. 17 2024 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 2024-04-06 2024-07-12 616.21 220449027 10.18690/actabiomed.272 1855-5640 RAZ_Rebol_Janez_2024.pdf RAZ_Rebol_Janez_2024.pdf 1 3BE5AB514D91D4217E6B296D76D425EA 499ef78323b811bfe42d7626b6a068eeb2fa3599256e2c3ff0e30fbe1f77dc8d 9e578c15-dd7a-11ef-9187-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=188227 https://doi.org/10.18690/actabiomed.272 0 86863107-de0f-11ef-9dfa-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=188262 https://journals.um.si/index.php/amb/article/view/4759 1 4a8165eb-dd7a-11ef-9187-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=188226 Medicinska fakulteta Acta medico-biotechnica 0 0 0