微创人工耳蜗植入手术技术近20年来取得了显著进展，从最初仅关注手术切口的大小，逐步深化至对内耳精细结构功能的保护及手术全过程的微创化处理。尽管如此，当前学界对于微创人工耳蜗的定义及操作规范尚未形成统一共识。本次专刊特辑汇聚了国内微创人工耳蜗植入领域的权威单位与资深专家，他们将围绕最新的工作经验与研究成果展开了深入探讨与分享，力求推动微创人工耳蜗植入技术向更加规范化、标准化的方向迈进。
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摘要: 在过去的数十年间，微创人工耳蜗植入技术取得了显著的发展与进步，从最初聚焦于手术切口的微小化，逐步拓展至对内耳精细结构与生理功能的保护，以及整个手术流程的微创化策略实施。然而，当前学术界对于微创人工耳蜗植入技术的确切定义及其具体操作流程尚缺乏统一的标准与共识。未来，该领域的研究需进一步聚焦于手术辅助技术的革新、全植入式人工耳蜗的设计与优化，以及载药电极等前沿技术的探索与应用，旨在推动手术方式向更高层次的微创化、功能保护及个体化治疗方向迈进。Abstract: Over the past decades, minimally invasive cochlear implantation(CI) have achieved significant advancements, evolving from initial emphasis on incision miniaturization to comprehensive strategies for preserving intracochlear structures and functions, as well as optimizing overall minimally invasive surgical procedure. However, current academic debates persist regarding standardized definitions and consensus on technical protocols. Future research should prioritize innovations in surgical-assistive robots, refinement of hidden cochlear implant, and exploration of drug deliver electrodes. These efforts aim to advance surgical methodologies toward enhanced minimally invasive approaches, functional preservation, and personalized therapeutic interventions.
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Key words:
- minimally invasive cochlear implantation /
- advances /
- future directions
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[1] O'Donoghue GM, Nikolopoulos TP. Minimal access surgery for pediatric cochlear implantation[J]. Otol Neurotol, 2002, 23(6): 891-894. doi: 10.1097/00129492-200211000-00014
[2] Lehnhardt E. Intracochlear placement of cochlear implant electrodes in soft surgery technique][J]. HNO, 1993, 41(7): 356-359.
[3] Wright CG, Roland PS, Kuzma J. Advanced bionics thin lateral and Helix Ⅱ electrodes: a temporal bone study[J]. Laryngoscope, 2005, 115(11): 2041-2045. doi: 10.1097/01.MLG.0000181461.63392.49
[4] Caversaccio M, Mantokoudis G, Wagner F, et al. Robotic Cochlear Implantation for Direct Cochlear Access[J]. J Vis Exp, 2022, (184). doi: 10.3791/64047.
[5] Zhang HL, Wang GJ, Zhang X, et al. Clinical application of the 4K-3D exoscope system in cochlear implantation[J]. Otol Neurotol, 2024, 45(5): 521-528. doi: 10.1097/MAO.0000000000004184
[6] Dhanasingh A, Hochmair I. Drug delivery in cochlear implantation[J]. Acta Otolaryngol, 2021, 141(sup1): 135-156. doi: 10.1080/00016489.2021.1888505
[7] Chin OY, Diaz RC. State-of-the-art methods in clinical intracochlear drug delivery[J]. Curr Opin Otolaryngol Head Neck Surg, 2019, 27(5): 381-386. doi: 10.1097/MOO.0000000000000566
[8] Schuerch K, Waser M, Mantokoudis G, et al. Performing Intracochlear Electrocochleography During Cochlear Implantation[J]. J Vis Exp, 2022, (181). doi: 10.3791/63153.
[9] Ergun O, Yildirim O, Bozyel I, et al. The hidden cochlear implant[J]. J Laryngol Otol, 2023, 137(11): 1207-1214. doi: 10.1017/S0022215123000130
[10] Ulug T, Teker AM. Minimally invasive cochlear implantation with mastoidal three-layer flap technique[J]. ORL J Otorhinolaryngol Relat Spec, 2009, 71(5): 292-298. doi: 10.1159/000258680
[11] Park LR, Richter ME, Gagnon EB, et al. Benefits of cochlear implantation and hearing preservation for children with preoperative functional hearing: a prospective clinical trial[J]. Ear Hear, 2025: doi: 10.1097/AUD.0000000000001636.
[12] Masood MM, Farquhar DR, Brown KD, et al. Hearing preservation and speech outcomes after cochlear implantation in Meniere's disease[J]. Laryngoscope, 2020, 130(12): 2874-2878. doi: 10.1002/lary.28470
[13] Gantz BJ, Hansen M, Dunn CC. Clinical perspective on hearing preservation in cochlear implantation, the University of Iowa experience[J]. Hear Res, 2022, 426: 108487. doi: 10.1016/j.heares.2022.108487
[14] Bruce I, Schaefer S, Kluk K, et al. 'Real-life' benefit of hearing preservation cochlear implantation in the paediatric population: a single-site case-control study[J]. BMJ Open, 2023, 13(5): e067248. doi: 10.1136/bmjopen-2022-067248
[15] 戴朴, 郗昕, 孙喜斌, 等. 人工耳蜗植入工作指南(2013)修订解读[J]. 中华耳鼻咽喉头颈外科杂志, 2014, 49(2): 96-102.
[16] Sbeih F, Bouzaher MH, Appachi S, et al. Safety of cochlear implantation in children 12 months or younger: systematic review and meta-analysis[J]. Otolaryngol Head Neck Surg, 2022, 167(6): 912-922. doi: 10.1177/01945998211067741
[17] Bruce IA, Todt I. Hearing preservation cochlear implant surgery[J]. Adv Otorhinolaryngol, 2018, 81: 66-73.
[18] Kurz A, Rak K, Hagen R, et al. Evaluating the decision for cochlear implantation in individuals with single-sided deafness(SSD); implementing the SSD consensus protocol into clinical routine[J]. Otol Neurotol, 2020, 41(6): 727-735. doi: 10.1097/MAO.0000000000002618
[19] Levy DA, Lee JA, Nguyen SA, et al. Cochlear implantation for treatment of tinnitus in single-sided deafness: a systematic review and meta-analysis[J]. Otol Neurotol, 2020, 41(8): e1004-e1012. doi: 10.1097/MAO.0000000000002711
[20] Gawęcki W, Balcerowiak A, Podlawska P, et al. Robot-assisted electrode insertion in cochlear implantation controlled by intraoperative electrocochleography-a pilot study[J]. J Clin Med, 2022, 11(23): 7045. doi: 10.3390/jcm11237045
[21] Torres R, Kazmitcheff G, De Seta D, et al. Improvement of the insertion axis for cochlear implantation with a robot-based system[J]. Eur Arch Otorhinolaryngol, 2017, 274(2): 715-721. doi: 10.1007/s00405-016-4329-2
[22] Shoman NM. Robotics and cochlear implant surgery: goals and developments[J]. Curr Opin Otolaryngol Head Neck Surg, 2022, 30(5): 314-319. doi: 10.1097/MOO.0000000000000837
[23] Colombo G, Ferreli F, Di Bari M, et al. Introducing the High-definition 3D exoscope in ear surgery: preliminary analysis of advantages and limits compared with operative microscope[J]. Eur Arch Otorhinolaryngol, 2021, 278(11): 4217-4223. doi: 10.1007/s00405-020-06510-w
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