The nation's first AIM equipment bilateral cochlear implantation surgery was successfully completed at Shandong Earnivalent Hospital

Author:Qilu.com Time:2022.07.08

With the stable development of the clinical technology of cochlear implants, the retention of residual hearing after surgery has become a hot topic for doctors and patients in the global field in recent years. Because for every deaf patient, the residual hearing is extremely important. A better auditory experience, speech recognition rate in noisy environment, perceived three -dimensional full tones, and recognition of music are closely related to the residual hearing.

At present, the application of minimally invasive surgery of cochlear implant and the development of new cochlea electrodes has greatly enhanced the retention of the residual hearing after the postoperative patient, and achieved a joint stimulus of the voice and electrical electrical electrical electrical and electrical (can also achieve cochlear implants and hearing aids at the same time. The district is still stimulated by sound).

However, the basis for achieving a combination of acoustic and electrical combination is the retention of low -frequency hearing after implantation of cochlear implantation, and low -frequency hearing damage is often the result of multiple factors, such as surgical implantation methods, electrode characteristics, implantation depth and speed, etc. The use of perioperative drugs also has a corresponding effect on hearing retention.

Among them, the damage to the basal membrane during the operation is the most common. Because the cochlear is a blind spot during the implantation of cochlear implantation, the surgeon has to rely on many years of rich experience, feel, and proficiency when inserting the electrode. How to ensure that the electrode to avoid touch and damage during insertion is a problem that needs to be solved in the artificial cochlear surgery.

Therefore, the use of new detection technology instead of "blind insertion" is undoubtedly safer and effective for doctors and patients. Now, it is here!

On June 14, 2022, Director Xu Lei, a hearing planting department of the Shandong Earnivalent Hospital of Shandong Province, was a 4 -year -old bilateral extremely severe severe sensor neurochsis. Equipment (AIM device) bilateral cochlear implantation surgery.

This case is also the first surgery completed after the clinical research "AIM project" was successfully completed after launching the clinical research "AIM project" in Shandong Province. The hospital hearing implantation team began to focus on the research of residual listening in the research 6 years ago, and innovated the perioperative standard for residual hearing retention. However, in the past, it was only possible to reserve as much as possible with the doctor's surgical experience. However, the retention of actual surgery cannot be known. Generally, it is necessary to wait for 1-2 months after surgery to know the specific retention.

Today, the introduction of AIM devices allows doctors to understand the residual hearing retention in real time during the operation. It successfully solves the problem of doctors during the implantation of the electrode, so that the patient's residual hearing is guaranteed. In addition, the strong reimbursement policies across the country have also reduced part of the burden on hearing impaired patients who have been blocked by hearing loss outside the door of a better life and bring them to listen to new hope.

Popular science time: How does AIM device protect the residual hearing?

Regarding this issue, we asked Director Xu Lei, the hearing planting department of the Shandong Earnivalent Hospital in Shandong Province. The director said that during the process of inserting the electrode, the AIM system will perform sound stimulation in real time, so that the electrodes can perceive and measure the residual listening in the snail through the sort of snails. To generate a cochleae electrocomputer, and presented and feedback on AIM software in real time. The doctor then display the electrode insertion position and strength in real time according to the cochlea electrocompany electrical image to avoid damage.

Director Xu Lei evaluated the postoperative situation of the child during the postoperative interview: "Children with bilateral cochlear implantation surgery today adopt AIM technical detection during both sides during the operation. The cochlear electrode generated by measuring residual hearing can intuitively see the insertion process of the electrode. This operation has a better reserved surgical technique for minimally invasive surgical surgical surgical techniques to retain the residual hearing surgery. Good surgical effect. "

"The AIM system can significantly improve the structure of the internal structure of the cochlea and the retention of residual hearing, and is confident that this new monitoring technology will change the clinical implantation regulations and let the cochlear implants enter the unprecedented new level." —— Professor Patrick Axon of Cambridge University Medical Center in the UK.

Welfare: The "AIM Project" of the Shandong Earnivalent Hospital is now recruited to patients with hearing losses across the country.

Patient requirements:

Low -frequency office has certain residual hearing

Agree to complete the assessment follow -up regularly as required

Patient's rights:

Enjoy project fund subsidy

Reimbursement of medical insurance reimbursement that meets medical insurance conditions

Well -known domestic ototic experts performed cochlear implantation surgery

Free long -term effect evaluation

Target tracking return visit and consultation

ways of registration:

Scan the two -dimensional code registration below. The patient selected after the project team evaluates will eventually be subject to telephone notification. (Limited places, registration can be reserved for reservations)

Profile

Established in 2012, hearing planting was the earliest unit in China to set up a separate department in China, and it is also the most complete hearing implantation department in the country. There are nearly 20 people including surgical physicians, professional artificial cochlear pilots, and language therapists, including 2 bloggers and 2 scholars. Since the first multi -guided artificial cochlear implantation operation in Shandong Province in 2000, the department has accumulated more than 5,000 cases of cochlear implantation surgery. In 2009, it became a designated hospital for surgery in Shandong Province's first artificial cochlea. It established a leading position in the field of auditory implantation in Shandong Province. Our department has long undertaken various public welfare projects of cochlear implants -China's disabled children's rehabilitation assistance "colorful dream action plan", Qicong Action, and Shandong Province's disabled children's rehabilitation assistance plan. There are about 400 cases of implantation of cochlear implants each year. The quality of surgery is high and the effect is good after surgery. It has been praised by the former Ministry of Health and the China Disabled Persons' Federation many times. The hearing planting department includes ward, cochlear debugging center and speech treatment clinic. The center of the artificial cochlear has a total of five cochlear implants, all of which have the artificial cochlear cochlear adjustment experience in the United States, Australia and other countries. Luo Jianfen's chief regulator led and supervised and carried out precise artificial cochlear debugging work. It is mainly aimed at patients with severe cochlear malformations and dysplasia of snail nerve. According to the patient's hearing neurotrophic function test, personalized cochlear debugging is performed. The hearing effect has been greatly improved. Many patients and hospitals have been implanted in the outer provinces and hospitals. After fine personalization, they have been satisfactory. The work has been highly recognized by domestic and international colleagues. In addition, the department has a special language therapy clinic. At present, there are 4 language therapists. It is responsible for children's language development evaluation and verbal correction. At present, more than 100 children have been treated with slow language development, postoperative cochlear, and hearing aids. After systematic and standardized speech rehabilitation guidance and training, the patient's speech rehabilitation effect is good, and it has been widely praised and recognized by parents.

Expert Introduction

Xu Lei

Doctor of Medicine, Chief Physician, Professor of Shandong University, Master's Graduate Tutor, and PhD in the University of Pennsylvania.

Members of the Audiohane Society of the Chinese Medical Association, members of the Earbroval and Population Physician Branch of the Chinese Physician Association, members of the Pediatric Group of the Earbroval and Population Physician Branch, and members of the Ear Internal Science Group Live Power Cooperation Group, Standing Member Member of the China Medical Care International Exchange Promotion Association, deputy chairman of the child's otolaryngin and hearing health professional committee of the Shandong Maternal and Child Health Association.

Director Xu Lei, as a young and middle -aged physician who has the most implantation of cochlear implantation in China, has undergone nearly 4,000 cochlear implantation surgery, and none failures. It has been invited to perform surgery at the National ENT Conference and cochlear cochlea conference.

Luo Jianfen

Director of Hearing Platern into the Division, a master's degree in Shandong University, and a doctorate in training of the University of Pennsylvania.

Go to Australia and the United States to participate in the training of cochlear cochlear regulation. He is good at personalized regulatory cases such as cochlear malformations. More than 2,000 congenital deaf children have completed the state -funded cochlearpin surgery and postoperative boot debugging and evaluation.

Director Luo Jianfen has been engaged in the cochlear implance industry since 2006. It has 15 years of experience. It is currently a rare all -around expert with existing existing cochlear implant surgery experience and good at cochlea personalized regulators.

Du Jingjing

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