China News Online, December 25th (Chen Jing and Xu Yun) One operation, three groups of doctors went together to solve the three problems.
The Shanghai Children's Hospital disclosed on the 25th that the Otorhinolaryngology Head and Neck Surgery Department of the hospital successfully performed a "three-in-one" operation for a rare child with CHARGE syndrome, Huanhuan (a pseudonym), for posterior nastroplasty, cochlear implantation, and auricle plastic surgery.
Huanhuan (a pseudonym) was found to have difficulty breathing, breastfeeding and choking at birth. He was treated in the neonatology department of Shanghai Children’s Hospital. After consultation with an otolaryngology head and neck surgeon, he found that his posterior nostrils were atresia on both sides and he could not behave like a normal child. Breathe through your nose.
When Huanhuan was 1 year old, doctors performed an operation on him, which solved basic breathing problems.
Huanhuan’s auricle was deformed since childhood, her right auricle was severely curled into a shell, and she could not even wear a mask. He was diagnosed with bilateral extremely severe inductive deafness.
After genetic testing and a comprehensive examination of various systems throughout the body, the doctor discovered that Huanhuan had problems with the cardiovascular system and the genitourinary system, and was eventually diagnosed with the rare "CHARGE syndrome".
In the blink of an eye, Huanhuan’s nose surgery has been completed for half a year. The top priority is to let Huanhuan regain his hearing and feel the beautiful melody of the world. This requires a cochlear implant operation for Huanhuan.
It is reported that the Department of Otorhinolaryngology, Head and Neck Surgery of Shanghai Children's Hospital has accumulated rich experience in electronic cochlear implant surgery, but it is the first time that it is innovative to complete ear plastic surgery while cochlear implantation.
Cochlear implant surgery is best completed at the age of 1-3 years of language development, and ear plastic surgery is generally performed at the age of 6 to 7.
The hospital told reporters that for Huanhuan, if auricle plastic surgery is performed a few years after cochlear implantation, it may affect the electronic cochlea implanted in the ear during plastic surgery, increasing the risk of surgery and complications. may.
The external unit of the electronic cochlea needs to be hung on the ear. Huanhuan’s right auricle is severely deformed and cannot wear the external unit, which also affects the use of the electronic cochlea.
After discussion and bold innovation, the team of Professor Li Xiaoyan made a plan for cochlear implantation and ear plastic surgery.
During the operation, Li Xiaoyan led the otolaryngology head and neck surgery otology team, plastic surgery team, and rhinology team to work together. First, the support tube of the rear nostril atresia was removed, and then the left cochlear implant was completed, and finally the right side was simultaneously Perform cochlear implantation and auricle surgery.
During the operation, the process of cochlear implantation can be described as exciting.
The doctor found that Huanhuan’s middle ear and inner ear were deformed through preoperative CT scans, which made the operation more difficult. During the operation, the doctor found that the position of the ossicle chain was altered, and abnormal anatomy made it difficult to locate the cochlear implant.
During the operation, Li Xiaoyan was reading the film while exploring. With rich experience, she accurately positioned the round window, opened the cochlea, and implanted electrodes.
After cochlear implantation, on the basis of the original incision in the cochlear surgery, Professor Li used a combination of innovation and tradition to shape a new and beautiful pinna for Huanhuan.
At this point, the triple operation ended perfectly.
Li Xiaoyan told reporters that after one month, Huanhuan’s electronic cochlea can be turned on, which will break the silent world since Huanhuan was born.
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