Cochlear Implant Surgery and Anesthesia

Yıl 2015, Cilt: 24 Sayı: 2, 159 - 170, 05.03.2015

Ebru Biricik

https://doi.org/10.17827/aktd.47056

Öz

Cochlear implant, converting mechanical sound energy into electrical signal, is a device that can enables to detection of sounds from cochlea. Cochlear implantation is the name of cochlear implants to be placed in the cochlea. This procedure brings up some difficulties in terms of anesthesia and surgery. Both range of patients population and surgical complications make different implantation applications. Besides age group of children who underwent surgery, this procedure can be applied to all age groups. During surgery, anesthesia technics which allow the immobil bloodness field and fascial nerve neuromonitorisation must be performed. During recovery period from surgery, it is important that patient’s head movement must be kept slow and controlled for preventing implant replacement. Also in this period, neuromuscular blocking must be fully reversed for fascial nerve examination. In this article, preoperative preparation, anesthetic management and surgical aspects of cochlear implantation surgery were reviewed

Anahtar Kelimeler

Cochlear implant surgery, cochlear implantation, anesthesia

Kohlear İmplant Cerrahisi ve Anestezi

Öz

Kohlear implant, mekanik ses enerjisini elektrik sinyallerine dönüştürüp, kohleadan seslerin algılanmasını sağlayan elektronik bir cihazdır. Kohlear implantasyon ise kohlear implantın kohleaya yerleştirilmesine verilen isimdir. Bu uygulama beraberinde anestezi ve cerrahi açısından bazı zorluklar getirmektedir. Gerek hasta popülasyonunun yaş aralığı gerek cerrahi komplikasyonlar implantasyon uygulamalarını farklı kılmaktadır. Cerrahi uygulanan yaş grubu genellikle çocuk olmakla birlikte her yaş grubuna işitme rehabilitasyonu amacıyla uygulanabilmektedir. Cerrahi sırasında immobilizasyon yanında kansız bir cerrahi saha ve fasiyal sinirin nöromonitörizasyonuna izin veren anestezi teknikleri uygulanmalıdır. Cerrahiden uyanma döneminde hastanın baş hareketlerinin az ve kontrollü olması implantın yerinden kaymasını önlemek açısından önemlidir. Yine operasyondan uyanma aşamasında fasiyal sinir muayenesi yapabilmek için kas gevşemesinin tamamen geri döndürülmesi gerekmektedir. Postoperatif dönemde vestibuler sistemde uyarılmaya bağlı olarak bulantı ve kusma beklenebilir. Bu yazıda kohlear implantasyon cerrahisinin preoperatif anestezik hazırlıkları, anestezi uygulamaları ve postoperatif komplikasyonları gözden geçirilmiştir

Anahtar Kelimeler

Kohlear implant cerrahisi, kohlear implantasyon, anestezi

Kaynakça

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• Correspondence Address / Yazışma Adresi