| 발표형식 :
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접수번호 - 990051 OTOP 4-4 |
| EARLY EXPERIENCE WITH NEXT-GENERATION WIRELESS TECHNOLOGY FOR
DETECTING COCHLEAR IMPLANT ELECTRODE TIP FOLD-OVER AND PLACEMENT
WITHOUT X-RAY: NUCLEUS SMARTNAV |
| DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, KONKUK UNIVERSITY MEDICAL CENTER, RESEARCH INSTITUTE OF MEDICAL SCIENCE, KONKUK UNIVERSITY SCHOOL OF MEDICINE1 DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, SEOUL NATIONAL UNIVERSITY BUNDANG HOSPITAL, SEOUL NATIONAL UNIVERSITY COLLEGE OF MEDICINE2. SENSORY ORGAN RESEARCH INSTITUTE, SEOUL NATIONAL UNIVERSITY MEDICAL RESEARCH CENTER3 |
| CHANG-HEE KIM,
CHANG-HEE KIM1, JUNG KYU LEE2, AND BYUNG YOON CHOI2,3
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목적: To evaluate the effectiveness of the SmartNav technology in detection of
the well-known phenomenon of tip fold-over (TFO) during cochlear
implantation (CI) using slim modiolar electrode (SME), comparing it to
intraoperative X-ray imaging. 방법:In 124 ears with normal anatomy that underwent CI using SME at a
tertiary center, SmartNav results were compared to intraoperative X-ray
findings, with X-ray used as the gold standard for verifying TFO. 결과:SmartNav identified all 7 TFO cases (100% sensitivity, 99.15%
specificity) confirmed by X-ray, including one with subtle distal
kinking that X-ray could have missed. Additionally, SmartNav technology
was effective in cases with cochlear nerve deficiency and performed
reliably under local anesthesia and in revision surgeries. 결론:SmartNav offers a highly sensitive and reliable method for detecting TFO
during CI at least in normal cochlear anatomy, dramatically reducing the
need for intraoperative X-ray, thereby decreasing anesthesia time and
eliminating radiation exposure. |
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