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目的:探讨鼻咽癌放疗后颞骨骨坏死行颞骨次全切除同期人工耳蜗植入的手术配合。方法:阐述手术护士手术前做好患者和家属的思想沟通工作、手术间以及各种仪器的准备、配合好麻醉师做好困难插管;术中注意保暖和做好皮肤的保护,关键是预防感染和保护面神经,而且术者操作须轻柔。结果:5例手术均顺利进行,术后患者获得较好的语言听辨,能够进行正常的语言交流及电话交流,伤口无感染、无排斥反应等并发症。结论:通过手术室护理工作的默契配合,使鼻咽癌放疗后颞骨骨坏死行颞骨次全切除同期人工耳蜗植入的手术顺利进行。
Objective: To investigate the operative cooperation of cochlear implantation undergoing subtotal temporal resection of temporal bone in patients with nasopharyngeal carcinoma after radiotherapy. Methods: Describe the ideological communication between patients and their families before operation, prepare the operation rooms and instruments, cooperate with anesthetists to make difficult intubation, and pay attention to keeping warm and protecting the skin during surgery. The key is to prevent Infection and protection of the facial nerve, and operation of the surgeon to be gentle. Results: All the 5 surgeries were performed smoothly. The patients got better language and hearing ability, and they could perform normal language exchange and telephone exchange, no wound infection and no complications such as rejection. CONCLUSION: Through the tacit cooperation of operation room nursing, the surgery of nasopharyngeal carcinoma with sub temporal resection and cochlear implantation after the temporal bone osteonecrosis was performed smoothly after radiotherapy.