[Cochlear implant and surgical intervention for CHARGE syndrome with laryngeal airway lesions]

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Nov;35(11):1018-1023. doi: 10.13201/j.issn.2096-7993.2021.11.012.
[Article in Chinese]

Abstract

Objective:To evaluate the clinical efficacy of surgical intervention for laryngeal airway lesions with concurrent cochlear implantation in CHARGE syndrome concomitant laryngeal airway lesions, and provide clinical data for cochlear implantation in children with CHARGE syndrome concomitant laryngeal airway lesions. Methods:The medical records of five cases diagnosed with CHARGE syndrome were retrospectively reviewed, two of them treated with surgical intervention for laryngeal airway lesions and concurrent cochlear implantation. One child treated with balloon dilatation of laryngeal stenosis and Cochlear implant, and another case received with modified supraglottoplasty for laryngeal malacia and Cochlear implant. Results:Two cases of CHARGE syndrome concomitant laryngeal airway disease, who underwent Cochlear implant and concurrent surgical intervention, recovered well after treatment. The remining three cases treated with Cochlear implant, who previously received deformity-correction surgery. All of the five cases presented with CHD7 mutation. Conclusion:Cochlear implant concurrent with surgical intervention of laryngeal airway lesions for the treatment of CHARGE syndrome concomitant laryngeal airway disease was safe and efficient, which could be a treatment option for children in this situation.

目的:探讨同期行喉气道病变外科干预和人工耳蜗植入的CHARGE综合征患儿的临床疗效,为合并喉气道病变CHARGE综合征患儿的人工耳蜗植入治疗提供临床证据。 方法:回顾性总结5例CHARGE综合征患儿临床资料,其中2例患儿为同期行喉气道病变外科干预和人工耳蜗植入手术治疗,1例采用喉狭窄球囊扩张术+左侧人工耳蜗植入术,1例采用声门上成形术+右侧人工耳蜗植入术。 结果:2例患儿接受喉气道外科干预同期人工耳蜗植入术后恢复良好;另外3例极重度感音神经性聋的CHARGE综合征患儿在前期接受畸形矫正手术的基础上行人工耳蜗植入术。5例患儿均伴有CHD7基因突变。 结论:对于合并喉气道病变的CHARGE综合征患儿,采用喉气道病变外科干预同期人工耳蜗植入安全且有效。.

Keywords: CHARGE syndrome; cochlear implantation; laryngeal airway lesions.

MeSH terms

  • CHARGE Syndrome* / complications
  • CHARGE Syndrome* / surgery
  • Child
  • Cochlear Implantation*
  • Cochlear Implants*
  • Humans
  • Retrospective Studies
  • Treatment Outcome

Grants and funding

上海交通大学“交大之星”计划医工交叉研究基金项目(No: YG2019QNB02)