听骨链和耳蜗的应用解剖学分析.pdfVIP

汪昌学 听骨链和耳蜗的应用解剖学研究 汕头大学医学院硕士研究生论文 ABSTRACT Background Ossicular chain is located in tympanic cavity, composing by malleus, incus and stapes. Many reasons contribute to the destruction of ossicular chain, resulting in conduction deafness. Reconstruction of ossicular chain is the effective method to heal the conduction deafness. The dates about reconstruction of ossicular chain are abundant ，therapeutic effect is stable，but the rate of exodus and ineffective are the matter. Dates about ossicular chain are centered in the stapes， others are seldom. Dates on the anatomy of ossicular chain are important to the achievement ratio of operation ，decrease the rate of exodus，resulting in the elevation of audibility threshold. Cochlea getting its name because of the shape to resemble volute, is a projecting in an anterior direction of from the vestibule. Cochlea is composed of modiolus and cochear spiral canal. Osseous spiral lamina around modiolus，divide the cochear spiral canal into scala vestibule, scala tympani, and cochlear duct. The scala vestibule and scala tympani communicate with each other through helicotrema. Cochlear duct occupying the middle part of the cochlear canal between the scala vestibule and the scala tympani, is a spiral blind tube fixed firmly to the internal and external walls of the cochlear canal of the bony labyrinth. The spinal organ, the receptor of auditory stimuli, is situated on the basilar membrane of the cochlear duct. Artificial cochlea is a auditory prosthesis to stimulate the cochlear function used to cure the extremely heavily neurosensory deafness，containing two parts，language treater and implant butto