Chase Wave News Reporter: Su Xiao
Correspondent: Qin Si Huang Jieying
The 11-year-old girl is deaf in her right ear and has sought medical attention but no cause has been found. Experts from the Department of Otolaryngology of Hubei Provincial Maternal and Child Health Hospital found that a rice-grain-sized ossicle deformity in the child's ear caused the interruption of the hearing conduction connection pathway. After surgery to reconstruct the ossicular chain to connect the pathways, the child regained his hearing.
During the Spring Festival this year, 11-year-old Xiao Jing went out with her family to play, and her mother, Ms. Li, called her several times, but she did not respond. At first, Ms. Li thought that the child did not hear because of the noisy environment, but when she called into the child's right ear again, the child still did not respond. She hurriedly took the child to a quiet place, and called several times in her left and right ears, and Xiao Jing made it clear that her right ear could not hear clearly.
Ms. Li was in a hurry at that time, and hurriedly took the child back to the local hospital in Hanchuan for examination, and found that the child's right ear was almost inaudible, while the left ear was normal. Subsequently, Ms. Li took Xiaojing to a hospital in Wuhan for consultation, and underwent pure tone audiometry, temporal bone CT and other examinations, indicating that there was a problem with the middle ear and moderate to severe conductive hearing loss in the right ear.
For the next three months, Ms. Li took her child back and forth to Wuhan every week for treatment, but the child's hearing still did not improve. Because of the deafness in her right ear, Xiao Jing became irritable and irritable, and her grades plummeted, and Ms. Li was also worried that her daughter's hearing would never be restored, and she was so anxious that she suffered from insomnia.
On May 31, on the recommendation of a friend, Ms. Li and her daughter rushed to the otolaryngology department of Hubei Provincial Maternal and Child Health Hospital for consultation.
Zhang Fei, deputy chief physician of the Department of Otolaryngology, carefully inquired about the child's previous examination and treatment, and learned that five years ago, when the child wore headphones and listened to songs, he found that the sound volume of his ears was different. Zhang Fei re-examined Xiaojing's hearing, the result was still moderate to severe conductive hearing loss in the right ear, she picked up the CT image and looked at it carefully, a subtle change caught her attention, the child had abnormal anvil feet in the middle of the ossicles, and the stirrup joint of the anvil was not clear, and it was highly suspected that it was congenital ossiclescle hypoplasia that caused abnormal hearing conduction, and the artificial ossicle could be surgically implanted to help the child recover hearing.
However, the difficulty of this operation is very high, Zhang Fei introduced that the diameter of the tympanic cavity is only about 15 mm, and the tympanic chamber of the middle ear, where the ossicles are located, is narrow, and the narrowest drum umbilicus is only 2 mm, and the ossicles are as small as a grain of rice. The procedure involves implanting an artificial ossicular bone in the stapes floor plate as small as 1-2 millimeters with surgical instruments as small as 0.7 mm in diameter. The stapes foot plate is directly connected with the inner ear, and the implantation of the artificial ossicle bone too deep may cause damage to the inner ear, resulting in irreversible total deafness, and the implantation is too shallow to cause insufficient depth or improper angle, resulting in poor hearing reconstruction effect, and there is a facial nerve in the tympanic chamber of the middle ear, which may damage the facial nerve and cause facial paralysis if you are not careful.
Ms. Li was thrilled to learn that her child's hearing could be restored. Looking at the child's hopeful eyes, Duan Chuanxin and Zhang Fei, directors of the Department of Otolaryngology, decided to try surgery for her. The department organized expert consultations, and formulated a treatment plan according to the child's condition, as well as a detailed surgical plan and plan.
The next day, Zhang Fei led the medical team to perform surgery on Xiaojing, and during the operation, it was found that the hammer and anvil were fused, the anvil was long and the feet were short, the suprastructure of the stapes was missing, and the stapes floor was well moved. She carefully removed the deformed ossicles, accurately implanted the artificial ossicles, and successfully reconstructed the ossicles, successfully completing the operation with minimal trauma.
After the operation, Zhang Fei waited in front of the bed to closely observe Xiaojing's condition, and it was gratifying that the child felt that his hearing had recovered after he was awake. After a week of careful care, the hearing test was done on June 7, and the child's hearing in the right ear was almost no different from the left ear, and he was successfully discharged from the hospital.
During her hospitalization, Du Hui, the head nurse of the ENT department, noticed that Ms. Li was raising her daughter alone and her family was in financial difficulties. Du Hui helped the mother and daughter apply for the Li Jiajie Children's Heart Project Rescue Fund, and the medical insurance co-ordination and fund subsidy fully covered the cost of the operation, and when the daughter was discharged from the hospital, Ms. Li was moved to tears.
On June 27th, Xiao Jing, who had just completed the junior high school examination and was among the top in each subject, came to the hospital for a re-examination, and her hearing was normal in both ears.