法国耳植入中心的儿科前庭评估:挑战和改进领域
A Coudert1, M Parodi2, F Denoyelle3
1Department of Paediatric Otolaryngology-Head & Neck Surgery, Femme Mere Enfant Hospital, Hospices Civils de Lyon, Lyon, France; University of Lyon 1, Lyon, France.
International journal of pediatric otorhinolaryngology
|July 16, 2023
概括
法国儿科耳植入器 (CI) 中心显示出各种前庭评估实践. 缺乏专业资源阻碍了对指导方针的遵守,需要国际标准化和改善对儿科前庭管理的培训.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科听力学 儿科听力学
- 神经科学是一个神经科学.
背景情况:
- 儿科耳植入 (CI) 需要进行全面的前庭评估.
- 法国CI中心目前的做法是异质的.
- 需要评估CI中心儿科前庭活动的现状.
研究的目的:
- 在所有30个法国CI中心调查儿科前庭活动.
- 确定儿科前体评估和管理的挑战和改进领域.
- 为了比较有关设备,临床情况和年龄范围的做法.
主要方法:
- 一项29个问题的调查分发给所有30个法国儿科CI中心.
- 问卷涵盖了前庭活动,设备和管理协议.
- 收集了临床情况的数据,如CI前评估和管理.
主要成果:
- 18个中心有专门的儿科前庭诊所,12个没有.
- 最低测试年龄各不相同,一些中心从3岁开始.
- 热量测试,视频头部脉冲测试 (vHIT),旋转椅和VEMP是常见的,但使用情况异质.
- 专家中心使用了婴儿的vHIT和子宫VEMP,而老年儿童的头评估则涉及多个测试.
- 眼睛VEMP很少使用.
结论:
- 儿科前庭评估需要专门的专业知识,与成人协议不同.
- 由于缺乏专业人员,一些中心可能无法满足法国CI指南.
- 国际建议和公共卫生政策对于标准化儿科前体管理,培训和接入至关重要.
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