骨传导宫静脉唤起肌源性潜力作为中耳溢出儿童的替代方案
Maxime Damien1,2,3, Sylvette R Wiener-Vacher2,4, Pierre Reynard1,2,3
1Service d'Audiologie & Explorations Oto-Neurologiques, Hospices Civils de Lyon, 69003 Lyon, France.
Journal of clinical medicine
|October 14, 2023
概括
骨传导 (BC) 刺激提供了可靠的宫前庭唤起肌源性潜能 (c-VEMPs) 测试在患有中耳炎与溢出 (OME) 的儿童. 空气导电 (AC) 刺激显示出低响应率,并且可能在儿科环境中误解耳骨功能.
科学领域:
- 听力学 听力学是指听力学.
- 儿科耳鼻喉科 儿科耳鼻喉科
- 神经科学是一个神经科学.
背景情况:
- 带出血的中耳炎 (OME) 在儿童中很常见,可以影响听觉和前庭功能.
- 宫前庭唤起肌源性潜能 (c-VEMPs) 评估了耳骨功能,但它们在OME中的实用性需要进一步调查.
- 在OME中对c-VEMPs进行骨导电 (BC) 和空气导电 (AC) 刺激的比较对于准确的诊断至关重要.
研究的目的:
- 用OME儿童的BC和AC刺激来比较c-VEMP振幅比和P波延迟.
- 为了评估BC与ACc-VEMP测试在儿科OME患者中的有效性.
- 为了识别OME中AC刺激的耳骨质功能障碍的潜在误解.
主要方法:
- 观察队列研究涉及27名患有OME的儿童 (46只耳朵) 和年龄相匹配的健康对照.
- 使用BC和AC刺激测量了c-VEMP振幅比和P波延迟.
- 刺激类型之间的c-VEMP参数的比较以及OME和对照组之间的比较.
主要成果:
- 在OME组中,c-VEMP反应率在BC时为100%,在AC刺激时为11%.
- 与对照组相比,OME组的BC刺激显示出明显更高的振幅比 (p=0.004).
- 在出现反应时,OME和对照组之间在AC c-VEMP结果中没有显著差异.
结论:
- BC刺激是一种可靠的方法,用于在患有OME的儿童中进行前庭耳膜测试.
- 在患有OME的儿童中,AC刺激c-VEMPs可能会产生较低的响应率和潜在的耳膜功能误解.
- 临床医生应考虑在患有中耳溢液的儿科患者中对c-VEMPs进行BC刺激.
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