配戴助听器的复杂性:患有先天性听力损失和中耳功能障碍的儿童
Ronit Priner1, Devora Brand1,2
1Department of Communication Disorders, Hadassah Academic College, Jerusalem 9101001, Israel.
Children (Basel, Switzerland)
|October 28, 2023
概括
中耳溢出或急性中耳炎使有神经传感性听力损失的儿童难以安装助听器,需要更多的会议和时间. 耳鼻喉科医生的早期干预对于成功的听力康复至关重要.
科学领域:
- 儿科听力学 儿科听力学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
背景情况:
- 听力损失 (HL) 的早期诊断和康复对于儿童的发展至关重要.
- 儿童的混合HL,通常是由于中耳溢出 (MEE) 或急性中耳炎 (AOM),使听力学评估和助听器 (HA) 配件复杂化.
- 先天性神经传感性HL (SNHL) 管理需要仔细考虑同时发生的导电性HL组件.
研究的目的:
- 评估在接受HA安装的SNHL婴儿中MEE/AOM的流行率.
- 评估MEE/AOM对SNHL儿童HA安装过程的影响.
主要方法:
- 在6-32个月的儿童中对36个HA配件进行了回顾性审查.
- 数据收集包括医疗和听力学记录,预约次数和HA安装持续时间.
- 分析的重点是先天性SNHL的儿童,检查MEE/AOM的影响.
主要成果:
- 在28名儿童中,有18名 (64%) 患有来自MEE/AOM以及SNHL的导电成分.
- 患有MEE/AOM的儿童需要显著更多的HA安装会议和听力测试.
- 这些孩子还经历了更长的HA装配周期和更少的RECD测量.
结论:
- 显著比例的SNHL儿童经历了MEE/AOM,延长了HA安装过程.
- 耳鼻喉科医生必须认识到MEE/AOM对HA适配的影响,并优先考虑及时治疗.
- 多学科合作和家长咨询对于受影响儿童的最佳助听器效果至关重要.
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