在成年人同时进行双侧耳植入后,前庭功能.
Jun Yokoi1, Takeshi Fujita1, Natsumi Uehara1
1Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Frontiers in neurology
|November 29, 2023
概括
同时的双侧耳植入 (CI) 可能会导致暂时的前庭功能障碍. 然而,大多数患者在一年内恢复功能,这表明了手术的过程.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经科学是一个神经科学.
- 听力学 听力学是指听力学.
背景情况:
- 双耳听力对于语音理解和定位至关重要,特别是在噪音中.
- 双边耳植入器 (CI) 提供了显著的听觉效益.
- 人们担心,在与CI同时进行治疗后,可能会出现双边前庭功能障碍.
研究的目的:
- 纵向评估同时接受双边CI的成年患者的前庭功能变化.
- 评估微创电极和外科手术技术对前庭结局的影响.
主要方法:
- 对10名同时接受双边CI治疗的患者进行了回顾性审查.
- 静脉功能测试 (热量反射,VEMP,稳定计) 和的症状评估在手术前和手术后 (1-6个月,1年).
主要成果:
- 观察到前庭功能最初的暂时下降.
- 没有发现热反射,眼睛VEMP (oVEMP) 或宫VEMP (cVEMP) 的长期显著下降.
- 静态稳定计没有显示显著恶化;所有患者在经过1年的术后都没有症状.
结论:
- 同时使用当前的最小侵入性技术进行双边CI,可能会导致暂时的前庭功能障碍.
- 随着时间的推移,口腔功能通常会恢复,这表明该程序的潜在安全性和有效性.
- 同时双边CI是一个可行的选择,平衡审计需求与潜在风险.
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