耳植入器手术对儿科人口前庭系统的长期影响
Ata Alperen Erşahan1, Hasan Mervan Değer1, Merve Durgut1
1Kocaeli University, Medical Faculty, Otorhinolaryngology Department, Izmit, Kocaeli, Turkey.
Auris, nasus, larynx
|December 9, 2023
概括
耳植入术甚至在几年后也会影响前庭系统,特别是前半圆通道. 然而,植入物使用 (开启/关闭) 或类型 (单边/双边) 在一年后没有显著改变前庭眼镜反射增长.
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:
- 耳植入物 (CIs) 对于恢复听力至关重要,但可能会影响前庭系统.
- 了解CI对前庭功能的长期影响对于患者管理至关重要.
研究的目的:
- 为了评估前庭系统的前庭眼反射 (VOR) 在儿科CI使用者的收益.
- 为了比较单边和双边CI用户和健康的对照组之间的VOR增长.
- 评估CI状态 (开启/关闭) 对VOR收益的影响.
主要方法:
- 视频头脉冲测试 (VHIT) 用于测量三个半圆形通道中的VOR增益.
- 该研究包括24个单边和13个双边IC使用者 (CI持续时间>1年) 和30个对照.
- 评估了VOR收益与CI在线和离线.
主要成果:
- 与对照组相比,CI使用者在前半圆通道中显示出明显较低的VOR增长 (p < 0.05).
- 在单边和双边CI用户之间没有发现VOR增益的显著差异.
- CI状态 (开启或关闭) 并没有影响VOR增长,使用时间或植入时的年龄也没有影响.
结论:
- 耳植入可以对前置系统产生持久的影响.
- 通过VOR增益测量的大厅功能,在植入后的第一年后仍然稳定.
- 与单边植入相比,双边耳植入似乎不会导致额外的前庭功能障碍.
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