耳植入术期间类固醇治疗方案的变化与听力保护有关
Nicole A Derdzakyan1, Christian X Lava2, Amir A Hakimi3
1George Washington University School of Medicine and Health Sciences.
概括
医生在耳植入器 (CI) 中对外科手术期间使用类固醇的做法有所不同,较高体积的外科医生更有可能使用术后类固醇和缩小剂. 需要就 CI 患者的听力保护的最佳类固醇疗法达成共识.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 听力学 听力学是指听力学.
背景情况:
- 据信,外科手术期间的类固醇治疗可以增强残留听力,并改善耳植入器 (CI) 植入后的听力保护结果.
- 目前的实践模式和医生培训对CI类固醇管理的影响还不清楚.
研究的目的:
- 调查用于耳植入器 (CI) 的外科手术期间类固醇的现有实践趋势.
- 检查医生培训与使用类固醇治疗CI之间的关联,重点关注听力保护结果.
主要方法:
- 一项在线调查分发给美国和加拿大的耳鼻喉科医生,他们专门从事耳鼻病学或神经病学.
- 该调查收集了关于使用手术前,手术内和手术后类固醇的数据,以及医生的经验和培训.
主要成果:
- 在162名受访者中,分析了144个答案. 普雷德尼松是最喜欢的手术前类固醇,而德克萨米他松则是最喜欢的手术内类固醇. 大多数人更喜欢术后的普得尼松.
- 每年进行超过40次CI的医生表现出更高的术后类固醇管理率和逐渐使用率.
- 经验丰富的医生 (5-20年后居住) 与较少或更有经验的同行相比,更有可能利用术后类固醇缩小剂.
结论:
- 对于耳植入器的外科手术期间的类固醇治疗方案存在显著差异.
- 需要进一步的研究和共识,以建立最佳的类固醇治疗方案,以最大限度地保护听力.
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