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耳植入物电极阵列设计和语音理解

Varun Vohra1, Nicholas S Andresen2, Courtney Carver2

  • 1Johns Hopkins University School of Medicine.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
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PubMed
概括
此摘要是机器生成的。

耳植入物中的周边膜 (PM) 电极阵列显示出比侧壁 (LW) 阵列略有更好的语音感知. 这一发现在制造商和长期随访中是一致的,有助于手术和患者的选择.

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科学领域:

  • 听力学 听力学是指听力学.
  • 神经外科 神经外科
  • 生物医学工程 生物医学工程

背景情况:

  • 耳植入物电极阵列设计为侧面壁 (LW) 或周边壁 (PM) 类型.
  • 电极阵列设计的选择可能会影响术后语音感知结果.

研究的目的:

  • 为了比较周边膜 (PM) 与侧壁 (LW) 耳植入物电极阵列对语音感知的长期影响.
  • 调查跨多个制造商和延长后续期的结果.

主要方法:

  • 对478名成年耳植入体接受者 (1992-2017) 的回顾性队列研究.
  • 使用辅音-核-辅音单词 (CNC-w) 和听力与噪音测试 (HINT) 分数对术后语音感知进行分析.
  • 在植入后6个月至5年间对结果的评估.

主要成果:

  • 在63.2%的患者中植入了周边膜阵列,而在36.8%的患者中使用了侧面壁阵列.
  • 患有PM阵列的患者在6个月至2年 (p=0.036) 和2至5年 (p<0.001) 期间显示出明显更高的CNC-w得分.
  • 多变量分析显示,PM组的CNC-w和HINT得分在植入后比LW组更大.

结论:

  • 与侧壁电极阵列相比,周边边缘电极阵列与术后语音感知中适度的改善有关.
  • 这些发现支持使用PM数组来潜在地增强语音理解.
  • 结果可以为外科医生的选择和患者咨询提供关于耳植入物阵列选择的信息.