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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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改善术后语音识别和处理器使用与早期耳植入物激活.

Ankita Patro1, Nathan R Lindquist2, Jourdan T Holder3

  • 1Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
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概括

手术后10天内早期的耳植入物 (CI) 激活可以改善设备的使用和语音识别. 这种时间是优化CI结果的关键因素.

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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
  • 语音语言病理学 语言病理学

背景情况:

  • 耳植入器 (CI) 是严重到严重的听力损失的重要治疗方法.
  • 优化CI结果包括了解影响设备使用和听觉康复的因素.
  • 手术后CI激活的时间可能会影响患者的表现和设备的参与.

研究的目的:

  • 评估耳植入物 (CI) 激活时间和随后的语音识别性能之间的关联.
  • 评估CI激活时间对平均每日处理器使用的影响.
  • 为了确定早期的CI激活是否会影响达到峰值听力表现的时间.

主要方法:

  • 对604名成年IC接受者的回顾性队列研究.
  • 根据CI激活时间,患者被分为两组:在10天内 (组1) 和10天后 (组2).
  • 语音识别使用共音-核-共音 (CNC) 和亚利桑那生物医学 (AzBio) 测试进行评估;处理器使用记录在激活后的1,3,6和12个月.

主要成果:

  • 早期激活组 (≤10天) 在1个月访问时,与延迟组 (>10天) 相比,每日处理器使用的中位数显著更高.
  • 在早期激活组中,在激活后3个月和12个月观察到优异的语音识别中位数 (CNC和AzBio).
  • 对于语音识别的高峰表现的时间,两组之间没有发现显著差异.

结论:

  • 在手术后10天内激活耳植入物与早期设备利用率的增加有关.
  • 早些时候的CI激活与在早期和后期的随访阶段增强的语音识别结果有关.
  • CI激活的时间和随后的设备使用被确定为优化患者结果的关键可修改因素.