耳植入和部分聋 - - 处理器编程的回顾性审查
Karin Hallin1, Ulrika Larsson1, Elsa Erixon1
1Department of Surgical Sciences, Otorhinolaryngology and Head and Neck Surgery, Uppsala University, Uppsala, Sweden.
Acta oto-laryngologica
|August 7, 2024
概括
选择用于部分听力损失的耳植入物 (CI) 编程是复杂的. 一些患者很难适应新的声音处理器设置,特别是当低频听力下降时.
科学领域:
- 听力学 听力学是指听力学.
- 生物医学工程 生物医学工程
- 神经外科 神经外科
背景情况:
- 对于部分聋患者来说,选择最佳的耳植入物 (CI) 编程参数存在重大挑战.
- 了解不同CI编程形式的细微差别,包括电补充 (EC),电声刺激 (EAS) 和电刺激 (ES),对于有效的患者管理至关重要.
研究的目的:
- 这项研究研究了部分聋患者在不同处理器编程形式 (EC,EAS,ES) 之间切换的利用和挑战.
- 这项研究旨在确定影响编程形式选择和适应的因素.
主要方法:
- 对成年患者进行了医疗记录和听力图的回顾性分析,这些患者被考虑参加EC和EAS编程.
- 分析了来自80名患者的84个耳朵的数据,重点关注初始装配和随后的编程变化.
主要成果:
- 虽然64个耳朵符合EC或EAS标准,但最初只有54个耳朵配有这些表格. 28名患者在编程形式之间切换,其中6人遇到适应困难,特别是低频听力损失.
- 大约25%最初安装EC或EAS的患者在两年内改变了他们的编程.
结论:
- 需要进一步的研究来确定EC和EAS最有利的声音处理器编程参数,并确定切换形式的最佳时间.
- 需要更明确的指导方针来选择合适的EC和EAS候选者,以改善患者的治疗结果.
相关概念视频
Hearing
When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
The Cochlea
The cochlea is a coiled structure in the inner ear that contains hair cells—the sensory receptors of the auditory system. Sound waves are transmitted to the cochlea by small bones attached to the eardrum called the ossicles, which vibrate the oval window that leads to the inner ear. This causes fluid in the chambers of the cochlea to move, vibrating the basilar membrane.
The Auditory Ossicles
The auditory ossicles of the middle ear transmit sounds from the air as vibrations to the fluid-filled cochlea. The auditory ossicles consist of two malleus (hammer) bones, two incus (anvil) bones, and two stapes (stirrups), one on each side. These bones develop during the fetal stage and are the ones to ossify first. They are fully mature at birth and do not grow afterward.
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...
Sample Handling
Transportation of samples from the collection point to the laboratory, as well as storage and preservation techniques, are crucial for maintaining sample integrity and ensuring accurate and reliable test results.
Samples should be transported carefully from collection points to the laboratory. They should be properly sealed and clearly labeled to prevent cross-contamination. To preserve the sample integrity, optimal temperature conditions during transport are essential. This could involve using...
Samples should be transported carefully from collection points to the laboratory. They should be properly sealed and clearly labeled to prevent cross-contamination. To preserve the sample integrity, optimal temperature conditions during transport are essential. This could involve using...
Anatomy of the Ear
Auditory sensation, commonly called hearing, involves the transformation of sonic waves into neural impulses facilitated by the structures of the auditory organ. The prominent, flesh-like structure on the side of the head, called the auricle, directs sound waves towards the auditory canal. The auricle is often mislabeled as the pinna, a term more aligned with mobile structures like a feline's external ear. The auditory canal penetrates the cranium via the external auditory meatus of the...
Auditory Pathway
Auditory pathways constitute the complex neural circuits responsible for transmitting and interpreting auditory information from the peripheral auditory system to the brain. Sound waves are initially captured by the outer ear, funneled through the ear canal, and reach the tympanic membrane (eardrum). These vibrations are transmitted via the middle ear's ossicles to the inner ear's cochlea.
When viewed cross-sectionally, the cochlea reveals the scala vestibuli and scala tympani flanking the...
When viewed cross-sectionally, the cochlea reveals the scala vestibuli and scala tympani flanking the...


