脑膜炎后耳聋中的耳植入:听力学,成像和术后结果:通过定性合成进行系统审查
David Ahmadian1, Kurtis Young2, Charles Gallego1
1University of Arizona, College of Medicine-Tucson, Tucson, Arizona.
概括
耳植入物 (CI) 有效治疗脑膜炎后的聋 (PMD). 较短的植入时间和无耳骨化改善了接受CI的PMD患者的听力结果.
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:
- 脑膜炎后聋 (PMD) 显著影响听力,耳植入物 (CI) 是主要治疗方法.
- 有限的研究存在于耳骨化 (CO) 和植入时间 (TTI) 对PMD中CI结果的影响.
研究的目的:
- 系统地审查CO和TTI对接受CI手术的PMD儿科和成人患者听力学结果的影响.
主要方法:
- 在PubMed,Embase和Scopus数据库中对过去20年内发表的研究进行了全面的文献搜索.
- 数据提取包括研究特征,患者人口统计,听力学结果和并发症.
主要成果:
- 分析了11项涉及376名患者的研究.
- 较短的TTI (平均6个月) 与更好的听力学结果相关.
- 手术前的CO对术后结果产生了负面影响.
- 与非PMD对照组相比,PMD患者的长期结果通常较差.
结论:
- 耳植入是一种安全有效的治疗治疗脑膜炎后聋.
- 最佳的结果与避免耳骨化和尽量减少植入时间有关.
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