耳植入物在单侧耳聋中的使用以及影响使用的因素
Vanessa Y J Tan1, Rodney Hollow2, Sylvia Tari2
1Department of Otorhinolaryngology - Head and Neck Surgery, Singapore General Hospital, Singapore.
Cochlear implants international
|October 9, 2024
概括
在单侧耳聋 (SSD) 中,耳植入物 (CI) 的使用平均每天7.0小时. 在噪音中听力改善与更好的CI设备使用有关,尽管听力损失和耳的持续时间没有影响使用.
科学领域:
- 听力学 听力学是指听力学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 生物医学工程 生物医学工程
背景情况:
- 单侧耳聋 (SSD) 对听力康复提出了独特的挑战.
- 耳植入 (CI) 是SSD的一个选择,但了解设备使用模式至关重要.
研究的目的:
- 评估植入后12个月和24个月的一面性聋 (SSD) 患者每天使用耳植入器 (CI) 的持续时间.
- 为了确定影响CI在这个人群中的使用因素.
主要方法:
- 一项回顾性队列研究分析了从2015年1月到2020年3月的SSD患者的CI使用情况.
- 术后12个月和24个月评估CI使用情况.
- 研究了IC使用和听力损失持续时间,耳声得分和信号与噪声比 (SNR) 之间的相关性.
主要成果:
- 平均CI使用时间为8.2小时/天在12个月和7.0小时/天在24个月.
- 不使用率在12个月后为9.3%,在24个月后为18.4%.
- 在手术后改善的SNR (在噪音中更好的听力) 与两个时间点的CI使用有积极的相关性;听力损失持续时间和耳声得分没有.
结论:
- 在使用CI的SSD患者中,很大一部分仍未使用CI或在24个月内未充分使用该设备.
- 增强的听觉功能,特别是在噪音中提高听力,是SSD中持续使用CI的关键因素.
- 进一步的研究可能会探索改善SSD患者CI采用和坚持的策略.
相关概念视频
01:13The 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.
01:11The 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...
01:16Anatomy 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...