耳骨和平衡功能的变化与耳植入器相关 听力损失 内耳形儿童
Mengya Shen1, Shujin Xue1, Xingmei Wei1
1Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
概括
内耳形 (IEMs) 患者在耳植入器 (CI) 植入后经历了迟缓的毛发动机发育和受损的耳骨功能. 植入前对耳骨和平衡功能的评估对于管理这些患者至关重要.
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.
- 儿科 儿科 儿科
背景情况:
- 双边耳植入 (CI) 越来越常见,需要了解其对耳骨功能的影响.
- 内耳形 (IEMs) 可以影响前庭系统的发育和功能.
研究的目的:
- 在接受CI的IEM患者中调查毛发动机发育和耳骨功能.
- 评估前体唤起肌源性潜能 (VEMPs) 在CI前后评估耳石功能时的实用性.
主要方法:
- 78名患有神经传感性听力损失 (SNHL) 的患者被分为IEM (n=39) 和对照 (n=39) 组.
- 在CI前后进行了静脉唤起肌原潜力 (VEMP) 测试 (cVEMP和oVEMP).
- 总运动发展里程碑 (控制头部,独立行走) 被评估.
主要成果:
- 与对照组相比,IEM组表现出延迟的头部控制和独立行走 (p=0.02).
- 在IEM组中,手术前VEMP反应率较低.
- 异常的cVEMP与延迟独立行走相关 (p=0.017).
- 在CI后,40%和31.75%的患者分别丧失了状和状功能.
结论:
- 在患有IEM的SNHL患者中,平衡的发展显著延迟.
- 耳植入可能会影响耳 - 垂体通路,导致耳功能受损.
- 在CI前,对耳骨和平衡功能的评估对于临床管理至关重要.
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