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儿童耳神经缺陷中的耳植入:系统性审查和元分析
Susmita Chennareddy1, Kalena H Liu1,2, Maria A Mavrommatis1
1Department of Otolaryngology - Head & Neck Surgery, Mount Sinai Health System, New York, New York, USA.
The Laryngoscope
|November 9, 2024
概括
耳植入 (CI) 改善了耳神经缺陷 (CND) 和严重听力损失的儿童的言语和听觉结果. 这项研究证实了儿童神经神经听力损失患者的CI益处.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科听力学 儿科听力学
- 神经外科 神经外科
背景情况:
- 耳神经缺陷 (CND) 是儿科神经听力损失 (SNHL) 的常见原因之一.
- 耳植入 (CI) 在历史上在CND患者中是禁忌的.
- 新出现的证据表明,在精选的CND病例中,CI具有潜在的益处.
研究的目的:
- 评估术前和术后的语音和听觉结果.
- 评估双边SNHL和CND的儿科患者的CI疗效.
- 综合现有的关于CND的CI研究.
主要方法:
- 对Embase和Ovid MEDLINE数据库进行系统审查.
- 包括16项研究,包括248名通过MRI诊断出CND的儿科患者.
- 随机效应模型用于分析语音和听觉结果.
主要成果:
- 对16项涉及248名儿科患者的研究进行了综合分析.
- 在CI后 (SMD 2.18) 演示了语音感知的显著改善.
- 各种语音和听觉测试证实了积极的结果.
结论:
- CI的适应症正在扩大到以前禁忌的疾病.
- CI提供了显著的全球术后改善语音和听觉功能.
- 这项研究支持CI作为患有CND的儿科SNHL的可行选择.
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.
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...

