耳覆盖对单侧聋,双模和双侧植入耳植入物患者的语音感知的影响
Jennifer L Spiegel1, Joachim Mueller2, Rebecca Boehnlein2
1Department for Otorhinolaryngology, University Hospital, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377, Munich, Germany. Jennifer.Spiegel@med.uni-muenchen.de.
概括
耳覆盖 (CC) 对单侧耳聋 (SSD),双模耳植入物 (CI) 和双边耳植入物 (CI) 患者的影响不同. SSD患者可能会从更深层次的插入中受益,与双模和双边CI接受者不同.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 听力学 听力学是指听力学.
- 神经外科 神经外科
背景情况:
- 个性化耳植入 (CI) 对于最佳的听力结果至关重要.
- 耳覆盖 (CC) 是一个已知的因素,但其影响在不同CI配置 (SSD,双模,双边) 上有所不同.
研究的目的:
- 分析耳覆盖 (CC) 对单侧聋 (SSD),双模和双边耳植入物 (CI) 患者的语音感知的影响.
- 根据不同类型的CI患者的不同程度的CC来比较听力结果.
主要方法:
- 从第三级中心进行手术前CT扫描的回顾性分析.
- 使用电极阵列和全管长度 (CDL) 计算单个CC.
- 将患者分为SSD (n=30),双模 (n=72) 和双边CI (n=29) 组,根据CC长度 (较短与较长) 进行语音感知比较.
主要成果:
- 中位数的CC截止值为SSD和双模患者的65%,双边CI患者的70%.
- 在SSD患者中,较长的CC (>65%) 与更好的初始语音感知相关 (p=0.04),但这种益处在12个月后没有持续下去.
- 在双模或双边CI患者12个月后,没有观察到更深入插入 (更长的CC) 的显着益处.
结论:
- 在植入后的第一年内,SSD,双模和双边CI患者的听力表现能力在CC方面存在差异.
- SSD患者可能受益于超过65%的CC,长达12个月.
- 由于群体异质性和语音知觉发展的多因素性质,对双模和双边CI患者的结果应谨慎解释.
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