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耳植入后的长期听力结果 耳植入后的长期听力结果 在晚期耳硬化中
Raphaële Quatre1,2,3,4, Martin Eklöf4,5, Jeremy Wales4,5
1Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital, Grenoble Alpes, France.
概括
晚期耳硬化 (FAO) 患者的耳植入可与对照对长期听力结果具有可比性. 然而,这些患者面临着增加的外科复杂性,并且有史以来的骨干切除术会对结果产生负面影响.
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:
- 耳硬化是一种影响中耳的疾病,可能导致严重的听力损失.
- 晚期耳硬化 (FAO) 对恢复听力提出了独特的挑战.
- 耳植入器是严重到严重听力损失的听力康复的可行选择.
研究的目的:
- 为了比较患有晚期耳硬化 (FAO) 患者接受耳植入器的5年听力表现与对照组.
- 确定与FAO患者的耳植入相关的潜在手术挑战和长期结果.
主要方法:
- 在一个单一的三级医疗中心进行了一项回顾性队列研究.
- 患有FAO的患者 (n=41) 与从耳植入器数据库中获取的语音失聪后对照人 (n=73) 相比较.
- 收集的数据包括人口统计,手术细节,并发症和5年听力测试结果.
主要成果:
- 耳硬化组 (48.63%) 和对照组 (48.17%) 在5年后平均语音理解得分没有显著差异.
- 在耳硬化小组中观察到更高的耳切除率,状前插入率和术后头.
- 在耳硬化组中,有史以来的形切除术与5年后 (39.3%对57.52%) 语音理解显著差异有关.
结论:
- 耳植入器为患有晚期耳硬化症的患者提供了令人满意的长期听觉结果.
- 在粮农组织患者中,耳植入的外科手术程序与增加的挑战和并发症率有关.
- 在先前的管切除手术是影响耳硬化患者耳植入后长期听觉结果的重要因素.
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