在慢性中耳炎的听力康复中进行手术干预的优化:在被动中耳植入物,骨传导植入物和活跃中耳系统之间进行比较
Joan Lorente-Piera1, Raquel Manrique-Huarte2, Sebastián Picciafuoco2
1Clinica Universidad de Navarra, Pamplona, Spain. joanlopi5@gmail.com.
概括
与被动植入物相比,活跃的中耳植入物 (AMEI) 和骨传导系统 (BCI) 为慢性中耳炎 (COM) 患者提供了优越的听力康复. 较长的疾病持续时间可能与更大的听觉收益相关.
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.
- 医疗工程 医疗工程
背景情况:
- 慢性中耳炎 (COM) 对听力康复提出了挑战.
- 选择治疗方法需要平衡患者因素,疾病进展和骨传导完整性.
研究的目的:
- 在COM患者中比较 tympanoplasty,骨传导系统 (BCI) 和活跃中耳植入物 (AMEI) 的听力结果.
- 评估听力康复的不同手术方法的有效性.
主要方法:
- 对116名COM患者 (1998-2024) 的回顾分析.
- 评估纯色平均 (PTA),语音感知,尤斯塔希管功能障碍,重新干预率和不良影响.
- 线性回归分析,以评估疾病持续时间对功能结果的影响.
主要成果:
- AMEI和BCI产生了最高的放大 (PTA和语音歧视).
- 与被动中耳植入物相比,BCI和AMEI组的再干预率较低.
- 较长的疾病持续时间与更大的听觉收益相关 (p=0.033).
结论:
- 植入式听力解决方案,如AMEI和BCI,在COM中有效用于听力康复.
- 美国外科医生提供了最高的功能增益,其次是BCI.
- 治疗选择取决于骨导电值,手术风险,患者偏好和MRI兼容性.
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