在耳植入器的青少年和年轻成年人中长期跟踪静脉功能
Niki Karpeta1,2, Eva Karltorp1,2, Luca Verrecchia1,2
1Department of Clinical Science, Intervention and Technology, Karolinska Institute, 141 86 Stockholm, Sweden.
Audiology research
|April 25, 2025
概括
带有耳植入器的儿童的静脉功能测试显示,近一半的植入耳朵显著受损. 骨导向前庭唤起肌原潜力 (VEMPs) 和视频头部脉冲测试可靠地评估这些年轻患者的平衡.
科学领域:
- 儿科听力学 儿科听力学
- 神经科学是一个神经科学.
- 静脉系统研究研究
背景情况:
- 垂体功能对于头部位置调节和空间导航至关重要,在儿童时期成熟.
- 静脉功能障碍与儿科听力损失有关,并对运动技能产生负面影响.
- 耳植入器 (CI) 是严重听力损失的主要治疗方法.
研究的目的:
- 研究早期耳植入物对CI使用者的听力,言语,心理和平衡发展的长期结果.
- 评估前庭功能,并评估在儿童和年轻成年人具有耳植入物的适当测试方法.
主要方法:
- 使用视频头部冲动测试 (vHIT) 和用空气和骨传导振动引起的宫/眼前庭引起的肌原潜力 (cVEMP,oVEMP).
- 评估每种植入耳朵的vHIT,cVEMP和oVEMP结果,将它们与听力损失病因联系起来.
- 包括动态视力敏度 (DVA) 测试来评估临床.
主要成果:
- 异常的侧通道检测发生在46.1%的植入耳朵中.
- 骨导向cVEMP (BC cVEMP) 在43.3%的耳朵中异常,BC oVEMP在55.3%的耳朵中异常.
- 与听力损失诊断相关的侧面通道损伤;与双边通道损伤相关的振荡症.
结论:
- 侧腔通道测试和BC VEMPs在CI用户的前庭评估中显示出高的可重现性.
- 这些测试相互补充,提供全面的前庭评估.
- 在双边前庭功能障碍患者中,DVA是动态动症的有用查工具.
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