耳植入:一种治疗方法 听力损失 在 表面 病
Enrico Liaci1, Francesco Maccarrone2, Maurizio Negri2
1Department of Medicine and Surgery, University of Parma and Department of Otolaryngology, Azienda Ospedaliero-Universitaria di Parma, Parma PR, Italy.
The journal of international advanced otology
|May 23, 2025
概括
耳植入器 (CI) 显著改善了表面性 siderosis (SS) 患有严重听力损失的患者的听力和语音感知. 虽然由于疾病进展,听力益处可能会下降,但CI对于沟通和空间定向仍然很有价值.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
背景情况:
- 表面性 siderosis (SS) 是一种慢性神经疾病,由中枢神经系统中 hemosiderin 的积累引起,常常导致听力损失,缺氧和骨髓病变.
- 渐进双侧神经感官听力损失 (SNHL) 是SS的常见和衰弱的症状.
研究的目的:
- 评估耳植入 (CI) 的临床结果和听力益处,用于SS和严重至严重双边SNHL的患者.
- 分析CI在管理与表面 siderosis 相关的听力损失的长期疗效.
主要方法:
- 在2012年至2021年期间接受CI的中枢神经系统SS和SNHL患者的回顾性审查.
- 评估术前和术后的听力值和口语感知测试,以量化听觉改善.
主要成果:
- 四名SS和SNHL患者接受了CI,平均随访时间为48.25个月.
- 在CI后6个月内观察到听力值和语音感知显著改善.
- 尽管听力逐渐下降,但所有患者都保持了主观的益处,并继续使用他们的CI.
结论:
- 耳植入为严重听力损失的SS患者提供了显著的短期听力和口语性能增长.
- 虽然后耳疾病的进展可能导致听力益处的下降,但CI仍然是高级SS中唇读和空间定向的宝贵辅助.
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.
Unrenewable Cells
In humans, the photoreceptor cells of the eye and sensory hair cells of the ear lack stem cells. These cells are thus unrenewable and cannot be replaced when they are damaged or destroyed.
Photoreceptors
The retina is composed of several layers and contains specialized cells called photoreceptors. The photoreceptors (rods and cones) change their membrane potential when stimulated by light energy. There are two types of photoreceptors—rods and cones—which differ in the shape of their outer...
Photoreceptors
The retina is composed of several layers and contains specialized cells called photoreceptors. The photoreceptors (rods and cones) change their membrane potential when stimulated by light energy. There are two types of photoreceptors—rods and cones—which differ in the shape of their outer...


