带有耳植入物和带有内耳形异常的逆侧听力脑干植入物的儿童的语音歧视和局部化表现
Erva Degirmenci Uzun1, Merve Ozbal Batuk2, Gonca Sennaroglu2
1Department of Audiology, Faculty of Health Science, Izmir Bakircay University, Izmir, Turkey. ervadegirmencii@gmail.com.
概括
双边耳植入物 (CI) 和听觉脑干植入物 (ABI) 的使用在内耳形的儿童中,与单独的ABI相比,显著改善了语音歧视. 建议进行双边刺激,以获得最佳的听觉结果.
科学领域:
- 听力学 听力学是指听力学.
- 神经科学是一个神经科学.
- 生物医学工程 生物医学工程
背景情况:
- 严重的内耳形和耳神经缺陷对听觉康复构成重大挑战.
- 耳植入物 (CI) 和听觉脑干植入物 (ABI) 为听力恢复提供了替代解决方案.
- 双边听觉刺激旨在增强声音处理和空间听力.
研究的目的:
- 为了使用CI和相反的ABI比较严重内耳形的儿童的单边和双边语音歧视 (PD) 和近距离定位.
- 为了评估CI-only,ABI-only和双边CI/ABI刺激的疗效.
- 评估听力表现与与听力相关的生活质量 (HRQoL) 之间的关系.
主要方法:
- 17名儿童 (7-18岁) 患有CI和相反的ABI参与.
- 在三个条件下进行了语音歧视和局部化测试:仅CI,仅ABI和双边.
- 进行了自我报告的听力相关生活质量 (HRQoL) 量表.
主要成果:
- 在双边条件下,语音歧视得分明显高于仅在ABI条件下 (p=0.003).
- 在CI-only和双边条件之间没有发现PD的显著差异.
- 在三个条件中,定位性能没有显著差异;HRQoL预测了双边PD,而ABI定位预测了双边定位.
结论:
- 与CI和ABI进行双边刺激,与单独使用ABI相比,可以提供更好的语音歧视.
- 建议在ABI中继续使用逆向CI,即使是严重的内耳形.
- 双边CI/ABI使用可以实现可比的PD和本地化性能,提高HRQoL.
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