在成年人耳植入前后对前腔功能进行临床和仪器评估
Pasqualina Maria Picciotti1,2, Tiziana Di Cesare2,3, Daniela Rodolico2
1Complex Operational Unit of Ear Nose and Throat-Department of Neuroscience, Sense Organs and Thorax, Foundation Polyclinic University A. Gemelli IRCCS, 00168 Rome, Italy.
Audiology research
|June 25, 2025
概括
耳植入器 (CI) 手术可能会导致前庭功能障碍,但病史和前庭检查可以预测风险并指导耳朵选择. 这些评估有助于管理术后,并改善CI患者的治疗结果.
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.
- 神经科学是一个神经科学.
背景情况:
- 静脉管功能障碍是耳植入器 (CI) 手术后的常见并发症.
- 缺乏针对CI候选人的标准化前庭评估协议.
- 了解风险因素对于管理CI后前置问题至关重要.
研究的目的:
- 在CI手术后调查前庭功能障碍的发生率.
- 确定前体功能障碍的历史和外科手术风险因素.
- 评估前庭评估在选择植入侧的作用.
主要方法:
- 包括68名成年患者 (80个耳朵) 患有中度至严重的感觉神经听力损失 (SNHL),接受CI.
- 使用的头障碍库存 (DHI),视频头部脉冲测试 (VHIT),热量测试和动态姿势学 (DP) 在CI前后.
- 在手术后24小时和一个月后给予DHI.
主要成果:
- 虽然有29.6%的患者在手术后24小时出现显著损伤,但平均DHI在一个月后恢复到基线.
- 年龄≥65岁,手术困难,双边CI,梅尼尔病,耳硬化,并发症≥3,焦虑/抑郁和神经疾病与持续的头有关.
- 在25%的耳朵中,VHIT恶化,而热量测试显示30%的耳朵中尼斯塔格姆斯减少.
- 在术前单侧虚弱与较高的DHI分数相关的情况下植入更好的耳朵.
结论:
- 病史和前体评估对于预测前体损伤风险至关重要.
- 这些评估有助于选择合适的CI侧.
- 使用这些工具有助于有效地管理术后.
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