影响混合耳植入受体听力测量和语音感知结果的因素
Paul N Reinhart1, Aaron J Parkinson1, Camille C Dunn2
1Cochlear Americas, Lone Tree, Colorado, USA.
The Laryngoscope
|October 8, 2025
概括
混合耳植入器可以长期保护低频听力,并改善语音感知,特别是在年轻人中. 电声刺激 (EAS) 进一步提高了这些患者的语音理解.
科学领域:
- 听力学和听力科学 听力学和听力科学
- 生物医学工程 生物医学工程
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 混合耳植入组合了用于听力损失的声学和电刺激.
- 电声刺激 (EAS) 适用于残留低频听力患者.
- 对于混合/EAS接收者的长期结果和影响因素需要进一步调查.
研究的目的:
- 评估混合耳植入物使用者的长期听力测量和语音感知结果.
- 确定影响结果变化的因素 (年龄,性别,听力损失持续时间).
- 评估EAS对语音感知的具体影响.
主要方法:
- 结合了150名混合L24耳植入器接收者的临床试验和回顾性记录的数据.
- 评估低频纯色调平均值 (LFPTA) 对于听力测试结果.
- 使用CNC单词 (安静) 和AzBio句子 (噪音) 评估语音感知,最高5年后激活.
主要成果:
- 功能性低频听力 (LFPTA < 80 dB HL) 在72.9%中保持长达5年,稳定大约1年.
- 观察到,在安静和噪音的情况下,语音感知有显著的改善.
- 植入时的年龄较小与更好的语音噪音结果和听力保存相关. 与纯电使用者相比,EAS用户表现出优异的语音结果.
结论:
- 混合/EAS耳植入可提供持续的声学听力保护和增强的语音感知.
- 年轻的接受者受益最多,表现出更大的改善和听力维护.
- 研究结果支持混合/EAS植入用于低频听力损失,强调EAS对语音理解的好处.
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