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长期影响静脉引起的肌原潜力在儿童与耳植入器植入器的长期影响

Yong Xu^1,2, Qiong Wu^3,4,5, Xin-Da Xu⁶

¹Department of Otolaryngology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology

|October 16, 2025

概括

耳植入 (CI) 显著影响儿童的前庭功能,这可以通过手术后几年减少眼部和宫VEMP反应来证明. 这些对平衡功能的长期影响强调了需要仔细监测CI后的需要.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
神经科学是一个神经科学.
听力学听力学是指听力学.

背景情况:

耳植入器 (CI) 是对儿童严重至严重听力损失的常见治疗方法.
静脉唤起肌源潜能 (VEMPs) 用于评估耳骨功能,这对平衡至关重要.
CI对儿科前庭功能的长期影响仍然是积极研究的领域.

研究的目的:

研究耳植入物 (CI) 对儿科患者前庭唤起肌原潜能 (VEMP) 的长期影响.
在单边CI手术后分析眼睛VEMP (oVEMP) 和宫VEMP (cVEMP) 的变化.
为了确定这些前庭效应在植入后的持续时间.

主要方法:

一组31名儿童 (平均年龄10.68岁) 使用圆窗方法进行单边CI手术.
眼睛VEMP (oVEMP) 和宫VEMP (cVEMP) 在手术前和手术后1-5年 (设备开/关) 双边记录.
在植入耳朵和非植入耳朵之间比较了VEMP参数,包括响应率,值,延迟和振幅.

主要成果:

在手术耳朵中,预CI,oVEMP和cVEMP的应答率分别为58.06%和61.29%.
在CI后1-5年,响应率显著降低至16.13% (oVEMP) 和22.58% (cVEMP) 在设备启动时.
在手术后的植入耳朵中观察到异常的VEMP参数 (升高的值,降低的幅度,改变的延迟).

结论:

耳植入手术可以对植入耳朵的前庭功能产生持久的有害影响.
根据oVEMP和cVEMP的评估,静脉功能在CI后的几年内在儿童中显著改变.
这些发现强调了评估儿科IC接受者的前庭状况的重要性.

关键词:

耳植入器是一种耳植入器.门廊唤起了肌源性潜力.垂体功能测试试验垂体功能测试试验 cVEMP 这是一个很好的例子.这是一个非常糟糕的环境.

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