带有耳植入物和前庭功能障碍的成年人:一个范围审查
Raisa Chowdhury1, Alicia Belaiche1, Tamara Mijovic2
1Faculty of Medicine and Health Sciences, Montreal, QC, Canada.
Cochlear implants international
|December 11, 2025
概括
耳植入 (CI) 在许多患者中可以导致前庭功能障碍,但症状通常会消失. 综合性手术前评估对于识别有风险的个体和管理潜在问题至关重要.
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) 是严重到严重的听力损失的常见治疗方法.
- 静脉管功能障碍是CI的潜在并发症,会影响平衡并引起头.
- 了解CI相关的前庭功能障碍的发生率和特征对于患者护理至关重要.
研究的目的:
- 确定耳植入后前置功能障碍的发生率.
- 确定最佳的手术前测试,以检测患有前庭问题风险的患者.
- 检查客观前庭功能障碍和主观症状之间的关系.
- 总结术后前庭治疗的好处.
主要方法:
- 根据PRISMA-ScR指南进行了全面的范围审查.
- 搜索包括主要的数据库 (PubMed/MEDLINE,科学网,Scopus,Embase,CINAHL) 到2024年12月.
- 包括35项涉及2096名成年参与者的研究.
主要成果:
- 在47% (热量测试) 和34.9% (cVEMP) 的患者中,发现了手术前前庭功能障碍,手术后增加到65.9%和43.1%.
- 主观的头症状从25.1%增加到29%,但大部分都消失了.
- 热量测试,cVEMP和vHIT是常见的评估;结合的范式提供了最彻底的评估.
- 在80%-100%的患者中,静脉康复有效改善了头,平衡和生活质量 (DHI分数).
结论:
- 相当多的耳植入体接受者发展出前庭功能障碍.
- 术前前庭评估对于识别有风险的患者至关重要.
- 虽然症状往往是短暂的,但有针对性的管理和前体康复可以非常有益.
相关概念视频
01:29The Vestibular System
43.2K
The vestibular system is a set of inner ear structures that provide a sense of balance and spatial orientation. This system is comprised of structures within the labyrinth of the inner ear, including the cochlea and two otolith organs—the utricle and saccule. The labyrinth also contains three semicircular canals—superior, posterior, and horizontal—that are oriented on different planes.
43.2K
01:16Anatomy of the Ear
11.0K
Auditory sensation, commonly called hearing, involves the transformation of sonic waves into neural impulses facilitated by the structures of the auditory organ. The prominent, flesh-like structure on the side of the head, called the auricle, directs sound waves towards the auditory canal. The auricle is often mislabeled as the pinna, a term more aligned with mobile structures like a feline's external ear. The auditory canal penetrates the cranium via the external auditory meatus of the...
11.0K