在不完全分区型III形患者中,耳植入的临床肖像
Peng Zhu1,2, Kun Ni2, Xiao Yan Li2
1Department of Otorhinolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Frontiers in pediatrics
|January 21, 2026
概括
在患有不完全分割型III (IPIII) 耳形的儿童中,耳植入显示出显著的听觉和语音改善. 虽然结果各不相同,但这种干预措施有可能提高受影响的男性的口腔能力.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科听力学 儿科听力学
- 神经外科 神经外科
背景情况:
- 不完整分割型III (IPIII) 耳形是一种罕见的内耳异常.
- 了解其临床特征和耳植入物 (CI) 的疗效对于儿科听力损失管理至关重要.
研究的目的:
- 为了研究IPIII耳形的临床特征.
- 评估手术后语音发育和听觉结果在儿童与IPIII后耳植入.
主要方法:
- 对6名儿科患者 (12个耳朵) 的回顾性分析.
- 在手术前进行高分辨率CT (HRCT),MRI和听觉评估.
- 术内成像,神经响应遥测 (NRT) 和使用问卷对没有内耳形的CI患者进行比较分析.
主要成果:
- 所有患者都是男性,83.3%的患者有扩大的内部听觉通道,75%的患者有严重的感觉神经听力损失.
- 在所有情况下,成功的电极放置在手术内得到证实,并引起了NRT反应.
- 在CI后观察到辅音-核酸-母音 (CNV) 评分的显著改善 (p<0.05),尽管与对照组相比,语音可理解性评分 (SIR) 较低.
结论:
- IPIII耳形主要影响男性,并与严重的听力损失有关.
- 在IPIII形中,耳植入导致显著的早期听觉语音增长.
- 该程序可以导致不同程度的口腔能力,突出其治疗价值.
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