耳神经缺陷儿童的耳植入的长期结果:五年来的听觉语音表现和预测因素
Bee-See Goh1,2, Wan Fazlina Wan Hashim3, Onn Wah Lee4
1Department of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
概括
耳植入器 (CI) 为患有耳神经缺陷 (CND) 的儿童提供了显著的长期益处. 早期植入和可见的耳神经预测了更好的听觉-言语结果.
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:
- 耳植入器 (CI) 越来越多地用于儿科耳神经缺陷 (CND).
- 长期结果和CND儿童CI的预测因素需要进一步调查.
研究的目的:
- 为了评估5年的听觉语音表现,在儿童的CND后CI.
- 确定影响该群体长期CI结果的因素.
主要方法:
- 对12名接受CI (UKM Cochlear Implant Program,2007-2024) 的患有CND的儿童进行了回顾性审查.
- 评估无助/辅助听力值,听力性能II类别 (CAP-II) 和语音可理解性评分 (SIR) 在手术前和CI后1,3,5年.
主要成果:
- 11/12名儿童在5岁时实现了CAP-II ≥5 (理解短语而不读口唇).
- 7/12名儿童在5岁时达到SIR ≥3 (可理解的语音与唇读).
- 早期植入,较高的基线CAP-II/SIR得分和可见的耳神经与优越的5年结果相关 (p <0.05).
结论:
- 对于患有CND的儿童来说,CI带来了长期的听觉语音效益.
- 植入时的年龄,手术前功能和耳神经可见性是CI成功的关键预测因素.
- 这些因素对于指导候选人决策和CND中CI的家长咨询至关重要.
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