耳植入器中的垂体功能,专注于成年人群的手术前和手术后检测:一个范围审查
Mikayla L Massa1, Julie A Honaker1
1Section of Audiology, Head and Neck Department, Cleveland Clinic Foundation, Integrated Surgical Institute, OH.
American journal of audiology
|February 26, 2026
概括
耳植入物可能会危及前庭功能,特别是在老年人中. 需要对接受耳植入物的80岁以上患者的前庭检测进行更多研究.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 听力学 听力学是指听力学.
- 神经科学是一个神经科学.
背景情况:
- 缺乏用于耳植入物 (CI) 候选和评估的标准化前庭指导方针.
- 一项范围审查确定了手术前和手术后前置检测文献的趋势.
- 这解决了对CI患者前庭结局的更好理解的需要.
研究的目的:
- 为了提高对成年耳植入物种群体前庭结局的理解.
- 支持实施术前和术后前体检测.
- 为了确定前庭检测方法和结果的趋势.
主要方法:
- 从2017年到2024年在PubMed上发表的英语文章的范围审查.
- 包括专注于成年CI接受者的研究,并分析了前庭测试措施.
- 精选的文章评估了像视频头部脉冲测试,VEMP,热量灌和姿势学这样的测试.
主要成果:
- 审查了35篇文章,揭示了年龄,术后症状和评估组成的主题.
- 热量灌和宫VEMP最常发生在术后异常.
- 文献中缺乏80岁以上个体的数据,尽管CI的影响可能在老年人群中更大.
- 被纳入的研究通常具有较小的样本规模和更高的偏差风险.
结论:
- 耳植入物对前庭功能构成风险,特别是水平半圆通道和囊.
- 随着年龄的增长,这种风险可能会增加,但对于80岁以上的成年人,客观数据很少.
- 未来的研究应该专注于前庭结局和老年CI接受者的协议.
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