耳植入器在引起的单侧耳聋中的结果:回顾性分析
Aleksandra Chodkiewicz1, Piotr Henryk Skarżyński1,2, Natalia Czajka1
1Teleaudiology and Screening Department, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw, Poland.
概括
耳植入显著改善了单面耳聋由 (一种病毒感染) 引起的个体的语音感知. 这种程序提供了实质性的听觉益处,即使有耳骨化,突出其有效性.
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.
- 病毒学 病毒学
背景情况:
- 麻疹是一种Paramyxoviridae病毒感染,是一种罕见但重要的感觉神经听力损失 (SNHL) 原因,特别是在儿童中.
- 引起的SNHL可以导致严重的单侧聋,当助听器失效时,通常需要耳植入.
研究的目的:
- 为了评估耳植入在患有因疹而导致单侧聋的患者的结果.
- 在这个特定的患者群体中评估听力学改善和手术成功率.
主要方法:
- 追溯研究14名患者 (平均年龄39.4岁) 引起的单侧聋 (听力值≥90 dB,无助听器益处).
- 术前和12个月术后的听力测量评估和语音区分测试.
- 外科手术采用了六步Skarżyński方法,采用圆窗方法.
主要成果:
- 在所有患者中成功安置耳植入物,其中92.9%的患者完全插入了电极.
- 语音歧视得分显著改善,从手术前的0-10%,到手术后的48.9% (没有处理器) 和66.8% (有处理器).
- 在12名可评估患者中,有11名患者实现了听力保护.
结论:
- 耳植入器为疹引起的单侧聋患者提供了大量的听觉益处,特别是在语音感知方面.
- 观察到有利的手术结果,包括在耳骨化病例中成功植入.
- 这些发现支持耳植入作为这种病因的有效治疗方法,这意味着需要进一步的前性研究.
相关概念视频
01:13The Cochlea
The cochlea is a coiled structure in the inner ear that contains hair cells—the sensory receptors of the auditory system. Sound waves are transmitted to the cochlea by small bones attached to the eardrum called the ossicles, which vibrate the oval window that leads to the inner ear. This causes fluid in the chambers of the cochlea to move, vibrating the basilar membrane.
01:16Anatomy of the Ear
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...
01:15Auditory Pathway
Auditory pathways constitute the complex neural circuits responsible for transmitting and interpreting auditory information from the peripheral auditory system to the brain. Sound waves are initially captured by the outer ear, funneled through the ear canal, and reach the tympanic membrane (eardrum). These vibrations are transmitted via the middle ear's ossicles to the inner ear's cochlea.
When viewed cross-sectionally, the cochlea reveals the scala vestibuli and scala tympani flanking the...
When viewed cross-sectionally, the cochlea reveals the scala vestibuli and scala tympani flanking the...