Grayeli Alexis Bozorg, Kalamarides Michel, Bouccara Didier, Ben Gamra Loutfa, Ambert-Dahan Emmannuelle, Sterkers Olivier
Department of Otolaryngology, Head and Neck Surgery, Hôpital Beaujon, Clichy, France.
Audiol Neurootol. 2007;12(1):27-30. doi: 10.1159/000096155. Epub 2006 Oct 10.
Hearing rehabilitation by cochlear implantation is not always possible in case of total ossification after pneumococcal meningitis. We report 3 cases of postmeningitis profound hearing loss with total cochlear ossification in adults who underwent auditory brainstem implantation (Nucleus 22, Cochlear Inc., Lane Cove, Australia) between 1999 and 2004. The postoperative follow-up period ranged from 1 to 6 years. Eleven to 15 out of 22 electrodes were activated. All patients had significant speech discrimination in the sound-only mode and an enhanced lip-reading performance with the implant. Auditory brainstem implants are an efficient means of auditory rehabilitation and may be considered in selected cases of bilateral profound hearing loss with the impossibility of cochlear implantation.
对于肺炎球菌性脑膜炎后出现完全骨化的情况，通过人工耳蜗植入进行听力康复并不总是可行的。我们报告了3例成人脑膜炎后重度听力损失且耳蜗完全骨化的病例，这些患者在1999年至2004年间接受了听觉脑干植入（澳大利亚莱恩科夫科利尔公司的Nucleus 22型）。术后随访期为1至6年。22个电极中有11至15个被激活。所有患者在纯音模式下都有显著的言语辨别能力，并且使用该植入物后唇读能力增强。听觉脑干植入是一种有效的听觉康复手段，对于双侧重度听力损失且无法进行人工耳蜗植入的特定病例可予以考虑。
