Brix R, Gedlicka W
Second Department of Otolaryngology, General Hospital, University of Vienna, Austria.
Eur Arch Otorhinolaryngol. 1991;248(8):442-4. doi: 10.1007/BF00627630.
Deaf or residually hearing patients without sufficient auditory communication by conventional hearing aids are candidates for the implantation of a cochlear prosthesis. In addition to objective audiometry (electrophysiological evaluation and assessment of the degree and type of hearing loss), preoperative electrostimulation tests should be performed. In so doing, it is reasonable to employ late cortical potentials for preoperative patient selection as well as for postoperative follow-ups. In contrast to early potentials (such as, brain stem evoked potentials), late cortical potentials offer technical, physiological, medical and psychological advantages. This approach to testing has been used successfully in 70 patients (including children over the age of 3 years).
对于那些使用传统助听器仍无法进行充分听觉交流的聋人或有残余听力的患者,可考虑植入人工耳蜗。除了客观听力测定(电生理评估以及听力损失程度和类型的评估)外,术前应进行电刺激测试。在这样做时,利用晚期皮层电位进行术前患者选择以及术后随访是合理的。与早期电位(如脑干诱发电位)相比,晚期皮层电位具有技术、生理、医学和心理方面的优势。这种测试方法已在70例患者(包括3岁以上儿童)中成功应用。