Lee Sang-Heun, Lee Kyu-Yup, Huh Myung-Jin, Jang Hee-Sang
Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Kyungpook National University, Deagu, Korea.
Acta Otolaryngol. 2008 Nov;128(11):1227-32. doi: 10.1080/00016480801901758.
Bimodal hearing with combined acoustic stimulation and electric stimulation could enhance speech performance in deaf patients by residual hearing even though the amount of residual hearing is not enough to be used for communication by amplification.
The cochlear implant (CI) is a well-known therapeutic option for patients with profound hearing loss. However, deaf patients with a CI still have trouble in localization of sounds and understanding speech in a noisy environment. The aim of this study was to evaluate the benefits of bimodal hearing with a CI in one ear and a hearing aid in the contralateral ear in Korean children with profound hearing loss.
Fourteen deaf children with residual hearing participated in this study. There were eight male and six female patients, with an age range of 4.6-13.8 years at the time of testing. The test was conducted between 3 months and 4.2 years after cochlear implantation. Speech performance was examined in a noisy environment using Korean word lists. A speech sound and the noise were presented to the child from the front loudspeaker.
The results showed that speech performance in a noisy environment was significantly better with bimodal hearing than with a CI alone.
即便残余听力不足以通过放大来用于交流,联合声刺激和电刺激的双耳听觉仍可通过残余听力提高聋患者的言语表现。
人工耳蜗植入(CI)是重度听力损失患者广为人知的一种治疗选择。然而,植入人工耳蜗的聋患者在声音定位以及在嘈杂环境中理解言语方面仍存在困难。本研究的目的是评估在韩国重度听力损失儿童中,单耳植入人工耳蜗且对侧耳佩戴助听器的双耳听觉的益处。
14名有残余听力的聋童参与了本研究。测试时,有8名男性和6名女性患者,年龄范围为4.6 - 13.8岁。测试在人工耳蜗植入后3个月至4.2年进行。使用韩语单词列表在嘈杂环境中检查言语表现。语音和噪声从前置扬声器呈现给儿童。
结果显示,在嘈杂环境中,双耳听觉的言语表现显著优于单独使用人工耳蜗。