Skarzyński Henryk, Lorens Artur, Piotrowska Anna, Podskarbi-Fayette Robert
Institute of Physiology and Pathology of Hearing, Warsaw, Poland.
Audiol Neurootol. 2009;14 Suppl 1:39-45. doi: 10.1159/000206494. Epub 2009 Apr 22.
Nineteen adults and 9 children who received a unilateral cochlear implant between 2002 and 2007 were included in the study. All subjects were preoperatively diagnosed with significant residual hearing in low frequencies, termed as 'partial deafness', and were implanted according to a 6-step round window surgical technique for partial deafness cochlear implantation. Hearing was preserved to a great extent in the partial deafness cochlear implantation (PDCI) group. After a short period following activation of the cochlear implant, highly significant improvement in the recognition of monosyllabic words was observed. With a developed round window surgical procedure and limited electrode insertion, hearing can be preserved in the majority of patients with partial deafness. PDCI is a feasible means of treating individuals who have good low-frequency hearing but severe to profound hearing loss in the mid to high frequencies.
本研究纳入了19名成人和9名儿童,他们在2002年至2007年间接受了单侧人工耳蜗植入。所有受试者术前均被诊断为低频有显著残余听力,称为“部分性耳聋”,并根据部分性耳聋人工耳蜗植入的6步圆窗手术技术进行植入。在部分性耳聋人工耳蜗植入(PDCI)组中,听力在很大程度上得以保留。人工耳蜗激活后的短时间内,单音节词识别能力有非常显著的提高。通过完善的圆窗手术程序和有限的电极插入,大多数部分性耳聋患者的听力可以得到保留。PDCI是治疗低频听力良好但中高频有重度至极重度听力损失患者的一种可行方法。