Kosztyła-Hojna Bozena, Rogowski Marek, Kasperuk Joanna, Rutkowski Ryszard, Ryćko Przemysław
Uniwersytet Medyczny w Białymstoku, Zakład Fonoaudiologii Kliniczej i Logopedii.
Pol Merkur Lekarski. 2009 Oct;27(160):305-10.
Verbal communication depends on a good function of voice and speech organs. Cochlear implant system (CI) is the most advanced treatment method in receptive deafness in patients of all age groups.
To analyze the voice and speech before and after CI adjusted for time of onset of deafness (pre- and postlingual).
14 patients with postlingual (group I) and prelingual deafness (group II) deriving no benefit from hearing aids. In both groups laryngeal stroboscopy, voice, hearing and speech quality and quality of life were evaluated before and after CI. Results. Dysphonia was noted--hyperfunctional in group I and hypofunctional in group II. CI improved voice, speech and hearing quality in both groups, with the most significant amelioration of acoustic indices of voice in group II. Quality of life improved in both groups.
CI improves quality of voice, speech and hearing in adults with pre- and postlingual deafness. Patients in group I made faster progress following CI than group II. CI had significant positive impact on quality of life in both groups.
言语交流依赖于良好的嗓音和言语器官功能。人工耳蜗系统（CI）是各年龄段感音神经性聋患者最先进的治疗方法。
分析人工耳蜗植入前后根据耳聋发生时间（语后聋和语前聋）调整后的嗓音和言语情况。
14例语后聋患者（I组）和语前聋患者（II组），佩戴助听器均无获益。两组患者在人工耳蜗植入前后均进行了喉动态镜检查、嗓音、听力和言语质量以及生活质量评估。结果：两组均出现了发声障碍——I组为功能亢进，II组为功能减退。人工耳蜗植入改善了两组患者的嗓音、言语和听力质量，其中II组嗓音声学指标改善最为显著。两组患者的生活质量均有所提高。
人工耳蜗植入改善了语后聋和语前聋成人的嗓音、言语和听力质量。I组患者人工耳蜗植入后进展比II组更快。人工耳蜗植入对两组患者的生活质量均有显著的积极影响。
