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瓦登伯格综合征的人工耳蜗植入:印度的情况

Cochlear implantation in Waardenburg syndrome: The Indian scenario.

作者信息

Deka Ramesh Chandra, Sikka Kapil, Chaturvedy Gaurav, Singh Chirom Amit, Venkat Karthikeyan C, Kumar Rakesh, Agarwal Shivani

机构信息

Department of ENT, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Acta Otolaryngol. 2010 Oct;130(10):1097-100. doi: 10.3109/00016481003713640.

Abstract

CONCLUSION

Children with Waardenburg syndrome (WS) exhibiting normal inner ear anatomy, like those included in our cohort, derive significant benefit from cochlear implantation and results are comparable to those reported for the general population of implanted children.

OBJECTIVES

The patient population of WS accounts for approximately 2% of congenitally deaf children. The purpose of this retrospective case review was to describe the outcomes for those children with WS who have undergone cochlear implantation.

METHODS

On retrospective chart review, there were four cases with WS who underwent cochlear implantation. These cases were assessed for age at implantation, clinical and radiological features, operative and perioperative course, and performance outcomes. Auditory perception and speech production ability were evaluated using categories of auditory performance (CAP), meaningful auditory integration scales (MAIS), and speech intelligibility rating (SIR) during the follow-up period.

RESULTS

In this group of children with WS, with a minimum follow-up of 12 months, the CAP score ranged from 3 to 5, MAIS from 25 to 30, and SIR was 3. These scores are comparable with those of other cochlear implantees.

摘要

结论

与我们队列中的儿童一样,内耳解剖结构正常的瓦登伯革氏综合征(WS)患儿能从人工耳蜗植入中显著获益,其结果与报道的人工耳蜗植入儿童总体人群的结果相当。

目的

WS患者群体约占先天性耳聋儿童的2%。本回顾性病例分析的目的是描述接受人工耳蜗植入的WS患儿的治疗结果。

方法

通过回顾病历,有4例WS患儿接受了人工耳蜗植入。对这些病例评估了植入时的年龄、临床和影像学特征、手术及围手术期过程以及治疗效果。在随访期间,使用听觉表现类别(CAP)、有意义听觉整合量表(MAIS)和言语可懂度评分(SIR)评估听觉感知和言语表达能力。

结果

在这组WS患儿中,最短随访12个月,CAP评分范围为3至5,MAIS为25至30,SIR为3。这些分数与其他人工耳蜗植入者的分数相当。

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