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MRI 扫描在植入 Vibrant Soundbridge 的患者中的应用。

MRI scanning in patients implanted with a Vibrant Soundbridge.

机构信息

Department of Otolaryngology at ukb, Hospital of the University of Berlin (Charité Medical School), Germany.

出版信息

Laryngoscope. 2011 Jul;121(7):1532-5. doi: 10.1002/lary.21779. Epub 2011 Jun 6.

Abstract

OBJECTIVE

To observe the in vivo effects of MRI scanning on the Vibrant Soundbridge system.

STUDY DESIGN

Retrospective questionnaire.

METHOD

Sixty-three implantees answered a retrospective questionnaire covering their medical/otological and physical conditions pre-, intra-, and post-magnetic resonance imaging scanning (MRI). Bone conduction (BC) thresholds were measured after MRI scanning and compared with the prescan BC.

RESULTS

Thirteen implantees (20.6%) underwent 19 MRI scans (1; 1.5 T) for different medical indications (e.g., exclusion of a brain tumour, lumbar disc herniation etc.). Scanner-related impulse noise, pain in the middle ear, or pressure at the receiver bed, as well as changes of the transfer function of the floating mass transducer (FMT) are observed frequent effects of MRI scanning. Two patients required transtympanal repositioning of the FMT. A subjectively reported or objectively documented sensorineural hearing loss was not found in any of our patients in this series.

CONCLUSION

MRI scanning with an implanted Vibrant Soundbridge has possible major side effects, but did not affect cochlear function in this series.

摘要

目的

观察 MRI 扫描对 Vibrant Soundbridge 系统的体内影响。

研究设计

回顾性问卷调查。

方法

63 名植入者回答了一份回顾性问卷,内容涉及他们在接受 MRI 扫描前、扫描中和扫描后的医疗/耳科学和身体状况。MRI 扫描后测量骨导(BC)阈值,并与扫描前的 BC 进行比较。

结果

13 名植入者(20.6%)因不同的医疗指征(如排除脑瘤、腰椎间盘突出症等)接受了 19 次 MRI 扫描(1 次;1.5 T)。MRI 扫描的常见影响包括扫描仪相关的脉冲噪声、中耳疼痛或接收器床的压力,以及浮动质量换能器(FMT)的传递函数的变化。两名患者需要经鼓室重新定位 FMT。在本系列研究中,我们的患者均未出现主观报告或客观记录的感音神经性听力损失。

结论

植入 Vibrant Soundbridge 后进行 MRI 扫描可能会产生重大副作用,但在本系列中并未影响耳蜗功能。

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