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人工耳蜗植入后面神经刺激:我们的经验。

Facial nerve stimulation after cochlear implantation: our experience.

机构信息

Otology and Cochlear Implant Unit, University-Hospital of Pisa, Cisanello, Italy.

出版信息

Acta Otorhinolaryngol Ital. 2011 Feb;31(1):11-6.

PMID:21808458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3146332/
Abstract

Post-implantation facial nerve stimulation is one of the best known and most frequent complications of the cochlear implant procedure. Some conditions, such as otosclerosis and cochlear malformations, as well as high stimulation levels that may be necessary in patients with long auditory deprivation, expose patients to a higher risk of developing post-implant facial nerve stimulation. Facial nerve stimulation can frequently be resolved with minimal changes in speech processor fitting but, in some cases, this can lead to a reduction in the outcome. A retrospective review has been made of the clinical features of 11 patients (out of 119 patients consecutively implanted, from 1999 to 2007, at the ENT Clinic of the University of Pisa) who developed post-implantation facial nerve stimulation.

摘要

植入后面神经刺激是耳蜗植入手术中最常见和最频繁的并发症之一。一些情况,如耳硬化症和耳蜗畸形,以及长期听觉剥夺的患者可能需要的高刺激水平,使患者面临更高的面神经刺激风险。面神经刺激通常可以通过最小的言语处理器适配改变来解决,但在某些情况下,这可能会导致结果降低。回顾性分析了 11 名患者(1999 年至 2007 年期间在比萨大学耳鼻喉科诊所连续植入的 119 名患者中的 11 名)的临床特征,这些患者出现了植入后面神经刺激。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e50d/3146332/2d8657be6e43/0392-100X-31-11-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e50d/3146332/e0b90172fa12/0392-100X-31-11-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e50d/3146332/b319ab3afa4d/0392-100X-31-11-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e50d/3146332/2d8657be6e43/0392-100X-31-11-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e50d/3146332/e0b90172fa12/0392-100X-31-11-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e50d/3146332/b319ab3afa4d/0392-100X-31-11-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e50d/3146332/2d8657be6e43/0392-100X-31-11-g003.jpg

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Refractory severe facial nerve cross-stimulation and loss of auditory sensation after ten years of uneventful cochlear implant use. A rare and challenging case.在平稳使用人工耳蜗十年后出现难治性严重面神经交叉刺激和听觉感觉丧失。一个罕见且具有挑战性的病例。
Cochlear Implants Int. 2004 Sep;5(3):117-24. doi: 10.1179/cim.2004.5.3.117.
2
Non-auditory stimulation in adult cochlear implant users.成年人工耳蜗使用者的非听觉刺激
Cochlear Implants Int. 2000 Mar;1(1):55-66. doi: 10.1179/cim.2000.1.1.55.
3
Facial nerve stimulation after cochlear implantation according to types of Nucleus 24-channel electrode arrays.
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Cureus. 2024 May 17;16(5):e60488. doi: 10.7759/cureus.60488. eCollection 2024 May.
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Cochlear implant electrode design for safe and effective treatment.用于安全有效治疗的人工耳蜗电极设计
Front Neurol. 2024 May 2;15:1348439. doi: 10.3389/fneur.2024.1348439. eCollection 2024.
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Int Arch Otorhinolaryngol. 2023 Nov 14;28(2):e301-e306. doi: 10.1055/s-0043-1775809. eCollection 2024 Apr.
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