Bayazit Yildirim A, Kosaner Julie, Cinar Betul Cicek, Atac Ahmet, Tutar Hakan, Gunduz Bulent, Altinyay Senay, Gokdogan Cagil, Ant Ayca, Ozdek Ali, Goksu Nebil
Ann Otol Rhinol Laryngol. 2014 Aug;123(8):529-36. doi: 10.1177/0003489414525123.
The objective was to provide information about methods used and preliminary outcomes for pediatric ABI (auditory brainstem implant).
An analysis of outcome was performed in children who received an ABI.
Twelve children received a MED-EL ABI system. Progress in audition and language was monitored through parental reports, questionnaires, profiles, and closed-set tests.
The median number of active electrodes was 9 of 12. Seven of 12 users consistently respond to sound, and 5 of 12 do not. Highest performers can recognize words in small sets and have begun to use some words.
Auditory brainstem implants appear to be beneficial for some pediatric patients who cannot benefit from traditional cochlear implant surgery. Benefits in the short-term can be recognition of environmental sounds, recognition of some words and very commonly used phrases, and the beginning use of words. Although some of our ABI users demonstrate no response to sound, they do want to wear their sound processors all waking hours. The cause of lack of response may be related to the second intervention, which might have led to displacement of the electrode array, or presence of additional handicaps or syndromes. However, the results are less than optimal. The relatively short postoperative follow-up duration is a considered weakness of this study.
目的是提供有关小儿听觉脑干植入（ABI）所使用的方法和初步结果的信息。
对接受ABI的儿童进行结果分析。
12名儿童接受了MED-EL ABI系统。通过家长报告、问卷、量表和封闭集测试来监测听力和语言进展。
12名儿童中，有源电极的中位数为9个。12名使用者中有7名能持续对声音做出反应，12名中有5名不能。表现最佳者能够识别少量单词，并已开始使用一些单词。
听觉脑干植入似乎对一些无法从传统人工耳蜗手术中获益的小儿患者有益。短期内的益处包括识别环境声音以及识别一些单词和常用短语，以及开始使用单词。虽然我们的一些ABI使用者对声音无反应，但他们确实希望在醒着的所有时间都佩戴声音处理器。无反应的原因可能与二次干预有关，这可能导致电极阵列移位，或存在其他障碍或综合征。然而，结果并不理想。术后随访时间相对较短是本研究的一个明显不足。
