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人工耳蜗植入术后患者报告的结果:他们的头晕有多严重?

Patients reported outcome post-cochlear implantation: how severe is their dizziness?

作者信息

Zawawi Faisal, Alobaid Faisal, Leroux Tony, Zeitouni Anthony G

机构信息

Department of Otolaryngology, Head and Neck Surgery, McGill University, 687 Pine Ave West, Montreal, QC Canada ; Department Otolaryngology, Head and Neck Surgery, King Abdulaziz University, Jeddah, Saudi Arabia.

Department of Otolaryngology, Head and Neck Surgery, McGill University, 687 Pine Ave West, Montreal, QC Canada.

出版信息

J Otolaryngol Head Neck Surg. 2014 Dec 10;43(1):49. doi: 10.1186/s40463-014-0049-z. eCollection 2014.

DOI:10.1186/s40463-014-0049-z
PMID:25492268
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4273446/
Abstract

OBJECTIVES

The reported prevalence of vestibular dysfunction after cochlear implantation (CI) is varies between different scientific papers. The aim of this study is to determine the reported post-implantation outcome in terms of dizziness, and to measure its impact on quality of life using the Dizziness handicap inventory (DHI).

METHODS

This was a prospective questionnaire based study of postoperative cochlear implant patients. The questionnaire assessed the type and onset of dizziness in addition to the DHI.

RESULTS

122 patients were recruited in this study, which is the largest sample size in the literature reported so far. Dizziness was evident in 45.9% of the population post-CI and in 27% pre-CI. The commonest subtype of the dizziness was unsteadiness followed by lightheadedness. The dizziness was mild in most of the patients.

CONCLUSION

Although mild, dizziness is a common complaint post-cochlear implantation. An understanding of symptoms helps counsel patients preoperatively.

摘要

目的

不同科学论文报道的人工耳蜗植入(CI)后前庭功能障碍患病率有所不同。本研究的目的是确定关于头晕的术后报道结果,并使用头晕残障量表(DHI)测量其对生活质量的影响。

方法

这是一项基于前瞻性问卷调查的人工耳蜗植入术后患者研究。该问卷除了评估DHI外,还评估了头晕的类型和发作情况。

结果

本研究招募了122名患者,这是迄今为止文献报道中最大的样本量。人工耳蜗植入后45.9%的患者出现头晕,植入前为27%。最常见的头晕亚型是不稳感,其次是头晕。大多数患者的头晕症状较轻。

结论

尽管头晕症状较轻,但仍是人工耳蜗植入术后常见的主诉。了解这些症状有助于在术前为患者提供咨询。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2d9/4273446/3c35d0efe647/40463_2014_49_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2d9/4273446/3f886aad40ff/40463_2014_49_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2d9/4273446/3c35d0efe647/40463_2014_49_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2d9/4273446/3f886aad40ff/40463_2014_49_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2d9/4273446/3c35d0efe647/40463_2014_49_Fig2_HTML.jpg

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引用本文的文献

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J Int Adv Otol. 2018 Apr;14(1):18-21. doi: 10.5152/iao.2018.4536.
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HNO. 2018 Mar;66(3):219-228. doi: 10.1007/s00106-017-0456-3.
3
Sudden onset of static equilibrium dysfunction in patients receiving a cochlear implant.接受人工耳蜗植入的患者突然出现静态平衡功能障碍。

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Influence of cochlear implantation on the vestibular function.人工耳蜗植入对前庭功能的影响。
Eur Arch Otorhinolaryngol. 2013 Feb;270(2):489-95. doi: 10.1007/s00405-012-1950-6. Epub 2012 Apr 6.
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Prevalence of new-onset vestibular symptoms following cochlear implantation.人工耳蜗植入后新发前庭症状的患病率。
J Otolaryngol Head Neck Surg. 2008 Jun;37(3):388-94.
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The effects of cochlear implantation on vestibular function.人工耳蜗植入对前庭功能的影响。
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Effect of cochlear implant surgery on vestibular function: meta-analysis study.人工耳蜗植入手术对前庭功能的影响:荟萃分析研究
J Otolaryngol Head Neck Surg. 2017 Jun 8;46(1):44. doi: 10.1186/s40463-017-0224-0.
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[Electric excitation of the cochlear nerve in man by induction at a distance with the aid of micro-coil included in the fixture].[借助固定装置中包含的微型线圈通过远距离感应对人耳蜗神经进行电刺激]
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