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人工耳蜗植入受者术前和术后的头晕、耳鸣及味觉障碍

Pre- and post-operative dizziness, tinnitus, and taste disturbances among cochlear implant recipients.

作者信息

Mikkelsen K S, Ovesen T, Swan C Z

机构信息

Department of Otorhinolaryngology,Head and Neck Surgery and Audiology,Rigshospitalet,Copenhagen,Denmark.

Department of Otorhinolaryngology and Head and Neck Surgery,Aarhus University Hospital,Denmark.

出版信息

J Laryngol Otol. 2017 Apr;131(4):309-315. doi: 10.1017/S0022215116010008. Epub 2017 Feb 8.

Abstract

OBJECTIVE

To determine the pre- and post-operative prevalence of dizziness, tinnitus and taste disturbances in adult cochlear implant recipients.

METHODS

A questionnaire regarding pre- and post-operative dizziness, tinnitus and taste disturbances was sent to 170 cochlear implant recipients implanted between January 2003 and March 2009. Seventy-seven patients (41 per cent) responded.

RESULTS

Pre-operatively, 20 per cent of the participants experienced dizziness, 52 per cent experienced tinnitus and 3 per cent experienced taste disturbances. Post-operative dizziness developed in 46 per cent of patients and resolved in the majority of these; however, 15 per cent reported dizziness more than six months after implantation. Tinnitus worsened in 25 per cent of patients, whereas 73 per cent reported attenuation or termination of tinnitus. Post-operatively, tinnitus developed in 12 per cent and taste disturbances developed in 17 per cent of the patients.

CONCLUSION

The high prevalence of dizziness, tinnitus and taste disturbances reported by cochlear implant recipients necessitates that assessment of symptoms related to inner ear and chorda tympani damage are included when evaluating operative results.

摘要

目的

确定成人人工耳蜗植入受者术前和术后头晕、耳鸣及味觉障碍的发生率。

方法

向2003年1月至2009年3月期间植入人工耳蜗的170名受者发送了一份关于术前和术后头晕、耳鸣及味觉障碍的问卷。77名患者(41%)作出了回应。

结果

术前,20%的参与者有头晕症状,52%有耳鸣症状,3%有味觉障碍。46%的患者术后出现头晕,其中大多数患者的头晕症状得到缓解;然而,15%的患者在植入后六个月以上仍有头晕症状。25%的患者耳鸣症状加重,而73%的患者报告耳鸣减轻或消失。术后,12%的患者出现耳鸣,17%的患者出现味觉障碍。

结论

人工耳蜗植入受者报告的头晕、耳鸣及味觉障碍发生率较高,因此在评估手术效果时,有必要对与内耳及鼓索损伤相关的症状进行评估。

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