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[使用Baha® Attract植入系统进行小儿听力康复]

[Pediatric hearing rehabilitation with the Baha® Attract implant system].

作者信息

Posta Bálint, Jarabin János András, Perényi Ádám, Bere Zsófia, Neagos Adriana, Tóth Ferenc, Kiss József Géza, Rovó László

机构信息

Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged, Tisza Lajos krt. 111., 6726.

Department of Otorhinolaryngology, University of Medicine and Pharmacy of Tirgu Mures Romania.

出版信息

Orv Hetil. 2017 Feb;158(8):304-310. doi: 10.1556/650.2017.30675.

DOI:10.1556/650.2017.30675
PMID:28218563
Abstract

INTRODUCTION

Baha Attract is a new transcutaneous bone-conduction hearing aid, which is more preferable in childhood than the conventional percutaneous systems.

AIM

Our aim was to demonstrate the possibilities of application in childhood.

METHOD

Eight children have undergone surgeries (mean age of 13.2 ± 3.2 years; "posterosuperior" incision technique, 5 mm implants). The thickness of the skull bone was determined in 72 children (1-8 years old) at the recommended implant site, based on CT scans.

RESULTS

The average duration of surgeries was 30 minutes. There were no intra- and postoperative complications observed. Sound processors were fitted at the postoperative 4th week. Hearing measurements proved 51.58±11.22SD dBHL gain in warble tone thresholds, and 43.3 ± 16.02 SD dB in speech discrimination thresholds. The skull bone thickness was measured as 3.39 ± 1.05 SD mm.

CONCLUSION

The Baha Attract system is a new tool for hearing rehabilitation in pediatric population. Preoperative CT provides valuable knowledge about skull bone thickness. Orv. Hetil., 2017, 158(8), 304-310.

摘要

引言

巴哈吸引式骨传导助听器是一种新型的经皮骨传导助听器,在儿童中比传统的经皮系统更具优势。

目的

我们的目的是证明其在儿童中的应用可能性。

方法

8名儿童接受了手术(平均年龄13.2±3.2岁;采用“后上方”切口技术,植入5毫米的植入物)。基于CT扫描,在72名1至8岁儿童的推荐植入部位测定了颅骨厚度。

结果

手术平均时长为30分钟。未观察到术中及术后并发症。术后第4周安装了声音处理器。听力测试结果显示,调频音阈值增益为51.58±11.22标准差分贝听力级,言语识别阈值为43.3±16.02标准差分贝。测得颅骨厚度为3.39±1.05标准差毫米。

结论

巴哈吸引式骨传导助听器系统是儿童听力康复的一种新工具。术前CT可提供有关颅骨厚度的宝贵信息。《匈牙利医学周报》,2017年,158(8),304 - 310。

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