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先天性单侧耳聋儿童的人工耳蜗植入:病例系列

Cochlear Implantation in Children With Congenital Unilateral Deafness: A Case Series.

作者信息

Beck Rainer Linus, Aschendorff Antje, Hassepaß Frederike, Wesarg Thomas, Kröger Stefanie, Jakob Till F, Arndt Susan

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Medical Center-Freiburg University, Freiburg, Germany.

出版信息

Otol Neurotol. 2017 Dec;38(10):e570-e576. doi: 10.1097/MAO.0000000000001597.

DOI:10.1097/MAO.0000000000001597
PMID:29135879
Abstract

OBJECTIVES

Cochlear implant is regarded as a treatment option for hearing rehabilitation of adults with unilateral sensorineural hearing loss. A clear benefit has been experienced in regard to speech comprehension in noise, localization, and quality of life. The aim of this study was to investigate the benefit of cochlear implantation for children with congenital unilateral hearing loss.

STUDY DESIGN

Retrospective case series.

SETTING

Tertiary referral center; cochlear implant program.

PATIENTS

Ten children with congenital unilateral hearing loss.

INTERVENTION

After extensive consultation with the families and intensive counseling, the children received a cochlear implant.

MAIN OUTCOME MEASURES

Categories of auditory performance, speech discrimination in open set, subjective assessment by Speech, Spatial and Qualities scale questionnaire.

CONCLUSION

Eight of ten children use their cochlear implant consistently on a daily basis. Two children who were equipped with an implanted device at a later age tend to nonuse of the device. The evaluation of binaural hearing in small children is still difficult and methods have to be developed to allow objective assessment.

摘要

目的

人工耳蜗被视为单侧感音神经性听力损失成人听力康复的一种治疗选择。在噪声环境下的言语理解、声源定位和生活质量方面已明显受益。本研究的目的是调查人工耳蜗植入对先天性单侧听力损失儿童的益处。

研究设计

回顾性病例系列。

研究地点

三级转诊中心;人工耳蜗植入项目。

患者

10名先天性单侧听力损失儿童。

干预措施

在与家庭进行广泛咨询并进行深入咨询后,这些儿童接受了人工耳蜗植入。

主要观察指标

听觉表现类别、开放词表言语辨别、言语、空间和质量量表问卷主观评估。

结论

10名儿童中有8名每天持续使用人工耳蜗。两名较晚植入设备的儿童倾向于不使用该设备。对幼儿双耳听力的评估仍然困难,必须开发方法以进行客观评估。

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