Zhong K B, Wang X Q, Ge R M, Huang H M, Zeng J, Wu P N
Southern Medical University, Guangzhou, 510515, China.
Department of Otolaryngology Head and Neck Surgery, Guangdong Provincial People's Hospital, Guangdong Provincial Academy of Medical Science.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Jul 5;31(13):988-990. doi: 10.13201/j.issn.1001-1781.2017.13.004.
To study the variation of the electrode impedance in different periods after cochlear implantation performed with round window insertion in steroid deposition, and to provide the basis for the postoperative debugging of the speech processor. Detected the electrode impedance of 47 cochlear receivers after operation in steroid deposition from September 2014 to October 2015, compared the impedance values between different periods, and different groups according to their locations. The average impedance of all the electrodes and the 3 subgroups are low after implantation (period A0), peaked at the first month (period A1), then decreased slowly, and then turned to be stable at the sixth month (period A3); the impedance values were no significantly different between the sixth month (period A3) and the twelfth month (period A4) while were significantly different between each of other two periods (<0.05); the apical group had the highest impedance and the basal group had the lowest impedance in all the 5 periods. The local use of steroid can decrease the impedance of the electrode after implantation. The impedance value were the low during operation, peaked at the first month, then decreased slowly, and turned to be stable at the sixth month. As a result, the cochlear implant should be debugged at regular intervals in 6 months after operation to obtain the best hearing status.
研究圆窗植入类固醇沉积法人工耳蜗植入术后不同时期电极阻抗的变化情况,为言语处理器术后调试提供依据。检测2014年9月至2015年10月期间47例接受类固醇沉积法人工耳蜗植入术患者术后的电极阻抗,比较不同时期及不同部位组间的阻抗值。所有电极及3个亚组的平均阻抗在植入后(A0期)较低,在第1个月(A1期)达到峰值,随后缓慢下降,至第6个月(A3期)趋于稳定;第6个月(A3期)与第12个月(A4期)阻抗值差异无统计学意义,其他各期之间差异有统计学意义(<0.05);在所有5个时期中,顶组阻抗最高,底组阻抗最低。局部应用类固醇可降低植入后电极的阻抗。阻抗值在术中较低,第1个月达到峰值,随后缓慢下降,至第6个月趋于稳定。因此,人工耳蜗植入术后应在6个月内定期调试,以获得最佳听力状态。