Ren Wei, Ji Fei, Zeng Jialing, Zhao Hui
Department of Otolaryngology/Head and Neck Surgery, Chinese PLA Institute of Otolaryngology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China.
J Otol. 2016 Dec;11(4):178-184. doi: 10.1016/j.joto.2016.12.003. Epub 2017 Feb 8.
Hearing loss is a condition affecting millions of people worldwide. Conductive hearing loss (CHL) is mainly caused by middle ear diseases. The low frequency area is the pivotal part of speech frequencies and most frequently impaired in patients with CHL. Among various treatments of CHL, middle ear surgery is efficient to improve hearing. However, variable success rates and possible needs for prolonged revision surgery still frustrate both surgeons and patients. Nowadays, increasing numbers of researchers explore various methods to monitor the efficacy of ossicular reconstruction intraoperatively, including electrocochleography (ECochG), auditory brainstem response (ABR), auditory steady state response (ASSR), distortion product otoacoustic emissions (DPOAE), subjective whisper test, and optical coherence tomography (OCT). Here, we illustrate several methods used clinically by reviewing the literature.
听力损失是一种影响全球数百万人的疾病。传导性听力损失(CHL)主要由中耳疾病引起。低频区域是言语频率的关键部分,也是CHL患者中最常受损的部位。在CHL的各种治疗方法中,中耳手术对于改善听力是有效的。然而,成功率的差异以及可能需要进行长时间的翻修手术仍然让外科医生和患者都感到沮丧。如今,越来越多的研究人员探索各种方法来术中监测听骨链重建的疗效,包括耳蜗电图(ECochG)、听性脑干反应(ABR)、听觉稳态反应(ASSR)、畸变产物耳声发射(DPOAE)、主观耳语测试和光学相干断层扫描(OCT)。在此,我们通过回顾文献来说明几种临床使用的方法。