Zhang Li, Qiu Jianxin, Qin Feifei, Zhong Mei, Shah Gyanendra
Department of Otorhinolaryngology, First Affiliated Hospital of Anhui Medical University, China.
J Otol. 2017 Sep;12(3):138-142. doi: 10.1016/j.joto.2017.03.004. Epub 2017 Apr 28.
A common cavity deformity (CCD) is a deformed inner ear in which the cochlea and vestibule are confluent forming a common rudimentary cystic cavity that results in profound hearing loss. There are few studies paying attention to common cavity. Our group is engrossed in observing the improvement of auditory and verbal abilities in children who have received cochlear implantation (CI), and comparing these targets between children with common cavity and normal inner ear structure.
A retrospective study was conducted in 12 patients with profound hearing loss that were divided into a common cavity group and a control group, six in each group matched in sex, age and time of implantation, based on inner ear structure. Categories of Auditory Performance (CAP) and speech intelligibility rating (SIR) scores and aided hearing thresholds were collected and compared between the two groups. All patients wore CI for more than 1 year at the Cochlear Center of Anhui Medical University from 2011 to 2015.
Postoperative CAP and SIR scores were higher than before operation in both groups (p < 0.05), although the scores were lower in the CCD group than in the control group (p < 0.05). The aided threshold was also lower in the control group than in the CCD group (p < 0.05).
Even though audiological improvement in children with CCD was not as good as in those without CCD, CI provides benefits in auditory perception and communication skills in these children.
共同腔畸形(CCD)是一种内耳畸形,其中耳蜗和前庭融合形成一个共同的原始囊性腔,导致严重听力损失。关注共同腔的研究很少。我们团队专注于观察接受人工耳蜗植入(CI)的儿童的听觉和语言能力的改善情况,并比较共同腔儿童与内耳结构正常儿童的这些指标。
对12例重度听力损失患者进行回顾性研究,根据内耳结构将其分为共同腔组和对照组,每组6例,两组在性别、年龄和植入时间上相匹配。收集并比较两组的听觉表现类别(CAP)、言语清晰度评分(SIR)得分及助听阈值。2011年至2015年,所有患者均在安徽医科大学耳蜗中心佩戴人工耳蜗超过1年。
两组术后CAP和SIR得分均高于术前(p < 0.05),尽管共同腔组的得分低于对照组(p < 0.05)。对照组的助听阈值也低于共同腔组(p < 0.05)。
尽管共同腔儿童的听力学改善不如无共同腔的儿童,但人工耳蜗植入为这些儿童的听觉感知和沟通技能带来了益处。