Asfour Leena, Friedmann David R, Shapiro William H, Roland J Thomas, Waltzman Susan B
New York University School of Medicine, 550 1st Ave, NY, NY 10016, USA.
New York University School of Medicine, 550 1st Ave, NY, NY 10016, USA.
Int J Pediatr Otorhinolaryngol. 2018 Oct;113:140-149. doi: 10.1016/j.ijporl.2018.07.037. Epub 2018 Jul 24.
To assess auditory brainstem implant (ABI) outcomes in children with a prospective study.
Twelve patients with cochlear nerve deficiency received an auditory brainstem implant. Patients were evaluated with age appropriate speech perception and production assessments, and health related quality of life (HRQoL) surveys for parents of subjects and for subjects if age appropriate.
Twelve patients received an ABI without major complications. Eleven out of twelve received some auditory benefit from their ABI. Parental HRQoL ratings were positive for all domains with the exception of communication. Self reported overall HRQoL metrics from two subjects were also positive.
ABI is a good option for patients who are not eligible for or fail CI. Our findings show that despite varying degrees of postoperative performance, HRQoL ratings were positive. The presence of additional disabilities and health problems resulted in less positive HRQoL outcomes. Our results emphasize the need to assess outcomes in these patients beyond speech perception and communication.
通过一项前瞻性研究评估儿童听觉脑干植入(ABI)的效果。
12名蜗神经缺失的患者接受了听觉脑干植入。对患者进行了适合其年龄的言语感知和产出评估,以及针对受试者家长和适龄受试者的健康相关生活质量(HRQoL)调查。
12名患者接受了ABI,无重大并发症。12名患者中有11名从ABI中获得了一定的听觉益处。除沟通领域外,家长对所有领域的HRQoL评分均为阳性。两名受试者自我报告的总体HRQoL指标也为阳性。
ABI对于不符合人工耳蜗(CI)植入条件或CI植入失败的患者是一个不错的选择。我们的研究结果表明,尽管术后表现存在不同程度差异,但HRQoL评分呈阳性。额外残疾和健康问题的存在导致HRQoL结果不那么乐观。我们的结果强调,除了言语感知和沟通外,还需要评估这些患者的治疗效果。