慢性中耳炎患者的人工耳蜗植入：长期言语理解能力和并发症发生率的调查。
Cochlear Implantation in Chronic Otitis Media: Investigation of Long-term Speech Comprehension and Rate of Complications.
机构信息
Department of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery and the Comprehensive Hearing Center, University of Wuerzburg, Wuerzburg.
Department of Oto-Rhino-Laryngology, Head and Neck Surgery "Otto Körner," Rostock University Medical Center, Rostock.
出版信息
Otol Neurotol. 2018 Dec;39(10):e979-e984. doi: 10.1097/MAO.0000000000002026.
OBJECTIVE
To analyze the long-term speech comprehension and rate of complications of cochlear implantation in chronic otitis media.
STUDY DESIGN
Retrospective data analysis.
SETTING
Tertiary referral center with a large cochlear implant program.
MAIN OUTCOME MEASURE
Speech perception scores in quiet and background noise and rate of complications.
PATIENTS
Forty ears from a total of 38 patients with a mean age of 63.28 ± 2.16 years at the time of implantation were included.
RESULTS
Patients with a history of multiple ear surgeries, with no alternative option for hearing restoration than a cochlear implant, were implanted with satisfactory results in regard to speech comprehension. Preoperative bone conduction PTA4 correlated to postoperative speech comprehension scores in background noise. The rate of complications was low, but higher than in cases of cochlear implantation in normal middle ears.
CONCLUSION
Cochlear implantation in chronic otitis media can be a satisfactory and safe procedure, if the surgery technique and aftercare is appropriate to the altered anatomy.
目的
分析慢性中耳炎患者长期的言语理解能力和并发症发生率。
研究设计
回顾性数据分析。
设置
拥有大型人工耳蜗植入项目的三级转诊中心。
主要观察指标
安静环境和背景噪声下的言语感知评分以及并发症发生率。
患者
共纳入 38 例患者的 40 只耳朵，植入时的平均年龄为 63.28±2.16 岁。
结果
对于那些有多次耳部手术史且没有其他听力恢复选择的患者来说，人工耳蜗植入术是一种令人满意的选择，他们在言语理解方面取得了较好的效果。术前骨导 PTA4 与术后背景噪声下的言语理解评分相关。并发症发生率较低，但高于正常中耳人工耳蜗植入的情况。
结论
如果手术技术和后续护理适应改变的解剖结构，慢性中耳炎患者的人工耳蜗植入术是一种令人满意且安全的手术方法。
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