Philip Rajan D, Siti Sabzah M H, Zulkiflee S, Tengku Mohamed I, Kumareysh Vijay V, Iskandar H, Sobani D, Valuyeetham K A, Shahrul A, Mas D, Azyani N, Farah D, Azmawanie A, Noormala A, Norhana A, Shahrom A, Amirudin M
Hospital Raja Permaisuri Bainun, Department of Otorhinolaryngology, Ipoh, Perak, Malaysia.
Hospital Sultanah Bahiyah, Department of Otolaryngology, Alor Setar, Kedah, Malaysia.
Med J Malaysia. 2018 Dec;73(6):393-396.
There has been a paradigm shift in the management of acquired sensory neural deafness in the past 30years. This is due to the emergence of implantable hearing devices such as the cochlear implant. The objective of this study is to identify surgical and functional outcomes of post-lingual and cross-over patients implanted with a cochlear implant under the National Ministry of Heath Cochlear Implant (CI) Program between 2009-2013.
We retrospectively reviewed all postlingual and cross-over recipients of cochlear implants under the National Ministry of Heath CI Programme from 2009 to 2013. The outcomes measured were surgical complications and functional outcome. Surgical complications were divided into major and minor complications. Functional outcomes were measured using Categorical Auditory Performances (CAP) scale.
A total of 41 post-lingual and 15 cross-over patients were implanted between 2009 and 2013. The age of implantees ranged from 3.6 years to 63.2 years old. There were two major complications (3.6%), one is a case of electrode migration at three months post implantation, and six months post second implantation. Another was a case of device failure at about one-year post implantation. Both patients were reimplanted in the same ear. There was no minor complication. The CAP score for both groups (overall) showed significant improvement with 96.4% achieved CAP score of five and above at 24 months after implantation (p<0.001). The CAP score showed marked improvement at the first 6 months post implantation and continued to improve with time in both groups.
The Malaysian National Ministry of Health Cochlear implant (CI) Program between 2009-2013 has been a successful programme with good surgical and functional outcomes among the post lingual and cross-over patients.
在过去30年中，获得性感音神经性耳聋的治疗模式发生了转变。这是由于可植入式听力设备如人工耳蜗的出现。本研究的目的是确定2009年至2013年期间在国家卫生部人工耳蜗计划下接受人工耳蜗植入的语后聋和交叉性聋患者的手术和功能结果。
我们回顾性分析了2009年至2013年期间在国家卫生部人工耳蜗计划下所有语后聋和交叉性聋人工耳蜗植入受者。测量的结果包括手术并发症和功能结果。手术并发症分为主要并发症和次要并发症。功能结果使用分类听觉表现（CAP）量表进行测量。
2009年至2013年期间共植入41例语后聋患者和15例交叉性聋患者。植入者年龄在3.6岁至63.2岁之间。有2例主要并发症（3.6%），1例是植入后3个月和第二次植入后6个月发生电极移位。另一例是植入后约1年发生设备故障。两名患者均在同一耳再次植入。无次要并发症。两组（总体）的CAP评分均有显著改善，植入后24个月时96.4%的患者CAP评分达到5分及以上（p<0.001）。两组患者在植入后的前6个月CAP评分均有显著改善，并随时间持续改善。
2009年至
