Hajr Eman A, Alotaibi Tahani, Alobida Nasser W, Alsanosi Abdulrahman A
Department of ENT, King Abdullah Ear Specialist Centre, Imam Muhammad Ibn Saud Islamic University, Riyadh, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2019 Nov;40(11):1123-1128. doi: 10.15537/smj.2019.11.24061.
To evaluate the feasibility and outcomes of cochlear implantation (CI) in infancy.
All infants who underwent CI from January 2011 to October 2018 at a tertiary referral center in the Kingdom of Saudi Arabia were retrospectively reviewed. Demographic data, factors associated with early detection, and any surgical difficulties or postoperative complications were extracted from the medical records. The outcome of CI was determined by a speech pathologist.
Fifteen patients underwent CI during the study period (9 bilateral and performed simultaneously, 6 unilateral). The round window was difficult to identify in 5 cases. Incomplete electrode insertion because of cochlear ossification secondary to meningitis was documented in one patient. No major postoperative complications were encountered. The average auditory performance score was 7 and the speech intelligibility rating was 5.
This study represents the largest national cohort of pediatric patients undergoing CI in infancy. In this series, the surgery was safe and the speech outcome was good. With implementation of the neonatal screening program in the Kingdom of Saudi Arabia, the number of infants undergoing CI is likely to increase in the near future, paving the way for more research in infant CI.
评估婴儿期人工耳蜗植入（CI）的可行性及效果。
回顾性分析2011年1月至2018年10月在沙特阿拉伯王国一家三级转诊中心接受CI的所有婴儿。从病历中提取人口统计学数据、与早期检测相关的因素以及任何手术困难或术后并发症。CI的效果由言语病理学家确定。
在研究期间，15例患者接受了CI（9例双侧且同时进行，6例单侧）。5例患者的圆窗难以识别。有1例患者因脑膜炎继发耳蜗骨化导致电极插入不完全。未出现重大术后并发症。平均听觉表现评分为7分，言语清晰度评分为5分。
本研究是沙特阿拉伯王国婴儿期接受CI的最大规模全国性队列研究。在本系列研究中，手术安全且言语效果良好。随着沙特阿拉伯王国新生儿筛查项目的实施，近期接受CI的婴儿数量可能会增加，为婴儿CI的更多研究铺平道路。
