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胼胝体发育不全儿童的人工耳蜗植入结果:一项回顾性研究及文献综述

Cochlear Implantation Outcomes in Children with Agenesis of the Corpus Callosum: A Retrospective Study and A Review of the Literature.

作者信息

Özdemir Süleyman, Tuncer Ülkü, Sürmelioğlu Özgür, Tarkan Özgür, Çelik Fikret, Kıroğlu Mete, Dağkıran Muhammed, Şahin Poyraz, Tezer Nilay, Akar Funda

机构信息

Department of Otorhinolaryngology Head-Neck Surgery, Cukurova University School of Medicine, Adana, Turkey.

出版信息

J Int Adv Otol. 2019 Dec;15(3):364-367. doi: 10.5152/iao.2019.6577.

Abstract

OBJECTIVES

The aim of the present study was to analyze the outcomes of cochlear implantation (CI) in patients with agenesis of the corpus callosum (CCA). A literature review and a retrospective analysis of our cochlear implant database were performed.

MATERIALS AND METHODS

To the best of our knowledge, in the English literature, there was only one case reported with CCA who had undergone CI surgery. This case had Donnai-Barrow syndrome. In the Cukurova University School of Medicine Department of Otorhinolaryngology database, 5 of the 1317 patients who underwent CI surgery who had CCA were selected. The patients' demographic characteristics, operative findings, surgical outcomes, and additional disabilities were investigated. The patients' preoperative and postoperative Listening Progress Profile (LiP) and Meaningful Auditory Integration Scale (MAIS) tests were done to analyze the auditory performances.

RESULTS

The participants of the study were 5 (0.38%) individuals (2 male and 3 female patients; ages 5.5, 7.5, 8, 9, and 12 years). Two of the patients had total agenesis, and the other three had partial agenesis of the CCA. In the histories of the patients, one patient had parental consanguinity, and one had febrile convulsion. No patient had an additional disability. None had experienced device failure. No patients were non-users or limited users of cochlear implants. Postoperative LiP and MAIS test scores were improved for all patients nearly as the patients without any deformity. They showed normal auditory performance in the analysis in their postoperative 48 months of follow-up.

CONCLUSION

Patients who had CCA are good candidates for CI surgery.

摘要

目的

本研究旨在分析胼胝体发育不全(CCA)患者的人工耳蜗植入(CI)效果。我们对人工耳蜗植入数据库进行了文献综述和回顾性分析。

材料与方法

据我们所知,英文文献中仅报道了1例患有CCA且接受CI手术的病例。该病例患有唐纳伊 - 巴罗综合征。在库库洛瓦大学医学院耳鼻喉科数据库中,从1317例接受CI手术的患者中选取了5例患有CCA的患者。对患者的人口统计学特征、手术发现、手术结果及其他残疾情况进行了调查。对患者进行术前和术后的听力进展概况(LiP)和有意义听觉整合量表(MAIS)测试,以分析听觉表现。

结果

研究参与者共5人(占0.38%)(2例男性和3例女性患者;年龄分别为5.5岁、7.5岁、8岁、9岁和12岁)。其中2例患者为完全性发育不全,另外3例为部分性发育不全。在患者病史方面,1例患者有近亲结婚情况,1例有高热惊厥史。所有患者均无其他残疾。均未发生设备故障。没有患者不使用或限制使用人工耳蜗。所有患者术后LiP和MAIS测试分数均有所提高,几乎与无任何畸形的患者相同。在术后48个月的随访分析中,他们表现出正常的听觉表现。

结论

患有CCA的患者是CI手术的合适候选者。

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