Department of Otolaryngology-Head & Neck Surgery, NYU School of Medicine, New York, New York, U.S.A.
Laryngoscope. 2021 Jan;131(1):E271-E277. doi: 10.1002/lary.28561. Epub 2020 Feb 17.
To describe our experience with children undergoing unilateral cochlear implantation (CI) for treatment of single-sided deafness (SSD).
Retrospective case series.
A retrospective case review from a tertiary referral center involving 14 pediatric patients (<18 years) with SSD who underwent unilateral CI. Speech perception testing in quiet and noise in the CI-only and bimodal conditions with at least 1 year of device use and device usage from data logs represent the main outcome measures.
The mean age at CI was 5.0 years (median 4.4, range 1.0-11.8 years). The mean duration of deafness was 3.0 years (median 2.4, range 0.6-7.0 years). Mean follow-up was 3.4 years. Speech perception testing with a minimum of 1 year post-CI was available in eight patients. The mean word recognition scores (WRS) in the CI-only condition was 56%; a significant improvement from baseline. Testing in background noise with spatially separated speech and noise revealed that patients scored as well or better with the CI-on versus CI-off in all conditions and in no cases was interference from the CI noted. Data logs were reviewed for device usage which revealed an average use of 6.5 hr/d.
Cochlear implantation is a viable treatment option for pediatric SSD in this self-selected cohort. Open-set speech and improvement in background noise can be achieved. Careful patient selection and thorough counseling on expectations is paramount to achieving successful outcomes.
IV Laryngoscope, 131:E271-E277, 2021.
描述我们在单侧人工耳蜗植入（CI）治疗单侧聋（SSD）儿童方面的经验。
回顾性病例系列研究。
这是一项回顾性病例研究，涉及在一家三级转诊中心接受单侧 CI 的 14 名 SSD 儿童患者（<18 岁）。主要结局指标为至少使用 1 年设备和从数据日志中获取设备使用情况的情况下，在 CI 单模式和双模式条件下进行的安静和噪声环境下的言语感知测试。
CI 的平均年龄为 5.0 岁（中位数 4.4，范围 1.0-11.8 岁）。耳聋的平均持续时间为 3.0 年（中位数 2.4，范围 0.6-7.0 年）。平均随访时间为 3.4 年。在 8 名患者中，至少在 CI 后 1 年进行了言语感知测试。CI 单模式下的平均单词识别得分（WRS）为 56%，与基线相比有显著提高。在具有空间分离语音和噪声的背景噪声下进行测试，结果表明在所有条件下，CI 开启与 CI 关闭相比，患者的得分相同或更好，并且在任何情况下都未发现 CI 存在干扰。对设备使用情况进行了回顾性评估，结果显示平均使用时间为 6.5 小时/天。
在这个自选队列中，CI 是治疗儿童 SSD 的一种可行选择。可以实现开放式言语识别和改善背景噪声环境下的言语识别能力。仔细的患者选择和对期望的充分咨询对于获得成功的结果至关重要。
IV
