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联合电声刺激与鼓室成形术的听力康复

Hearing Rehabilitation with Combined Electroacoustic Stimulation and Ossiculoplasty.

作者信息

Lee Jeon Mi, Na Gina, Choi Jae Young

机构信息

Department of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea.

出版信息

J Audiol Otol. 2021 Apr;25(2):110-114. doi: 10.7874/jao.2020.00136. Epub 2020 Nov 16.

DOI:10.7874/jao.2020.00136
PMID:33181871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8062243/
Abstract

We report a case of hearing rehabilitation following combined cochlear implantation and ossiculoplasty. A 71-year-old patient visited the clinic for right-sided mixed hearing loss. We targeted neural and conductive components, performing two different operations simultaneously. At two months post-operative, the patient showed satisfactory results with respect to hearing threshold and speech comprehension. Our experience suggests that careful evaluation of patients and consideration of the diverse array of available treatment strategies can be used to provide personalized rehabilitation with maximal effectiveness. To the best of our knowledge, this is the first report to take such an integrated approach to treat hearing impairment and is thus likely to have clinical importance for otologists.

摘要

我们报告了一例联合人工耳蜗植入和听骨链成形术后的听力康复病例。一名71岁患者因右侧混合性听力损失前来诊所就诊。我们针对神经和传导成分,同时进行了两种不同的手术。术后两个月,患者在听力阈值和言语理解方面取得了满意的结果。我们的经验表明,对患者进行仔细评估并考虑各种可用的治疗策略,可用于提供具有最大效果的个性化康复治疗。据我们所知,这是第一份采用这种综合方法治疗听力障碍的报告,因此可能对耳科医生具有临床重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd04/8062243/c0069fe90494/jao-2020-00136f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd04/8062243/bbffba30af18/jao-2020-00136f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd04/8062243/a1aae7bdac75/jao-2020-00136f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd04/8062243/c0069fe90494/jao-2020-00136f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd04/8062243/bbffba30af18/jao-2020-00136f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd04/8062243/a1aae7bdac75/jao-2020-00136f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd04/8062243/c0069fe90494/jao-2020-00136f3.jpg

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本文引用的文献

1
Evaluation of Maximal Speech Intelligibility With Vibrant Soundbridge in Patients With Sensorineural Hearing Loss.感音神经性听力损失患者使用振动声桥的最大言语可懂度评估
Otol Neurotol. 2017 Oct;38(9):1246-1250. doi: 10.1097/MAO.0000000000001537.
2
Benefits of active middle ear implants in mixed hearing loss: Stapes versus round window.主动式中耳植入物在混合性听力损失中的益处:镫骨与圆窗。
Laryngoscope. 2017 Jun;127(6):1435-1441. doi: 10.1002/lary.26244. Epub 2016 Aug 25.
3
Cochlear implantation in children with single-sided deafness: does aetiology and duration of deafness matter?
单侧耳聋儿童的人工耳蜗植入:耳聋的病因和持续时间重要吗?
Audiol Neurootol. 2015;20 Suppl 1:21-30. doi: 10.1159/000380744. Epub 2015 May 19.
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The bone conduction implant: Clinical results of the first six patients.骨传导植入物:前六名患者的临床结果。
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Severe to profound hearing impairment: quality of life, psychosocial consequences and audiological rehabilitation.重度至极重度听力障碍:生活质量、心理社会影响及听力学康复
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Plasticity in human pitch perception induced by tonotopically mismatched electro-acoustic stimulation.人声调觉感知的可塑性由与音调匹配不匹配的电声刺激引起。
Neuroscience. 2014 Jan 3;256:43-52. doi: 10.1016/j.neuroscience.2013.10.024. Epub 2013 Oct 21.
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Hearing preservation with full insertion of the FLEXsoft electrode.使用 FLEXsoft 电极完全插入实现听力保护。
Otol Neurotol. 2014 Jan;35(1):e40-4. doi: 10.1097/MAO.0b013e318291c66d.
9
Active middle ear implantation for patients with sensorineural hearing loss and external otitis: long-term outcome in patient satisfaction.中耳主动植入术治疗感音神经性听力损失和外耳炎患者:患者满意度的长期结果。
Otol Neurotol. 2013 Jul;34(5):855-61. doi: 10.1097/MAO.0b013e31828f47c2.
10
Auditory brainstem implant outcomes and MAP parameters: report of experiences in adults and children.听觉脑干植入结果及MAP参数:成人和儿童经验报告
Int J Pediatr Otorhinolaryngol. 2012 Feb;76(2):257-64. doi: 10.1016/j.ijporl.2011.11.016. Epub 2012 Jan 4.