Département d'Otorhinolaryngologie, de Chirurgie Cervico-Faciale et d'ORL Pédiatrique, Centre Hospitalier Universitaire Pellegrin, Place Amélie Raba-Léon, 33076 Bordeaux, France.
Département d'Otorhinolaryngologie, de Chirurgie Cervico-Faciale et d'ORL Pédiatrique, Centre Hospitalier Universitaire Pellegrin, Place Amélie Raba-Léon, 33076 Bordeaux, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2021 May;138(3):153-157. doi: 10.1016/j.anorl.2020.11.005. Epub 2020 Nov 27.
Musical Ear Syndrome (MES) is an uncommon phenomenon described as the perception of auditory musical sensations not corresponding to any external stimulus. It seems to be more frequent in case of profound hearing loss. Our objective was to evaluate prevalence, characteristics and risk factors in a population of cochlear implant patients.
A retrospective study was conducted in cochlear implant patients, who were adult (>18 years) in 2020 and underwent cochlear implantation between 1993 and 2019. We analyzed the presence and characteristics of MES.
118 of the 358 patients (33%) perceived or had perceived auditory musical sensations: 71 (19.8%) before, 100 (28%) after, and 53 (14.8%) both before and after implantation. The musical auditory sensations were usually short and well-tolerated, resembling instrumental music, and occurring several times a day. Thirteen patients (11%) considered them intolerable. Fatigue was a triggering factor in 40 patients (33.9%). Personal and medical characteristics, type of implantation, make of implant, etiology and tinnitus did not emerge as risk factors. On the other hand, MES+ patients were significatively younger (56±17.4 years versus 61.9±17.9 years; P=0.0009). Despite the phenomenon, patients were satisfied with implant functioning and subjective auditory performance was not affected.
Prevalence of Musical Ear Syndrome was high in cochlear implant patients, and especially in younger subjects. It is essential to improve knowledge of this phenomenon.
音乐耳综合征（MES）是一种罕见的现象，其特征为感知到与任何外部刺激不对应的听觉音乐感觉。它似乎在深度听力损失的情况下更为常见。我们的目的是评估一个人工耳蜗植入患者群体中的流行率、特征和危险因素。
对 2020 年年龄大于 18 岁且 1993 年至 2019 年间接受过人工耳蜗植入的人工耳蜗植入患者进行回顾性研究。我们分析了 MES 的存在和特征。
358 名患者中有 118 名（33%）感知或曾经感知过听觉音乐感觉：71 名（19.8%）在植入前，100 名（28%）在植入后，53 名（14.8%）在植入前后均有感知。音乐听觉感觉通常短暂且易于耐受，类似于器乐音乐，每天发生几次。13 名患者（11%）认为它们无法耐受。疲劳是 40 名患者（33.9%）的触发因素。个人和医疗特征、植入类型、植入物制造商、病因和耳鸣并未成为危险因素。另一方面，MES+患者明显更年轻（56±17.4 岁与 61.9±17.9 岁；P=0.0009）。尽管存在这种现象，患者对植入物功能仍然满意，主观听觉表现不受影响。
人工耳蜗植入患者中音乐耳综合征的流行率较高，尤其是在年轻患者中。必须提高对这种现象的认识。
