一项关于在 2019 冠状病毒病危机期间行耳蜗植入术的可行性及评估趋势的前瞻性研究：英国中心的经验。
A prospective study on the feasibility of cochlear implantation during the coronavirus disease 2019 crisis and trends of assessment: experience in a UK centre.
机构信息
Department of ENT, James Cook University Hospital, Middlesbrough, UK.
出版信息
J Laryngol Otol. 2021 Jan;135(1):21-27. doi: 10.1017/S0022215121000190. Epub 2021 Jan 13.
OBJECTIVES
To demonstrate the feasibility of continuing cochlear implantation during the coronavirus disease 2019 crisis and to report on trends of referrals via the neonatal hearing screening programme.
METHODS
A prospective case series was conducted on children who underwent cochlear implantation during the coronavirus disease 2019 crisis in the UK and a sample of referrals via the neonatal hearing screening programme. A step-by-step description of peri-operative management is included.
RESULTS
Regionally, between February and May 2020, 106 babies were referred via the neonatal hearing screening programme to paediatric audiology. Eleven children were operated on during the coronavirus disease 2019 study period. None of the 11 children developed coronavirus symptoms.
DISCUSSION
It is widely recognised that the demands of managing the current pandemic may compromise screening, clinical assessment and elective surgery. Time-sensitive issues such as cancer management have gained prominence, but a similar need exists for timely paediatric cochlear implantation.
CONCLUSION
Implantation in the paediatric population during the coronavirus disease 2019 pandemic is feasible with careful planning.
目的
展示在 2019 冠状病毒病危机期间继续进行耳蜗植入的可行性，并报告新生儿听力筛查计划的转诊趋势。
方法
对在英国 2019 冠状病毒病危机期间接受耳蜗植入的儿童和通过新生儿听力筛查计划进行的抽样转诊进行前瞻性病例系列研究。包括围手术期管理的逐步描述。
结果
在 2020 年 2 月至 5 月期间，该地区有 106 名婴儿通过新生儿听力筛查计划转介至儿科听力科。在 2019 冠状病毒病研究期间，有 11 名儿童接受了手术。这 11 名儿童均未出现冠状病毒症状。
讨论
人们普遍认识到，管理当前大流行的需求可能会影响筛查、临床评估和择期手术。已经引起了人们对癌症管理等时间敏感问题的关注，但也同样需要及时进行儿童耳蜗植入。
结论
在 2019 冠状病毒病大流行期间，对儿科人群进行植入是可行的，需要精心规划。
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