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耳蜗植入在耳鸣管理中的应用。

Cochlear implant in tinnitus management.

机构信息

Postgraduate Program in Health Sciences of the University of Brasília (UnB), Brasília, Federal District, Brazil.

出版信息

Curr Opin Otolaryngol Head Neck Surg. 2023 Apr 1;31(2):155-157. doi: 10.1097/MOO.0000000000000874. Epub 2023 Jan 31.

DOI:10.1097/MOO.0000000000000874
PMID:36912228
Abstract

PURPOSE OF REVIEW

To evaluate whether cochlear implantation can mitigate tinnitus perception and its discomfort among patients with severe-to-profound hearing loss, in order to provide an answer on a possible treatment for a health condition with high prevalence and impact on quality of life.

RECENT FINDINGS

Tinnitus can develop after peripheral hearing loss and is associated with altered auditory processing. It does not only involve auditory structures but also aberrant neural activity and interaction with other regions of the Central Nervous System associated with emotion, attention, anguish, memory and motor activity.

SUMMARY

Recent studies investigated the changes in tinnitus perception among patients who underwent cochlear implantation and demonstrated a postoperative decrease. Hence, patients with severe-to-profound sensorineural hearing loss and tinnitus are likely to benefit from cochlear implantation.

摘要

目的综述

评估人工耳蜗植入术是否可以减轻重度至极重度听力损失患者的耳鸣感知及其不适,以期为一种高患病率且对生活质量有重大影响的疾病提供一种可能的治疗方法。

最近发现

耳鸣可在外周听力损失后发生,并与听觉处理改变有关。它不仅涉及听觉结构,还涉及异常的神经活动以及与情绪、注意力、痛苦、记忆和运动活动相关的中枢神经系统其他区域的相互作用。

总结

最近的研究调查了接受人工耳蜗植入术的患者的耳鸣感知变化,结果表明术后有下降。因此,患有重度至极重度感音神经性听力损失和耳鸣的患者可能受益于人工耳蜗植入术。

相似文献

1
Cochlear implant in tinnitus management.耳蜗植入在耳鸣管理中的应用。
Curr Opin Otolaryngol Head Neck Surg. 2023 Apr 1;31(2):155-157. doi: 10.1097/MOO.0000000000000874. Epub 2023 Jan 31.
2
The impact of cochlear implantation on speech understanding, subjective hearing performance, and tinnitus perception in patients with unilateral severe to profound hearing loss.人工耳蜗植入对单侧重度至极重度听力损失患者言语理解、主观听力表现及耳鸣感知的影响。
Otol Neurotol. 2015 Mar;36(3):430-6. doi: 10.1097/MAO.0000000000000707.
3
Tinnitus suppression with electrical stimulation in adults: long-term follow-up.成人电刺激抑制耳鸣:长期随访。
Acta Otorhinolaryngol Ital. 2022 Apr;42(2):176-181. doi: 10.14639/0392-100X-N1557.
4
Investigating long-term effects of cochlear implantation in single-sided deafness: a best practice model for longitudinal assessment of spatial hearing abilities and tinnitus handicap.研究人工耳蜗植入对单侧耳聋的长期影响:空间听力能力和耳鸣障碍纵向评估的最佳实践模式。
Otol Neurotol. 2014 Oct;35(9):1525-32. doi: 10.1097/MAO.0000000000000437.
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Analysis of a Cochlear Implant Database: Changes in Tinnitus Prevalence and Distress After Cochlear Implantation.人工耳蜗植入数据库分析:人工耳蜗植入后耳鸣患病率和困扰的变化。
Trends Hear. 2022 Jan-Dec;26:23312165221128431. doi: 10.1177/23312165221128431.
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[Cochlear implant and tinnitus].[人工耳蜗与耳鸣]
HNO. 2023 Nov;71(11):693-701. doi: 10.1007/s00106-023-01376-w. Epub 2023 Oct 10.
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Interaction of tinnitus suppression and hearing ability after cochlear implantation.人工耳蜗植入后耳鸣抑制与听力的相互作用。
Acta Otolaryngol. 2017 Oct;137(10):1077-1082. doi: 10.1080/00016489.2017.1336283. Epub 2017 Jun 22.
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Cochlear implantation improves hearing and vertigo in patients after removal of vestibular schwannoma.人工耳蜗植入可改善前庭神经鞘瘤切除术后患者的听力和眩晕症状。
Int Tinnitus J. 2017 Jun 1;21(1):2-6. doi: 10.5935/0946-5448.20170002.
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Cochlear Implantation and Other Treatments in Single-Sided Deafness and Asymmetric Hearing Loss: Results of a National Multicenter Study Including a Randomized Controlled Trial.单侧聋和非对称听力损失中的人工耳蜗植入和其他治疗:一项包括随机对照试验的全国多中心研究的结果。
Audiol Neurootol. 2021;26(6):414-424. doi: 10.1159/000514085. Epub 2021 Mar 31.
10
Development and internal validation of a multivariable prediction model for tinnitus recovery following unilateral cochlear implantation: a cross-sectional retrospective study.单侧人工耳蜗植入后耳鸣恢复的多变量预测模型的建立和内部验证:一项横断面回顾性研究。
BMJ Open. 2018 Jun 11;8(6):e021068. doi: 10.1136/bmjopen-2017-021068.

引用本文的文献

1
Electrical Ear Canal Stimulation as a Therapeutic Approach for Tinnitus-A Proof of Concept Study.耳道电刺激作为耳鸣治疗方法的概念验证研究
J Clin Med. 2024 May 1;13(9):2663. doi: 10.3390/jcm13092663.
2
Cochlear implantation in single-sided deafness: a single-center experience of 138 cases.单侧聋患者的人工耳蜗植入:单中心 138 例经验。
Eur Arch Otorhinolaryngol. 2023 Oct;280(10):4427-4432. doi: 10.1007/s00405-023-07959-1. Epub 2023 Apr 8.