Panah Naomi, Brazin Ali, Ebrahimi Shahmabadi Hasan
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Department of Otolaryngology, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4962-4973. doi: 10.1007/s12070-024-04806-5. Epub 2024 Jun 17.
Cochlear implantation is a potential intervention for individuals with severe to profound hearing loss, in particular in the pediatric population. This literature review aims to comprehensively evaluate the applications of electrophysiological tests in enhancing cochlear implant (CI) outcomes for children.
A literature review searched Medline and PubMed databases for articles on electrophysiological tests in CI children, using the terms "electrophysiological tests," "children," and "cochlear implant." The systematic search leads to 72 eligible texts.
Electrophysiological tests can be used to test CI children without the need for their active participation. These tests can be helpful in identifying and improving the health of deaf children in various ways, such as determining the CI functional status, the semantic integration effects in CI children, the effect of central auditory structures in speech stimulus processing, the development of lexical-semantic in CI children, and tracking the maturation of the central auditory system. CI enhances central auditory nervous system (CANS) maturation and auditory/language skills.
The quality of electrophysiological tests can be improved to enhance hearing outcome prediction, postoperative physiology understanding, and hearing loss mechanisms. Electrophysiological tests study CANS maturation, identify lesions, aid CI programming, determine prognosis, and treatment outcomes.
人工耳蜗植入是重度至极重度听力损失患者的一种潜在干预手段,尤其是在儿科人群中。本综述旨在全面评估电生理测试在改善儿童人工耳蜗(CI)植入效果方面的应用。
通过文献综述,在Medline和PubMed数据库中检索关于人工耳蜗植入儿童电生理测试的文章,使用了“电生理测试”“儿童”和“人工耳蜗”等关键词。系统检索得到72篇符合条件的文献。
电生理测试可用于对人工耳蜗植入儿童进行检测,无需他们积极配合。这些测试可以通过多种方式帮助识别和改善聋儿的健康状况,例如确定人工耳蜗的功能状态、人工耳蜗植入儿童的语义整合效果、中枢听觉结构在言语刺激处理中的作用、人工耳蜗植入儿童词汇语义的发展以及追踪中枢听觉系统的成熟情况。人工耳蜗植入可促进中枢听觉神经系统(CANS)成熟以及听觉/语言技能发展。
可以提高电生理测试的质量,以增强听力结果预测、术后生理理解以及听力损失机制研究。电生理测试可研究CANS成熟情况、识别病变、辅助人工耳蜗编程、确定预后及治疗效果。