Thomas J
Department of Speech and Language Therapy, Queen Elizabeth Hospital, University Hospital Birmingham NHS Trust, UK.
J Laryngol Otol Suppl. 1996;21:47-51.
With the Birmingham osseointegrated implant programme there have been several patients with severe pre-lingual conductive hearing loss. The majority of these have been patients with Treacher Collins syndrome. There are characteristic features of speech and voice in those with long-standing conductive hearing loss. In addition, the associated abnormalities of jaw, teeth and palate may amplify the problem. There may be spontaneous improvement in features such as voice pitch, quality and intensity following the fitting of a BAHA. However, in those with a pre-lingual hearing impairment, speech therapy may be necessary. Patients assessed as suitable for BAHA have a full assessment of communication skills including audio recording of speech and voice. Post-operative training improves auditory discrimination and perception and is followed by training in the production of the newly perceived speech sounds.
在伯明翰骨整合植入项目中，有几位患者患有严重的舌前传导性听力损失。其中大多数是患有特雷彻·柯林斯综合征的患者。长期患有传导性听力损失的患者在言语和嗓音方面有一些特征性表现。此外，颌骨、牙齿和腭部的相关异常可能会使问题更加严重。佩戴骨锚式助听器（BAHA）后，诸如音高、音质和强度等特征可能会自发改善。然而，对于那些有舌前听力障碍的患者，可能需要言语治疗。被评估为适合佩戴BAHA的患者会接受包括言语和嗓音录音在内的沟通技能全面评估。术后训练可提高听觉辨别和感知能力，随后进行新感知语音发音的训练。
