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[听觉脑干假体对蜗神经核进行多通道刺激的长期结果]

[Long-term results of multi-channel stimulation of the cochlear nucleus with auditory brain stem prostheses].

作者信息

Marangos N, Laszig R, Sollmann W P

机构信息

Universitätsklinik für Hals-, Nasen- und Ohrenheilkunde und Poliklinik, Freiburg, Deutschland.

出版信息

Wien Med Wochenschr. 1997;147(10):259-63.

PMID:9324869
Abstract

Since 1992 11 subjects with bilateral neural deafness due to cerebellopontine angle tumors have been provided with a multichannel auditory brainstem implant. The long term follow-up varies between 12 and 48 months. 10 subjects experienced auditory sensations with various pitch during stimulation of several surface electrodes, 7 of them are still full time users. 1 patient died 18 months after implantation after having been using his device continuously and 1 died due to pneumonic emboly without having been stimulated. 2 subjects revealed uncomfortable side-effects such as motoric or somatosensoric stimulations several months after initial stimulation. 1 of them is not using the device any more. The presented long term results suggest, that deaf neurofibromatosis-patients can regain acoustic contact to the environment, enlarge their communication skills and improve their quality of life by using a multichannel auditory brainstem prosthesis.

摘要

自1992年以来,11例因桥小脑角肿瘤导致双侧神经性耳聋的患者接受了多通道听觉脑干植入。长期随访时间为12至48个月。10名患者在刺激多个表面电极时体验到了不同音高的听觉感受,其中7名仍为该装置的长期使用者。1例患者在持续使用该装置18个月后植入后死亡,1例因肺栓塞未接受刺激而死亡。2名患者在初次刺激数月后出现了如运动或躯体感觉刺激等不适的副作用。其中1名不再使用该装置。所呈现的长期结果表明,患有神经纤维瘤病性耳聋的患者通过使用多通道听觉脑干假体可以恢复与环境的听觉联系,扩大其沟通能力并改善生活质量。

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