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首页> 外文期刊>Otolaryngology Case Reports >Case report of the first patient with electro-mechanical stimulation of the inner ear: The Vibrant Soundbridge combined with a FLEX20 cochlear implant
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Case report of the first patient with electro-mechanical stimulation of the inner ear: The Vibrant Soundbridge combined with a FLEX20 cochlear implant

机译：内耳电力刺激的第一款患者的病例报告：充满活力的声音桥与Flex20耳蜗植入物相结合

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BackgroundPrevious studies in the field of cochlear implantation have proven that the use of electro-acoustic stimulation systems in patients with low frequency residual hearing results in improved speech perception scores compared to electric only stimulation. Unfortunately, many patients cannot use these systems because of inflammatory responses to the external ear piece of the system. In these cases, the substitution of low frequency acoustic stimulation through an external ear piece by mechanical stimulation with a middle ear implant could be a way to take advantage of the remaining residual hearing.CaseWe report on a patient who was bilaterally implanted with a MED-EL Vibrant Soundbridge. After 12 years, her hearing loss had progressed such that she was acoustically indicated for electro-acoustic stimulation. Since she could not wear an external ear piece due to medical reasons, she was then implanted with a cochlear implant in addition to her middle ear implant on the right-hand side, hence benefitting from electro-mechanical stimulation in the right ear. For the follow-up period of 12 month her hearing loss was found stable, and speech perception results were satisfying.ConclusionThe ipsilateral use of a Vibrant Soundbridge in addition to a cochlear implant was found to be a feasible and save option for providing electro-mechanical auditory stimulation. Speech performance results comparable to electro-acoustic stimulation patients can be expected for patients with substantial low frequency residual hearing.
机译：背景技术在耳蜗植入领域的研究已经证明，与电气仅刺激相比，使用低频残留听力患者使用电声刺激系统导致改善的语音感知得分。不幸的是，许多患者不能因为对系统的外耳片的炎症反应而无法使用这些系统。在这些情况下，通过用中耳植入物通过机械刺激替代低频声刺激通过具有中耳植入物的机械刺激可以是利用剩余的残留听力的方法。患者对被双边植入Med-的患者的报告EL充满活力的声音桥。 12年后，她的听力损失取得了进展，使得她正在声学表现出电声刺激。由于由于医疗原因，她不能戴外部耳朵，然后除了她的中耳植入右侧外，她还被植入耳蜗植入物，因此受益于右耳电力刺激。对于12个月的后续期间，她的听力损失被发现稳定，并且言语感知结果令人满意。结论CONIBLANT SOWSCRIDGE除了耳蜗植入外，是否发现了一种可行和节省了提供电力的选择听觉刺激。对于具有大量低频残余听力的患者，可以预期与电声刺激患者相当的语音性能结果。

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