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首页> 外文期刊>The American journal of otology >Cochlear implantation in children with large vestibular aqueduct syndrome.
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Cochlear implantation in children with large vestibular aqueduct syndrome.

机译：小儿前庭导水管综合征的人工耳蜗植入。

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OBJECTIVE: This study describes the effectiveness of a multielectrode cochlear implant prosthesis (Cochlear; Cochlear Pty., Lane Cove, Australia) for providing hearing to children with deafness caused by large vestibular aqueduct syndrome (LVAS). STUDY DESIGN: The study design was a retrospective study. SETTING: All the children attended The Children's Cochlear Implant Center (NSW), which is a specialist center that provides audiologic testing, speech therapy, habilitation, and medical assistance for children with cochlear implants. PATIENTS: Ten children were studied who had profound hearing loss and radiologic evidence of a vestibular aqueduct larger than 2 mm in width in its intraosseous portion. INTERVENTION: The children received a multielectrode (Cochlear) cochlear implant prosthesis, and the associated programming of the device and habitation were performed postoperatively. No significant problems were encountered at any of the surgeries, although there was an initial gush of perilymph when the otic capsule was opened in 7 ears. MAIN OUTCOME MEASURES: Postoperative audiologic performance at six monthly intervals and school performance were assessed. RESULTS: The postoperative auditory performance was improved in all children. At 6 months, their average BKB score had increased from 31% to 79%; average word score, from 8% to 43%; and average phoneme score, from 38% to 70%. The older children were able to continue their education in their usual setting with less reliance on hearing support staff. CONCLUSION: Children with a deteriorating hearing loss caused by LVAS can derive considerable benefit from a cochlear implant.
机译：目的：本研究描述了多电极人工耳蜗假体（Cochlear; Cochlear Pty。，Lane Cove，澳大利亚）在为大前庭导水管综合征（LVAS）引起的耳聋儿童提供听力方面的有效性。研究设计：研究设计是一项回顾性研究。地点：所有儿童都参加了儿童人工耳蜗植入中心（NSW），该中心是专门为患有人工耳蜗植入的孩子提供听力测试，语音治疗，适应能力和医疗援助的中心。患者：研究了十名儿童，他们患有严重的听力损失，并且有影像学证据表明前庭导水管骨内部分宽度大于2毫米。干预措施：儿童接受了多电极（Cochlear）人工耳蜗植入物，并在术后进行了相关的设备编程和居住。尽管在7耳中打开耳囊时出现了最初的蠕动，但在任何手术中都没有遇到重大问题。主要观察指标：评估术后六个月间隔的听觉表现和学校表现。结果：所有儿童的术后听觉表现均得到改善。在6个月时，他们的平均BKB分数从31％增加到79％;平均单词分数，从8％到43％;和平均音素分数，从38％升至70％。年龄较大的孩子们可以在通常的情况下继续接受教育，而对助听器的依赖减少了。结论：由LVAS引起的听力减退的儿童可从人工耳蜗中受益。

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