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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Cochlear implantation in patients with substantial residual hearing.
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Cochlear implantation in patients with substantial residual hearing.

机译：人工耳蜗植入患者有大量残余听力。

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摘要

OBJECTIVES: Cochlear implantation is an effective means for providing auditory rehabilitation in adult patients with severe to profound sensorineural hearing loss. It has been hypothesized that patients with substantial, preoperative residual hearing would be excellent cochlear implant candidates because of surviving neural populations and a lack of auditory deprivation. The purpose of this study is to describe the outcomes of patients with substantial residual hearing who have undergone cochlear implantation. STUDY DESIGN: Retrospective chart review of patients with substantial preoperative residual hearing who underwent cochlear implantation. METHODS: Chart reviews were completed for patients with substantial residual hearing who underwent cochlear implantation (City University of New York Sentence Test [CUNY] > 60%, Hearing in Noise Test sentences presented in quiet [HINTQ] > 50%, or Consonant-Nucleus-Consonant [CNC] > 20% in the ear to be implanted). Preoperative and postoperative measures of audiologic performance as well as complications were assessed. RESULTS: All 12 patients who met inclusion criteria ultimately surpassed their preoperative aided performance level after implantation and gained significant benefit from their cochlear implant. At 6 months postimplantation, mean CUNY, HINTQ, and CNC scores were 93%, 78%, and 48% in the implant ear alone, respectively. However, progress was slower than expected for many patients, and at least one patient took 1 year to surpass his preoperative performance level. There were no complications from surgery in this selected group of patients. CONCLUSIONS: Patients with some degree of residual hearing do benefit from cochlear implantation. However, there may be an initial decline in performance as compared with preoperative levels. This decline is overcome in time in this patient population. These patients need to be counseled accordingly.
机译：目的：人工耳蜗是一种有效的方法，可为患有严重到严重的感音神经性听力损失的成年患者提供听觉康复。据推测，由于神经群体尚存且缺乏听觉剥夺，具有大量术前残余听力的患者将是出色的人工耳蜗植入物。这项研究的目的是描述接受人工耳蜗植入的具有大量残余听力的患者的预后。研究设计：回顾性图表回顾了接受人工耳蜗植入的术前残留大量听力的患者。方法：对于接受了人工耳蜗植入的具有大量残余听力的患者，完成了图表审查（纽约城市大学句子测试[CUNY]> 60％，安静听觉测试中的听力测试句子[HINTQ]> 50％或辅音） -植入耳朵的辅音[CNC]> 20％）。评估了听觉功能和并发症的术前和术后措施。结果：所有符合入选标准的12名患者在植入后均最终超过了术前辅助性能水平，并从人工耳蜗中获得了显着的收益。植入后6个月，仅植入物耳朵的CUNY，HINTQ和CNC评分分别为93％，78％和48％。但是，许多患者的进展慢于预期，并且至少一名患者花了1年时间才能超过术前表现水平。在这部分患者中没有手术并发症。结论：具有一定程度残余听力的患者确实可以从人工耳蜗中受益。但是，与术前水平相比，性能可能会出现最初的下降。该下降在该患者人群中被及时克服。这些患者需要相应地咨询。

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