MIAO Yan,CUI Li-Na,YE Hong.A Case Report - Current Stimulation in Cochlear Implant Mapping[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(04):373-376.
MIAO Yan,CUI Li-Na,YE Hong.A Case Report - Current Stimulation in Cochlear Implant Mapping[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(04):373-376.DOI: 10.3969/j.issn.1672-4933.2023.04.010.
电流刺激量降低后,患儿康复效果进步明显,助听听阈25~30 dB HL,听觉能力评估量表(CAP)达7级,言语可懂度分级量表(SIR)达5级。
结论
2
人工耳蜗术后精准及个性化调机至关重要,既要重视刺激量不足,也要避免刺激量过高。
Abstract
Objective
2
To analyze the hearing and speech ability of a cochlear implant child before and after cochlear implant mapping
and to emphasize the importance of precise mapping
and avoid excessive current stimulation.
Method
2
The child had cochlear implant for one year and four months with poor rehabilitation effect
although sound detection was good
accurate hearing and speech articulation was poor. CAP (categories of auditory performance) and SIR (speech intelligibility of rate) were adopted. CAP was 5 and SIR was 1. CI mapping was found that the T-Level and C level were all too high
especially for the band of high frequencies. We made precise mapping
and reduced the level of current stimulation
.
Result
2
After the precise mapping
the rehabilitation effect made remarkable progress
CAP was 7 and SIR was 5.
Conclusion
2
The precise and personalized mapping after cochlear implantation is very important. Not only should we pay attention to the lack of stimulation
Jace Wolfe , Eric C. Schafer , programming Cochlear Implants [M ] . San Diego : Plural publishing, Inc , 2015 . 107 - 115 .
Chan-Junga Chang , Chuan-Hunga Sun , Chuan-Jen Hsu , et al . Cochlear implant mapping strategy to solve difficulty in speech recognition [J ] . Journal of the Chinese Medical Association , 2022 , 85 ( 8 ): 874 - 879 .