解放军总医院第六医学中心耳鼻咽喉头颈外科医学部/国家耳鼻咽喉疾病临床医学研究中心/听觉与平衡觉全国重点实验室 北京 100853
王倩 硕士 听力师;研究方向:听力学相关测试及听力损失干预效果评估
李佳楠,E-mail:lijianan2005@126.com
收稿:2024-10-19,
纸质出版:2025-01-15
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王倩,王淑为,于司函等.歌舞伎面谱综合征疾病特征与人工耳蜗植入[J].中国听力语言康复科学杂志,2025,23(01):30-33.
WANG Qian,WANG Shuwei,YU Sihan,et al.Cochlear Implantation in a Child with Kabuki Make-up Syndrome[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(01):30-33.
王倩,王淑为,于司函等.歌舞伎面谱综合征疾病特征与人工耳蜗植入[J].中国听力语言康复科学杂志,2025,23(01):30-33. DOI: 10.3969/j.issn.1672-4933.2025.01.008.
WANG Qian,WANG Shuwei,YU Sihan,et al.Cochlear Implantation in a Child with Kabuki Make-up Syndrome[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(01):30-33. DOI: 10.3969/j.issn.1672-4933.2025.01.008.
本文分析1例歌舞伎面谱综合征患儿临床表现和基因诊断,总结其听力语言康复效果。该患儿出生后3个月发现双耳听力差,生长发育迟缓。患儿携带KMT2D c.6109+2T
>
C(splicing)突变, 同时携带
SLC26A4 c.1286C>A(Ala429Glu)
杂合变异。人工耳蜗植入开机后3个月,患儿对林氏六音可分辨并仿说。开机后5年,SIR得分4分,CAP得分6分。人工耳蜗助听听阈范围30~35dB HL。在专业康复机构进行听力语言亲子课程,每周2次,每次40分钟。开机后3年增加康复强度,开展认知理解、感统、言语矫治、听力语言、逻辑思维课程,每周5天,每天45~60min。患儿长时纠音易引发喉炎,中午瞌睡,学语进度缓慢。构音器官力量不足,发音不清晰。后期可说简单儿歌,可进行日常简单对话。
This medical record analyzes the clinical presentation and genetic diagnosis of a child with kabuki face-spectrum syndrome
and summarizes the results of his hearing and speech rehabilitation. The child was found to have poor hearing in both ears three months after birth. Growth and development were delayed. The child carried the KMT2D c.6109+2T
>
C(splicing) mutation
as well as a heterozygous
SLC26A4 c.1286C>A(Ala429Glu)
mutation. Three months after boot-up
the child was able to discriminate and mimic the LAM six sounds. Five years after start-up
the SIR score was 4 and the CAP score was 6. Cochlear implant hearing thresholds ranged from 30 to 35 dB HL
and the child was enrolled in a 40-minute
twice-weekly hearing and speech parent-child program at a professional rehabilitation facility a
fter start-up. Three years after the start-up in the increase in the intensity of rehabilitation
cognitive understanding
sensory
speech correction
hearing speech
logical thinking courses
5 days a week
45-60min a day a course. The child's long-time sound correction is easy to cause laryngitis
dozing at noon
and slow progress in learning language. Insufficient strength of sound-constituting organs
insufficiently clear articulation. After four years
the child can speak simple children's songs and daily simple conversations.
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Richards S , Aziz N , Bale S , et al . Standards and guidelines for the interPretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology [J ] . Genet Med , 2015 , 17 ( 5 ): 405 - 424 .
Adam MP , Hudgins L , Hannibal M . Kabuki Syndrome [EB/OL ] . https://www.ncbi.nlm.nih.gov/books/NBK62111.htm https://www.ncbi.nlm.nih.gov/books/NBK62111.htm , 2024-4-25 .
Cuvertino S , Hartill V , Colyer A , et al . A restricted spectrum of missense KMT2D variants cause a multiple malformations disorder distinct from Kabuki syndrome [J ] . Genetics in Medi cine , 2020 , 22 ( 5 ): 867 - 877 .
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