A Case of Long Term Follow up of Cochlear Implantation Sided Deafness Patients

JIANG Zi-gang; WANG Jin-ping; ZHAO Dong; LI Chun-jiao

doi:10.3969/j.issn.1672-4933.2023.05.009

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A Case of Long Term Follow up of Cochlear Implantation Sided Deafness Patients

Preoperative Evaluation and Postoperative Outcome Assessment of Cochlear Implant | 更新时间：2023-11-03

- A Case of Long Term Follow up of Cochlear Implantation Sided Deafness Patients
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 21, Issue 5, Pages: 486-488(2023)
- 作者机构：
  
  1.秦皇岛市第一医院耳科秦皇岛 066000
  2.秦皇岛市第一医院老年病科秦皇岛 066000
  3.河北北方学院研究生院张家口 075000
  4.河北北方学院附属秦皇岛市第一医院秦皇岛 066000
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2023.05.009
  CLC：
- Published：15 September 2023，
  
  Received：01 July 2023，
- 稿件说明：
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姜子刚,王金平,赵东等.单侧聋人工耳蜗植入长期随访1例[J].中国听力语言康复科学杂志,2023,21(05):486-488.

JIANG Zi-gang,WANG Jin-ping,ZHAO Dong,et al.A Case of Long Term Follow up of Cochlear Implantation Sided Deafness Patients[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):486-488.
姜子刚,王金平,赵东等.单侧聋人工耳蜗植入长期随访1例[J].中国听力语言康复科学杂志,2023,21(05):486-488. DOI： 10.3969/j.issn.1672-4933.2023.05.009.

JIANG Zi-gang,WANG Jin-ping,ZHAO Dong,et al.A Case of Long Term Follow up of Cochlear Implantation Sided Deafness Patients[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):486-488. DOI： 10.3969/j.issn.1672-4933.2023.05.009.

摘要

目的

探讨单侧聋（single-sided deafness，SSD）成人患者人工耳蜗植入远期效果。以为单侧聋患者人工耳蜗植入适应症提供借鉴和参考。

方法

选择一例单侧聋20年成人进行人工耳蜗植入，随访其残余听力、言语识别率、声源定位能力、以及言语空间和听觉质量主观量表（SQQ）。

结果

该患者术后残余听力早期保持良好，但五年后残余听力未能保留。言语识别率随术后随访时间延长而有所提升，但没达到较高水平。声源定位能力随时间有所改善。随访SQQ量表可以看出SSD患者人工耳蜗植入后对于言语理解、空间听觉、声音聆听能力都有所帮助，尤其对于空间听觉帮助较大。

结论

SSD患者人工耳蜗植入后，可以改善患者噪声下的言语识别率与声源定位能力及生活质量。建议进一步大样本研究，为SSD患者人工耳蜗植入适应症提供科学依据。

Abstract

Objective

To investigate the long-term effects of cochlear implantation in adult patients with single-sided deafness(SSD). To provide reference for the indications of cochlear implantation in patients with SSD.

Methods

An adult with SSD for 20 years was selected for cochlear implantation and followed up on residual hearing

speech recognition rate

sound source localizability

and subjective scale of speech spatial and auditory quality (SQQ).

Results

The patient's residual hearing remained good early on but was not preserved after five years. Speech recognition rates improved with longer follow-up after surgery

but did not reach a high level. Sound source localizability has improved over time. Follow-up SQQ scale shows that cochlear implantation in SSD patients is helpful for speech comprehension

spatial hearing

and sound listening ability

especially for spatial hearing.

Conclusion

After cochlear implantation in SSD patients

it can improve the speech recognition rate

sound source localization ability and quality of life of patients under noise. Further large studies are recommended to provide a scientific basis for the indication for cochlear implantation in SSD patients

to provide scientific basis for the indications for cochlear implantation in SSD patients.

关键词

单侧聋人工耳蜗声源定位言语识别

Keywords

Single-sided deafnessCochlear implantLocalization of sound sourcesSpeech recognition

references

Heyning P, Vermeire K, Diebl M, et al. Incapacitating unilateral tinnitus in single-sided deafness treated by cochlear implantation[J].The Annals of otology rhinology and laryngology,2008,117(9):645-652.

Valente M. Executive summary:evidence-based best practice guideline for adult patients with severe-to-profound unilateral[J]. Jorinal of the American Acadermy of Audiology,2015,26(7):605-606.

刘锦峰,戴金升,王宁宇.单侧听觉剥夺对声源定位通路影响的研究进展[J].中华耳鼻咽喉头颈外科杂志, 2017, 52(2):136-142.

Martin TP, Lowther R, Cooper H, et al. The bone-anchored hearing aid in the rehabilitation of single-sided deafness:experience with 58 patients[J] . C1inical otolaryngology,2010,35(4): 284-290.

Golub Justin S. ; Lin Frank R, et al. Prevalence of adult unilateral hearing loss and hearing aid use in the United States[J]. The Laryngoscope,2018,128(7):1681-1686.

Weaver J. Single-Sided Deafness: Causes and Solutions, take many forms[J] . The Hearing Journal,2015,68(3):20-24.

Martin TP, Lowther R, Cooper H, et al. The bone-anchored hearing aid in the rehabilitation of single-sided deafness:experience with 58 patients[J] . Clinical Otolaryngology,2010,35(4):284-290.

Bernstein JGW, Stakhovskaya OA, Jensen KK, et al. Acoustic Hearing Can Interfere With Single-Sided Deafness Cochlear-Implant Speech Perception. Ear Hear. 2020,41(4):747-761.

Tavora-Vieira, Dayse, De Ceulaer, Geert, et al.Cochlear implantation improves localization ability in patients with unilateral deafness[J]. Ear and Hearing,2015,36(3):93-98.

Firszt JB, Holden LK, Reeder RM, et al. Auditory abilities after cochlear implantation in adults with unilateral deafnes: A pilot studys[J].Otology and Neurotology,2012,33(8):1339-1346.

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