最新刊期

    卷 22 , 期 4 , 2024

      Expert Forum

    • Cochlear Implants for Special Cases

      PAN Tao
      Vol. 22, Issue 4, Pages: 337-339(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.001
      摘要:Since the 1980s, multi-channel cochlear implants have entered clinical application and cochlear implantation has entered a mature clinical application stage. Cochlear implantation surgery has become a relatively mature ear surgery. For conventional cochlear implantation, the surgical difficulty is not high and the postoperative effect is relatively certain. Special cases of cochlear implant include cochlear implants for inner ear malformations, for abnormal auditory nerve, for patients with otitis media and middle ear cholesteatoma, for cochlea ossification, for patients with unilateral and asymmetric hearing loss, and cochlear implant reimplantation. For special cases of cochlear implantation, there is a high surgical risk and recognizable uncertainty in the efficacy. This article elaborates on the relevant issues related to cochlear implantation in the above-mentioned special cases.  
      关键词:Sensorineural hearing loss;Cochlear implant;Special case;Electrical stimulation of auditory evoked potential   
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    • ZHANG Bao-lin
      Vol. 22, Issue 4, Pages: 340-341(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.002
      摘要:The five papers in this key column were written by some teachers in deaf schools to study specific issues in teaching. The study closely combines the actual situation and characteristics of deaf students acquiring written Chinese language, and is meticulous and in-depth, achieving meaningful research conclusions. It further deepens the understanding of the research topic and has strong guiding significance and reference value for teaching.  
      关键词:Deaf students;Chinese special sentence structures;Acquisition research;Corpus   
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      Cochlear Implantation in Special Cases

    • XIONG Shan, PAN Tao
      Vol. 22, Issue 4, Pages: 342-345(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.003
      摘要:A cochlear implant is an effective method to treat severe-to-profound sensorineural deafness. Cochlear ossification was once considered a contraindication to cochlear implant because of the obliteration of the cochlea by fibrous tissue or bone neoformation. However, with the development of cochlear rehabilitation technology, cochlear implantation has become an effective treatment for patients with cochlear ossification. This article reviews the pathogenesis, imaging evaluation, surgical strategy, and the outcome of cochlear implantation in cases with cochlear ossification.  
      关键词:Cochlear ossification;Cochlear implantation   
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    • WANG Yu, LIN Yi-peng, LU Zhao-yi, PAN Tao, YIN Li, GAO Shan-xian
      Vol. 22, Issue 4, Pages: 346-350(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.004
      摘要:ObjectiveThis study aimed to investigate the effects of different test parameters on the waveforms of electrically evoked auditory brainstem responses (EABR), to select the optimized EABR test parameters after cochlear implantation, and to explore the relationship between EABR and behavioral test results after cochlear implantation.MethodsThe study included 17 Nurotron cochlear implant recipients. The characteristics of the EABR, such as the occurrence rate, threshold, and latency of wave V, were recorded and analyzed for stimulation at different electrode positions, pulse intervals, and alternating/non-alternating biphasic pulse currents. The correlation between EABR threshold and behavioral T and C values at different electrode positions was also analyzed.ResultsThe threshold of EABR wave V at the apex of the cochlea (90.58±27.39 CU) was significantly lower than that at the middle turn (106.98±15.66 CU). The latency of wave V at the apex of the cochlea (4.47±0.357 ms) was significantly shorter than that at the middle turn (4.72±0.335 ms). The amplitude of the electrical artifact using alternating biphasic pulse current (9.40±12.35 μV) was significantly smaller than that using non-alternating pulse (19.49±15.12μV). The threshold of EABR at the apex of the cochlea was significantly correlated with the T value and C value of the behavioral test.ConclusionThe stimulation electrode position and pulse current type both affect the waveforms of EABR. The apex stimulation is more likely to evoke the ideal EABR waveforms than the middle turn, and the use of alternating biphasic pulse current stimulation can effectively reduce the impact of electrical artifacts. The EABR threshold can provide a reference for the activation and mapping after cochlear implantation.  
      关键词:Electrically evoked auditory brainstem response;Cochlear implantation;Pluse interval;Electrode position;Alternating biphasic pulse currents   
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    • LU Zhao-yi, PAN Tao, WANG Yu, MA Fu-rong
      Vol. 22, Issue 4, Pages: 351-355(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.005
      摘要:ObjectiveTo study the temporal factors affecting the electrically evoked auditory middle latency response (EMLR) after cochlear implantation, including age at implantation, post-implantation duration, and present age, in order to investigate the effects of different temporal factors in the process of auditory remodeling.MethodsForty-six patients who underwent cochlear implantation at the ENT Department, Peking University Third Hospital between 2008 and 2014 were tested for EMLR after surgery. Differences in EMLR between pre-lingual children and post-lingual adults were compared, as well as the effects of temporal factors such as present age, age at implantation, and post-implantation duration on EMLR in pre-lingual children.ResultsThe latencies and intervals were generally longer and the inter-peak amplitudes were generally larger in the pre-lingual children than in the adults, with statistically significant differences (P<0.05) in Po, Na, Pa, Nb, and Pb latencies, PoNa, NaPa, and PaNb intervals, and PoNa, NaPa, PaNb, and NbPb inter-peak amplitudes on EMLR. In pre-lingual children, Pa and Nb latencies and NaPa intervals showed significant negative correlations with present age and post-implantation duration, and positive correlations with age at implantation (P<0.05).ConclusionThere were significant differences in EMLR between pre-lingual children and post-lingual adults. In pre-lingual children, older age, longer post-implantation duration, and younger age at implantation corresponded to more mature EMLR waveforms, suggesting the importance of the above factors in the process of auditory remodeling.  
      关键词:Electrically evoked auditory middle latency response (EMLR);Cochlear implant;Auditory evoked potential (AEP);Auditory remodeling   
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    • ZHANG Zhi-li, JIANG Zhuang, LI Peng-jun, XIAO Nian-ci, ZHOU Shui-hong
      Vol. 22, Issue 4, Pages: 356-360(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.006
      摘要:ObjectiveThis study aims to present the indications, surgical techniques, and management of complications associated with cholesteatoma excision and cochlear implantation in patients with profound sensorineural hearing loss.MethodsThis retrospective analysis included 7 patients treated from June 2022 to October 2023 in our department, who had profound sensorineural hearing loss associated with cholesteatoma. These patients received cochlear implantation surgeries after complete excision of the cholesteatoma. We analyzed the reasons for choosing surgical plans, the surgical techniques employed, and the management of postoperative complications. The patients' postoperative rehabilitation conditions were also tracked and observed.ResultsOne patient received only 8 electrodes due to cochlear ossification exceeding 360°, while all other patients successfully received the full set of electrodes. As of now, except for the first patient who was followed up for 6 months, the other patients were followed up for 12 to 20 months. None of the patients experienced complications such as electrode exposure, displacement, surgical cavity infection, facial paralysis, or cholesteatoma recurrence. The first patient with partial electrode implantation has hearing but poor speech function, whereas the other patients showed significant improvement in hearing function and were satisfied with the use of the cochlear implant device.ConclusionFor patients with cholesteatoma and profound sensorineural hearing loss, it is feasible to perform cochlear implantation early after complete excision of the cholesteatoma.  
      关键词:Cochlear implantation;Cholesteatoma;Sensorineural hearing loss   
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    • XIE Yu-fei, PAN Tao, MA Fu-rong, WANG Yu, LU Zhao-yi
      Vol. 22, Issue 4, Pages: 361-365(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.007
      摘要:ObjectiveTo investigate the correlation between cortical auditory evoked potentials (CAEP) and auditory behavior grading-II (CAP-II), as well as the Speech Intelligibility Rating (SIR) standards in children with cochlear implantation (CI) under different electrode stimulation sites, and their influencing factors, to provide further basis for the clinical application of CAEP.MethodsCAEP tests were conducted on 26 CI children under different stimulation sites, and CAP-II and SIR scores were collected. A correlation analysis was performed between the P1 and N1 waves of CAEP and the auditory speech scale, and possible influencing factors were explored.Results1) Under stimulation at the apical electrode, the age of implantation was positively correlated with the P1 latency (r=0.423, P<0.05), 2) The age of implantation was negatively correlated with CAP-II scores (r=-0.520, P<0.01), the ages of implantation and post-switch-on time were negatively correlated with SIR scores (r=-0.409, P<0.05; r=0.481, P<0.05), 3) Under stimulation at the basal electrode, the P1 latency was negatively correlated with CAP-II (r=-0.445, P<0.05).ConclusionThere is a correlation between CAEP and the auditory speech scale, and different stimulation sites can influence this correlation. The earlier the age of implantation and the longer the post-switch-on time, the more mature the auditory speech development.  
      关键词:Cochlea implant;Cortical auditory evoked potential;Auditory speech scale   
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    • LIU Yong-zhi, ZHAO Yuan-yuan, JIA Xin, WEN Jia-kang
      Vol. 22, Issue 4, Pages: 366-368(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.008
      摘要:ObjectiveTo explore the correlation between SARS-CoV-2 infection and local flap infection in cochlear implantation surgery, so as to understand the impact of novel coronavirus infection on cochlear implantation surgery.MethodsA retrospective analysis of 163 patients (divided into children and adults) who underwent cochlear implant surgery in our hospital from May 2020 to March 2023. Compare the differences between the study group (patients who have been infected with SARS-CoV-2) and the control group (uninfected patients) with local flap infection after cochlear implantation. The groups: (1) For Children's group of 1-18 years old, there were 44 in the study group and 64 in the control group. (2) Adult group: 18-67 years old, including 31 in the research group and 24 in the control group.ResultsThere were 10 people with flap infection in the study group, with a incidence of 13.33% (10/75); while there were only 2 people in the control group, with a incidence of 2.27% (2/88). There is a significant difference between the two groups (P=0.017<0.05).After stratification by age, 6 people with skin flap infection occurred in the children's research group, with a incidence of 13.64% (6/44); only 1 person with flap infection in the control group had 1.56% (1/64); therefore, there was a significant difference between the study group and the control group in children (P=0.035<0.05). In adults, 4 people in the study group had skin flap infection and 1 person in the control group; there was no significant difference between the two groups (P=0.519>0.05).The degree of skin flap infection and the time of infection were analyzed. 1. In the study group, 4 children were generally infected in the early stage, with an infection rate of 9.09% (4/44); 2 people with long-term severe infection, with an infection rate of 4.55% (2/44). Only one person in the child control group had an early general infection, with an infection rate of 1.56% (1/64); there was no early and long-term serious infection. 2. The adult research group generally infected 3 people in the early stage, with an incidence rate of 9.67% (3/31); 1 person with a long-term severe infection, with an incidence rate of 3.23% (1/31). There was only one case of early general infection in the adult control group, with a incidence rate of 4.17% (1/24); there was no early and long-term severe infection. There was no significant difference between the research group and the control group, and between different age groups in the time of infection and the degree of flap infection (P>0.05).ConclusionSARS-CoV-2 infection increases the risk of local flap infection after cochlear implantation surgery; and the risk is relatively higher in children.  
      关键词:SARS-CoV-2 infection;Cochlear implant surgery;Local skin flap infection;Implant removal   
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      A Corpus\-Based Study of Special Chinese Sentences for Hearing\-Impaired Students

    • A Corpus-based Errors Study on the "ba" Sentence by Deaf Students

      WANG Yu-ling, YANG Chun-yan, LI Ruo-nan
      Vol. 22, Issue 4, Pages: 369-374(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.009
      摘要:ObjectiveBased on corpus, this paper makes an objective analysis of errors and reasons in the Ba sentence of deaf students in the compulsory education stage.MethodsWe collected, annotated and counted the Ba sentence corpus of 67 deaf students in the compulsory education stage in Beijing, identified the types of errors and the distribution of errors among deaf students of various language types, discussed the reasons for their occurrence.ResultsThe types of errors are: internal errors (190 sentences/65.75%)>should be used but not used (67 sentences/26.64%)>should not be used but used (22 sentences/7.61%). The accuracy of the Ba sentence for deaf students of various language types, from high to low, is as follows: sign language is as good as oral>oral proficiency>sign language and oral are both average>sign language proficiency>not good at sign language and oral.ConclusionThe grammatical errors of the Ba sentence in hearing-impaired students are influenced by various factors: hearing impairment as the fundamental cause of errors. The insufficient understanding of the usage conditions and rules of the "ba" sentence is the direct reason for the errors, insufficient understanding of the differences between sign language and Chinese is an important reason for errors.  
      关键词:Deaf students;The Ba sentences;Error analysis;Corpus   
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    • A Corpus-based Errors Study on Chinese Jianyu Sentences by Deaf Students

      CHEN Tian-tian, WANG Yu-ling, LI Ruo-nan
      Vol. 22, Issue 4, Pages: 375-378(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.010
      摘要:ObjectiveBased on a self built corpus, we analyze the errors and causes of Chinese Jianyu Sentences among deaf students.MethodsCollected, organized, annotated, statistically analyzed and analyzed the Chinese language corpus naturally produced by 67 deaf students in compulsory education in Beijing.ResultsThe types of sentence errors among deaf students included internal errors (90.09%), inappropriate use (6.60%), and inappropriate use (3.30%). The usage rate of grades 7-9 gradually increased, but the accuracy rate gradually decreased. The usage rate of sign language advantage deaf students (0.19%) was higher than that of oral advantage deaf students (0.16%), and its accuracy rate (49.33%) was lower than that of oral advantage deaf students (59.09%). The usage rate of hand mouth average difference was the lowest (0.12%), and the accuracy rate was the lowest (26.32%). The usage rate of hand mouth average difference deaf students (0.24%) and accuracy rate (67.80%) were both high.ConclusionThe reasons that affect the acquisition level of simultaneous language sentences by deaf students include hearing impairment, insufficient teaching, complexity of simultaneous language verbs and syntax, and differences in sign language Chinese. We recommend teaching based on the characteristics of Chinese Jianyu Sentences and the difficulties in learning for deaf students, and teaching for students of different language types.  
      关键词:Deaf students;Chinese Jianyu Sentences;Error analysis;Corpus   
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    • CHEN Tian-tian, WANG Yu-ling
      Vol. 22, Issue 4, Pages: 379-382(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.011
      摘要:ObjectiveBased on a self built corpus, we analyze the errors and causes of the "Shi... de" ⅡSentence among deaf students.MethodsCollected, organized, annotated, and statistically analyzed the Chinese language corpus naturally produced by 77 deaf students in compulsory education in Beijing.Results(1) Deaf students' "Shi... de" ⅡSentence Error types included internal error (93.51%), use that should not be used (5.19%), use that should be used but not used (1.30%). (2) The usage rate of grades 7-9 gradually increasesd, but the error rate was relatively high. (3) The usage rate (0.082%) and error rate (60.20%) of sign language advantage deaf students were higher than those of oral advantage deaf students (0.034%/42.86%), and the usage rate of hand mouth average difference was the lowest (0%).ConclusionThe factors affecting the acquisition level of the "shi... de" Ⅱ Sentence by deaf students include hearing impairment, insufficient teaching, difficulty in mastering syntactic and functional expressions, and differences between sign language and Chinese. Suggestion teaching based on the characteristics and difficulties of sentence structures. Teaching for students of different language types.  
      关键词:Deaf students;The "shi... de" Ⅱ Sentence;Error analysis;Corpus   
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    • A Corpus-based Errors Study on the "You" Sentence by Deaf Students

      CHEN Ling-yun, YANG Chun-yan, YANG Fei-yan, WANG Yu-ling
      Vol. 22, Issue 4, Pages: 383-387(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.012
      摘要:ObjectiveBased on corpus, this paper makes an analysis of errors and reasons in the "You" sentence of deaf students.MethodsCollected, annotated, and statistically analyzed corpus of the "You" sentence by 67 deaf students in compulsory education.Results(1) The distribution of error types in the "You" sentence by deaf students included internal errors (57.72%), should be used but not used (24.39%), and should not be used but used (17.89%).(2) The error rates of deaf students across different language types were as follows, from highest to lowest: Sign and oral language poor (46.30%) > Sign language dominant (36.84%) > Oral language dominant (21.86%) > Sign and oral language general (19.35%) > Sign and oral language proficient (17.39%).ConclusionThe influencing factors of errors include differences in the usage of "You" between sign language and Chinese, the semantic and structural characteristics of the "You" construction itself, and the proficiency level of deaf in Chinese language.  
      关键词:Deaf students;The "You" sentences;Error analysis;Corpus   
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    • A Corpus-based Errors Study on the "Shi" Sentence by Deaf Students

      CHEN Ling-yun, LU Xue-fei, WANG Yu-ling, YANG Chun-yan
      Vol. 22, Issue 4, Pages: 388-392(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.013
      摘要:ObjectiveBased on the corpus, this paper makes an analysis of errors and reasons in the "Shi" sentence of deaf students.MethodsCollected the corpus of "Shi" sentences of 67 deaf students in compulsory education, and annotated, analyzed it.Results(1)The error types of "Shi" sentences of deaf students were: internal errors (349/70.79%)> should be used but not used (72/14.60%)=should not be used but used(72/14.60%). (2) The frequency of using "Shi" sentences, from highest to lowest, was as follows: Grade 9>Grade 8>Grades 3-6>Grade 7. (3) The accuracy rate from high to low was Grade 8>Grade 7>Grade 3-6>Grade 9.ConclusionThe factors that influence the errors of deaf students in "Shi" sentences include the restriction of the characteristics of the "Shi" sentence and the lack of knowledge of Chinese language. The characteristics of sign language are different from Chinese grammar.  
      关键词:Deaf students;The "Shi" sentences;Error analysis;Corpus   
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      Clinical Research

    • MENG Chao, GUO Qian-qian, LV Jing, QI Bei-er, CHEN Xue-qing
      Vol. 22, Issue 4, Pages: 393-396(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.014
      摘要:ObjectiveTo explore the tone recognition of preschool children with normal hearing and children with cochlear implant under different testing conditions.Methods50 preschool children participated in this study. They were divided into a normal hearing group and cochlear implant group based on whether their hearing was normal. Among them, there were 13 males and 14 females in the normal hearing group, with age of 54.98 ± 9.62 months ,13 males and 10 females in the cochlear implant group, with age of 55.83 ± 12.96 months. The test method was developed by the Ohio University . All subjects were tested for tone recognition in three test environments: quiet environment, speech spectrum noise (SSN) and two-talker babbles (TTB), the signal-to-noise ratio under the two noise environments were - 6dB, 0 dB, + 6 dB and + 12dB.ResultsUnder the same test conditions, the tone recognition scores of children in the normal hearing group were higher than those in the cochlear implant group, and the difference was statistically significant (P<0.05). In the normal hearing group , tone recognition scores were higher in SSN compared with TTB and the differences were statistically significant (P<0.05). In the cochlear implant group, only under the condition of SNR=0 for SSN and TTB had statistically significant difference (P<0.05).ConclusionUnder different testing conditions, tone recognition in preschool children with normal hearing is better than that in cochlear implant children. The type of noise has an impact on tone recognition in children with normal hearing and cochlear implant children.  
      关键词:Tone recognition;Noise;Cochlear implant;Normal-hearing children   
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      Review

    • LUO Wei, SHI Yang, ZHANG Qing-su
      Vol. 22, Issue 4, Pages: 397-401(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.015
      摘要:ObjectiveTo investigate and analyze the current situation of treatment for children with speech and language disorders in China.MethodsFrom November 2022 to May 2023, a survey was conducted among practitioners engaged in speech therapy to investigate the content and form of speech therapy for children with speech and language disorders in China.ResultsA total of 679 valid questionnaires were collected. Rehabilitation therapists accounted for 64.06% of the children's speech therapy practitioners who participated in the survey. Among the children with speech and language disorders who received intervention, the proportion of speech disorders caused by language development delay, motor dysarthria caused by cerebral palsy and articulation disorders was high, which were 22.20%, 14.80% and 13.60% respectively. The main problems in children's speech therapy included the lack of a nationally unified standardized assessment tool to determine children's language disorders and the lack of systematic and standardized treatment methods, accounting for 12.30% and 12.20% respectively.ConclusionLanguage development delay is the main type of speech and language disorder in children in China. There are some problems in speech therapy for children in China, such as uneven development among regions, a lack of specialist rehabilitation doctors, and standardized evaluation tools and standardized treatment methods and so on.  
      关键词:Children with speech and language disorders;Speech therapy;Investigation of current situation   
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    • QIAN Ting-rui, XIAO Yong-tao
      Vol. 22, Issue 4, Pages: 402-405(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.016
      摘要:As a new human-computer interaction technology, the virtual reality technology is widely used in the field of rehabilitation, but there are few studies on the application of hearing and speech rehabilitation. This paper collects relevant data by searching domestic and foreign literature, summarizes the research progress of virtual reality technology in hearing and speech rehabilitation, and aims to provide ideas for related clinical practice and research.  
      关键词:Virtual reality technology;Hearing and speech rehabilitation;Research progress   
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    • DUAN Bei-lei, WANG Lin-e
      Vol. 22, Issue 4, Pages: 406-408(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.017
      摘要:Cervical vestibular evoked myogenic potentials (cVEMPs) are originated from the saccule and entered the center through the inferior vestibular nerve to stimulate the contraction of the ipilateral sternocleidomastoid muscle, reflecting the function of the ipilateral saccule and the integrity of the vestibulo-neck reflex pathway. The saccule function of patients with sensorineural deafness is decreased to some extent, this article summarizes the influencing factors of cVEMPs results and the characteristics of cVEMPs results in patients with sensorineural deafness of different etiologies.  
      关键词:Cervical vestibular evoked myogenic potentials;Saccule function;Sensorineural deafness   
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    • LI Lu, WANG Lin-e
      Vol. 22, Issue 4, Pages: 409-412(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.018
      摘要:Meniere's disease (MD) is a common otogenic vertigo disease characterized by episodic vertigo, fluctuating hearing loss, tinnitus, and a feeling of fullness in the ears. At present, the etiology is unknown, and its main pathological characteristics are endolymphatic hydrops caused by the imbalance between endolymphtic production and absorption.Endolymphatic hydrops is visualized by endolymphatic gadolinium.Endolymphatic hydrops leads to decreased vestibular function, and abnormal parameters of cervical vestibular induced myogenic potentials. The purpose of this article is to summarize the application value of the two methods in Meniere's disease and analyze the correlation between them, so as to further summarize the relationship between morphological and functional changes of Meniere's disease, and better apply them to clinical practice to guide the diagnosis and treatment of Meniere's disease.  
      关键词:Meniere's disease;Cervical vestibular evoked myogenic potentials;Endolymphatic hydrops   
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      Rehabilitation Education

    • GONG Jing, SHI Ming-xu, LI Xiao-wei
      Vol. 22, Issue 4, Pages: 413-416(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.019
      摘要:ObjectiveThis study was to investigate the effects of Beckman oral muscle training combined with parent-child co-reading interaction on the language function of hearing-impaired children.Methods80 hearing-impaired children admitted to our hospital from February 2021 to February 2023 were analyzed and divided into a study group (receiving Beckman oral muscle training combined with parent-child co-reading interactive intervention) and a control group (receiving routine language rehabilitation intervention) with 40 cases each by random number table method. The auditory ability, language function, intelligence level and family life quality of the two groups were compared before and after intervention.ResultsAfter treatment, the monosyllabic recognition, natural sound recognition, speech recognition and number recognition of the two groups were superior to those before treatment, and the monosyllabic recognition, natural sound recognition, speech recognition and number recognition of the experimental group were superior to those of the control group, with statistical significance (P<0.05). After treatment, the communicative ability, grammatical ability, comprehension ability and expression ability of the two groups were better than those before treatment, and the communicative ability, grammatical ability, comprehension ability and expression ability of the experimental group were better than those of the control group, with statistical significance (P<0.05). The adaptability and language behavior of the two groups were better than before treatment, and the adaptability and language behavior of the experimental group was better than that of the control group, the difference was statistically significant (P<0.05). The quality of life, influence on family and parental expectation of the two groups were better than those before treatment, and the quality of life, influence on family and parental expectation of the test group were better than those of the control group, with statistical significance (P<0.05).ConclusionBeckman oral muscle training combined with parent-child co-reading interaction can improve the language function of hearing-impaired children, and can be applied in clinical practice.  
      关键词:Beckman oral muscle training;Parent-child co-reading interaction;Hearing impairment children;Language function   
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    • WU Li-rong, ZHUANG Xiang-xiang, LEI Shan-shan, CHEN Shu-ying, ZHU Bin-bin
      Vol. 22, Issue 4, Pages: 417-419(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.020
      摘要:ObjectiveTo explore the influence of Problem-Based Learning Parent Training Model in home-kindergarten co-education for hearing-impaired children.Methods52 hearing-impaired children were trained as participants and divided into problem-based learning parent training and regular model parent training with 26 participants each group. A questionnaire survey, parents interviews, and evaluation survey method were used to evaluate the auditory and language in of parents before, 6 months, and 12 months of training in home-kindergarten co-education, and analyze the comprehensive effectiveness of the two parent training models in home-kindergarten co-education for hearing-impaired children.ResultsBefore the training, there was no statistically significant difference in the auditory ability score and language ability score between the problem-based learning parent training mode group and the normal training mode group of hearing-impaired children (P>0.05). After six months of training, there were statistically significant differences in auditory ability and language ability scores between the two groups (P<0.05). After one year (12 months) of training, there were significant statistical differences in auditory ability language ability scores between the two groups (P<0.01). The auditory and language development scores of hearing-impaired children in the problem-based learning parent training model group were significantly higher than the ordinary training model group after 0-6 months, 7-12 months, and 0-12 months (P<0.05). About 90.2% of the interviewees agreed with the problem-based learning parent training model.ConclusionThe problem-based learning parent training model of home-kindergarten co-education is beneficial for improving the effectiveness of family rehabilitation and enhancing the auditory and language abilities of hearing-impaired children.  
      关键词:Problem-based;Home-kindergarten co-education;Parental training;Hearing-impaired children   
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    • YU Jin-yu, JIANG Yao-feng
      Vol. 22, Issue 4, Pages: 420-423(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.021
      摘要:ObjectiveTo compare the differences in aided hearing thresholds and speech recognition rates between the later-implanted and the first-implanted sides in children after staged bilateral cochlear implantation (CI), analyze the factors affecting the rehabilitation outcomes of the later-implanted side versus the first-implanted side.Methodsthe aided hearing thresholds and speech recognition rates of ten preschool CI children were tested for both the first-implanted and later-implanted sides, with differences compared using paired t-tests. Pearson correlation analysis was used for the correlation between the speech recognition rate of the first implanted side and the second implanted side, as well as the age of intial implantation and the time interval between implantation.ResultsAfter one month of operation on the post-implantation, the aided hearing threshold of the later-implanted side essentially reached the level of the first-implanted side (25.78±5.65 dB HL), and there was a significant difference in speech recognition rates between the later-implanted side at 9 months operation and the first-implanted side at 24 months operation (P<0.05). There was a significant negative correlation between the speech recognition rate at 24 months operation on the first implanted side and the age of the first implantation age (r=-0.695, P<0.05), and there was a significant negative correlation between the speech recognition rate at 6 months and 9 months on the second implanted side operation and the implantation interval time (r=-0.743, P<0.05, r=-0.793, P<0.05).ConclusionThe rehabilitation process of the later-implanted side is faster, and the speech recognition rate is affected by factors such as age, implantation interval time, aided hearing effects, and speech intelligibility.  
      关键词:Cochlear implantation;Staged bilateral;Rehabilitation outcomes   
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    • DIAO Zhen, GE Fang, WANG Meng-ya, ZHANG Yan-ru, CHU Peng-fei
      Vol. 22, Issue 4, Pages: 424-426(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.022
      摘要:ObjectiveTo explore the effects of emotional regulation on rehabilitation time in patients with hearing impairment during speech rehabilitation.MethodsIn the randomized controlled trial, 140 patients with hearing impairment were enrolled and divided into an experimental group and a control group with 70 case in each group. The experimental group was given psychological intervention, while control group was given speech rehabilitation training without psychological intervention. The effects of psychological intervention were analyzed by comparing verbal definition ability, emotional state and rehabilitation time between the two groups.ResultsVerbal definition ability and emotional state in the experimental group were better than those in the control group, and rehabilitation time was significantly shortened (P<0.05).ConclusionEmotional regulation plays an important role in speech rehabilitation for patients with hearing impairment. Psychological intervention can effectively improve verbal ability, emotional state and shorten rehabilitation time.  
      关键词:Hearing impairment;Speech rehabilitation;Emotional regulation;Psychological intervention   
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    • SHAO Li-tong, LU Ya-jie, JI Jing, ZHAO Dan, ZHANG Ying
      Vol. 22, Issue 4, Pages: 427-432(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.023
      摘要:ObjectiveTo systematically evaluate the effect of family intervention on children with language development delay/language disorder.MethodsWe searched PubMed, Web of science, CNKI, VIP and Wanfang databases. Comparative studies on family interventions for children with language development delay/language disorders were included. Meta-analysis of the main outcome indicators was performed using Stata 15.0 software.Results2430 articles were retrieved and 22 were finally included in this analysis, including 1472 participants. The results of meta-analysis showed that: (1) after family intervention, the language development quotient (P<0.001), language acceptance ability (P<0.001), language expression ability (P<0.001) and vocabulary (P<0.001) were significantly higher than that before intervention. (2) Compared with traditional language training and non-intervention control group, family intervention had obvious advantages in improving children's language ability (P<0.05).ConclusionThe family intervention model has a significant effect on children with language development delay/language disorder, which can effectively improve the language level and communication ability of children, and is worthy of widely application.  
      关键词:Family intervention;Developmental delay;Language disorder;Meta-analysis   
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      Basic Research

    • ZHANG Si, WANG Lin-e, LIU Pan, ZHENG Wen-rui, ZHU Zhen, DUAN Bei-lei
      Vol. 22, Issue 4, Pages: 433-437(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.024
      摘要:ObjectiveTo investigate the effect of opening round window membrane on auditory function in healthy guinea pigs.MethodThirty healthy guinea pigs (60 ears) were anesthetized by inhalation of isoflurane. Otocyst was opened and round window film was opened. Auditory brainstem response (ABR), electrocochleogram (ECochG), electrically evoked auditory brainstem responses(EABR) and electroevoked compound action potentials (ECAP) was recorded before and after the round window membrane was opened. And statistical analysis was performed.ResultsIn 54 ears of guinea pigs, well-differentiated and stable waveforms of ABR, ECochG, EABR and ECAP were recorded. The ABR thresholds before and after opening round window membrane were 36.67±7.76 dB SPL and 98.81±10.74 dB SPL, the difference between them was statistically significant (P<0.05). The ECochG thresholds before and after opening round window membrane were 28.73±9.72 dB SPL and 68.48±11.21 dB SPL, the difference between them was statistically significant (P<0.05); The EABR thresholds before and after opening round window membrane were 0.21±0.05 mA and 0.30±0.07 mA, and the difference between them was statistically significant (P<0.05); The ECAP thresholds before and after opening round window membrane were 0.35±0.11 mA and 0.46±0.13 mA, and the difference between them was statistically significant (P<0.05).ConclusionBefore and after open round window membrane, the auditory function of healthy guinea pigs showed obvious changes, which showed hearing loss.  
      关键词:Opening round window membrane;Healthy guinea pigs;ABR;ECochG;EABR;ECAP   
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      Post Education

    • Psychophysical Measures of Cognitive Assessment after Cochlear Implant

      XIA Yu-qi, LIU Yu-he
      Vol. 22, Issue 4, Pages: 438-442(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.025
      摘要:Cognition is closely related to hearing. The assessment of cognitive functions after cochlear implantation is of great importance. Psychophysical measures are an important method for evaluating cognitive abilities, which include various scales and behavioral tests. This article summarizes the psychophysical measures of cognitive assessment after cochlear implant, including different cognitive constructs (intelligence, executive function, memory, language, attention, and visuospatial, etc.), hoping to develop a comprehensive understanding of the cognitive abilities of cochlear implant users.  
      关键词:Cochlear implant;Cognitive function;Psychophysical measures   
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      Autism Rehabilitation

    • LIU Ping, GAO Rui-xin, HUANG Fu-biao
      Vol. 22, Issue 4, Pages: 443-446(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.026
      摘要:ObjectiveTo observe the effect of therapeutic listening combined with occupational therapy on fine motor skills and activities of daily living in children with autism spectrum disorder(ASD).MethodsFrom April, 2022 to April, 2023, Beijing Bo'ai Hospital, 2.6-6 children with 38 cases, randomly divided into a trial group (n=19) and control group (n=19). Both groups received basic rehabilitation treatment and accupational therapy, the control group receive therapeutic listening on the basis of routine treatment for 10 weeks. The Pediatric Evaluation of Disability Inventory (PEDI), Peabody Developmental Motor Scales 2 (PDMS-2), and Autism Behavior Checklist(ABC) scales were the used to evaluate both groups before and after treatment.ResultsAfter treatment, the PEDI score, PDMS-2 grip score, and PDMS-2 visual motor integration score of the two groups significantly increased, while the ABC score significantly decreased. The treatment effect of the experimental group was significanty better than that of the control group (P<0.05).ConclusionTherapeutic listening combined with Occupational therapy can better promote the development of fine motor movements and the improvement of daily living ability in children with ASD.  
      关键词:Therapeutic listening;Occupational therapy;Autism spectrum disorder;Fine motor;Daily living ability   
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      Conference Report

    • Report on the 8th Beijing International Audiology Conference in 2024

      JAING Chun, ZHAO Qian, XUE Jing, YU Li-mei, XING Ya-jing
      Vol. 22, Issue 4, Pages: 447-448(2024) DOI: 10.3969/j.issn.1672-4933.2024.04.027
        
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