西藏地区Waardenburg综合征患者基因突变及人工耳蜗植入术后听觉言语康复效果分析

徐驰宇; 卢宇; 边片; 肖璇; 袁慧军; 潘滔; 巴罗

doi:10.3969/j.issn.1672-4933.2023.05.002

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西藏地区Waardenburg综合征患者基因突变及人工耳蜗植入术后听觉言语康复效果分析

人工耳蜗术前评估和术后疗效评估 | 更新时间：2023-11-03

- 西藏地区Waardenburg综合征患者基因突变及人工耳蜗植入术后听觉言语康复效果分析
- Gene Variant Analysis of Patients with Waardenburg Syndrome in Tibet and the Effect of Hearing and Speech Rehabilitation after Cochlear Implantation
- 中国听力语言康复科学杂志 2023年21卷第5期页码：456-462
- 作者机构：
  
  1.北京大学第三医院耳鼻咽喉头颈外科北京 100191
  2.西藏自治区人民医院耳鼻咽喉科拉萨 850000
  3.四川大学华西医院罕见病研究院成都 610044
- 作者简介：
  
  徐驰宇博士副主任医师；研究方向：聋病分子诊断、鼻内镜外科
  巴罗，E-mail：tibetbaluo_2021@163.com
- 基金信息：
  
  西藏自治区自然科学基金组团式医学援藏项目［XZ2020ZR-ZY08（Z）］
- DOI：10.3969/j.issn.1672-4933.2023.05.002
  中图分类号：
- 纸质出版日期：2023-09-15，
  
  收稿日期：2023-06-13，
- 稿件说明：
移动端阅览
徐驰宇,卢宇,边片等.西藏地区Waardenburg综合征患者基因突变及人工耳蜗植入术后听觉言语康复效果分析[J].中国听力语言康复科学杂志,2023,21(05):456-462.

XU Chi-yu,LU Yu,BIAN Pian,et al.Gene Variant Analysis of Patients with Waardenburg Syndrome in Tibet and the Effect of Hearing and Speech Rehabilitation after Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):456-462.
徐驰宇,卢宇,边片等.西藏地区Waardenburg综合征患者基因突变及人工耳蜗植入术后听觉言语康复效果分析[J].中国听力语言康复科学杂志,2023,21(05):456-462. DOI： 10.3969/j.issn.1672-4933.2023.05.002.

XU Chi-yu,LU Yu,BIAN Pian,et al.Gene Variant Analysis of Patients with Waardenburg Syndrome in Tibet and the Effect of Hearing and Speech Rehabilitation after Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):456-462. DOI： 10.3969/j.issn.1672-4933.2023.05.002.

摘要

目的

分析中国西藏地区一Waardenburg综合征家系的临床特征及致病基因，总结Waardenburg综合征患者人工耳蜗植入术后听觉言语康复效果。

方法

采集该家系成员的病史、体格检查、听力及影像学等临床资料，利用已知耳聋基因目标区域高通量测序和Sanger测序验证，进行耳聋致病基因分析与鉴定。通过电话随访调查患者人工耳蜗术后听觉言语康复效果，使用量表包括听觉行为分级（CAP）、言语可懂度分级（SIR）、有意义听觉整合量表（MAIS）、有意义言语使用量表（meaningful use of speech scale，MUSS）。结合文献回顾，分析Waardenburg综合征患者人工耳蜗术后康复效果。

结果

该患儿表现为重度感音神经性耳聋，伴虹膜异色，皮肤异常，诊断为II型Waardenburg综合征。高通量测序及Sanger测序验证结果显示患儿携带

SOX10

基因c.409Adel杂合突变，患儿父母均未携带此突变，考虑为基因突变导致，该突变此前尚未报道。患儿人工耳蜗术后9年听觉言语康复效果良好，CAP、SIR分级分别为6级、4级，MAIS、MUSS评分分别为37分、32分。

结论

本研究发现1例西藏地区II型Waardenburg综合征患者新发

SOX10

基因突变位点c.409Adel，丰富了中国藏族人群致聋基因突变谱。Waardenburg综合征患者人工耳蜗术后远期听觉言语康复效果满意。

Abstract

Objective

To analyze the clinical features and pathogenic genes variant of a family of Waardenburg syndrome in Tibet

China

and review relevant literatures to summarize the effects of hearing and speech rehabilitation in patients with Waardenburg syndrome after cochlear implantation.

Methods

The medical history

physical examination

hearing

imaging and other clinical data of the family members were collected in detail

and the disease-causing genes of deafness were analyzed and identified by high-throughput sequencing and Sanger sequencing. The effect of hearing and speech rehabilitation after cochlear implantation was investigated by telephone follow-up. The methods include Categories of Auditory Performance (CAP) and Speech Intelligibility Rating (SIR)

the Meaningful Auditory Integration Scale (MAIS) and the Meaningful Use of Speech Scale (MUSS). Based on the literature review

the rehabilitation effect of postoperative cochlear implantation in patients with Waardenburg syndrome was analyzed.

Results

The child presented with severe sensorineural deafness accompanied by heterochromia of iris and abnormal skin

and was diagnosed as Waardenburg syndrome type II. High-throughput sequencing and Sanger sequencing confirmed that the child carried a heterozygotic variant of

SOX10

gene c.409Adel

and neither of the child's parents carried this variant

which was considered to be caused by a genetic variant. This had not been reported before. 9 years after cochlear implantation

the child had good hearing and speech rehabilitation results. The CAP and SIR Grades were 6 and 4 respectively

and the MAIS and MUSS scores were 37 and 32 respectively.

Conclusion

This study found a novel

SOX10

gene variant site c.409Adel in a patient with type II Waardenburg syndrome in Tibet

which enriched the genetic variant spectrum of deafness in Tibetan population in China. Patients with Waardenburg syndrome had satisfactory hearing and speech rehabilitation after cochlear implantation in long-term.

关键词

Waardenburg综合征SOX10基因人工耳蜗植入

Keywords

Waardenburg syndromeSOX10 geneCochlear implantation

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