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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
姜子刚,E-mail:jzgwjp258@sina.com
纸质出版日期:2023-09-15,
收稿日期:2023-07-01,
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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.
目的
2
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
2
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
2
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
2
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。
Objective
2
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
2
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
2
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
2
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.
单侧聋人工耳蜗声源定位言语识别
Single-sided deafnessCochlear implantLocalization of sound sourcesSpeech recognition
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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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