Cochlear implantation in patients with Streptococcus suis meningitis: clinical characteristics and postoperative evaluation.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Zhuoyi Chen, Minqian Gao, Xiayin Huang, Xianghui Li, Xiaotong Huang, Y. Ou, Yiqing Zheng, Haidi Yang
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引用次数: 0

Abstract

BACKGROUND Hearing loss is a common sequala of Streptococcus suis (S. suis) meningitis, but few have addressed cochlear implantation (CI) candidates with S. suis meningitis. OBJECTIVES To assess the clinical characteristics and CI postoperative outcomes in S. suis meningitis patients. MATERIAL AND METHODS Eight S. suis meningitis patients underwent CI at Sun Yat-sen Memorial Hospital between 2020 and 2023. Control groups included (1) non-Suis meningitis patients (n = 12) and (2) non-meningitis patients (n = 35). Electrode impedances and neural response telemetry (NRT) thresholds were recorded at one month after surgery. The auditory performance-II (CAP) and speech intelligibility rating (SIR) were recorded at the last visit. RESULTS CAP scores of S. suis meningitis patients were significantly lower than those of non-Suis meningitis and non-meningitis patients (p = .019; p<.001). And NRT thresholds of S. suis meningitis patients were higher than those of non-Suis meningitis and non-meningitis patients (p = .006; p = .027). CONCLUSIONS AND SIGNIFICANCE It is recommended for S. suis meningitis CI candidates to undergo CI promptly after controlling infection, preferably within four to six weeks. CI users with S. suis meningitis tend to exhibit suboptimal hearing rehabilitation outcomes, possibly associated with the more severe damage on spiral ganglion cells after S. suis meningitis.
猪链球菌脑膜炎患者的人工耳蜗植入术:临床特征和术后评估。
背景听力损失是猪链球菌(S. suis)脑膜炎的常见后遗症,但很少有人研究过患猪链球菌脑膜炎的人工耳蜗植入术(CI)候选者。对照组包括(1)非苏氏脑膜炎患者(12 人)和(2)非脑膜炎患者(35 人)。术后一个月记录电极阻抗和神经反应遥测(NRT)阈值。结果猪链球菌脑膜炎患者的 CAP 评分明显低于非猪链球菌脑膜炎和非脑膜炎患者(p = .019; p<.001)。结论和意义建议猪链球菌脑膜炎 CI 候选者在控制感染后及时进行 CI,最好在四到六周内进行。患有猪链球菌脑膜炎的人工耳蜗使用者往往听力康复效果不佳,这可能与猪链球菌脑膜炎后螺旋神经节细胞受损较严重有关。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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