Hearing Preservation Cochlear Implant Surgery.

Q2 Medicine
Advances in Oto-Rhino-Laryngology Pub Date : 2018-01-01 Epub Date: 2018-04-06 DOI:10.1159/000485544
Iain A Bruce, Ingo Todt
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引用次数: 8

Abstract

Cochlear implantation (CI), with attempted preservation of residual natural low-frequency hearing, is an increasingly accepted application of this technology, with potential benefits to the patient when listening in noise and in music appreciation. The full extent of the benefits of combining preserved natural hearing and electrical stimulation remain under evaluation. Various factors appear to influence the success of hearing preservation (HP) during CI, including electrode design, surgical approach, insertional trauma, steroid usage and patient factors. Currently, combining or contrasting outcomes of CI with attempted HP is difficult due to the use of heterogeneous outcome measures. Until we have a full understanding of the benefits of preserving residual low-frequency hearing during CI, there is merit in attempting to preserve all residual hearing. Likewise, preserving residual low-frequency hearing is a useful surrogate marker for atraumatic electrode design and insertion.

听力保护人工耳蜗手术。
人工耳蜗植入术(Cochlear implantation, CI)是一种越来越被接受的人工耳蜗技术应用,其目的是试图保留残余的自然低频听力,这对患者在噪音环境下聆听和欣赏音乐有潜在的好处。保留自然听力和电刺激相结合的全部益处仍在评估中。各种因素似乎影响了CI期间听力保存(HP)的成功,包括电极设计、手术入路、插入创伤、类固醇使用和患者因素。目前,由于使用异质结果测量方法,很难将CI和HP的结果结合或比较。在我们充分了解CI期间保留残余低频听力的好处之前,尝试保留所有残余听力是有价值的。同样,保留残余的低频听力是一个有用的替代标记,用于无创性电极设计和插入。
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来源期刊
Advances in Oto-Rhino-Laryngology
Advances in Oto-Rhino-Laryngology Medicine-Otorhinolaryngology
自引率
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期刊介绍: Material for each volume in this series has been skillfully selected to document the most active areas of otorhinolaryngology and related specialties, such as neuro-otology and oncology. The series reproduces results from basic research and clinical studies pertaining to the pathophysiology, diagnosis, clinical symptoms, course, prognosis and therapy of a variety of ear, nose and throat disorders. The numerous papers correlating basic research findings and clinical applications are of immense value to all specialists engaged in the ongoing efforts to improve management of these disorders. Acting as a voice for its field, the series has also been instrumental in developing subspecialities into established specialities.
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