Indian Journal of Otolaryngology and Head and Neck Surgery最新文献_第2页

The Intratemporal Course Variations of Facial Nerve in Wet Cadaveric Temporal Bones. 湿尸颞骨面神经颞内走行变化。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-07-01 Epub Date: 2025-05-16 DOI: 10.1007/s12070-025-05571-9

Umang Aggarwal, Prashant H Patil, B P Belaladavar, Dhivya Bharathi

{"title":"The Intratemporal Course Variations of Facial Nerve in Wet Cadaveric Temporal Bones.","authors":"Umang Aggarwal, Prashant H Patil, B P Belaladavar, Dhivya Bharathi","doi":"10.1007/s12070-025-05571-9","DOIUrl":"10.1007/s12070-025-05571-9","url":null,"abstract":"The facial nerve is highly tortuous and has the longest course through a bony canal among all body nerves. Its course shares similarities and variations with other middle ear structures, making it susceptible to iatrogenic injuries during ear surgeries. This study aims to analyse the facial nerve's course and variations through the temporal bone, observing average morphometric values in relation to surrounding structures. Conducted at KLES Dr. Prabhakar Kore Hospital, Belagavi, this study utilized 25 wet cadaveric temporal bones obtained from fresh cadavers at J. N. Medical College. Dissections were performed to study the facial nerve's course and its variations, along with morphometric comparisons to other intratemporal structures. The greatest variation was found in the depth of the second genu, measured by adding the short process of incus to the spine of Henle and short process of incus to the second genu, ranging from 12.6 mm to 19.2 mm. The lengths of the mastoid (9.80 mm) and tympanic segments (5.71 mm) were relatively consistent. The processus cochleariformis was a reliable landmark for the tympanic segment. Isolated facial nerve anomalies are rare and typically occur with other middle ear developmental anomalies. Minute morphometric variations, however, can lead to iatrogenic injuries. While advanced imaging aids in identifying these variations, temporal bone dissection remains crucial for otologists to avoid injuries and address nerve pathologies effectively.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2556-2561"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of Threshold Estimation Using Click and LS CE-Chirp Stimuli with Behavioral Thresholds in Adults with Noise Induced Hearing Loss. 成人噪声性听力损失的咔哒声和LS CE-Chirp刺激阈值估计与行为阈值的比较。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-07-01 Epub Date: 2025-05-16 DOI: 10.1007/s12070-025-05534-0

Farzad Hamzehpour, Zahra Sharafi, Ebrahim Pirasteh

{"title":"Comparison of Threshold Estimation Using Click and LS CE-Chirp Stimuli with Behavioral Thresholds in Adults with Noise Induced Hearing Loss.","authors":"Farzad Hamzehpour, Zahra Sharafi, Ebrahim Pirasteh","doi":"10.1007/s12070-025-05534-0","DOIUrl":"10.1007/s12070-025-05534-0","url":null,"abstract":"Aims: The present study was designed to compare the threshold estimation with Auditory brainstem responses (ABRs) using two stimuli, click and LS CE-Chirp and behavioral thresholds in men with noise induced hearing loss (NIHL).Materials and methods: The ABR test was performed for 32 men, with a mean age of 36.06 years and moderate hearing loss in high frequencies. Threshold was considered as the lowest intensity at which wave V could be identified and reproduced in two repeated measurements. For data analysis, Wilcoxon test was used for comparing the thresholds obtained from the two stimuli and spearman's test assessed the relationship between behavioral thresholds and those recorded by two stimuli.Results: The mean wave V threshold for the LS CE-Chirp stimulus was significantly lower than that for the click stimulus (P-value = 0.001). Also, there was a significant positive correlation between the threshold of two stimuli with the behavioral threshold of 1000 to 4000 Hz (P-value = 0.001). However, the correlation of behavioral threshold with LS CE-Chirp was higher than the Click stimulus in the 500 to 3000 Hz.Conclusions: The present study demonstrated that threshold estimation with LS CE-Chirp stimulus can be obtained with a higher correlation and smaller difference from behavioral threshold in mid and low frequencies. Therefore, LS CE-Chirp can be used as a valuable stimulus for more accurate threshold estimation in individuals with noise induced hearing loss who do not cooperate in conventional pure-tone audiometry and referred to otolaryngologists for forensic follow-ups related to compensation claims.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2494-2499"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Estimation of Candida, Glycogen Content and Cytomorphometric Analysis of Oral Exfoliated Cells in Diabetes Mellitus - A Prospective Case Control Study. 糖尿病患者口腔脱落细胞中念珠菌、糖原含量的测定及细胞形态分析——一项前瞻性病例对照研究。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-07-01 Epub Date: 2025-05-22 DOI: 10.1007/s12070-025-05550-0

Ajay Kumar Verma, Mala Kamboj, Deepak Jain, Anjali Narwal, Anju Devi

{"title":"Estimation of Candida, Glycogen Content and Cytomorphometric Analysis of Oral Exfoliated Cells in Diabetes Mellitus - A Prospective Case Control Study.","authors":"Ajay Kumar Verma, Mala Kamboj, Deepak Jain, Anjali Narwal, Anju Devi","doi":"10.1007/s12070-025-05550-0","DOIUrl":"10.1007/s12070-025-05550-0","url":null,"abstract":"Diabetes mellitus, a common chronic endocrine-metabolic condition causes cellular alterations in oral exfoliated cells. The present study aimed to assess the cytomorphometric changes, candidal carriage and glycogen content in oral exfoliated cells of type 2 diabetes mellitus (DM). The prospective study included a sample of 70 subjects divided equally into type 2 DM patients and healthy controls. Cytological smears obtained from the right buccal mucosa and dorsal surface of the tongue were stained using Papanicolaou stain for cytomorphometric analysis and Periodic Acid Schiff stain to detect glycogen. Data obtained was statistically analyzed using unpaired t and Pearson correlation test. The p-value of < 0.001 was considered significant. The mean nuclear area was significantly higher (p-value 0.00) in type 2 DM at both sites whereas the mean cytoplasmic area decreased which was significant in the tongue (p-value 0.00) only. Overall, the cytoplasmic to nuclear ratio was also decreased. A significant increase in PAS-positive cells was observed at both sites of type 2 DM as compared to the controls (p-value 0.00). The presence of candida was also higher in type 2 DM patients in both buccal mucosa and tongue. Diabetes mellitus can produce significant site specific cellular changes within the oral epithelium. These cytomorphometric changes along with glycogen content and candidal carriage provide a holistic picture of the oral mucosal cells in diabetic patients.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2535-2542"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Oral Involvement in Cysticercosis: A Rare Case Report. 囊尾蚴病累及口腔：罕见病例报告。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-07-01 Epub Date: 2025-05-20 DOI: 10.1007/s12070-025-05554-w

Aishwarya Birader, Manu S Babu, Mayur Ingale

{"title":"Oral Involvement in Cysticercosis: A Rare Case Report.","authors":"Aishwarya Birader, Manu S Babu, Mayur Ingale","doi":"10.1007/s12070-025-05554-w","DOIUrl":"10.1007/s12070-025-05554-w","url":null,"abstract":"Cysticercosis is a parasitic infection caused by the larval stage of the tapeworm Taenia solium. The larval stage, known as Cysticercus cellulosae, can lodge in various tissues of the body, with the most common sites being the brain, eyes, and skeletal muscles. Oral cysticercosis is considered a rare occurrence, and a precise clinical diagnosis is not usually established. We present a case of cysticercosis on the buccal mucosa of a patient and review of the relevant literature. A 21-year-old female patient presented with a swelling on the cheek that had been present for about three years. The lesion was painless and had shown a slow rate of growth was treated surgically and post op antihelminthic drugs. Surgical excision remains the mainstay of treatment for localized cysticercosis, followed by antiparasitic medication like Albendazole and Praziquantel to prevent recurrence or dissemination. Prompt recognition and early, proactive treatment of cysticercosis are always advantageous, as they help avoid unnecessary surgical interventions and ensure a favorable outcome for the patient.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2674-2678"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Unusual Late Parotid Metastasis of Nasopharyngeal Carcinoma 10 Years After Curative Treatment. 鼻咽癌治愈后10年罕见的晚期腮腺转移。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-07-01 Epub Date: 2025-05-20 DOI: 10.1007/s12070-025-05573-7

Majd Werda, Rania Laajailia, Chadha Ben Amar, Omar Walha, Ilheme Charfeddine

引用次数: 0

Assessing the Need for Retraining ENT Residents in Fiberoptic Laryngoscopy through Skill Lab Sessions. 通过技能实验室课程评估对耳鼻喉科住院医师纤维喉镜再培训的需求。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-07-01 Epub Date: 2025-05-13 DOI: 10.1007/s12070-025-05494-5

Ravi Meher, Raman Sharma, Devendra Mishra, Dinesh Kumar

{"title":"Assessing the Need for Retraining ENT Residents in Fiberoptic Laryngoscopy through Skill Lab Sessions.","authors":"Ravi Meher, Raman Sharma, Devendra Mishra, Dinesh Kumar","doi":"10.1007/s12070-025-05494-5","DOIUrl":"10.1007/s12070-025-05494-5","url":null,"abstract":"Fiberoptic laryngoscopy is a critical skill for ENT residents, especially in cases where conventional laryngoscopy is ineffective. Although hands-on training under faculty supervision is common, it carries risks such as patient discomfort and complications. Skill lab training mitigates these risks, but skill decay over time remains a concern. This study evaluates skill retention in fiberoptic laryngoscopy over a two-month period without practice and the necessity of retraining. A prospective study was conducted at Maulana Azad Medical College with 24 ENT residents. After ethical approval, participants underwent a standardized didactic session and hands-on mannequin-based training. Proficiency was assessed using an objective checklist. After two months without practice, skill retention was reassessed without retraining. A paired t-test and effect size analysis were used for statistical evaluation. The mean proficiency score declined from 15.70 (SD ± 2.95) to 13.70 (SD ± 2.80) (p < 0.001), demonstrating significant skill decay. A strong effect size (Cohen's d = 1.08) highlighted the clinical relevance of this decline. While some residents maintained proficiency, others showed substantial deterioration, with five residents losing 4-6 points. A strong positive correlation (r = 0.79) between initial and follow-up scores suggested that higher initial proficiency predicted better retention. Fiberoptic laryngoscopy skills decline significantly over two months, underscoring the need for periodic refresher training. Personalized retraining, simulation-based learning, and structured continuing education could help mitigate skill loss and enhance long-term competency.Supplementary information: The online version contains supplementary material available at 10.1007/s12070-025-05494-5.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2449-2453"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rhinoplasty in a Patient with Collapsed Nose Secondary to Granulomatosis with Polyangiitis: A Case Report. 鼻整形术治疗继发于肉芽肿病合并多血管炎的塌鼻1例。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-07-01 Epub Date: 2025-05-16 DOI: 10.1007/s12070-025-05545-x

Shubham Agarwal, Nishant Gupta

引用次数: 0

The Necessity of Surgical Repair in Recurrent Spontaneous CSF Rhinorrhoea After Failed Conservative Management: A Prospective Clinical Study. 保守治疗失败后复发性自发性脑脊液鼻漏手术修复的必要性：一项前瞻性临床研究。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-07-01 Epub Date: 2025-05-22 DOI: 10.1007/s12070-025-05532-2

Varun Jerath, Srujan Vallur, S K Singh, Vikas Gupta, Rajeev Chugh, Abha Kumari, Sanjay Kumar

{"title":"The Necessity of Surgical Repair in Recurrent Spontaneous CSF Rhinorrhoea After Failed Conservative Management: A Prospective Clinical Study.","authors":"Varun Jerath, Srujan Vallur, S K Singh, Vikas Gupta, Rajeev Chugh, Abha Kumari, Sanjay Kumar","doi":"10.1007/s12070-025-05532-2","DOIUrl":"10.1007/s12070-025-05532-2","url":null,"abstract":"Spontaneous cerebrospinal fluid (CSF) rhinorrhoea, often linked to benign intracranial hypertension (BIH), arises from skull base defects and carries a risk of serious complications such as meningitis. While acetazolamide can temporarily reduce intracranial pressure, recurrence remains problematic. This prospective study aims to assess the relationships between body mass index (BMI), defect size, disc edema severity, and recurrence duration, and to compare outcomes of conservative versus surgical management. A prospective observational study was conducted on 30 adults with spontaneous CSF rhinorrhoea from November 2021 to October 2023. Initial treatment involved oral acetazolamide (250 mg thrice daily); patients with recurrence underwent endoscopic endonasal repair. All surgical patients received two doses of the pneumococcal vaccine, 8 weeks apart. Associations between BMI, defect size, disc edema, and recurrence duration were analysed using Pearson's correlation coefficient. Mean BMI was 26.63, and mean defect size was 7.37 mm. Moderate positive correlations were observed between BMI and recurrence duration (r = 0.45, p = 0.018), and between disc edema and recurrence duration (r = 0.52, p = 0.004). A weak yet significant correlation was found between defect size and recurrence duration (r = 0.38, p = 0.032). Conservative management failed in all cases; recurrence occurred in 100% of patients, necessitating surgical repair, which achieved a high success rate with minimal postoperative recurrence. Acetazolamide offers temporary relief but fails to prevent recurrence. Early surgical intervention is recommended in spontaneous CSF rhinorrhoea to ensure better long-term outcomes and reduce the risk of complications, particularly in patients with elevated BMI or advanced papilledema.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2487-2493"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

India's First Non-contact Low-Cost Facial Nerve Monitor for Micro Ear Surgery: A Step Toward Affordable Healthcare Solutions. 印度首个用于微耳手术的非接触式低成本面神经监测仪：向负担得起的医疗保健解决方案迈进了一步。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-07-01 Epub Date: 2025-05-16 DOI: 10.1007/s12070-025-05498-1

Arya Sree R Nair, Anand Velusamy, Aishwarya Anand, Sridurga Janarthanan, Harisharan Ramesh, Thilak Chakaravarthi

{"title":"India's First Non-contact Low-Cost Facial Nerve Monitor for Micro Ear Surgery: A Step Toward Affordable Healthcare Solutions.","authors":"Arya Sree R Nair, Anand Velusamy, Aishwarya Anand, Sridurga Janarthanan, Harisharan Ramesh, Thilak Chakaravarthi","doi":"10.1007/s12070-025-05498-1","DOIUrl":"10.1007/s12070-025-05498-1","url":null,"abstract":"To assess the effectiveness of a newly designed, non-contact facial nerve monitor as a cost-efficient alternative to conventional nerve monitors with facial electrodes, particularly under local anesthesia, without compromising patient safety or outcomes. Pilot study involving 49 patients aged 3-59 years, who underwent otologic surgery from December 2023 to September 2024. Five patients underwent surgery monitored by both the non-contact device and the Medtronic NIM-2, allowing comparative analysis. After calibration to industry standards, the non-contact monitor was tested on 44 additional patients, and used alone to identify the facial nerve's location and bone depth. In this study, all enrolled patients were confirmed to have no pre- operative facial palsy/paresis, establishing a uniform baseline for facial nerve function. The noncontact facial nerve monitor successfully identified the vertical segment of the facial nerve in all patients, demonstrating its reliability in nerve localization. Additionally, the noncontact monitor consistently detected the second genu, even in cases without nerve dehiscence, and accurately traced the entire horizontal segment across all patients. Adjustments in current stimulation with the monitor provided comparable accuracy to existing monitors, allowing for an approximation of bone thickness around the nerve. These results confirm our monitor's effectiveness and compatibility in identifying key facial nerve segments, offering a cost-effective and affordable alternative. Our non-contact facial nerve monitor provides a practical, affordable alternative to traditional systems, effectively identifying critical nerve segments and bone depth under a microscope. It is suitable for small private and government healthcare settings, addressing the need for accessible, low-cost surgical tool.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2454-2460"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Music Abilities and Speech Perception in Indian Pediatric Cochlear Implant Users: A Comparative Study. 印度儿童人工耳蜗使用者的音乐能力和语言感知：一项比较研究。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-07-01 Epub Date: 2025-05-14 DOI: 10.1007/s12070-025-05513-5

Parul Sud, Sanjay Kumar Munjal, Naresh Panda, Manju Mohanty

{"title":"Music Abilities and Speech Perception in Indian Pediatric Cochlear Implant Users: A Comparative Study.","authors":"Parul Sud, Sanjay Kumar Munjal, Naresh Panda, Manju Mohanty","doi":"10.1007/s12070-025-05513-5","DOIUrl":"10.1007/s12070-025-05513-5","url":null,"abstract":"Aims: The present study aimed to understand the music perception and speech perception skills of pediatric cochlear implant (CI) recipients and the effect of age on the music perception skills of cochlear implant users.Material: The aided word recognition score (WRS) was calculated using the Picture Speech Identification (PSI) test for Children in Hindi. The short version of the Montreal Battery of Evaluation of Musical Abilities in Childhood (MBEMA) was administered to assess music perception abilities in children.Method: Musical melodies were computer-generated with a duration of 3-4 s. Each trial consisted of a target and a comparison melody separated by a 1.5 ms silent interval. The listener's task was to decide whether the target melody and comparison melody were the same or different at the end of each presentation. All test stimuli were presented on a laptop using free-field speakers in a sound-treated room.Results: The normal-hearing subjects performed significantly better than the CI recipients on all three subtests of music perception (p <.001). Kendall's tau-b correlation suggests a strong positive correlation between melody, rhythm perception, and memory with word recognition. Age was not found to be a significant predictor of music perception.Conclusion: Decoding music into its essential rhythm, melody, and timbre elements is a valuable approach for understanding cochlear implant-mediated music perception. Professionals can understand the fundamental aspects of musical perception and identify the areas in which implant users experience great difficulty.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2461-2466"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0