人工耳蜗与耳鸣:文献综述及临床应用证据

Q4 Medicine

Otorhinolaryngology Clinics Pub Date : 2023-10-01 DOI:10.23736/s2724-6302.23.02486-6

Laura MARIANI, Enrica FABIANO, Ginevra PORTANOVA, Ilaria GIALLINI, Maria NICASTRI, Angela MUSACCHIO, Hilal DINCER D’ALESSANDRO, Patrizia MANCINI

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引用次数: 0

摘要

耳鸣是双侧听力损失或单侧耳聋(SSD)患者的主要主诉之一。多项研究表明，人工耳蜗植入可能对耳鸣有抑制作用。耳蜗植入(CI)在耳鸣抑制中的作用和成功程度在文献中是不同的。本综述的目的是总结关于CI对单侧/双侧CI使用者和SSD患者耳鸣感知的影响的所有重要证据和结果，并报告耳鸣的发现和目前用于优化结果的合适策略，以支持明确的咨询过程。证据获取:使用以下数据库进行全面的文献检索:PubMed, Embase, Cochrane Library, Scopus, CINAHL和Web of Science。纳入的文章发表至2022年11月，并被相关文献引用。本文对符合条件的研究和数据结果进行综述。证据综合:本综述旨在总结:耳鸣抑制的CI病理生理机制和预后因素;双侧对称性听力损失、不对称性听力损失和SSD患者的单侧和双侧植入术CI结果;耳鸣抑制中CI拟合的相关发现。最后，讨论了CI对耳鸣患者生活质量和心理状态的影响。结论:本综述是一项有针对性的贡献，旨在支持CI在耳鸣治疗中的适用性和结果的临床程序。需要进一步的研究和具体的指导方针来扩大对这一特定研究领域的认识和理解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Cochlear implant and tinnitus: a narrative literature review and evidence for clinical use

INTRODUCTION: Tinnitus is one of the major complaints in patients with bilateral hearing loss or single-sided deafness (SSD). Several studies describe that cochlear implantation may play a role in tinnitus suppression. Results in the literature are heterogeneous for the role and level of success that Cochlear Implants (CI) plays in tinnitus suppression. The purpose of this review is to summarize all of the significant evidence and outcomes documented as to CI effects on tinnitus perception in unilateral/bilateral CI users and SSD patients, as well as to report on tinnitus findings and fitting strategies currently used to optimize the results for supporting a clear counselling process.EVIDENCE ACQUISITION: A comprehensive literature search was undertaken using the following databases: PubMed, Embase, Cochrane Library, Scopus, CINAHL and Web of Science. Included articles are published through to November 2022 and referenced by relevant literature. The eligible studies and data results were summarized in this narrative review.EVIDENCE SYNTHESIS: The review was organized to deliver a summary of: CI pathophysiologic mechanisms and prognostic factors involved in tinnitus suppression; CI outcomes for both unilateral and bilateral implantation in bilateral symmetrical hearing loss, as well as in asymmetrical hearing loss and in SSD patients; the relevant findings concerning CI fitting in managing tinnitus suppression. Finally, the effects of CI on quality of life and psychological status of patients with tinnitus were addressed.CONCLUSIONS: The present review is a targeted contribution to support clinical procedures regarding the applicability and the outcomes of CI in tinnitus treatment. Further studies and specific guidelines are needed to broaden knowledge and understanding in this specific research field.

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来源期刊

Otorhinolaryngology Clinics Medicine-Otorhinolaryngology

CiteScore

0.10

自引率

0.00%

发文量

期刊介绍： Otorhinolaryngology Clinics: An International Journal is an International periodical devoted at exploring connections between clinical experience and world literature, and understanding of various pathologies and diseases related to the ear, nose and throat. Issues of recent advancements and research related to disease, illness, health and medical science are examined through various evidence-based clinical research studies. This journal proposes to serve as a collection of clinical notes, with an international perspective, along with the recent advances for postgraduates and consultants. The readership for this journal would include a wide variety of healthcare professionals, such as otolaryngologists, head and neck surgeons, ENT nurses as well as scholars and academicians in the field of medicine, trauma, surgery, etc. This journal aims to encourage the analysis of clinical data from various centers all over the world using standardized protocols to develop an international consensual perspective on the management of disorders related to the field of otorhinolaryngology. Recently, we have introduced "Case Reports", "How I Do It" and "Original Research" categories in the process of expanding the scope of the journal. Thisis a peer-reviewed journal of which three issues would be published each year. Each future issue will cover a different topic of special interest in the field of otorhinolaryngology and head and neck surgery. This issue is the first of its kind dedicated to "anesthesia in otorhinolaryngology" and contains a compilation of articles by experienced anesthesiologists dealing with a large volume of ENT and related surgeries. In each issue, the editors give their perspective based on the submitted articles. All non invited articles are peer-reviewed. Peer-revieweing helps in providing unbiased, independent, critical assessment of the results of the research study in question including the scientific process.