耳硬化不同阶段的人工耳蜗植入术：困难与结果。

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-07-14 DOI:10.1017/S0022215125102715

Ossama Mustafa Mady, Lobna El Fiky, Badr Eldin Mostafa, Mina Fayez Saleeb, Ahmed Abdelmoneim Teaima

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引用次数: 0

摘要

目的：评价耳蜗植入术耳蜗硬化患者的耳蜗修复效果，并与耳蜗非耳蜗硬化患者的耳蜗修复效果进行比较。方法：对17例耳硬化患者的术前ct、术中表现、电极类型及治疗困难进行回顾性分析。记录并分析术后并发症、面神经刺激、电极脱位、听力学和言语预后。结果：手术困难与病情进展直接相关。该队列中未报告重大并发症。术后1年两组间无明显差异；耳硬化组平均纯音平均值为35 dB±4.43，言语接受阈值为40±4.96，言语辨别评分为80%±12.55。结论：对于镫骨术后晚期耳硬化患者，人工耳蜗植入术是一种安全有效的治疗方法。

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Cochlear implantation in different stages of otosclerosis: difficulties and outcomes.

Objective: This study is to evaluate the results obtained in a group of implanted otosclerotic patients and compare them with a matching group of non- otosclerosis cochlear implant patients.

Methods: Pre-operative computed tomographic scans, intra-operative findings, type of electrode used and difficulties of 17 patients with otosclerosis were documented. Post-operative complications, facial nerve stimulation, electrode dislocation and audiological and speech outcomes were documented and the data analysed.

Results: Surgical difficulties were directly related to the advanced stage of the disease. No major complications were reported in this cohort. No significant difference was found between both groups one year after surgery; the mean pure tone average was 35 dB ± 4.43, speech reception threshold was 40 ± 4.96 and speech discrimination score was 80 per cent ± 12.55 in the otosclerotic group.

Conclusion: Cochlear implantation is a safe and effective management for advanced otosclerosis patients even after stapes surgery.

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.