利用活跃中耳和骨传导植入体使用者的皮质听觉诱发电位:一种优化配合的客观方法。

IF 2 3区 医学 Q3 CLINICAL NEUROLOGY
Otology & Neurotology Pub Date : 2025-10-01 Epub Date: 2025-08-05 DOI:10.1097/MAO.0000000000004581
Marcus Voola, Lorenzo Vignali, Hamidreza Mojallal, Caris Bogdanov, Dayse Távora-Vieira
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引用次数: 0

摘要

目的:探讨皮质听觉诱发电位(CAEP)测量是否可用于优化主动中耳种植体(aMEI)和骨传导种植体(BCI)的拟合,以改善成人的听力结果。设计:测量caep对声场中出现的LING /OO/、/AH/和/SH/的响应。如果记录所有声音的CAEP反应,则不进行地图调整。如果一个或多个声音没有CAEP响应,则优化地图参数,直到能够诱导CAEP响应。功能结果被测量为优化前后的自适应语音噪声结果。还收集了主观反馈。结果:15例受试者中,1例被排除在研究之外,3例不需要优化,9例CAEP测量优化成功,2例无法优化。CAEP形态学比较显示,中高频音(即/AH/和/SH/)优化前后存在显著差异。语音噪声测试显示了优化前后显著的改善,参与者普遍满意整个过程。结论:这些研究结果表明,使用caep可以成功地优化中高频标记,从而显著改善听力表现。我们的研究结果支持使用CAEPs优化aMEI和BCI成人用户的匹配。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Using Cortical Auditory Evoked Potentials in Active Middle Ear and Bone Conduction Implant Users: An Objective Method to Optimize the Fitting.

Objective: The study aimed to investigate whether cortical auditory evoked potential (CAEP) measures could be used to optimize active middle ear implant (aMEI) and bone conduction implant (BCI) fitting, with the goal of improving hearing outcomes in adults.

Design: CAEPs were measured in response to LING sounds /OO/, /AH/, and /SH/ presented in sound field. If CAEP responses were recorded for all sounds, no map adjustments were performed. If a CAEP response was absent for one or more sounds, map parameters were optimized until a CAEP response could be induced. Functional outcomes were measured as pre- vs postoptimization adaptive speech-in-noise results. Subjective feedback was also collected.

Results: Of the 15 participants, one was excluded from the study, three did not need optimization, nine were successfully optimized using CAEP measurements, and two could not be optimized. Comparison of CAEP morphology showed significant differences pre- vs postoptimization for middle- and high-frequency sounds (i.e., /AH/ and /SH/). Speech-in-noise testing revealed significant improvements pre- vs postoptimization, and participants were generally satisfied with the overall procedure.

Conclusion: These findings demonstrated that middle- and high-frequency tokens could be successfully optimized using CAEPs, resulting in significant improvements in hearing performance. Our results support the use of CAEPs for the optimization of aMEI and BCI adult users' fitting.

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来源期刊
Otology & Neurotology
Otology & Neurotology 医学-耳鼻喉科学
CiteScore
3.80
自引率
14.30%
发文量
509
审稿时长
3-6 weeks
期刊介绍: ​​​​​Otology & Neurotology publishes original articles relating to both clinical and basic science aspects of otology, neurotology, and cranial base surgery. As the foremost journal in its field, it has become the favored place for publishing the best of new science relating to the human ear and its diseases. The broadly international character of its contributing authors, editorial board, and readership provides the Journal its decidedly global perspective.
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