Hearing preservation and clinical outcome of 32 consecutive electric acoustic stimulation (EAS) surgeries.
Hearing preservation and clinical outcome of 32 consecutive electric acoustic stimulation (EAS) surgeries.
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DOI：
10.3109/00016489.2014.894254
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发表时间：
2014-07
影响因子：
1.4
通讯作者：
Tono T
中科院分区：
文献类型：
--
作者：
Usami S;Moteki H;Tsukada K;Miyagawa M;Nishio SY;Takumi Y;Iwasaki S;Kumakawa K;Naito Y;Takahashi H;Kanda Y;Tono T
我们的研究结果表明，电声刺激（EAS）是有益的日语患者，包括那些在较低频率的残余听力较少。对于残余听力较少的患者，结果相当，表明目前EAS的听力学标准可以扩展。成功的听力保留结果，以及这些患者残余听力丧失的渐进性，意味着在人工耳蜗植入（CI）手术中微创完全插入中/长电极是一种理想的解决方案。事实上，通过EAS手术获得的微创概念对所有CI患者都至关重要。本研究旨在评价使用中/长电极进行听力保留手术的听力保留结果和言语辨别结果。在30例日本患者（2例为双侧病例）中，包括残留听力较少的患者，共进行了32次连续微创听力保留CI（使用圆窗入路，并深插柔性电极）。听力保留率以及言语辨别/感知评分在多中心基础上进行了研究。完全插入柔性电极（24 mm，31.5 mm）后的术后评估显示，所有32耳的残余听力均保留良好。在所有患者中，术后言语辨别和感知评分均得到改善。
Our results indicated that electric acoustic stimulation (EAS) is beneficial for Japanese-speaking patients, including those with less residual hearing at lower frequencies. Comparable outcomes for the patients with less residual hearing indicated that current audiological criteria for EAS could be expanded. Successful hearing preservation results, together with the progressive nature of loss of residual hearing in these patients, mean that minimally invasive full insertion of medium/long electrodes in cochlear implantation (CI) surgery is a desirable solution. The minimally invasive concepts that have been obtained through EAS surgery are, in fact, crucial for all CI patients. This study was conducted to evaluate hearing preservation results and speech discrimination outcomes of hearing preservation surgeries using medium/long electrodes. A total of 32 consecutive minimally invasive hearing preservation CIs (using a round window approach with deep insertion of a flexible electrode) were performed in 30 Japanese patients (two were bilateral cases), including patients with less residual hearing. Hearing preservation rates as well as speech discrimination/perception scores were investigated on a multicenter basis. Postoperative evaluation after full insertion of the flexible electrodes (24 mm, 31.5 mm) showed that residual hearing was well preserved in all 32 ears. In all patients, speech discrimination and perception scores were improved postoperatively.
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影响因子：
1.4
作者：
Usami S;Miyagawa M;Nishio SY;Moteki H;Takumi Y;Suzuki M;Kitano Y;Iwasaki S
通讯作者：
Iwasaki S
影响因子：
1.2
作者：
Prentiss, Sandra;Sykes, Kevin;Staecker, Hinrich
通讯作者：
Staecker, Hinrich
影响因子：
1.4
作者：
Skarzynski, Henryk;Lorens, Artur;Szkielkowska, Agata
通讯作者：
Szkielkowska, Agata
影响因子：
1.4
作者：
Usami S;Moteki H;Suzuki N;Fukuoka H;Miyagawa M;Nishio SY;Takumi Y;Iwasaki S;Jolly C
通讯作者：
Jolly C
影响因子：
1.4
作者：
Erixon, Elsa;Kobler, Susanne;Rask-Andersen, Helge
通讯作者：
Rask-Andersen, Helge