Cochlear implant outcomes in patients with Meniere's disease: a large case series.
Cochlear implant outcomes in patients with Meniere's disease: a large case series.
复制标题
梅尼埃病患者的人工耳蜗植入结果：大型病例系列。
DOI：
10.1080/14670100.2022.2112998
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发表时间：
2022
影响因子：
--
通讯作者：
Kanona H
中科院分区：
文献类型：
--
作者：
Kanona H
目的进行匹配的队列研究，以评估梅尼埃病（MD）患者是否需要更密集的听觉康复人工耳蜗植入（CI）后，并确定可能影响MD患者的结局的因素。MD和对照组患者在年龄、生物学性别、植入物制造商和电极设计方面相匹配。测量的结果是语音评分，访问听力科后开关，和术后主动MD.ResultsForty连续植入MD患者1993年5月至2019年5月。与对照组（P < 0.01）和术后无活动性MD的患者（P <0.01）相比，CI后活动性MD的患者需要更多的听力科就诊。然而，在MD患者中，CI后活动性MD的可能性较低（P = 0.03）。在患者谁继续经历积极的MD手术后，进一步的医疗和手术消融干预，需要控制正在进行的梅尼埃attacks.ConclusionWe目前最大的情况下，一系列的性能结果在CI患者MD。虽然MD患者的语音结果与对照组相当，但与非活动性术前MD相比，术前活动性MD患者更有可能经历CI性能的变化，需要延长听觉康复时间。
ObjectiveTo perform a matched cohort study to assess whether patients with Meniere's Disease (MD) require more intensive auditory rehabilitation following cochlear implantation (CI) and identify factors that may affect outcomes in patients with MD.MethodsA retrospective case review was performed. MD and control patients were matched for age, biological sex, implant manufacturer and electrode design. Outcomes measured were speech scores, number of visits to audiology department following switch-on, and post-operative active MD.ResultsForty consecutive implanted MD patients were identified between May 1993 and May 2019. Patients with active MD following CI required significantly more visits to the audiology department compared to controls (P < 0.01) and patients who had inactive MD post-operatively (P < 0.01). However, in MD patients, active MD was less likely following CI (P = 0.03). In patients who continued to experience active MD post-operatively, further medical and surgical ablative intervention was required to control ongoing Meniere's attacks.ConclusionWe present the largest case series of performance outcomes in CI patients with MD. Although speech outcomes in MD patients are comparable to controls, patients with active MD pre-operatively are more likely to experience variation in CI performance requiring a prolonged period of auditory rehabilitation compared to inactive preoperative MD.