Combined Electric acoustic stimulation in a patient with otitis media with antineutrophil cytoplasmic antibody-associated vasculitis
Combined Electric acoustic stimulation in a patient with otitis media with antineutrophil cytoplasmic antibody-associated vasculitis
复制标题
联合电声刺激治疗中耳炎合并抗中性粒细胞胞浆抗体相关性血管炎患者
DOI：
10.1016/j.anl.2021.04.009
复制
发表时间：
2021
影响因子：
1.7
通讯作者：
Matsuda Yusuke
中科院分区：
文献类型：
--
作者：
Nakamura Takeshi;Ganaha Akira;Tono Tetsuya;Yamada Yuusuke;Okuda Takumi;Shimoara Shoken;Matsuda Yusuke
人工耳蜗植入术（CI）治疗中耳炎伴抗神经细胞胞质抗体相关性血管炎（OMAAV）引起的重度听力损失的报道很少。在这里，我们报告的情况下，严重的双侧感音神经性听力损失的患者低频残留听力OMAAV。根据对比增强磁共振成像（CE-MRI）和岬刺激试验（PST）的结果，在她的右耳进行CI。她的右耳的残余听力在CI后被保留，并用于联合电声刺激（EAS）。联合EAS使用3年，直到残余听力变得稳定。但术后4年低频可用听力逐渐下降，人工耳蜗植入策略由EAS联合人工耳蜗植入改为单独人工耳蜗植入。即使当CI的言语辨别评分不再超过50%时，患者仍继续使用CI，因为其在维持患者生活质量方面具有优势。即使在有残余听力的OMAAV患者中，联合EAS也是一种可行的选择。因此，CE-MRI和PST可能有助于决定OMAAV患者的CI手术侧。
There are few reports of the treatment for severe hearing loss due to otitis media with antineutrophil cytoplasmic antibody-associated vasculitis (OMAAV) achieved by cochlear implantation (CI). Here, we have reported the case of a patient with severe bilateral sensorineural hearing loss with low-frequency residual hearing by OMAAV. CI was performed in her right ear based on the results of contrast-enhanced magnetic resonance imaging (CE-MRI) and promontory stimulation test (PST). The residual hearing in her right ear was preserved after CI and utilized for combined electric acoustic stimulation (EAS). The combined EAS was used for 3 years until the residual hearing became stabilized. However, the usable hearing in low frequency worsened gradually, and the fitting strategy of cochlear implant was changed from combined EAS to CI alone 4 years after CI. Even when the speech discrimination score with CI no longer exceeds 50 %, the patient continued using CI because of its advantages in maintaining the quality of life of the patient. The combined EAS was found to be a feasible option even in an OMAAV patient with residual hearing. CE-MRI and PST may thus be helpful in deciding the side of CI surgery in a patient with OMAAV.