关键词: Cochlear Implantation Hospital Visits Impedances Meniere’s Disease Speech Scores

Mesh : Cochlear Implantation Cochlear Implants Cohort Studies Humans Meniere Disease / surgery Retrospective Studies

来  源:   DOI:10.1080/14670100.2022.2112998

Abstract:
To 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.
A 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.
Forty 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.
We 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.
摘要:
UNASSIGNED:进行一项配对队列研究,以评估梅尼埃病(MD)患者在人工耳蜗植入(CI)后是否需要更强化的听觉康复,并确定可能影响MD患者预后的因素。
UNASSIGNED:进行回顾性病例回顾。MD和对照组患者的年龄相匹配,生物性别,植入物制造商和电极设计。测量的结果是语音分数,开机后访问听力学系的次数,和术后活动性MD。
UNASSIGNED:在1993年5月至2019年5月期间确定了40名连续植入MD患者。与对照组(P<0.01)和术后MD不活跃的患者(P<0.01)相比,CI后活跃的MD患者需要更多的听力学部门就诊。然而,在MD患者中,活动性MD较少发生CI(P=0.03)。在术后继续经历活动性MD的患者中,需要进一步的医疗和手术消融干预来控制梅尼埃的持续发作。
UNASSIGNED:我们提出了最大的病例系列表现为MD的CI患者。尽管MD患者的言语结果与对照组相当,与术前不活动的MD相比,术前活动的MD患者更有可能出现需要延长听觉康复期的CI表现变异.
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