Outcome of cochlear implantation in prelingual pediatric auditory neuropathy
10.3321/j.issn:1673-0860.2008.02.006
- VernacularTitle:语前聋听神经病多道人工耳蜗植入效果初步观察
- Author:
Yong-Xin LI
1
;
Shuang LIANG
;
Lian-Sheng GUO
;
Ying KONG
;
Hai-Hong LIU
;
Xiao-Tian ZHAO
;
Jun ZHENG
;
Xue-Qing CHEN
;
Bo LIU
;
Li-Hui HUANG
;
Ling-Yan MO
;
Hua ZHANG
;
De-Min HAN
Author Information
1. 首都医科大学附属北京同仁医院
- Keywords:
Cochlear implantation;
Hearing loss,sensorinerral;
Retrocochlear disearses;
Treatment outcome
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2008;43(2):100-104
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the electrophysiological results and rehabilitation outcome of two prelingually deafened pediatric cochlear implant patients with auditory neuropathy.Methods Preoperative audiological evaluation,intra-postoperative electrically evoked auditory brainstem response(EABR)and neural response telememetry(NRT)record for the two cases were conducted in Beijing Tongren Hospital.A one year follow-up was performed.Data collected before and at 6,12-month intervals after implantation were compared with that from control pediatric cochlear implant patients matched for the same duration of implant use as this two cases. Results The two children implanted had not had any postoperative medical or cochlear implant device complications. Intraoperative EABR and NRT were elicited in case 1 with unrepeatable waveforms. After 12 months of training,Case 1 had shown significant improvements in sound detection,speecn perception abilities and communication skills,which was better than the control group.and the eJectrophysiological results became normal.Case 2 had also benefited from cochlear implantation, even though no recognizable NRT was found until he returned 12 month after the operation.Conclusions The desynchronization of auditory path had been changed after the electrical stimulation ongoing 12 months for children with auditory neuropathy.The two children had not had any complications postoperatively,and eacn child had shown improved listening and communication skills. Cochlear implantation COUld help patients witn auditory neuropathy to improve their communication skill and go back to the main stream.
