人工耳蜗植入患儿的宽频声导抗测试声能吸收率特征分析

The Characteristics of Wideband Absorbance(WBA)in Infants with Cochlear Implant

武洒洒;管锐瑞;王艳琦;张波;李萍;沈芳;孙家强;孙敬武;

1:中国科学技术大学附属第一医院耳鼻咽喉头颈外科

摘要
目的对比人工耳蜗植入者和非人工耳蜗植入者宽频声导抗测试声能吸收率(wideband absorbance, WBA)的差异,探讨人工耳蜗植入者的宽频声导抗测试声能吸收率的特征。方法选取12例(12耳,男女各6耳)无外中耳疾病史的重度或极重度感音神经性聋行人工耳蜗植入术后一个月的幼儿为实验组,14例(28耳,男女各14耳)无外中耳疾病史的重度或极重度感音神经性聋非人工耳蜗植入幼儿为对照组,分别进行宽频声导抗声能吸收率测试,分析两组结果。结果实验组与对照组之间WBA在低频段(749、1 000 Hz)以及高频段(8 000 Hz)存在明显差异,实验组的WBA在低频段明显低于对照组,而在高频段高于对照组(P<0.05);对照组在226 Hz男性的WBA明显高于女性,6 924 Hz男性的WBA低于女性(均为P<0.05),左右耳之间无统计学差异(P>0.05);实验组在500、749、1 000、4 896 Hz处,植入耳(右耳)的WBA值低于非植入耳(左耳)(P<0.05),其余频率无明显差异(P>0.05)。结论人工耳蜗植入耳与非植入耳之间WBA存在差异,人工耳蜗植入耳WBA在低频段降低,提示人工耳蜗植入术后中耳系统有改变。
关键词
宽频声能吸收率;人工耳蜗植入
基金项目(Foundation):
安徽省重点研究与开发计划项目(20194a07020084);; 安徽省学术和技术带头人科研活动经费资助项目(2018H161);; 安徽省自然科学基金资助项目(188085MH248)
作者
武洒洒;管锐瑞;王艳琦;张波;李萍;沈芳;孙家强;孙敬武;
参考文献

[1]戴朴,蒋刈.精准微创的人工耳蜗植入手术[J].中华耳科学杂志,2018,16(6):737-741.

[2]李姝娜,沈敏,陈向平,等.梅尼埃病患者宽频声导抗吸收率的特征[J].临床耳鼻咽喉头颈外科杂志,2019,33(3):224-227.

[3]兰兰,黄鑫,谢林怡,等.梅尼埃病患者的宽频声导抗测试研究[J].中国听力语言康复科学杂志,2019,17(6):421-425.

[4] Demir E,Afacan N,Celiker M,et al.Can wideband tympanometry be used as a screeningtest for superior semicircular canal dehiscence[J].Clinical and Experimental Otorhinolaryngology,2019,12(3):249-254.

[5]黄孟捷,郑芸,王恺.正常成人宽频声导抗能量反射的初步研究[J].听力学及言语疾病杂志,2010,18(5):433-436.

[6] Merchant GR,SchulzKM,Patterson JN,et al.Effect of cochlear implantation on vestibular evoked myogenic potentials and wideband acoustic immittance[J].Ear and Hearing,2020,41(5):1111-1124.

[7] Scheperle RA,Hajicek JJ.Wideband acoustic immittance in cochlear implant recipients:reflectance and stapedialreflexes[J].Ear and Hearing,2020,41(4):883-895.

[8] Hunter L,Tubaugh L,Jackson A,et al.Wideband middle ear power measurement in infantsand children[J].Journal of the American Academy of Audiology,2008,19(4):309-324.

[9] Motallebzadeh H,Maftoon N,Pitaro J,et al.fluid-structure finite-element modelling and clinical measurement of the wideband acoustic input admittance of the newborn ear canal and middle ear[J].Journal of the Association for Research in Otolaryngology,2017,18(5):671-686.

[10] Keefe DH,Folsom RC,Gorga MP,et al.Identification of neonatal hearing impairment:ear-canal measurements of acoustic admittance and reflectance in neonates[J].Ear and Hearing,2000,21(5):443-461.

[11] Beers AN,Shahnaz N,Westerberg Brian D,et al.Wideband reflectance in normal Caucasian and Chinese school-aged children and in children with otitis media with effusion[J].Ear and Hearing,2010,31(2):221-233.

[12] Shahnaz N,Bork K.Wideband reflectance norms for Caucasian and Chinese young adults[J].Ear and Hearing,2006,27(6):774-788.

[13] Werner LA,Levi EC,Keefe DH.Ear-canal wideband acoustic transfer functions of adults and two-to nine-month-old infants[J].Ear and Hearing,2010,31(5):587-598.