先天性前庭窗闭锁的圆窗模式振动声桥植入(附9例报告)  

Vibrant soundbridge implantation of congenital atresia of oval window(with summary of nine cases)

作　　者：王丹妮[1] 赵守琴[1] 李轶[1] 马晓波[1] 任冉[1] 陈雪清[2] 李玉玲[2] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科教育部耳鼻咽喉头颈科学教育部重点实验室(首都医科大学),北京100730 [2]北京市耳鼻咽喉科研究所

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第8期588-591,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：首都卫生发展科研专项资金(No:2014-2-2052);首都临床特色应用研究与成果推广(No:Z171100001017079)

摘　　要：目的:探讨振动声桥(VSB)圆窗植入技术对先天性前庭窗闭锁患者的疗效。方法:回顾性分析9例双侧先天性前庭窗闭锁患者的临床资料和术前后听力及言语功能检查结果。其中3例曾行/试行前庭开窗术,但术后效果不佳。所有患者术中均接受了VSB圆窗植入手术。结果:配戴VSB后,9例患者在语言频率区的听阈改善21~33dBHL;言语识别率改善更为明显,其中双音节词测试平均改善62%(术前为14%,VSB植入术后为76%),句子测试平均改善60%(术前为32%,VSB植入术后为92%)。平均随访51个月,2例出现术后听力下降,接受再手术后仍有1例远期听力未改善,其余患者均获得稳定改善的术后效果。结论:VSB圆窗植入技术应用于先天性前庭窗闭锁患者,可以获得较好的术后听力效果。Objective：To investigate the surgical effects of round window implantation of vibrant soundbridge （VSB） for patients with congenital oval window atresia. Method：Retrospectively analyze the clinical information of 9 cases of congenital oval window atresia as well as the pre-and post-operative hearing and speech results. Three of them had undergone or attempted the vestibulotomy but obtained poor results. All cases underwent round window implantation of VSB. Result： All patients obtained an improvement of 21 -- 33 dBHL after implantation. In the speech recognition rate test, the average increase of disyllabic words was 62%, and 60% in the sentence test. During the follow-up of 51 months in average, 2 cases had a decline of auditory benefit and finally 1 case regained the improvement after reoperation. Conclusion： Round window implantation can get a fairly good result in congenital oval windows atresia cases.

关 键 词：振动声桥 耳畸形 听力重建 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]