听神经瘤术后单侧耳聋听力重建问题初探  

Hearing rehabilitation inpatients with unilateral deafness after vestibular schwannoma resection

作　　者：杨洁[1] 黄美萍 朱伟栋[1] 柴永川[1] 李蕴[1] 汪照炎[1] 吴皓[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院耳鼻咽喉头颈外科上海交通大学医学院耳科学研究所上海耳鼻疾病转化医学重点实验室,上海200092

出　　处：《中国耳鼻咽喉颅底外科杂志》2018年第1期17-20,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：国家自然科学基金面上项目(81570906;81670919);国家自然科学基金青年项目(81600815;81700900);科技支撑项目(2014BAI04B01)

摘　　要：目的探讨听神经瘤术后单侧耳聋患者人工听觉重建的效果。方法回顾性分析2016年7~12月上海交通大学医学院附属第九人民医院耳鼻咽喉头颈外科收治的听神经瘤术后单侧耳聋行人工听觉植入患者8例,其中同侧一期骨桥植入患者6例,二期同侧骨桥植入2例。比较术前及术后1年噪声下言语识别能力以及生活质量改变。结果所有病例均成功手术,肿瘤均完全切除。至随访1年,8例患者均正常使用听觉植入装置。骨桥植入患者噪声下言语识别能力明显提高,生活质量明显改善。结论骨桥可以帮助听神经瘤术后单侧耳聋患者有效地进行听觉功能重建,需要根据患者情况制订个体化的治疗方案。Objective To evaluate the effect of heating rehabilitation in patients with unilateral deafness after vestibular schwannoma resection. Methods The clinical data of 8 patients underwent heating rehabilitation after vestibular schwannoma resection from July 2016 to Dec. 2016 in our institution were analyzed retrospectively. Of them, 6 patients had one-stage ipsilateral Bonebridge implantation and 2 had second-stage ipsilateral Bonebridge implantation after tumor resection. The speech recognition ability under noise and quality of life were evaluated before and one year after implantation. Results Total tumor resection and Bonebridge implantation were successfully conducted in all patients. One year after implantation, the implants in all the 8 patients were still in normal use. All patients reported better speech recognition ability under noise and improvement in quality of life. Conclusion With individualized treatment plan, Bonehridge implantation is an effective way to rehabilitate hearing in unilateral deafness patients after vestibular schwannoma resection.

关 键 词：听神经瘤 人工听觉 骨桥 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]