儿童单侧感音神经性听力损失诊疗进展  

Progress in diagnosis and treatment of unilateral sensorineural hearing loss in children

作　　者：陈扬[1] 付勇[1] 

机构地区：[1]浙江大学医学院附属儿童医院耳鼻咽喉头颈外科,杭州310052

出　　处：《临床耳鼻咽喉头颈外科杂志》2018年第15期1148-1152,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家自然科学基金(面上项目)(No:81470686);浙江省自然科学基金(No:LY14H130001);浙江省医药卫生科学研究基金计划(No:2014KYB077)

摘　　要：单侧感音神经性听力损失（unilateral sensorineural hearing loss,USNHL）,是指单侧耳的感音神经性听力损失,而对侧耳听力正常。美国听力学会2015年发布的《重度到极重度成人单侧感音神经性听力损失临床实践指南》中将重度至极重度单侧感音神经性听力损失（severe-to-profound unilateral sensorineural hearing loss）也简称为单侧耳聋。Unilateral sensorineural hearing loss（USNHL）in children have traditionally been underappreciated,so we reviewed the recent researches about USNHL in children to understand their effect on development and the underlying pathophysiologic mechanisms.Early diagnosis and treatment of USNHL have a positive effect on verbal cognitive,linguistic,communicative,and socio-emotional development,as demonstrated by neurophysiological studies.And the audiological management of hearing loss should be placed within a comprehensive rehabilitative approach.Among the treatment modalities with differing effects on the quality of binaural hearing,cochlear implants are now used increasingly in children with severe-to-profound USNHL.But the long-term effect and indication selection still need further study.

关 键 词：感音性聋 儿童 助听器 耳蜗植入术 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]