19例多通道人工耳蝸植入的臨床分析.pdf

1、新疆醫(yī)科大學碩士學位論文19例多通道人工耳蝸植入的臨床分析姓名：胥然申請學位級別：碩士專業(yè)：耳鼻咽喉科學指導教師：張華2010-04新疆醫(yī)科大學醫(yī)學碩士學位論文 —2—Clinical Analysis of Multichannel Cochlear Implant in nineteen Cases Postgraduate: Xu Ran Supervisor: Prof. Zhang Hua Abstra

2、ctObjective：To investigate the operation of cochlear implant and to study the indications of multichannel cochlear implant methods of operation postoperative mapping of cochlear speech processor audition and sp

3、eech or language skills rehabilitation as well as the clinical effects after collecting and analyzing the clinical datum about severe or profound sensorineural deaf patients who were implanted multichannel co

4、chlear prothesis. Methods ： There were 19 severe or profound sensorineural deaf patients (13 males and 6 females) with ages from 1 to 23 years old. Among these patients 10 cases were prelingually de

5、af and 9 cases were postlingually deaf .The cause of deafness was drug– poisoning in 4 cases, noise exposure in 1,underfined in 14.All patients were implanted multichannel cochlear MED- EL Combi40+ through facial

6、 nerve recess approach. The patients were assessed in medicine audioloy and aural image before the operations. Mapping of cochlear speech processor was done 1 month postoperatively.8 prelingually

7、 deaf patients had experienced audition and speech or language skills habilitation training for 3- 19 months .After following up these patients once per 3 - 6 months ,.the clinical materials or

8、datum from them were analysed. Results： 19 patients were implanted successfully and no complications occurred intraoperatively and postoperatively .Mapping of cochlear speech processor was done 1 m

9、onths postoperatively and all of 19 patients obtained the hearing .The postlingually deaf patient could dialog and communicate with telephone after language training .This patient achieved the be

10、st result ,and them not only stepped into sound world but also obtained a normal living and study .The prelingually deaf patients also assessment. The curative effects of the younger prelingal

11、ly deaf patients are better than that of the older. Conclusion： The operation of the cochlear implant through facial nerve recess approach is a routine treatment to severe or profound sensorneu

12、ral deaf patients, mainly including postlingual deaf adults ,prelingual deaf children and part of youngsters. Preoperative assessment in medicine, audioloy and aural image are important to the operation of cochle