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人工耳蜗植入在Waardenburg综合征Ⅱ型患儿中的应用 被引量:8

Cochlear implantation in patients with Waardenburg syndrome typeⅡ
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摘要 目的:探讨Waardenburg综合征(WS)患者人工耳蜗植入方法及手术前后听力评估和术后言语康复效果。方法:回顾性分析2000-2008年确诊的12例WSⅡ型行人工耳蜗植入患儿的临床资料,所有患儿均经乳突面隐窝进路行人工耳蜗植入,将患儿植入后听力情况与12例内耳发育正常的人工耳蜗植入者(对照组)进行比较。结果:12例WS患儿术中电极植入鼓阶顺利,术后无面瘫及脑脊液漏现象发生,术后听阈与对照组无明显区别。经过超过0.5年的言语康复训练,患儿的听力及言语能力均有不同程度提高。结论:人工耳蜗适用于WS患儿,术前应进行全面的听力学及影像学评估。 Objective:To describe the multi-channel cochlear implantation in patients with Waardenburg syndrome including surgeries,pre and postoperative hearing assessments as well as outcomes of speech recognition.Method:Multi-channel cochlear implantation surgeries have been performed in 12 cases with Waardenburg syndrome typeⅡin our department from 2000 to 2008.All the patients received multi-channel cochlear implantation through transmastoid facial recess approach.The postoperative outcomes of 12 cases were compared with 12 cases with no inner ear malformation as a control group.Result:The electrodes were totally inserted into the cochlears successfully,there was no facial paralysis and cerebrospinal fluid leakage occurred after operation.The hearing threshold in this series were similar to that of the normal cochlear implantation.After more than half a year of speech rehabilitation,the abilities of speech discrimination and spoken language of all the patients were improved compared with that of preoperation.Conclusion:Multi-channel cochlear implantation could be performed in the cases with Waardenburg syndrome,preoperative hearing and images assessments should be done.
出处 《临床耳鼻咽喉头颈外科杂志》 CAS CSCD 北大核心 2010年第10期436-438,共3页 Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词 WAARDENBURG综合征 人工耳蜗植入 waardenburg syndrome cochlear implantation
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参考文献10

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同被引文献69

  • 1杨淑芝,曹菊阳,张锐宁,刘新,刘丽贤,张欣,康东洋,戴朴,袁慧军.Waardenburg综合征II型中国家系MITF基因突变分析[J].中国听力语言康复科学杂志,2006,35(2):16-19. 被引量:4
  • 2YANG Shu-zhi,CAO Ju-yang,ZHANG Rui-ning,LIU Li-xian,LIU Xin,ZHANG Xin,KANG Dong-yang,LI Mei,HAN Dong-yi,YUAN Hui-jun,YANG Wei-yan.Nonsense mutations in the PAX3 gene cause Waardenburg syndrome type I in two Chinese patients[J].Chinese Medical Journal,2007(1):46-49. 被引量:6
  • 3陶勇,郑芸.瓦登博格综合征[J].听力学及言语疾病杂志,2007,15(2):170-172. 被引量:5
  • 4Cullen RD, Zdanski C, Brown C, et al. Cochtear implants in Waar- denburg syndrome[J]. Laryngoscope, 2006,116 : 1 273.
  • 5Yokoyama S, Takeda K, Shibahara S. Functional difference of the SOX10 mutant proteins responsible for the phenotypic var- iability in auditory -- pigmentary disorders [J]. J Biochem, 2006,140:491.
  • 6Toriello HV, Reardon W, Gorlin RJ. Hereditary hearing loss and its syndromes [M]. 2nd Ed. Oxford: Oxford University Press,2004. 582-591.
  • 7Farrer LA, Grundfast KM , Amos J, et al. Waardenburg syn- drome (WS') type I is caused by defects atmultiple loci,one of which is near ALPP on chromosome 2: first report of the WS consortium[J]. Am J Hum Genet, 1992,50 : 902.
  • 8Migirov L, Henkin Y, Hildesheimer M, et al. Cochlear implan- tation in Waardenburg' s syndrome [ J ]. Acta Otolaryngol, 2005,125 : 713.
  • 9黄秋红,郑亿庆.助听器与人工耳蜗的联合使用[J].听力学及言语疾病杂志,2007,15(5):397-399. 被引量:9
  • 10Tachibana M, Kobayashi Y,Matsushima Y. Mousemodels for four types of Waardenburg syndrome. Pigment CellRes, 2003, 16:448-454.

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