目的分析听障儿童在人工耳蜗调机前后听觉能力和言语清晰度的变化,强调精准调机的重要性,避免电流刺激量过高。方法患儿人工耳蜗术后开机1年4个月,康复效果欠佳,表现为声音察知好,精准听辨和言语清晰度差,听觉能力评估量表(CAP)为5级,...目的分析听障儿童在人工耳蜗调机前后听觉能力和言语清晰度的变化,强调精准调机的重要性,避免电流刺激量过高。方法患儿人工耳蜗术后开机1年4个月,康复效果欠佳,表现为声音察知好,精准听辨和言语清晰度差,听觉能力评估量表(CAP)为5级,言语可懂度分级量表(SIR)为1级。调机时发现,T值、C值均过高,尤其高频电极,给予精准调机,降低电流刺激量。结果电流刺激量降低后,患儿康复效果进步明显,助听听阈25~30 dB HL,听觉能力评估量表(CAP)达7级,言语可懂度分级量表(SIR)达5级。结论人工耳蜗术后精准及个性化调机至关重要,既要重视刺激量不足,也要避免刺激量过高。展开更多
Introduction: Early stimulation of the auditory sense is essential for the development of language and speech. In children with a cochlear implant, the most common issue is whether the hearing has been optimized or no...Introduction: Early stimulation of the auditory sense is essential for the development of language and speech. In children with a cochlear implant, the most common issue is whether the hearing has been optimized or not, as they are still unable to provide reliable feedback regarding their hearing ability. Thus, electrically evoked stapedius reflex threshold (ESRT) based fitting has been used as one of the available methods in programming a cochlear implant (CI) audio processor. As eSRT is an objective test, patient cooperation was not needed making it especially beneficial for children with CI who have limitations in providing feedback. Now that eSRT has been applied commonly almost worldwide, the goal of this study is to determine the normative value of eSRT among the pediatric population in Indonesia. Methods: A total of 32 pediatric CI users in the age range 3 - 11 years implanted with Med-El cochlear implant were included in this study. ESRT was performed during follow-up mapping between September 2021 and January 2022 in the Med-El Indonesia hearing center. Results: The result of the present study showed an average normative value of 20.55 qus. This finding is consistent with the values obtained in previous studies. Conclusion: The result found can be used as a valuable indicator of average optimised MCL among the pediatric population.展开更多
文摘目的分析听障儿童在人工耳蜗调机前后听觉能力和言语清晰度的变化,强调精准调机的重要性,避免电流刺激量过高。方法患儿人工耳蜗术后开机1年4个月,康复效果欠佳,表现为声音察知好,精准听辨和言语清晰度差,听觉能力评估量表(CAP)为5级,言语可懂度分级量表(SIR)为1级。调机时发现,T值、C值均过高,尤其高频电极,给予精准调机,降低电流刺激量。结果电流刺激量降低后,患儿康复效果进步明显,助听听阈25~30 dB HL,听觉能力评估量表(CAP)达7级,言语可懂度分级量表(SIR)达5级。结论人工耳蜗术后精准及个性化调机至关重要,既要重视刺激量不足,也要避免刺激量过高。
文摘Introduction: Early stimulation of the auditory sense is essential for the development of language and speech. In children with a cochlear implant, the most common issue is whether the hearing has been optimized or not, as they are still unable to provide reliable feedback regarding their hearing ability. Thus, electrically evoked stapedius reflex threshold (ESRT) based fitting has been used as one of the available methods in programming a cochlear implant (CI) audio processor. As eSRT is an objective test, patient cooperation was not needed making it especially beneficial for children with CI who have limitations in providing feedback. Now that eSRT has been applied commonly almost worldwide, the goal of this study is to determine the normative value of eSRT among the pediatric population in Indonesia. Methods: A total of 32 pediatric CI users in the age range 3 - 11 years implanted with Med-El cochlear implant were included in this study. ESRT was performed during follow-up mapping between September 2021 and January 2022 in the Med-El Indonesia hearing center. Results: The result of the present study showed an average normative value of 20.55 qus. This finding is consistent with the values obtained in previous studies. Conclusion: The result found can be used as a valuable indicator of average optimised MCL among the pediatric population.
