摘要
人工耳蜗植入(cochlear implantation,CI)是重度-极重度感音神经性聋患者的听觉和言语康复的主要方法,随着人们对听觉系统和中枢可塑性的深入研究,手术技术及辅助工具的开发,以及人工耳蜗植入相关电子科技和材料科学的发展,人工耳蜗及相关技术有了很大的进步。本文分析人工耳蜗植入体,尤其是电极设计和言语处理器的升级、人工耳蜗植入适应证的拓宽、术前评估手段的完善及精准微创人工耳蜗植入和残余听力保留的开展,并对人工耳蜗植入相关技术进行展望。
Cochlear implantation(CI)is the main therapy for hearing and language rehabilitation for patients with severe-profound sensorineural hearing loss.There has been significant improvement of CI and its related technique,with further study into hearing system and central plasticity,innovation of surgical skills and auxiliary tools,and development of CI related electronic and material science.This article will analyze and discuss the update of CI implant(especially electrode design)and speech processor,expansion of CI indications,improvement of pre-operative evaluation,development of minimally invasive cochlear implantation(MICI)and preservation of residual hearing,new techniques of hearing rehabilitation such as combination of hair cell regeneration,deafness genetic diagnosis and CI.A future perspective of CI will also be given.
作者
刘军
杨仕明
LIU Jun;YANG Shi-ming(Department of Otolaryngology Head and Neck Surgery,Institute of Otolaryngology,Chinese PLA General Hospital,China National Clinical Research Center for Otolaryngologic Diseases,Key Lab of Hearing Impairment Science of Ministry of Education,Key Lab of Hearing Impairment Prevention and Treatment of Beijing,Beijing 100853,China)
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2019年第5期449-455,共7页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
基金
北京市科技计划首都市民健康项目培育基金(Z131100004013019)
解放军总医院临床科研扶持基金(2012FC-TSYS-4017)
关键词
人工耳蜗
耳聋
听觉植入
干预
康复
Cochlear implant
Hearing loss
Artificial auditory implantation
Intervention
Rehabilitation
作者简介
刘军,男,中国人民解放军总医院(301)耳鼻咽喉头颈外科主任医师,医学博士,赴美博士后,主要从事耳显微、耳神经外科和人工听觉植入。解放军总医院第二届十佳青年;耳力学和中耳植入专业委员会副主委,中国听力医学发展基金会专家委员;助听器人工耳蜗专委会、中国研究型医院学会听觉医学专业委员会、医促会耳鼻咽喉头颈外科分会委员。《中国听力语言康复科学杂志》副总编,《医学参考报》耳鼻咽喉头颈外科频道副总编,《中华耳科学杂志》《中国中西医结合耳鼻咽喉科杂志》《国际耳鼻咽喉头颈外科杂志》《中国应用生理学杂志》《听力学及言语疾病杂志》《中国耳鼻咽喉颅底外科杂志》编委,《中华耳鼻咽喉头颈外科杂志》《临床耳鼻咽喉头颈外科杂志》审稿专家。发表论文60余篇,SCI6篇。负责北京市科研基金、总医院科技创新和总医院科技苗圃基金各1项。作为主要完成人获总医院医疗成果一等奖、总医院科技进步一等奖、武警科技进步二等奖、总装科技进步二等奖及北京市科技进步一等奖各1项;通信作者:杨仕明,Email:yangsm301@263.net。
