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2篇 您的检索式:作者名="Jason H.Barnes"
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1人工耳蜗植入中的耳蜗电图:发展、应用和未来方向显示文摘目的本研究的目的是全面概述耳蜗电图的电生理及其历史,讨论其在人工耳蜗植入中新近的应用,并探讨在这个不断深入领域中所开展的研究。耳蜗电图是一种记录内耳不同组分和外周蜗神经对声刺激反应产生电位的电生理技术。耳蜗电图可解析为:①耳蜗微音电位,②听神经音电位,③总和电位,④听神经复合动作电位。数十年来,随着技术上的不断改进,对记录电位的理解也在不断更新。耳蜗电图历来主要应用于梅尼埃病的诊断评估。然而,近十年来耳蜗电图的应用聚焦到人工耳蜗植入上。具有残余听力的患者在人工耳蜗植入后,联合电声刺激可以改善听力和言语。尽管术者在电极插入过程中尽量减轻组织损伤,但患者术后听力保存率各异。在植入耳蜗期间,当术者插入电极阵列时,实时耳蜗电图可以检测耳蜗局部区域诱发的频率特异性耳蜗微音电位。在耳蜗外记录耳蜗电图,记录电极可以放置于鼓岬、镫骨或鼓膜。耳蜗内耳蜗电图记录可以通过将记录电极插入耳蜗,或者使用人工耳蜗中的1个电极作为记录电极。术中耳蜗电图信号的丧失可能提示电极插入导致的耳蜗损伤,然而两者之间的关系尚存在争议。在人工耳蜗电极植入时监测耳蜗损伤有望改善听力保留结果、改良手术技术以及改进电极设计。Jason H.Barnes Linda X.Yin Aniket A.Saoji Matthew L.Carlson 王鹏军(译) 殷善开(审校) 2021中华耳鼻咽喉头颈外科杂志2021,56,9:1
2Electrocochleoeraphy in cochlear implantation:Development,applications,and future directions显示文摘Electrocochleography(ECochG)is an electrophysiological technique that records electrical potentials generated by different components of the inner ear and peripheral cochlear nerve in response to acoustic stimulation.ECochG responses can be analyzed into(1)cochlear microphonics(CM),(2)auditory nerve neurophonics,(3)summating potential,and(4)compound action potential.Over the past few decades,there have been ongoing refinements in technique and updates in the understanding of recorded potentials.Historically,ECochG found its main application in the diagnostic evaluation of Meniere^disease(MD).However,in the last decade,the focus has shifted towards cochlear implantation(Cl).In patients with residual hearing after Cl,combined electric and acoustic stimulation has resulted in improved hearing and speech outcomes.Despite efforts to mitigate trauma during electrode insertion,hearing preservation rates vary after surgery.During implantation,real-time ECochG offers an opportunity to measure frequency specific CMs elicited from a localized region in the cochlea as the surgeon inserts the electrode array.In extracochlear ECochG recordings,the recording electrode can be placed on the promontory,the stapes,or the tympanic membrane.Intracochlear ECochG can be performed by inserting a recording electrode into the cochlea or by using one of the Cl electrodes as the recording electrode.The loss of intraoperative ECochG signal may indicate cochlear trauma from electrode insertion,but the association between intraoperative ECochG changes and cochlear trauma remains controversial.The ability to monitor cochlear trauma during Cl electrode placement holds promise to improve hearing preservation outcomes,modify surgical techniques,and change electrode design.The goal of this review is to provide a comprehensive overview of the electrophysiology and history of ECochG,discuss its recent applications in Cl,and explore the ongoing research in this expanding field.Jason H.Barnes Linda X.Yin Aniket A.Saoji Matthew L.Carlson 2021World Journal of Otorhinolaryngology-Head and Neck Surgery2021,7,2:0
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