원저

노인 언어습득 후 고도난청 환자의 인공와우 이식 후 말 지각 능력 변화

사대진1, 최전하1, 김춘동1,*
Dae Jin Sah1, Jeon Ha Choi1, Choon Dong Kim1,*
Author Information & Copyright
1중앙보훈병원 이비인후과
1Department of Otolaryngology-Head and Neck Surgery, VHS Medical Center, Seoul, Korea
*교신저자: 김춘동, 134-791 서울 강동구 진황도로 61길 53 중앙보훈병원 이비인후과 전화 :(02) 2225-1384·전송:(02) 2225-1385 E-mail:entbohun@hanmail.net

© Copyright 2015 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Mar 16, 2015; Revised: Apr 02, 2015; Accepted: Apr 28, 2015

Published Online: May 31, 2020

ABSTRACT

Objective: To assess changes in the speech perception ability of patients (≥65 years) with cochlear implantation. Subjects Methods: 26 patients with cochlear implantation at the Seoul Veterans Hospital; all patients suffered from profound hearing loss. Cochlear implant users were recorded before implantation and after operation with speech processor. The speech assessment of patients (monosyllabic word, bi-syllabic word and sentence test) were done at the 1, 3, 6 and 12 months postoperative follow-up intervals. Results: The significant improvement in speech understanding was demonstrated in performance scores using bi-syllabic words and sentences at 1, 3, 6, and 12 months after cochlear implantation, compared with pre-implantation. Especially Bi-syllabic word perception score was higher than other test score at all time. Conclusions: The elderly population showed significant improvement in auditory performance tests following cochlear implantation compared to their pre-implantation, and the improvement appeared remarkably within 6 months with speech processor. (J Clinical Otolaryngol 2015;26:48-52)

Keywords: 와우 이식; 언어 지각
Keywords: Cochlear implantation; Speech perception.


37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

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