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.


36권 4호 Quiz 및 정답, 해설

정답 ④

설하신경자극술의 핵심 치료 원리는 설하신경의 내측 분지를 선택적으로 
자극하여 이설근(genioglossus muscle)의 전방 돌출을 유도함으로써 
수면 중 상기도의 기능적 개방성을 유지하는 것이다. 기존 Inspire® 시스템은 
흡기 노력 감지 센서를 이용해 자극을 호흡 주기와 동기화하며, Nyxoah Genio® 
시스템은 양측 설하신경을 동시에 자극하는 무배터리 구조를 채택한 최신 장치이다. 
반면 Ansa cervicalis stimulation은 혀가 아닌 인두 구조물의 미측 견인을 통해 
상기도를 안정화시키는 다른 기전을 가진다.

 

* 당첨자 (1명)

이**    010-****-**61

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 2.20(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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