Video head impuls test kod dece nakon kohlearne implantacije
Sažetak
Apstrakt
Uvod/Cilj. Ugradnja kohlearnog implanta (KI) je terapijski modalitet koji obezbedjuje osećaj zvuka kod dece i odraslih sa dubokim senzorineuralnim gubitkom sluha ili gluvoćom. Cilj rada je bio ispitivanje funkcije lateralnog polukružnog kanala upotrebom visokofrekventnog video head impuls testa kod dece nakon kohlearne implantacije. Metode. U prospektivnu deskriptivnu studiju bilo je uključeno 28 dece (6–17 godina starosti) sa dubokim senzorineralnim gubitkom sluha i jednostranim KI. Kontrolnu grupu je činilo dvadestoro zdrave dece sa normalnim sluhom. Ispitivanje vestibularne funkcije lateralnog polukružnog kanala je izvršeno visoko frekventnim video head impuls testom. Nakon kohlearne implantacije, deca su povrgnuta vestibularnom testiranju. Vrednosti vestibulo-okularnog refleksa lateralnog polukružnog kanala merene su kod dece sa KI i kontrolne grupe i međusobno upoređivane. Takođe, kod dece sa KI načinjeno je poređenje vrednosti vestibulo-okularnog refleksa lateralnog polukružnog kanala između neimplantiranog uva i uva sa ugrađenim KI. Rezultati. Kod svih 28 dece sa senzorineuralnim gubitkom sluha je načinjena kohlearna implantacija kroz kohleostomu kada su deca bila prosečne starosti 4,8 ± 2,92 godine. Deca sa KI su imala signifikantno manju vednost vestibulo-okularnog refleksa lateralnog polukružnog kanala koji je meren visoko frekventnim video head impuls testom u poređenju sa kontrolnom grupom dece sa urednim sluhom (T test: t = 3,714; p = 0,001). Nije nađena statistički značajna razlika između vrednosti vestibulo-okularnog refleksa lateralnog polukružnog kanala kod ušiju sa ugrađenim KI i neimplantiranih ušiju (T test: t = 0,419; p = 0,677). Zaključak. Vrednost vestibulo-okularnog refleksa lateralnog polukružnog kanala procenjena video head impuls testom je značajno niža kod dece sa dubokim senzorineuralnim gubitkom sluha u poređenju sa decom urednog sluha. Kohlearna implantacija nema negativan uticaj na lateralni polukružni kanal.
Reference
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