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A Comparative Analysis of Speech Perception Between Cochlear Implant Patients and DFNB9 Patients Receiving Gene Therapy
Bu kohort çalışması bir tedavi denemesi değil, karşılaştırmalı bir gözlem araştırmasıdır. Koklear implant ameliyatı olan hastalar ile gen tedavisi alan DFNB9 hastalarında, ameliyat/tedavi sonrası çok boyutlu algı düzeylerindeki eğilimleri ve farkları inceliyor. Amaç, doğuştan işitme kaybında gen tedavisinin sonuçlarını kapsamlı biçimde değerlendirmek ve gen tedavisi alan hastalar için işlem sonrası rehabilitasyon planlamasına referans oluşturmaktır. Çalışmaya işitme eşiği 65 dB ve üzeri olan doğuştan işitme kayıplı hastalar ile sağlıklı katılımcılar alınıyor.
Yukarıdaki özet, resmî kaydın sade dile aktarılmış halidir. Orijinal İngilizce başlık referans için gösterilir.
Kriterler ClinicalTrials.gov kaydından orijinal İngilizce haliyle alınmıştır. Uygunluk kararını yalnızca deneyi yürüten ekip verebilir.
Inclusion Criteria: * Patients with congenital hearing loss with hearing thresholds ≥65 dB receive either gene therapy (previously received gene therapy and standardized postoperative rehabilitation and follow-up or plan to receive gene therapy), or cochlear implant surgery. Healthy participants with bilateral hearing thresholds within the normal range (≤20 dB), generally matched to the gene therapy group and the cochlear implant group by age and sex. * Age ≥ 6 months old, regardless of gender. * Mandarin Chinese as the native language. * Participants and their guardians must provide informed consent before the trial, voluntarily sign a written consent form, and commit to follow-up at specified time points. * Capable of effective communication with researchers under the guardian's assistance and willing to cooperate and comply with the researchers' requirements. * The participant's guardians should have a correct understanding of the trial and appropriate expectations regarding potential benefits. Exclusion Criteria: * Presence of other otological disorders that may interfere with the surgical outcome or interpretation of study endpoints, such as middle/inner ear dysplasia or malformations that affected the therapeutic effect revealed in CT/MRI scans within 3 months, vestibular-cochlear nerve abnormalities, acute/chronic otitis media, Meniere's disease, etc. * Presence of other severe congenital diseases. * Presence of severe systemic diseases or in the acute onset of diseases, such as pulmonary tuberculosis, active hepatitis B or C infection, active herpes zoster infection, pancreatitis, renal insufficiency, etc. * Individuals with low immunity, a history of immune deficiency or organ transplantation. * Individuals with a history of neurological or mental disorders, such as epilepsy or dementia. * Patients with contraindications for surgery or anesthesia assessed by a surgeon, anesthetist, or designated personnel, such as cardiovascular or cerebrovascular events in the past 6 months, allergies to the planned medications, etc. * Gene therapy group: gene therapy did not restore hearing; Cochlear implant group: presence of hereditary syndromic deafness or other conditions that seriously affect the efficacy evaluation. * Any other conditions for which the investigators consider the subject unsuitable for participation in this clinical study.