期刊论文详细信息
Orphanet Journal of Rare Diseases
Cochlear implantation is safe and effective in patients with MYH9-related disease
Andreas Greinacher5  Vedat Topsakal4  Marco Benazzo7  Eike Krause6  Helen Platokouki2  Carlos M Boccio8  Pietro Canzi7  Nicole Schlegel3  Eva JJ Verver4  Alessandro Pecci1 
[1] Department of Internal Medicine, IRCCS Policlinico San Matteo Foundation and University of Pavia, Piazzale Golgi, 27100 Pavia, Italy;Haemophilia Centre and Haemostasis Unit, Aghia Sophia Children’s Hospital, Athens, Greece;Service d’Hématologie Biologique and National Reference Center on Inherited Platelet Disorders, Robert-Debré Hospital, Paris, France;Department of Otorhinolaryngology and Head & Neck Surgery, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, The Netherlands;Institut für Immunologie und Transfusionsmedizin, Ernst-Moritz-Arndt-Universität, Greifswald, Germany;Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig-Maximilian-University, Munich, Germany;Department of Otorhinolaryngology, IRCCS Policlinico San Matteo Foundation and University of Pavia, Pavia, Italy;Department of Otorhinolaryngology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
关键词: Non-muscle myosin;    May-Hegglin anomaly;    Epstein syndrome;    Fetchner syndrome;    Cochlear implantation;    Inherited thrombocytopenia;    Genetic deafness;    MYH9-related disease;   
Others  :  861429
DOI  :  10.1186/1750-1172-9-100
 received in 2014-05-06, accepted in 2014-06-19,  发布年份 2014
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【 摘 要 】

Background

MYH9-related disease (MYH9-RD) is a rare syndromic disorder deriving from mutations in MYH9, the gene for the heavy chain of non-muscle myosin IIA. Patients present with congenital thrombocytopenia and giant platelets and have a variable risk of developing sensorineural deafness, kidney damage, presenile cataract, and liver abnormalities. Almost all MYH9-RD patients develop the hearing defect, which, in many individuals, progresses to severe to profound deafness with high impact on quality of life. These patients are potential candidates for cochlear implantation (CI), however, no consistent data are available about the risk to benefit ratio of CI in MYH9-RD. The only reported patient who received CI experienced perisurgery complications that have been attributed to concurrent platelet defects and/or MYH9 protein dysfunction.

Methods

By international co-operative study, we report the clinical outcome of 10 patients with MYH9-RD and severe to profound deafness who received a CI at 8 institutions.

Results

Nine patients benefited from CI: in particular, eight of them obtained excellent performances with restoration of a practically normal hearing function and verbal communication abilities. One patient had a slightly worse performance that could be explained by the very long duration of severe deafness before CI. Finally, one patient did not significantly benefit from CI. No adverse events attributable to MYH9-RD syndrome were observed, in particular no perisurgery bleeding complications due to the platelet defects were seen. Patients’ perioperative management is described and discussed.

Conclusions

CI is safe and effective in most patients with MYH9-RD and severe to profound deafness and should be offered to these subjects, possibly as soon as they develop the criteria for candidacy.

【 授权许可】

   
2014 Pecci et al.; licensee BioMed Central Ltd.

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