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Sound Source Localization Testing in Single-sided Deafness Following Bone Conduction Intervention
Published on: December 20, 2024
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Patient Sentiments Influencing Management Strategy for Single-sided Deafness
Christian G Fritz1,2, Sarah M Dwyer1, Jaclyn M Renker1
1Michigan Ear Institute, Farmington Hills.
Summary
Patients with single-sided deafness (SSD) are concerned about device appearance and surgery. Addressing these concerns and highlighting quality of life improvements is crucial for effective treatment selection.
Area of Science:
- Neuroscience
- Audiology
- Otolaryngology
Background:
- Single-sided deafness (SSD) presents unique challenges for treatment selection.
- Patient opinions significantly influence the choice between surgical and non-surgical interventions.
Purpose of the Study:
- To assess the opinions and concerns influencing treatment choices for single-sided deafness (SSD).
- To identify key factors guiding patients toward surgical or non-surgical management options.
Main Methods:
- Retrospective chart review at a tertiary neurotology referral center.
- Voluntary questionnaire completion by patients with SSD (December 2020 - February 2021).
- Utilized Tinnitus Handicap Inventory (THI) and Hearing Handicap Inventory for Adults (HHIA), alongside a 25-item management strategy questionnaire.
Main Results:
- Patients preferring non-surgical amplification showed greater concern for device visibility, surgical procedures, and implanted devices compared to the surgical group.
- Individuals with major hearing handicap (grades 2-4) prioritized less on cost and device usability than those with minor handicaps.
- Significant differences were noted in concerns regarding device aesthetics, surgical risks, and the presence of an implanted device between management groups.
Conclusions:
- Patient concerns regarding device visibility, surgical risks, and the presence of implanted devices are significant factors in SSD treatment decisions.
- Thorough patient counseling is essential to address esthetic and surgical concerns.
- Emphasizing potential quality-of-life improvements can aid in patient decision-making for SSD management.
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