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精确选择骨导听器用于中耳和外耳先天性形 (CMMOE)

YiHui Zou^1,2,3, QingSen Wang^1,2,3, Chang Liu^1,2,3

¹Senior Department of Otolaryngology-Head and Neck Surgery, the Sixth Medical Center of PLA General Hospital, Beijing, China.

Acta oto-laryngologica

|December 23, 2023

概括

这项研究比较了四种骨传导听力设备,用于中耳和外耳双边先天性缺陷 (CMMOE). 所有设备都改善了听力,但选择时应考虑个体听力水平和语音识别分数.

科学领域:

听力学听力学是指听力学.
耳鼻喉科耳鼻喉科耳鼻喉科
生物医学工程生物医学工程

背景情况:

缺乏骨导听助听器的确定的选择标准.
中耳和外耳双边先天性形 (CMMOE) 带来了独特的听力挑战.
需要对可用的骨导听助听器进行有效性比较的数据.

研究的目的:

为了比较四种骨传导助听器的有效性.
评估双边CMMOE患者的设备性能.
根据听觉参数确定最佳设备选择标准.

主要方法:

24名患有CMMOE的患者 (25个耳朵) 根据设备类型被分为五组:骨式助听器软带 (BAHA-s),BAHA植入物 (BAHA-i),振动声桥植入物 (VSB-i),骨桥植入物 (BB-i) 和骨传导助听器软带 (BCHA-s).
评估的听觉参数包括沟通效率,纯音调平均空调值 (ACT) 和在安静 (SRS-q) 和噪音 (SRS-n) 环境中的句子识别分数.
使用单向ANOVA来比较群体之间的差异,显著程度为P<0.05.

主要成果:

在使用助听器后,所有患者表现出沟通,平均ACT,SRS-q和SRS-n的显著改善,接近正常听力水平.
在组间的总体沟通,平均ACT,SRS-q或SRS-n方面没有发现统计学上显著的差异 (P > 0.05).
然而,与骨桥 (BB) 和BAHA软带相比,振动声桥 (VSB) 和BAHA植入物显示出更高的ACT最佳频率和SRS-q/SRS-n绝对值,与骨桥 (BB) 和BAHA软带相比.

结论:

这四种骨导听器都有效地改善了CMMOE患者的听觉功能.
准确的设备选择应以个体患者的听力水平,最佳ACT频率和绝对SRS-q/SRS-n值为指导.
这项研究为量身定制听力设备选择提供了关键数据,以优化CMMOE患者的治疗结果.

关键词:

骨传导听力设备是指骨传导的听力设备.中耳和外耳的先天性缺陷 (CMMOE)听力损失听力损失精确的选择精确的选择.

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