噪音与静音中的耳植入物合格:患者是否表现出类似的术后益处?
Natalie Schauwecker1, Ankita Patro1, Jourdan T Holder1,2
1Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
概括
使用噪音测试获得耳植入器 (CI) 资格的患者表现与静音测试获得资格的患者相似. 这支持使用边界候选人的噪声测试,改善对CI的访问.
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:
- 耳植入物 (CI) 候选性通常通过静音语音识别测试来确定.
- 一些患者可能无法根据静静测试获得资格,但可以从CI中受益,需要使用替代评估方法.
研究的目的:
- 通过噪音测试与传统静音测试合格的成年CI接受者之间的听力测试性能和患者报告的结果进行比较.
- 评估噪声测试作为边界病例CI候选标准的有效性.
主要方法:
- 在第三级推中心对成年CI接受者的回顾性图表审查 (2012-2022年).
- 根据手术前的AzBio Quiet分数和需要多人喋喋不休的需要,分类为噪音合格 (NQ) 和安静合格 (QQ) 组.
- 使用CNC,AzBio Quiet,AzBio +5dB SNR,语音,空间和听力质量尺度 (SSQ),CI生活质量 (CIQOL-10) 和设备使用的术后结果的比较.
主要成果:
- NQ组 (n=67) 和QQ组 (n=771) 的人口统计和听力损失持续时间相似.
- 虽然QQ组在CI-only AzBio Quiet得分 (88% vs 51%) 中显示出更大的改善,但最佳辅助双耳表现和患者报告的结果 (SSQ,CIQOL-10,设备使用) 在两组之间是相同的.
- 在NQ患者中,术前和术后语音识别平均得分较高.
结论:
- 通过噪音测试获得耳植入资格的患者,与通过静音测试获得资格的患者相比,可以实现最佳辅助语音感知和患者报告的结果.
- 研究结果支持使用噪声测试来确定适合耳植入的候选人,特别是那些在传统标准的边界线上的候选人.
相关概念视频
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