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双耳听力在单耳导电性或混合性听力损失中,配备单侧骨桥

Andrea Canale¹, Anastasia Urbanelli¹, Roberto Albera¹

¹ENT Unit, Department of Surgical Sciences, University of Turin, Turin, Italy.

Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale

|April 23, 2024

概括

单侧骨传导植入物 (BCI) 通过增强总和和减少头影效应,改善对有单耳传导或混合听力损失的患者在噪音中的语音感知. 然而,潜在的不适需要进行手术前评估,以获得最佳的听力康复.

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:

单耳导电性或混合性听力损失在听力康复中提出了独特的挑战.
单侧骨传导植入物 (BCI) 为改善受影响个体的听力提供了一个潜在的解决方案.

研究的目的:

评估使用单侧骨导电植入物 (BCI) 进行双耳听力康复的好处,用于单耳导电或混合听力损失的患者.
评估BCI对噪音和主观听觉体验中的语音感知的影响.

主要方法:

一项单心研究,涉及7名患有单耳导电性或混合性听力损失的患者,这些患者接受了单侧BCI (Bonebridge).
使用ITA矩阵测试 (带有和没有BCI) 进行目标测试,以测量总和,沉默和头影效应.
使用助听器福利的缩写概况 (APHAB) 调查问卷对助听器福利进行主观评估.

主要成果:

使用BCI在总和 (0.79dB,p<0.05) 和头影 (4.62dB,p<0.05) 设置中显示了信号噪声比 (SNR) 的显著改善.
患者报告BCI在意外噪音中增加了不适 (反感得分:69.00%vs25.67%,p <0.05)
与没有助听器相比,没有观察到APHAB总分的显著差异 (p = 0.310).

结论:

单边BCI可以通过利用总和和减轻头影效应来增强单耳导电性/混合性听力损失的患者在噪音中的语音感知.
在杂的环境中潜在的不适需要进行手术前评估,以确定个体的适用性,并探索额外的助听器配件.
在这个患者群体中,个性化手术前评估对于优化听力康复结果至关重要.

关键词:

双耳式听力双耳式听力传导性听力损失是指传导性听力损失.蒙纳耳听力损失是什么?单边的骨导电植入物植入物

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