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对于单侧耳聋的耳植入后噪音中的语音感知:一项随机临床试验

Jan A A van Heteren^1,2, Anne W Wendrich^1,2, Jeroen P M Peters^1,2

¹Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.

JAMA otolaryngology-- head & neck surgery

|January 17, 2025

概括

与骨传导装置 (BCD),CROS助听器或没有治疗相比,耳植入物 (CI) 在单侧聋 (SSD) 中显著改善了噪音中的语音感知. 患者在24个月后恢复了一些双耳听力益处.

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
神经外科神经外科

背景情况:

单侧耳聋 (SSD) 在语音感知方面存在挑战,特别是在杂的环境中.
高级证据比较SSD的治疗选择是有限的.
目前的管理包括耳植入物 (CI),骨传导装置 (BCD) 和反侧信号路由 (CROS) 助听器.

研究的目的:

为了比较CI,BCD,CROS和没有治疗的疗效,以改善SSD患者在噪音中的语音感知.
评估这些干预措施对疾病特异性生活质量的影响.

主要方法:

一个单一中心随机临床试验,涉及SSD的成年患者.
参与者被随机分配到CI,BCD然后CROS或CROS然后BCD组,试验后可以选择BCD,CROS或没有治疗.
语音接收值 (SRTn) 和生活质量 (QOL) 在基线和24个月测量.

主要成果:

耳植入物 (CI) 组在24个月后在噪音中表现出比BCD,CROS和没有治疗组更好的语音感知.
与不接受治疗相比,BCD和CROS两组都显示出混合的结果,其中一些情况有所改善,而另一些情况则恶化.
自我报告的语音感知在CI组中明显更好.

结论:

耳植入器优于BCD,CROS,并且没有治疗可以改善SSD患者在噪音中的语音感知.
治疗SSD,特别是CI,可以帮助患者部分恢复双耳听力优势.
这些发现提供了高水平的证据,以指导单侧聋的治疗决策.

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