Sperling N M, Patel N
Department of Otolaryngology, SUNY Health Science Center, Brooklyn 11203, USA.
Laryngoscope. 1999 Sep;109(9):1386-91. doi: 10.1097/00005537-199909000-00004.
To evaluate subjective and objective outcomes of surgical therapy in congenital conductive hearing loss (HL) presenting in adulthood. The impact of hearing restoration on quality of life (QOL) for these patients may differ from those with acquired HL.
Retrospective review of five patients treated surgically.
Standard audiometry was completed. Patients completed a subjective questionnaire as well as subjective (open-set) questions. A seven-point Likert scale was used for closed-set responses with 1 representing the worst possible outcome and 7 being best.
The average four-frequency improvements in pure-tone average and air-bone gap were 18 dB (range, 7-29 dB) and 16 dB (range, 2-30 dB), respectively. An average score was obtained for each closed-set question. The highest-scoring items were for overall improvement of QOL (average score, 6), followed by perceived improvement in hearing (average score, 5.6). Other positive responses were improved ability to use the telephone (four of five patients) and improved localization of sound (four of five patients). Negative subjective responses included prolonged dysequilibrium in two of five, prolonged adjustment period in three, and dysgeusia in one patient.
Important components of outcome are likely to escape our review if only objective measures are used to evaluate surgical outcomes. These results suggest that improved hearing in this population provides specific improvements in lifestyle and is perceived as a significant improvement in overall QOL.
评估成年先天性传导性听力损失（HL）手术治疗的主观和客观结果。听力恢复对这些患者生活质量（QOL）的影响可能与后天性HL患者不同。
对5例接受手术治疗的患者进行回顾性研究。
完成标准听力测定。患者完成一份主观问卷以及主观（开放式）问题。采用七点李克特量表对封闭式回答进行评分，1代表最差结果，7代表最佳结果。
纯音平均听阈和气骨导差的平均四频率改善分别为18 dB（范围7 - 29 dB）和16 dB（范围2 - 30 dB）。每个封闭式问题都获得了平均分数。得分最高的项目是生活质量的总体改善（平均分数为6），其次是听力的感知改善（平均分数为5.6）。其他积极反应包括使用电话能力的改善（5例患者中的4例）和声音定位的改善（5例患者中的4例）。负面主观反应包括5例患者中有2例出现长期失衡，3例出现长期调整期，1例出现味觉障碍。
如果仅使用客观指标来评估手术结果，结果的重要组成部分可能会被我们忽略。这些结果表明，该人群听力的改善在生活方式方面有特定的改善，并被视为总体生活质量的显著提高。
