Ear Sciences Centre, School of Surgery, University of Western Australia, Perth, Australia.
Otol Neurotol. 2010 Dec;31(9):1427-34. doi: 10.1097/MAO.0b013e3181f0c53e.
To longitudinally evaluate short- and long-term subject satisfaction/benefit perception, device usage rates, complication rates, and external device repair rates of bone-anchored hearing aid (BAHA) implantation on a cohort of adult subjects with profound unilateral sensorineural hearing loss (PUSHL).
Prospective clinical trial.
Tertiary referral center.
Fifty-six adults with PUSHL, 21 of which underwent BAHA implantation (followed for an average of 3.2 years after implantation; range, 0.8-4.6 yr).
Short- and long-term satisfaction/benefit perception outcomes consisting of the Glasgow Hearing Aid Benefit Profile, Abbreviated Profile of Hearing Aid Benefit, and Single-Sided Deafness Questionnaire, including a comparison of results between implanted and nonimplanted subjects. Short- and long-term device usage rates, complications, and device failure issues also were carefully documented.
There were statistically significant improvements in nearly all measures of benefit perception documented as well as a high rate of long-term device usage (81%). Although satisfaction and benefit perception outcomes generally tended to regress over time when compared with initial short-term outcomes, long-term scores still tended to be significantly improved nevertheless as compared with preoperative levels. Approximately 38% of implants experienced severe local skin reactions (Grade 2 and above) around the implant site at some point throughout the follow-up period, whereas only one (4.8%) required implant removal. 66.7% of subjects required repair of their external sound processor.
BAHA implantation seems to provide a high level of short- and long-term perceived benefit and satisfaction in subjects with PUSHL and high rate of long-term device usage. Implant site adverse local skin reactions and repairs of the external sound processor were quite common.
对一组患有单侧感音神经性听力损失（PUSHL）的成人患者进行骨锚定式助听器（BAHA）植入后的短期和长期患者满意度/受益感知、设备使用率、并发症发生率和外部设备修复率的纵向评估。
前瞻性临床试验。
三级转诊中心。
56 名 PUSHL 成人患者，其中 21 名接受了 BAHA 植入（植入后平均随访 3.2 年，范围 0.8-4.6 年）。
包括格拉斯哥助听器受益概况、助听器受益简表和单侧听力损失问卷在内的短期和长期满意度/受益感知结果，并对植入和未植入患者的结果进行比较。还仔细记录了短期和长期设备使用率、并发症和设备故障问题。
在记录的受益感知的几乎所有衡量标准中都有统计学显著改善，并且长期设备使用率很高（81%）。尽管与短期初始结果相比，满意度和受益感知结果随时间推移呈下降趋势，但与术前水平相比，长期评分仍有显著改善。大约 38%的植入物在随访期间的某个时候在植入部位周围经历了严重的局部皮肤反应（2 级及以上），而只有 1 例（4.8%）需要取出植入物。66.7%的患者需要对外置声音处理器进行维修。
BAHA 植入似乎为 PUSHL 患者提供了高水平的短期和长期感知受益和满意度，并且长期设备使用率较高。植入部位的局部皮肤不良反应和外部声音处理器的修复非常常见。
