Department of Otorhinolaryngology, Donders Centre of Neuroscience, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Eur Arch Otorhinolaryngol. 2013 Mar;270(4):1285-91. doi: 10.1007/s00405-012-2151-z. Epub 2012 Aug 19.
The objective of this study is to determine the benefits of bone-anchored hearing aid (Baha) contralateral routing of signal (CROS) in the older adult population with single-sided deafness. Five questionnaires [general usage questionnaire, Glasgow benefit inventory (GBI), Abbreviated profile of hearing aid benefit (APHAB), Nijmegen cochlear implant questionnaire and the hearing handicap inventory for the elderly-screening version (HHIE-S)] were used to evaluate Baha use. Consecutive patients over 60 years of age with SSD fitted with a Baha CROS between April 1990 and April 2007 not using a conventional hearing aid in the better-hearing ear were identified. Nine out of 11 patients (82 %) were still using their Baha CROS, and 7 of the 11 patients (64 %) were still satisfied. The patients experienced no to little problems with handling and cleaning of the device. The GBI scores show good benefit in domains total (14 ± 11) and general (19 ± 17). The APHAB shows that, overall, 3 out of the 11 patients (27 %) experienced significant benefit, while all others experienced no significant benefit and no drawbacks. The HHIE-S shows that the patients experienced severe (18 %), mild to moderate (46 %) or no handicap (36 %) when using the Baha CROS. In conclusion, the benefit of a Baha CROS for elderly patients with SSD is evident in the majority of patients.
本研究旨在确定骨锚式助听器(BAHA)对单侧聋老年患者的对侧信号转导(CROS)的益处。使用了 5 个问卷[一般使用问卷、格拉斯哥受益量表(GBI)、助听器受益简明评估量表(APHAB)、奈梅亨人工耳蜗植入问卷和老年人听力障碍筛查版(HHIE-S)]来评估 BAHA 的使用情况。确定了 1990 年 4 月至 2007 年 4 月期间连续为单侧聋患者佩戴 BAHA CROS 的 11 名患者,这些患者在听力较好的耳朵中未使用常规助听器。9 名患者中有 11 名(82%)仍在使用他们的 BAHA CROS,其中 7 名患者(64%)仍感到满意。患者在处理和清洁设备方面几乎没有问题。GBI 评分显示在总分(14±11)和总体(19±17)方面受益良好。APHAB 显示,在 11 名患者中,有 3 名(27%)患者总体上受益显著,而其他患者则无显著受益或无不良影响。HHIE-S 显示,患者在使用 BAHA CROS 时感到严重(18%)、轻度至中度(46%)或无障碍(36%)。总之,BAHA CROS 对单侧聋老年患者的益处,在大多数患者中是明显的。