Department of Otorhinolaryngology, Sahlgrenska University Hospital, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Int J Audiol. 2013 Mar;52(3):194-9. doi: 10.3109/14992027.2012.754957. Epub 2013 Jan 22.
The aims of the study were to assess hearing-aid uptake in patients with otosclerosis 28-30 years after stapedectomy and to evaluate hearing-aid benefit to users.
A retrospective study was performed; it included a review of medical records and follow-up 28-30 years after surgery, including audiometry, clinical examination, structured interview, and a validated questionnaire, IOI-HA.
Sixty-five patients, who had undergone stapedectomy at a tertiary referral center in 1977-79.
In 95% of the subjects there was a theoretical need for hearing-aid amplification at follow-up; 46% of the subjects had no hearing aids, while 26% had unilateral and 28% bilateral hearing aids. Hearing sensitivity in the best ear predicted hearing-aid uptake. Of the subjects with a hearing aid, 94% were everyday users and 54% were full-time users (> 8 hours/day). The subjects reported a high level of satisfaction (mean 4.5) and benefit (mean 4.2), but also residual activity limitations (mean 3.1).
The study shows that there is an unmet need for long-term hearing rehabilitation among patients previously undergoing surgery for otosclerosis. The patients who were using hearing aids were generally very satisfied with their hearing aids, but they still reported residual activity limitations.
本研究旨在评估耳硬化症患者在镫骨手术后 28-30 年后助听器的佩戴情况，并评估助听器对使用者的益处。
回顾性研究；包括对病历的回顾和术后 28-30 年的随访，包括听力测试、临床检查、结构化访谈和经过验证的 IOI-HA 问卷。
1977-79 年在三级转诊中心接受镫骨切除术的 65 名患者。
95%的受试者在随访时存在理论上的助听器放大需求；46%的受试者没有助听器，26%的受试者单侧佩戴助听器，28%的受试者双侧佩戴助听器。最佳耳听力灵敏度预测了助听器的佩戴情况。在佩戴助听器的受试者中，94%为日常使用者，54%为全天使用者（>8 小时/天）。受试者报告了较高的满意度（平均 4.5）和受益（平均 4.2），但仍存在活动受限（平均 3.1）。
本研究表明，先前接受过耳硬化症手术的患者存在长期听力康复的未满足需求。使用助听器的患者对助听器的满意度普遍较高，但仍报告存在残余活动受限。
