Audiology Unit, Cerrahpasa Faculty of Medicine, İstanbul University, İstanbul, Turkey.
Eur Arch Otorhinolaryngol. 2014 Jan;271(1):35-40. doi: 10.1007/s00405-013-2387-2. Epub 2013 Feb 12.
In this study, we aimed to compare the outcomes of satisfaction of the patients who used hearing aids preceding the vibrant sound bridge (VSB) application on middle ear windows (14 oval window and 5 round window). Nineteen adult patients with conductive or mixed hearing loss were included in the study. All patients used behind the ear hearing aids on the site which was selected for VSB application. The patients used hearing aids for at least 3 months before the VSB operation. The floating mass transducer (FMT) was placed on one of the middle ear windows (oval or round) in VSB operation. The patients were evaluated with International Outcome Inventory for Hearing Aids (IOI-HA) preoperatively after at least 3 months trial of conventional hearing aid and postoperatively after 3 months use of VSB. No perioperative problem was encountered. The total score of IOI-HA was significantly higher with VSB compared with conventional hearing aids (p < 0.05). No statistically significant difference was found between the daily use, residual activity limitations, satisfaction, impact on others, quality of life between middle ear implant and hearing aid (p > 0.05). The IOI-HA scores were significantly higher with the middle ear implant than the conventional hearing aid regarding benefit and residual participation restrictions (p < 0.05). Although the scores for quality of life assessment was similar between VSB and hearing aid use, there was a superiority of VSB in terms of benefit and residual participation restrictions as well as overall IOI-HA scores as the FMT was placed on one of the middle ear windows.
在这项研究中,我们旨在比较使用振动声桥(VSB)前使用助听器的患者的满意度结果,这些患者的中耳窗(14 个卵圆窗和 5 个圆窗)。19 名患有传导性或混合性听力损失的成年患者纳入了这项研究。所有患者在选择 VSB 应用的部位都使用了耳后助听器。患者在 VSB 手术前至少使用助听器 3 个月。在 VSB 手术中,浮动质量换能器(FMT)被放置在中耳窗之一(卵圆窗或圆窗)上。患者在至少 3 个月的常规助听器试用后以及使用 VSB 3 个月后,用国际助听器结果问卷(IOI-HA)进行评估。没有围手术期问题。与传统助听器相比,VSB 的 IOI-HA 总分明显更高(p < 0.05)。中耳植入物和助听器之间在日常使用、残余活动限制、满意度、对他人的影响、生活质量方面没有统计学差异(p > 0.05)。与传统助听器相比,中耳植入物的 IOI-HA 评分在受益和残余参与限制方面显著更高(p < 0.05)。尽管 VSB 和助听器使用的生活质量评估评分相似,但由于 FMT 被放置在中耳窗之一,VSB 在受益和残余参与限制以及整体 IOI-HA 评分方面具有优势。