Rösli M, Hoth S, Baumann I, Praetorius M, Plinkert P K
Funktionsbereich Audiologie, Univ.-HNO-Klinik Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Deutschland.
HNO. 2015 Mar;63(3):182-8. doi: 10.1007/s00106-014-2969-3.
Unilaterally deaf patients are increasingly supplied with a cochlear implant (CI). In the present study the change in quality of life following implantation was investigated.
The study comprised 20 postlingual CI recipients with single-sided deafness, who were divided into two groups: "normal hearing" (group 1) and "moderate impairment" (group 2) contralaterally. Their quality of life was determined using four standardized questionnaires (NCIQ, HPS, APHAB, HHIE) and a visual analogue scale.
With the exception of the sensation of loud everyday sounds (APHAB AV scale) reported by patients from group 2, all study participants benefited significantly from the implantation.
The problems caused by the aversiveness of loud everyday sounds can be explained by the enhanced transmission of high frequencies and the associated unfamiliar sensations by the CI system. The effects of deafness duration and response shift remain to be investigated.
Cochlear implantation for unilaterally deaf patients was found to be a legitimate and meaningful rehabilitation measure.
单侧耳聋患者越来越多地接受人工耳蜗植入（CI）。在本研究中，对植入后生活质量的变化进行了调查。
该研究包括20名单侧耳聋的语后聋人工耳蜗植入受者，他们被分为两组：对侧“听力正常”（第1组）和“中度受损”（第2组）。使用四份标准化问卷（NCIQ、HPS、APHAB、HHIE）和视觉模拟量表来确定他们的生活质量。
除第2组患者报告的日常声音响度感觉（APHAB AV量表）外，所有研究参与者均从植入中显著受益。
日常声音响度令人厌恶所带来的问题可以通过人工耳蜗系统高频传输增强以及相关的陌生感来解释。耳聋持续时间和反应转移的影响仍有待研究。
发现单侧耳聋患者的人工耳蜗植入是一种合理且有意义的康复措施。
