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骨传导植入物:前六名患者的临床结果。

The bone conduction implant: Clinical results of the first six patients.

机构信息

* Department of Signals and Systems, Chalmers University of Technology , Gothenburg , Sweden.

出版信息

Int J Audiol. 2015 Jun;54(6):408-16. doi: 10.3109/14992027.2014.996826. Epub 2015 Feb 23.

DOI:10.3109/14992027.2014.996826
PMID:25705995
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4487578/
Abstract

OBJECTIVE

To investigate audiological and quality of life outcomes for a new active transcutaneous device, called the bone conduction implant (BCI), where the transducer is implanted under intact skin.

DESIGN

A clinical study with sound field audiometry and questionnaires at six-month follow-up was conducted with a bone-anchored hearing aid on a softband as reference device.

STUDY SAMPLE

Six patients (age 18-67 years) with mild-to-moderate conductive or mixed hearing loss.

RESULTS

The surgical procedure was found uneventful with no adverse events. The first hypothesis that BCI had a statistically significant improvement over the unaided condition was proven by a pure-tone-average improvement of 31.0 dB, a speech recognition threshold improvement in quiet (27.0 dB), and a speech recognition score improvement in noise (51.2 %). At speech levels, the signal-to-noise ratio threshold for BCI was - 5.5 dB. All BCI results were better than, or similar to the reference device results, and the APHAB and GBI questionnaires scores showed statistically significant improvements versus the unaided situation, supporting the second and third hypotheses.

CONCLUSIONS

The BCI provides significant hearing rehabilitation for patients with mild-to-moderate conductive or mixed hearing impairments, and can be easily and safely implanted under intact skin.

摘要

目的

研究一种新型主动经皮设备(骨导植入物,BCI)的听力和生活质量结果,该设备的换能器在完整的皮肤下植入。

设计

一项临床研究,在六个月的随访中进行声场测听和问卷调查,以骨锚式助听器和软带作为参考设备。

研究样本

六名(18-67 岁)患有轻度至中度传导性或混合性听力损失的患者。

结果

手术过程无意外,无不良事件。第一个假设,即 BCI 与未佩戴设备相比具有统计学上的显著改善,通过纯音平均听力提高 31.0dB、安静时言语识别阈值提高 27.0dB 和噪声中言语识别得分提高 51.2%得到证明。在言语水平上,BCI 的信噪比阈值为-5.5dB。所有 BCI 结果均优于或类似于参考设备结果,APHAB 和 GBI 问卷评分显示与未佩戴设备相比有统计学意义的改善,支持第二个和第三个假设。

结论

BCI 为轻度至中度传导性或混合性听力障碍患者提供了显著的听力康复效果,并且可以在完整的皮肤下安全地植入。

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本文引用的文献

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Technical design of a new bone conduction implant (BCI) system.一种新型骨传导植入物(BCI)系统的技术设计。
Int J Audiol. 2015;54(10):736-44. doi: 10.3109/14992027.2015.1051665. Epub 2015 Jun 12.
2
New developments in bone-conduction hearing implants: a review.骨传导听力植入物的新进展:综述
Med Devices (Auckl). 2015 Jan 16;8:79-93. doi: 10.2147/MDER.S39691. eCollection 2015.
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Study of the feasible size of a bone conduction implant transducer in the temporal bone.颞骨中骨传导植入式换能器可行尺寸的研究。
联合电声刺激与鼓室成形术的听力康复
J Audiol Otol. 2021 Apr;25(2):110-114. doi: 10.7874/jao.2020.00136. Epub 2020 Nov 16.
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Three-Year Follow-Up with the Bone Conduction Implant.骨导植入物的三年随访结果。
Audiol Neurootol. 2020;25(5):263-275. doi: 10.1159/000506588. Epub 2020 Apr 8.
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Nasal sound pressure as objective verification of implant in active transcutaneous bone conduction devices.鼻声压作为有源经皮骨传导装置植入的客观验证方法。
Med Devices (Auckl). 2019 May 28;12:193-202. doi: 10.2147/MDER.S197919. eCollection 2019.
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Robustness and lifetime of the bone conduction implant - a pilot study.骨传导植入物的耐用性和使用寿命——一项初步研究。
Med Devices (Auckl). 2019 Feb 26;12:89-100. doi: 10.2147/MDER.S192860. eCollection 2019.
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Characteristics of Bone-Conduction Devices Simulated in a Finite-Element Model of a Whole Human Head.整体人头的有限元模型中模拟的骨传导设备的特征。
Trends Hear. 2019 Jan-Dec;23:2331216519836053. doi: 10.1177/2331216519836053.
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Speech Understanding and Sound Localization with a New Nonimplantable Wearing Option for Baha.使用新的非植入式佩戴选项实现 Baha 的语音理解和声音定位。
Biomed Res Int. 2018 Sep 25;2018:5264124. doi: 10.1155/2018/5264124. eCollection 2018.
9
Cytokine expression profile in the bone-anchored hearing system: 12-week results from a prospective randomized, controlled study.骨锚定式助听系统中的细胞因子表达谱:一项前瞻性随机对照研究的 12 周结果。
Clin Implant Dent Relat Res. 2018 Aug;20(4):606-616. doi: 10.1111/cid.12615. Epub 2018 Apr 27.
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Implantable hearing devices.可植入式听力设备
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2017 Dec 18;16:Doc06. doi: 10.3205/cto000145. eCollection 2017.
Otol Neurotol. 2015 Apr;36(4):631-7. doi: 10.1097/MAO.0000000000000682.
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MRI induced torque and demagnetization in retention magnets for a bone conduction implant.用于骨传导植入物的保持磁体中的磁共振成像诱导扭矩和退磁
IEEE Trans Biomed Eng. 2014 Jun;61(6):1887-93. doi: 10.1109/TBME.2014.2309978.
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Long-term subjective benefit with a bone conduction implant sound processor in 44 patients with single-sided deafness.44名单侧耳聋患者使用骨传导植入式声音处理器的长期主观获益情况。
Otol Neurotol. 2014 Jul;35(6):1017-25. doi: 10.1097/MAO.0000000000000297.
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Bone conduction hearing sensitivity in normal-hearing subjects: transcutaneous stimulation at BAHA vs BCI position.正常听力受试者的骨导听敏度:BAHA 与 BCI 位置的经皮刺激。
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A new bone conduction implant: surgical technique and results.新型骨传导植入物:手术技术及结果。
Otol Neurotol. 2014 Feb;35(2):216-20. doi: 10.1097/MAO.0000000000000253.
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Preliminary functional results and quality of life after implantation of a new bone conduction hearing device in patients with conductive and mixed hearing loss.新型骨导式听力植入装置在传导性和混合性听力损失患者中的初步功能效果和生活质量评估。
Otol Neurotol. 2014 Feb;35(2):211-5. doi: 10.1097/MAO.0000000000000208.
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The bone conduction implant--first implantation, surgical and audiologic aspects.骨传导植入物——首次植入、手术及听力学方面
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