Gawęcki Wojciech, Stieler Olgierd Maciej, Balcerowiak Andrzej, Komar Dariusz, Gibasiewicz Renata, Karlik Michał, Szyfter-Harris Joanna, Wróbel Maciej
Department of Otolaryngology and Laryngological Oncology, Poznań University of Medical Sciences, Poznań, Poland.
KIND Hearing Therapy Centre, Poznań, Poland.
Eur Arch Otorhinolaryngol. 2016 Oct;273(10):3123-30. doi: 10.1007/s00405-016-3917-5. Epub 2016 Feb 22.
Bone-anchored hearing aids are well-established solutions for treatment of hearing-impaired patients. However, classical systems with percutaneous abutments have disadvantages concerning aesthetics, hygiene and adverse soft tissue reactions. The study aimed to evaluate surgical, functional and audiological results of a new Baha(®) Attract system, in which the sound processor is attached by magnetic force. Twenty patients implanted with a Baha(®) Attract system were divided into two groups: A-bilateral mixed and conductive hearing loss, B-single-sided deafness, and evaluated during a 6-month follow-up. Parameters analysed comprised: (1) surgery and wound healing, (2) postoperative functional results (GBI, APHAB and BAHU questionnaires), (3) audiological results (free field speech in noise audiometry in two situations: with signal from implant side and from contralateral side). Obtained results revealed: mean time of surgery-44 min, soft tissue reduction-30 %, bone polishing-20 %, haematoma-10 %. Functional results showed: GBI total score-29.6 points, APHAB global score mean gain-23.5 %, BAHU 'good or very good' score for: aesthetic-85 %, hygiene-100 %, ease of placing the processor-100 %, stability of attraction-75 %. Audiological results-mean gain for the two analysed situations: 32.9 % (group A-36.5 %, group B-27.5 %). To conclude, the data obtained prove the safety and effectiveness of the Baha(®) Attract system in patients with conductive and mixed hearing loss as well as in patients with single-sided deafness. Cosmetic aspects are highly acceptable and the idea of Attract itself is important for patients with limited manual dexterity.
骨锚式助听器是治疗听力受损患者的成熟解决方案。然而，带有经皮基台的传统系统在美学、卫生和软组织不良反应方面存在缺点。本研究旨在评估一种新型巴哈（Baha®）Attract系统的手术、功能和听力学结果，该系统的声音处理器通过磁力附着。将20例植入巴哈（Baha®）Attract系统的患者分为两组：A组为双侧混合性和传导性听力损失，B组为单侧耳聋，并在6个月的随访期间进行评估。分析的参数包括：（1）手术和伤口愈合情况，（2）术后功能结果（GBI、APHAB和BAHU问卷），（3）听力学结果（在两种情况下进行自由场噪声中言语听力测定：来自植入侧和对侧的信号）。获得的结果显示：平均手术时间为44分钟，软组织减少30%，骨打磨20%，血肿10%。功能结果显示：GBI总分29.6分，APHAB总体得分平均提高23.5%，BAHU在以下方面的“良好或非常好”得分：美学85%，卫生100%，处理器放置 ease 100%，吸引力稳定性75%。听力学结果——两种分析情况的平均增益：32.9%（A组36.5%，B组27.5%）。总之，获得的数据证明了巴哈（Baha®）Attract系统在传导性和混合性听力损失患者以及单侧耳聋患者中的安全性和有效性。美容方面非常可接受，Attract本身的理念对手动灵活性有限的患者很重要。 （注：原文中“ease of placing the processor”的“ease”可能有误，推测可能是“ease”，暂按此翻译）
