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Kanso™ 耳背式人工耳蜗声音处理器的临床疗效

Clinical outcomes with the Kanso™ off-the-ear cochlear implant sound processor.

作者信息

Mauger Stefan J, Jones Marian, Nel Esti, Del Dot Janine

机构信息

a Cochlear Limited , Melbourne , Australia.

b Cochlear Limited , Sydney , Australia.

出版信息

Int J Audiol. 2017 Apr;56(4):267-276. doi: 10.1080/14992027.2016.1265156. Epub 2017 Jan 9.

DOI:10.1080/14992027.2016.1265156
PMID:28067077
Abstract

OBJECTIVE

To investigate clinical outcomes and subjective ratings of the Kanso™ off-the-ear (OTE) cochlear implant sound processor.

DESIGN

Prospective, within-subject design investigating outcomes with a range of single and dual-microphone programmes for Kanso compared to conventional behind-the-ear (BTE) sound processors.

STUDY SAMPLE

Twenty post-lingually hearing-impaired cochlear implant recipients who were experienced Nucleus® 5 or Nucleus® 6 BTE users.

RESULTS

No significant difference in performance was found for words in quiet or sentences in co-located noise between the Kanso and Nucleus 6 devices. For the moderately directional Standard programme, no significant difference was found for sentences in spatially separated noise between the Kanso and Nucleus 6 devices, but a performance decrement between 1.4 and 2.0 dB was found in highly directional and adaptive directional programmes. The default Kanso programme, SCAN, provided improvements of 6.9 dB over a single-microphone programme and 2.3 dB over the Standard programme in spatially separated noise. Participants rated Kanso significantly better than their own BTE processor on measures of comfort, look and feel, ease of use, music and overall hearing performance.

CONCLUSION

Dual-microphone directional processing provides significant benefit over a single microphone for OTE processors. This study demonstrates clinical outcomes and acceptance of the Kanso OTE sound processor.

摘要

目的

研究Kanso™ 外置式(OTE)人工耳蜗声音处理器的临床效果和主观评分。

设计

前瞻性自身对照设计,研究Kanso多种单麦克风和双麦克风程序与传统耳背式(BTE)声音处理器相比的效果。

研究样本

20名语后聋人工耳蜗植入者,他们均为经验丰富的Nucleus® 5或Nucleus® 6 BTE使用者。

结果

在安静环境下的单词或同处噪声中的句子测试中,Kanso和Nucleus 6设备的表现无显著差异。对于中等指向性的标准程序,在空间分离噪声中的句子测试中,Kanso和Nucleus 6设备无显著差异,但在高指向性和自适应指向性程序中,表现下降了1.4至2.0分贝。Kanso的默认程序SCAN在空间分离噪声中比单麦克风程序提高了6.9分贝,比标准程序提高了2.3分贝。在舒适度、外观和手感、易用性、音乐和整体听力表现方面,参与者对Kanso的评分显著高于他们自己的BTE处理器。

结论

对于OTE处理器,双麦克风指向性处理比单麦克风有显著优势。本研究展示了Kanso OTE声音处理器的临床效果和可接受性。

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