Hoppe Ulrich, Hocke Thomas, Hast Anne, Hornung Joachim
Audiologische Abteilung, Hals-Nasen-Ohren-Klinik, Universitätsklinikum Erlangen, Erlangen.
Cochlear Deutschland, Hannover, Deutschland.
Laryngorhinootologie. 2017 Apr;96(4):234-238. doi: 10.1055/s-0042-117641. Epub 2017 Jan 18.
This study gives an estimation of the long term outcome of a screening procedure for cochlear implant candidacy in hearing aid users.In a recent retrospective study, hearing aid performance and audiometric measures in 185 subjects (318 ears) were analyzed. In the context of 2 years follow-up, the outcome of the ipsilateral screening procedure was analyzed. For patients who did receive a cochlear implant, their audiometric outcome measures were viewed into relation to their preoperative results.From the 96 ears identified as cochlear implant candidates, 34 were provided with a cochlear implant. 222 ears were identified as hearing aid users. Only 4 of these 222 ears were provided with a cochlear implant. Cochlear implant recipients with a preoperative speech recognition score with hearing aids above zero showed a mean improvement of 65% points in Freiburg monosyllabics.The audiometry-based screening procedure enables an effective management of the referral process of cochlear implant candidates.
本研究对助听器使用者人工耳蜗植入候选者筛查程序的长期结果进行了评估。在最近一项回顾性研究中，分析了185名受试者（318只耳）的助听器性能和听力测量结果。在2年的随访期间，分析了同侧筛查程序的结果。对于接受人工耳蜗植入的患者，将其听力测量结果与术前结果进行了对比。在96只被确定为人工耳蜗植入候选者的耳朵中，34只接受了人工耳蜗植入。222只耳朵被确定为助听器使用者。在这222只耳朵中，只有4只接受了人工耳蜗植入。术前使用助听器时言语识别得分高于零的人工耳蜗植入接受者在弗莱堡单音节词测试中平均提高了65个百分点。基于听力测量的筛查程序能够有效地管理人工耳蜗植入候选者的转诊流程。
