Rader T, Haerterich M, Ernst B P, Stöver T, Strieth S
Klinik für Hals-Nasen-Ohren-Heilkunde, Universitätsmedizin, Johannes Gutenberg-Universität Mainz, Langenbeckstraße 1, 55131, Mainz, Deutschland.
Klinik für Hals-Nasen-Ohren-Heilkunde, Goethe-Universität Frankfurt am Main, Frankfurt am Main, Deutschland.
HNO. 2018 Mar;66(3):219-228. doi: 10.1007/s00106-017-0456-3.
Persistent dizziness symptoms after cochlear implantation have an impact on quality of life. In this study, the effects of bilateral cochlear implants (CI) on quality of life as well as on subjective dizziness complaints are analyzed using questionnaires, some of which have never been applied before in these patient collectives.
In this article, questionnaires for the assessment of dizziness symptoms and quality of life are introduced in order to realize quality assurance.
A total of 32 patients with bilateral CI were questioned regarding dizziness symptoms and quality of life. The Nijmegen Cochlear Implant Questionnaire (NCIQ) was used. In the case of reported regular dizziness, the Vertigo Handicap Questionnaire (VHQ) and the Vertigo Symptom Scale (VSS) were also assessed.
Persistent dizziness symptoms were shown in 8 of 32 patients. Quality of life was measured with the NCIQ and was improved significantly (p < 0.001) by 23.7% after the second CI. The dizziness symptoms changed slightly (VHQ -11.2%; VSS +16.4%) after the second implantation.
The results show that the questionnaires are valid instruments for documenting quality of life and dizziness symptoms for quality assurance. These questionnaires may be applied as a complement or an alternative to device-based measurements of peripheral vestibular dysfunction.
人工耳蜗植入后持续的头晕症状会影响生活质量。在本研究中，使用问卷调查分析双侧人工耳蜗（CI）对生活质量以及主观头晕症状的影响，其中一些问卷此前从未在这些患者群体中应用过。
本文介绍用于评估头晕症状和生活质量的问卷，以实现质量保证。
共对32例双侧人工耳蜗植入患者进行了头晕症状和生活质量方面的询问。使用了奈梅亨人工耳蜗植入问卷（NCIQ）。对于报告有经常性头晕的患者，还评估了眩晕障碍问卷（VHQ）和眩晕症状量表（VSS）。
32例患者中有8例出现持续头晕症状。用NCIQ测量生活质量，第二次人工耳蜗植入后生活质量显著改善（p < 0.001），提高了23.7%。第二次植入后头晕症状略有变化（VHQ -11.2%；VSS +
