新型骨传导黏附式听力装置在儿童中的首次应用经验。

First experiences with a new adhesive bone conduction hearing device in children.

作者信息

Urík Milan, Hošnová Dagmar, Šlapák Ivo, Jančíková Jana, Odstrčilík Jan, Jarkovský Jiří, Baumgartner Wolf-Dieter

机构信息

Department of Pediatric Otorhinolaryngology, University Hospital Brno and Faculty of Medicine, Masaryk University Brno, Brno, Czech Republic.

出版信息

Int J Pediatr Otorhinolaryngol. 2019 Nov;126:109614. doi: 10.1016/j.ijporl.2019.109614. Epub 2019 Jul 29.

DOI:10.1016/j.ijporl.2019.109614

PMID:31377401

Abstract

OBJECTIVES

To evaluate the hearing benefit, advantages, and disadvantages in a series of children using a new, nonimplantable, pressure-free, adhesive bone conduction hearing aid.

METHODS

Seventeen children were included in the study. 5 children suffered from bilateral conductive hearing loss (CHL), 6 children with unilateral CHL and 6 children with unilateral sensorineural hearing loss. An audiological tests were provide. Additionally, sound quality (SSQ10) and quality of life (AQoL-6D) were assessed using questionnaires.

RESULTS

The average value of speech audiometry with bubble noise in children with SNHL is 21.33 (±5.72) dB HL with the device and 27.67 (±4.59) dB HL without the device, which is a statistically significant gain (p = 0.027). The analysis showed the average value of hearing threshold in sound field in the group of children with CHL supported 20.23 (±16.84) dB HL and not supported 33.52 (±27.27) by the hearing aid for bone conduction, which i a statistically significant gain (p = 0.008). The average value of speech audiometry is 23.45 (±14.45) dB HL with the device and 37.27 (±26.65) dB HL without the device, which is a statistically significant gain (p = 0.012). The average value of speech audiometry with bubble noise is 30.55 (±10.03) dB HL with the device and 45.45 (±18.41) dB HL without the device, which is a statistically significant gain (p = 0.008). No patient referred pain or irritation.

CONCLUSION

This new device for bone conduction show a hearing benefit for a paediatric patient, without any concomitant aesthetic and other complications.

摘要

目的

评估一系列儿童使用新型、非植入式、无压力、粘性骨传导助听器后的听力改善情况、优点和缺点。

方法

17名儿童纳入研究。5名儿童患有双侧传导性听力损失（CHL），6名儿童患有单侧CHL，6名儿童患有单侧感音神经性听力损失。进行了听力测试。此外，使用问卷评估声音质量（SSQ10）和生活质量（AQoL-6D）。

结果

感音神经性听力损失儿童使用该设备时伴有气泡噪声的言语测听平均值为21.33（±5.72）dB HL，不使用该设备时为27.67（±4.59）dB HL，这是具有统计学意义的改善（p = 0.027）。分析显示，传导性听力损失儿童组在声场中的听力阈值平均值在骨传导助听器支持下为20.23（±16.84）dB HL，不支持时为33.52（±27.27）dB HL，这是具有统计学意义的改善（p = 0.008）。使用该设备时言语测听平均值为23.45（±14.45）dB HL，不使用该设备时为37.27（±26.65）dB HL，这是具有统计学意义的改善（p = 0.012）。伴有气泡噪声的言语测听平均值使用该设备时为30.55（±10.03）dB HL，不使用该设备时为45.45（±18.41）dB HL，这是具有统计学意义的改善（p = 0.008）。没有患者出现疼痛或刺激。