Erdem Büşra Koçak, Çiprut Ayça
Department of Audiology, Lütfi Kırdar Training and Research Hospital, İstanbul, Turkey.
Department of Audiology, Marmara University School of Medicine, İstanbul, Turkey.
Turk Arch Otorhinolaryngol. 2019 Sep;57(3):149-153. doi: 10.5152/tao.2019.4105. Epub 2019 Sep 1.
The aim of the study was to conduct a scale-based evaluation of the hearing skills of unilateral, bimodal and bilateral cochlear implant (CI) users, including distinguishing, orientating and locating speech and environmental sounds in their surrounding environment that they are exposed to in different contexts of everyday life. The scale results were compared between groups.
A total of 74 cochlear implant users, 30 unilateral, 30 bimodal and 14 bilateral, were included in the study. Their ages ranged from 11 to 64 years. Participants were assessed using the Speech, Spatial and Qualities of Hearing Scale (SSQ).
Bilateral CI users' subjective ratings of their own hearing skills were found to be significantly better than those of bimodal and unilateral CI users; bimodal users' subjective ratings were also found to be significantly better than those of unilateral CI users. Paired comparisons showed statistically significant differences between the groups in terms of total scores of Speech, Spatial, Qualities of Hearing and General SSQ (p<0.05).
Our findings show that bilateral use of cochlear implants should be recommended for those presently using bimodal and unilateral devices. Moreover, subjective tests should be used regularly along with objective tests for evaluating CI patients.
本研究旨在对单侧、双模式和双侧人工耳蜗（CI）使用者的听力技能进行基于量表的评估，包括在日常生活的不同情境中区分、定位周围环境中的语音和环境声音。对各小组之间的量表结果进行比较。
本研究共纳入74名人工耳蜗使用者，其中30名单侧使用者、30名双模式使用者和14名双侧使用者。他们的年龄在11岁至64岁之间。使用言语、空间和听力质量量表（SSQ）对参与者进行评估。
发现双侧人工耳蜗使用者对自身听力技能的主观评分显著优于双模式和单侧人工耳蜗使用者；双模式使用者的主观评分也显著优于单侧人工耳蜗使用者。配对比较显示，在言语、空间、听力质量和总体SSQ总分方面，各小组之间存在统计学显著差异（p<0.05）。
我们的研究结果表明，对于目前使用双模式和单侧设备的使用者，应建议其双侧使用人工耳蜗。此外，在评估人工耳蜗患者时，应定期使用主观测试并结合客观测试。
