Otolaryngology and Otology Service, Hospital San José, School of Medicine, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia.
Otolaryngology Section, Hospital Universitario Fundación Santa Fe de Bogotá, School of Medicine, Universidad de los Andes, Bogotá, Colombia.
Cochlear Implants Int. 2020 May;21(3):136-144. doi: 10.1080/14670100.2019.1691321. Epub 2019 Nov 19.
Evaluate auditory results and communicative benefits in adult patients with single-sided deafness (SSD) treated with cochlear implantation. Observational descriptive case series. Hospital Universitario Fundación Santa Fe de Bogotá. Ten patients with profound post-lingual SSD were treated with cochlear implantation between January 2011 and March 2016. Two patients were excluded because of incomplete follow-up. Medical records included demographic information, pre and post-operative audiometric results, and binaural and monoaural speech discrimination tests in three sound-in-noise configurationswith the cochlear implant turned on and off, respectively. Subjective improvement was evaluated using the Abbreviated Profile of Hearing Aid Benefit (APHAB) and Speech, Spatial, and Qualities of Hearing Scale (SSQ-B). Pre and post-operative audiometric and speech discrimination results, post-operative binaural and monoaural speech discrimination in noise results, and APHAB and SSQ-B questionnaire results. Significant improvement in speech discrimination in a noisy environment was found when the noise and signal were presented from the front, and when the signal was presented to the implanted ear and the noise to the healthy ear. SSQ-B questionnaire showed improvement in all subscales, while APHAB showed improvement in all subscales except sound aversion. Patients with SSD showed improvement regarding communication skills and sound discrimination in a noisy environment.
评估单侧耳聋(SSD)成年患者接受人工耳蜗植入后的听力结果和交流获益。观察性描述性病例系列。波哥大圣达菲基金会大学医院。2011 年 1 月至 2016 年 3 月期间,对 10 名患有深度后天性 SSD 的患者进行了人工耳蜗植入治疗。由于随访不完整,排除了 2 名患者。病历包括人口统计学信息、术前和术后听力结果,以及在人工耳蜗开启和关闭的情况下,分别在三种噪声环境下的双耳和单耳语音辨别测试。使用助听效果简明评估表(APHAB)和言语、空间和听觉质量量表(SSQ-B)评估主观改善情况。术前和术后听力和语音辨别结果、术后噪声下双耳和单耳语音辨别结果、APHAB 和 SSQ-B 问卷结果。当噪声和信号从前部发出,信号传至植入耳,噪声传至健耳时,在噪声环境中的语音辨别能力显著提高。SSQ-B 问卷在所有子量表中均显示出改善,而 APHAB 除了对声音的厌恶之外,在所有子量表中均显示出改善。单侧耳聋患者在交流技能和嘈杂环境中的声音辨别方面均有所改善。