Department of Otolaryngology-Head and Neck surgery, Nara Medical University, Kashihara, Nara, Japan.
The Institute of MBT (Medicine-Based Town), Nara Medical University, Kashihara, Nara, Japan.
J Am Acad Audiol. 2022 Jan;33(1):14-22. doi: 10.1055/s-0041-1733965. Epub 2022 May 6.
Innovated hearing aids (HAs), termed cartilage conduction hearing aids (CC-HAs), show good performance in patients with closed ears and continuous otorrhea. However, factors other than the ear condition that influence the purchase rate of CC-HAs remain unclear.
To identify the factors that influence the purchase rate of CC-HAs.
A correlational study.
A total of 249 patients were enrolled.
The patients' demographics, clinical characteristics, outcomes, and CC-HA transducer types were compared. The data were analyzed for six groups classified based on the ear condition.
In the unilateral closed-ear group, the purchase cases were significantly younger than the nonpurchase cases ( < 0.05). Regarding the outcomes in the bilateral closed-ear group, the purchase cases showed significantly better-aided thresholds at 0.25 and 0.5 kHz than the nonpurchase cases. No significant differences in the functional gains and speech recognition scores were found between purchase and nonpurchase cases in all six groups. Regarding the transducer type, the continued-use rate of the simple transducer type was significantly lower in the bilateral chronic continuous otorrhea, bilateral open, and unilateral open groups.
In the closed ears, no remarkable negative factors were found. Transducer type had a significant influence on the continued-use rate in the nonclosed ears including the ears with chronic continuous otorrhea, although the purchase rate of CC-HAs in the bilateral chronic continuous otorrhea group was comparable to the closed ears.
创新性助听设备(HA),称为软骨传导助听设备(CC-HA),在封闭耳和持续性耳漏的患者中表现出良好的性能。然而,除了耳部状况之外,影响 CC-HA 购买率的其他因素尚不清楚。
确定影响 CC-HA 购买率的因素。
相关性研究。
共纳入 249 名患者。
比较了患者的人口统计学、临床特征、结果和 CC-HA 换能器类型。根据耳部状况将数据分为六组进行分析。
在单侧封闭耳组中,购买组的年龄明显小于非购买组(<0.05)。对于双侧封闭耳组的结果,购买组在 0.25 和 0.5 kHz 时的助听阈值明显更好。在所有六组中,购买组和非购买组在功能增益和言语识别评分方面均无显著差异。关于换能器类型,在双侧慢性持续性耳漏、双侧开放性和单侧开放性组中,简单换能器类型的持续使用率明显较低。
在封闭耳中,未发现明显的负面因素。尽管双侧慢性持续性耳漏组的 CC-HA 购买率与封闭耳相当,但换能器类型对包括慢性持续性耳漏、双侧开放性和单侧开放性在内的非封闭耳的持续使用率有显著影响。