Department of Otolaryngology/Head & Neck Surgery, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Laryngoscope. 2023 Oct;133(10):2792-2797. doi: 10.1002/lary.30608. Epub 2023 Feb 9.
Assess the long-term patterns of perceived tinnitus severity and subjective benefit for adult cochlear implant (CI) users with asymmetric or unilateral hearing loss (AHL or UHL).
Forty adults underwent cochlear implantation as part of a prospective clinical trial assessing the outcomes of CI use in cases of AHL (n = 20) and UHL (n = 20). Subjective measures included the Tinnitus Handicap Inventory (THI), the Speech, Spatial, & Qualities of Hearing Scale (SSQ), and the Abbreviated Profile of Hearing Aid Benefit (APHAB). Responses were obtained preoperatively and at routine intervals out to 5 years post-activation.
For subjective benefit, participants with AHL and UHL reported a significant improvement as compared to preoperative abilities, which was maintained with long-term CI use. For perceived tinnitus severity, participants with AHL and UHL reported a significant reduction with CI use as compared to preoperative perceptions. The perceived tinnitus severity significantly differed for the AHL and UHL cohorts over time. This pattern of results is likely influenced by the worse perceived severity levels for the UHL cohort preoperatively and the fluctuating perceived severity levels for some participants in the AHL cohort post-activation.
Adults with AHL and UHL report an early, significant reduction in perceived tinnitus severity and improvement in quality of life with CI use that is generally maintained with long-term device use. Questionnaires such as the THI, SSQ, and APHAB may contribute to a more holistic assessment of the benefits of cochlear implantation in this population.
2 Laryngoscope, 133:2792-2797, 2023.
评估成人单侧或不对称性听力损失（AHL 或 UHL）患者长期的耳鸣严重程度感知模式和主观获益。
40 名成年人接受了 Cochlear 植入术，作为一项评估 AHL（n=20）和 UHL（n=20）患者 Cochlear 植入术后使用效果的前瞻性临床试验的一部分。主观测量包括耳鸣残疾量表（THI）、言语、空间和听力质量量表（SSQ）以及听力辅助获益简明评估表（APHAB）。在术前和术后 5 年的常规间隔时间内获得了这些反应。
在主观获益方面，与术前能力相比，AHL 和 UHL 患者报告有显著改善，并且随着长期使用 Cochlear 植入术而得以维持。在感知耳鸣严重程度方面，与术前感知相比，AHL 和 UHL 患者报告有显著降低。随着时间的推移，AHL 和 UHL 患者群体的感知耳鸣严重程度显著不同。这种结果模式可能受到 UHL 患者群体术前感知严重程度较高以及 AHL 患者群体术后某些患者感知严重程度波动的影响。
AHL 和 UHL 成人患者报告说，在使用 Cochlear 植入术时，耳鸣严重程度会早期显著降低，生活质量会得到改善，并且随着长期使用设备，这种改善通常会得到维持。THI、SSQ 和 APHAB 等问卷可能有助于更全面地评估 Cochlear 植入术在这一人群中的获益。
2 级喉镜，133：2792-2797，2023。
