单侧聋患者的聆听环境对使用模式的影响。

Influence of listening environment on usage patterns in cochlear implant patients with single-sided deafness.

机构信息

Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, 243 Charles Street, Boston, MA, USA.

Eaton Peabody Laboratories (EPL), Massachusetts Eye and Ear, Harvard Medical School, 243 Charles Street, Boston, MA, USA.

出版信息

Cochlear Implants Int. 2023 Nov;24(6):335-341. doi: 10.1080/14670100.2023.2176990. Epub 2023 Feb 27.

DOI:10.1080/14670100.2023.2176990

PMID:36846887

Abstract

OBJECTIVE

To compare cochlear implant (CI) data logging of patients with single-sided deafness (SSD) and bilateral sensorineural hearing loss (biSNHL) in various acoustic environments and study the implications of data logging on auditory performance.

STUDY DESIGN

Retrospective case control study.

METHODS

Adult CI patients with SSD or biSNHL from 2010 to 2021 with usage data collected at 3-, 6-, and 12-months following device activation were identified. The CI listening environment was defined as speech in noise, speech in quiet, quiet, music or noise. Auditory performance was measured using the CNC word, AzBio sentence tests and the Tinnitus Handicap Index (THI).

RESULTS

60 adults with SSD or biSNHL were included. CI patients with biSNHL wore their devices more than those with SSD at 3-months post-activation (11.18 versus 8.97 hours/day, = 0.04), though there were no significant differences at 6-12 months. Device usage was highest in the speech in quiet environment. In SSD CI users, there was a positive correlation ( = 0.03) between device use and CNC scores at 12-months and an improvement in THI scores at 12-months ( = 0.0004).

CONCLUSIONS

CI users with SSD and biSNHL have comparable duration of device usage at longer follow-up periods with greatest device usage recorded in speech in quiet environments.

摘要

目的

比较单侧聋（SSD）和双侧感音神经性听力损失（biSNHL）患者的人工耳蜗（CI）数据记录在各种声学环境中的情况，并研究数据记录对听觉表现的影响。

研究设计

回顾性病例对照研究。

方法

从 2010 年至 2021 年，确定了有 SSD 或 biSNHL 的成年 CI 患者，他们在设备激活后 3、6 和 12 个月收集了使用数据。CI 听力环境定义为噪声中的言语、安静中的言语、安静、音乐或噪声。使用 CNC 单词、AzBio 句子测试和耳鸣残疾指数（THI）来测量听觉表现。

结果

纳入了 60 名有 SSD 或 biSNHL 的成年人。CI 患者在激活后 3 个月时，biSNHL 患者比 SSD 患者佩戴设备的时间更长（11.18 小时/天与 8.97 小时/天， = 0.04），但在 6-12 个月时没有显著差异。在安静的言语环境中，设备使用率最高。在 SSD CI 用户中，设备使用与 12 个月时的 CNC 评分之间存在正相关（ = 0.03），并且 12 个月时 THI 评分有所改善（ = 0.0004）。