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助听器在前庭神经鞘瘤相关听力损失中的应用:综述

Hearing Aid in Vestibular-Schwannoma-Related Hearing Loss: A Review.

作者信息

Di Pasquale Fiasca Valerio Maria, Sorrentino Flavia, Conti Martina, De Lucia Giulia, Trevisi Patrizia, de Filippis Cosimo, Zanoletti Elisabetta, Brotto Davide

机构信息

Section of Otolaryngology, Otolaryngology Unit, Department of Neurosciences, University of Padova, Via 5 Giustiniani 2, 35128 Padua, Italy.

Audiology Unit, Department of Neuroscience DNS, University of Padova, 31100 Treviso, Italy.

出版信息

Audiol Res. 2023 Aug 8;13(4):627-635. doi: 10.3390/audiolres13040054.

Abstract

(1) Background: Several types of hearing aids are available for the rehabilitation of vestibular-schwannoma (VS)-related hearing loss. There is a lack of recently published papers regarding this theme. The aim of the present work is to organize current knowledge. (2) Methods: A review of the literature regarding the topics "vestibular schwannoma", "hearing loss", and "hearing aid" was performed. Nineteen studies were thus considered. (3) Results: Conventional hearing aids, contralateral routing of signal (CROS) aids, bone anchored hearing aids (BAHA), and others are available options for hearing rehabilitation in VS patients. The speech discrimination score (SDS) is considered the best measure to assess candidacy for rehabilitation with hearing aids. The best hearing rehabilitative conditions in VS patients when using conventional hearing aid devices are a mild-moderate hearing loss degree with good word recognition (more than 50% SDS). CROS-Aid and BAHA are reported to be beneficial. CROS-Aid expands on the area of receiving hearing. BAHA aids use direct bone-conduction stimulation. Unfortunately, there are no available studies focused specifically on VS patients that compare CROS and BAHA technologies. (4) Conclusions: Hearing aids, CROS, and BAHA are viable options for rehabilitating hearing impairment in VS, but require an accurate case-by-case audiological evaluation for rehabilitating hearing impairment in VS. Further studies are needed to prove if what is currently known about similar hearing illnesses can be confirmed, particularly in the case of VS.

摘要

(1) 背景:有几种类型的助听器可用于前庭神经鞘瘤(VS)相关听力损失的康复。关于这一主题最近发表的论文较少。本研究的目的是整理当前的知识。(2) 方法:对关于“前庭神经鞘瘤”“听力损失”和“助听器”等主题的文献进行了综述。共纳入19项研究。(3) 结果:传统助听器、信号对侧路由(CROS)助听器、骨锚式助听器(BAHA)等是VS患者听力康复的可用选择。言语辨别得分(SDS)被认为是评估助听器康复候选资格的最佳指标。使用传统助听器设备时,VS患者最佳的听力康复条件是轻中度听力损失且言语识别良好(SDS超过50%)。据报道,CROS助听器和BAHA有益。CROS助听器扩大了听力接收区域。BAHA助听器采用直接骨传导刺激。遗憾的是,目前没有专门针对VS患者比较CROS和BAHA技术的研究。(4) 结论:助听器、CROS助听器和BAHA是VS患者听力障碍康复的可行选择,但VS患者听力障碍康复需要逐例进行准确的听力学评估。需要进一步研究以证实目前关于类似听力疾病的认知是否成立,尤其是在VS患者中。

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