Van de Kerkhof Jasmine, Bleyaert Lore, Verhaert Nicolas, Lerut Bob
Department of ENT, H&N Surgery, General Hospitals, Leuven, Belgium
Department of Audiology, General Hospital Sint-Jan, Bruges, Belgium
J Int Adv Otol. 2024 Nov 25;20(6):523-530. doi: 10.5152/iao.2024.241585.
This study aimed to evaluate patient satisfaction and usage patterns of bone conduction devices (BCDs) for hearing rehabilitation, focusing on both users and non-users. Specific objectives included assessing reasons for non-use, exploring patient perceptions of BCD efficacy, and examining complications associated with BCD implantation.
A monocentric investigation was conducted at the Department of Ear, Nose, and Throat Diseases, Head and Neck Surgery at General Hospital Sint-Jan, Bruges. Patients who underwent BCD implantation between 2009 and 2020 were included. A questionnaire based on the International Outcome Inventory for Hearing Aids (IOI-HA) was administered to assess patient satisfaction. Additional questions were added to explore reasons for non-use and interest in alternative devices. Data analysis included descriptive statistics and chi-square tests to compare outcomes between groups.
Among 76 respondents, the majority expressed high satisfaction with their BCDs, reporting significant improvements in daily life and quality of hearing. The non-user rate was 8.9%, primarily attributed to perceived lack of benefit or skin problems. Complications requiring explantation were rare (3.4%). Single-sided deafness (SSD) and non-SSD patients exhibited similar satisfaction levels, but SSD patients reported higher non-use due to insufficient hearing benefits. Patients expressed interest (29.6%) in more advanced BCDs.
This study highlights the overall positive impact of BCDs on patient satisfaction and quality of life. Personalized care, informed decision-making, and rigorous preoperative evaluation are crucial in achieving favorable outcomes. Technological advancements offer promising opportunities for further enhancing BCD efficacy, underscoring the importance of ongoing research and innovation in hearing rehabilitation.
本研究旨在评估用于听力康复的骨传导装置（BCD）的患者满意度和使用模式，重点关注使用者和非使用者。具体目标包括评估不使用的原因、探究患者对BCD疗效的看法以及检查与BCD植入相关的并发症。
在布鲁日圣扬总医院耳鼻喉疾病与头颈外科进行了一项单中心调查。纳入了2009年至2020年间接受BCD植入的患者。采用基于国际助听器结果量表（IOI-HA）的问卷来评估患者满意度。还增加了其他问题以探究不使用的原因和对替代装置的兴趣。数据分析包括描述性统计和卡方检验，以比较组间结果。
在76名受访者中，大多数人对其BCD表示高度满意，称日常生活和听力质量有显著改善。不使用率为8.9%，主要归因于认为没有益处或皮肤问题。需要取出装置的并发症很少见（3.4%）。单侧耳聋（SSD）患者和非SSD患者的满意度水平相似，但SSD患者因听力益处不足而报告的不使用率更高。患者对更先进的BCD表现出兴趣（29.6%）。
本研究强调了BCD对患者满意度和生活质量的总体积极影响。个性化护理、明智的决策和严格的术前评估对于取得良好结果至关重要。技术进步为进一步提高BCD疗效提供了有希望的机会，突出了听力康复领域持续研究和创新的重要性。
