Dreyer C, Ahmad Z, Tisch Matthias, Goldberg-Bockhorn E
Klinik für Hals-Nasen-Ohrenheilkunde, Kopf-Hals-Chirurgie, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.
Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinikum Ulm, Ulm, Deutschland.
HNO. 2025 Apr;73(4):233-241. doi: 10.1007/s00106-025-01548-w. Epub 2025 Mar 11.
The tamponade applied during ear surgery causes temporary conductive hearing loss with impairment of communication. This can persist until the follow-up procedure (second look, revision) due to insufficient hearing improvement or a prolonged wound healing phase.
This prospective study investigates the subjective and audiological benefit of temporary fitting of a bone conduction hearing aid in patients undergoing ear surgery.
Patients were fitted with the bone conduction hearing system ADHEAR© (MED-EL, Innsbruck, Austria) after ear surgery for the duration of tamponade. A self-developed questionnaire recorded subjective satisfaction with the system. In addition to pre- and postoperative hearing thresholds, speech comprehension was measured in quiet with and without hearing aids after tamponade removal to show the effect of the treatment after tamponade removal in patients with persistent conductive hearing loss.
A total of 76 patients were tested and 92% rated the hearing aid as useful during the packed period. More than 60% rated the sound quality as natural and 79% confirmed that they would wear the ADHEAR© again if they had another ear surgery. After packing removal, the air-bone gap was below 10 dB in 66% of patients. On average, speech discrimination improved by 14% in all patients, whereby patients with a persistent sound conduction component ≥ 10 dB (n = 26) achieved the greatest improvement of 25% on average.
The results of the study show subjective and audiological benefits with temporary fitting of an adhesive hearing aid to bridge the conductive hearing loss after ear surgery. Continued use of the ADHEAR© could benefit patients with persistent conductive hearing loss until the final fitting appointment (second look, completion of wound healing, revision surgery).
耳部手术期间使用的填塞物会导致暂时性传导性听力损失，影响交流。由于听力改善不足或伤口愈合期延长，这种情况可能会持续到后续手术（二次探查、修复）。
本前瞻性研究调查了耳部手术患者临时佩戴骨传导助听器的主观和听力学益处。
患者在耳部手术后佩戴骨传导听力系统ADHEAR©（奥地利因斯布鲁克美迪普声公司），佩戴时间为填塞期。一份自行编制的问卷记录了患者对该系统的主观满意度。除了术前和术后听力阈值外，还在取出填塞物后安静环境下测量了佩戴和不佩戴助听器时的言语理解能力，以显示在持续性传导性听力损失患者中取出填塞物后治疗的效果。
共测试了76例患者，92%的患者认为助听器在填塞期有用。超过60%的患者认为音质自然，79%的患者确认如果再次进行耳部手术，他们会再次佩戴ADHEAR©。取出填塞物后，66%的患者气骨导差低于10 dB。所有患者的言语辨别能力平均提高了14%，其中持续性声传导成分≥10 dB的患者（n = 26）平均提高幅度最大，为25%。
研究结果表明，临时佩戴粘性助听器以弥补耳部手术后的传导性听力损失具有主观和听力学益处。对于持续性传导性听力损失的患者，持续使用ADHEAR©可能会有益，直至最终验配（二次探查、伤口愈合完成、修复手术）。
