慢性中耳炎中骨锚式助听器的评估：一项多中心前瞻性研究。
Evaluation of Bone-Anchored Hearing Instruments in Chronic Otitis Media: A Multicenter Prospective Study.
作者信息
Ardıç Fazıl Necdet, Gülmez Mehmet İhsan, Okuyucu Şemsettin, Şahin Mehmet İlhan, Başkadem Yılmazer Ayça, Özmen Ömer Afşin, Ekim Mehmet, Altınöz Baykal Ece, Aslantaş Emel, Uçar Serap, Tanrıöven Ali, Kalcıoğlu Mahmut Tayyar
机构信息
Pamukkale University Faculty of Medicine, Department of Otorhinolaryngology, Denizli, Türkiye.
Hatay Mustafa Kemal University Faculty of Medicine, Department of Otorhinolaryngology, Hatay, Türkiye.
出版信息
Turk Arch Otorhinolaryngol. 2025 Jun 19;63(1):10-15. doi: 10.4274/tao.2025.2024-12-6. Epub 2025 Jun 16.
OBJECTIVE
This study aims to assess the effectiveness of bone-anchored hearing instruments (BAHIs) in patients with chronic otitis media (COM), using objective and subjective measures. It is a multicenter, prospective trial involving patients with COM who have undergone surgical treatment and have been rehabilitated using BAHIs.
METHODS
COM Questionnaire-12 (COMQ-12), Speech, Spatial, and Qualities of Hearing Scale (SSQ), World Health Organization (WHO) Quality of Life-BREF questionnaire, and audiometric tests were used for assessment.
RESULTS
Twenty-eight patients were included. The average duration of COM was 20.1±13.32 years. Among the patients, 60.7% (17) were using hearing aids, with a mean usage duration of 10.8±10.7 years (ranging from 1 to 36 years). Seven patients received the PONTO device, two received the BAH aid (BAHA) connect system, and 19 were implanted with the BAHA attract system. COMQ-12, SSQ, WHO questionaries, and audiometric tests showed significant improvement, and the results were found stable during follow-up.
CONCLUSION
This study reinforces the effectiveness of BAHIs in improving hearing thresholds and quality of life for patients with COM.
目的
本研究旨在采用客观和主观测量方法，评估骨锚式助听器（BAHI）对慢性中耳炎（COM）患者的有效性。这是一项多中心前瞻性试验，涉及接受过手术治疗并已使用BAHI进行康复的COM患者。
方法
采用慢性中耳炎问卷-12（COMQ-12）、言语、空间和听力质量量表（SSQ）、世界卫生组织（WHO）生活质量简表问卷以及听力测试进行评估。
结果
纳入28例患者。COM的平均病程为20.1±13.32年。其中，60.7%（17例）患者使用助听器，平均使用时长为10.8±10.7年（范围为1至36年）。7例患者接受了PONTO装置，2例接受了BAH辅助（BAHA）连接系统，19例植入了BAHA吸引系统。COMQ-12、SSQ、WHO问卷以及听力测试均显示出显著改善，且结果在随访期间保持稳定。
结论
本研究强化了BAHI对改善COM患者听力阈值和生活质量的有效性。
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