Lee Jeon Mi, Shin Seung-Ho, Suh Myung-Whan, Choi Seong Joon, Shin You-Ree, An Yong-Hwi, Ahn Jungmin, Noh Heil, Moon Il Joon, Park Moo Kyun, Park Shi Nae, Kim Hantai, Lee Dong-Hee
Department of Otolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
Department of Otorhinolaryngology, College of Medicine, Ewha Womans University, Seoul, Korea.
J Korean Med Sci. 2025 Jun 16;40(23):e182. doi: 10.3346/jkms.2025.40.e182.
Hearing impairment not only diminishes sound perception but also leads to various secondary disabilities; therefore, proper management is crucial for individual well-being and socioeconomic savings. This study establishes an expert consensus on the treatment of hearing impairment, primarily concentrating on hearing aids (HAs), to assist physicians. A modified nominal group technique was used to collect expert opinions about the management of hearing impairment with HAs. The expert panel consisted of 13 otologists from the Korean Otological Society Hearing Aid Study Group. The panel formulated and examined 12 subtopics, with each statement evaluated for consensus using a 9-point Likert scale. Statements with strong consensus were preserved, and those with weak consensus were either discarded or deliberated until agreement was achieved. The position statement discusses essential elements of HA utilization: candidacy, prescription, fitting, maintenance, and verification. It further offers direction on audiological and medical assessments, along with the qualifications and responsibilities of HA practitioners. The statement underscores the need for verification techniques, including coupler and real ear measurements, and stresses the importance of auditory rehabilitation for HA users. Furthermore, it examines the function of HAs in addressing tinnitus and hyperacusis and provides guidance for the management of hearing impairment resulting from external or middle ear complications. This position statement presents a thorough and organized methodology for addressing hearing impairment with HAs. It functions as a crucial resource for physicians, offering information vital to the diagnosis, treatment, and rehabilitation of hearing impairment and the management of related diseases. This declaration advocates for a comprehensive approach that combines professional skill, patient awareness, and societal support to effectively manage hearing impairment.
听力障碍不仅会降低声音感知能力，还会导致各种继发性残疾；因此，恰当的管理对于个人福祉和社会经济节约至关重要。本研究就听力障碍的治疗建立了专家共识，主要集中在助听器（HA）方面，以协助医生。采用改良的名义群体技术收集关于使用助听器管理听力障碍的专家意见。专家小组由韩国耳科学会助听器研究小组的13名耳科医生组成。该小组制定并审查了12个分主题，每个陈述使用9点李克特量表评估共识程度。达成强烈共识的陈述被保留，共识较弱的陈述要么被舍弃，要么进行审议直至达成一致。该立场声明讨论了助听器使用的基本要素：适应症、处方、验配、维护和验证。它还提供了听力和医学评估方面的指导，以及助听器从业者的资质和职责。该声明强调了验证技术的必要性，包括耦合器和真耳测量，并强调了对助听器使用者进行听觉康复的重要性。此外，它研究了助听器在解决耳鸣和听觉过敏方面的作用，并为因外耳或中耳并发症导致的听力障碍管理提供指导。这份立场声明提出了一种全面且有条理的方法来使用助听器解决听力障碍问题。它是医生的重要资源，提供了对听力障碍的诊断、治疗和康复以及相关疾病管理至关重要的信息。本声明倡导一种综合方法，将专业技能、患者意识和社会支持结合起来，以有效管理听力障碍。
