Deterioration of Hearing Due to Hearing Aids.

IF 2.9 3区医学 Q1 OTORHINOLARYNGOLOGY

Clinical and Experimental Otorhinolaryngology Pub Date : 2024-05-01 Epub Date: 2024-05-07 DOI:10.21053/ceo.2023.00024

Yujin Heo, Yang-Sun Cho

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引用次数: 0

Abstract

Objectives: A primary reason for the low adoption of hearing aids (HAs) among the large population with sensorineural hearing loss is the perception that these devices may negatively impact remaining hearing ability. Research addressing this issue has yielded conflicting results. This study examined the long-term effects of HAs on standard audiometric changes in individuals with sensorineural hearing loss.

Methods: We retrospectively analyzed patients who acquired unilateral HAs between 2015 and 2017 and demonstrated consistent use over a 5-year period. We examined demographics, medical comorbidities, audiometric data, and questionnaire results from the Hearing Handicap Inventory for the Elderly and the International Outcome Inventory for Hearing Aids. Additionally, we reviewed each patient's history of noise exposure and prior HA use.

Results: The study included 55 patients who used unilateral HAs, with a mean follow-up period of 5.32 years. Among them, 31 patients (56.4%) used the HA on the right side. Audiometric data from the aided side showed no significant difference from the unaided side in either the pre-fit pure-tone average of air conduction (AC) or word recognition score (WRS) (P =0.73 and P =0.11, respectively). Similarly, no significant differences were noted in the 5-year follow-up audiometry of AC and WRS (P=0.98 and P=0.07, respectively) or in the change from pre-fit to final audiometry for either parameter (AC, P=0.58; WRS, P=0.70). Eleven patients (20%) exhibited a deterioration in hearing (as measured by AC) of 5 dB or greater on the aided side compared with the unaided side, while 23 (53.5%) showed greater WRS deterioration on the aided side. No significant factors were found to contribute to the difference in hearing deterioration between groups for either AC or WRS.

Conclusion: No significant factors were identified as contributing to hearing deterioration after prolonged HA use. Overall, the use of HAs did not adversely impact residual hearing.

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助听器导致听力下降。

目的：在众多感音神经性听力损失患者中，助听器（HA）采用率不足的主要原因之一是社会担心助听器可能会对剩余听力能力产生负面影响。迄今为止，关于这一问题的研究很少，结果也存在争议。本研究探讨了助听器对感音神经性听力损失患者标准听力变化的长期影响：研究回顾性分析了 2015 年至 2017 年间新获得单侧 HA 并显示持续使用五年的患者。研究对象包括人口统计学、合并症、听力数据、老年人听力障碍量表（HHIE）和国际助听器结果量表（IOI-HA）的问卷调查结果、噪声暴露史以及之前使用过助听器：55 名患者使用了单侧助听器，平均随访时间为 5.32 年。31名患者（56.4%）在右侧使用助听器。受助侧的听力数据与未受助侧相比，在矫治前的纯音平均气导（AC）和单词识别分数（WRS）（P= 0.73，0.11，分别为0.73和0.11）、AC和WRS的五年随访听力（P=0.98，0.07）或AC和WRS从最后一次到矫治前的听力变化（P=0.58，0.70）方面均无显著差异。如果将助听侧与非助听侧听力下降 5 分贝或更多的患者进行比较，有 11 名患者（20%）的助听侧 AC 出现恶化，23 名患者（53.5%）的助听侧 WRS 出现进一步恶化。两组患者在 AC 或 WRS 方面的听力恶化差异均无明显因素：结论：长期使用助听器后，听力恶化没有明显的诱因，总体而言，助听器的使用不会对残余听力产生负面影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Experimental Otorhinolaryngology 医学-耳鼻喉科学

CiteScore

4.90

自引率

6.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Clinical and Experimental Otorhinolaryngology (Clin Exp Otorhinolaryngol, CEO) is an international peer-reviewed journal on recent developments in diagnosis and treatment of otorhinolaryngology-head and neck surgery and dedicated to the advancement of patient care in ear, nose, throat, head, and neck disorders. This journal publishes original articles relating to both clinical and basic researches, reviews, and clinical trials, encompassing the whole topics of otorhinolaryngology-head and neck surgery. CEO was first issued in 2008 and this journal is published in English four times (the last day of February, May, August, and November) per year by the Korean Society of Otorhinolaryngology-Head and Neck Surgery. The Journal aims at publishing evidence-based, scientifically written articles from different disciplines of otorhinolaryngology field. The readership contains clinical/basic research into current practice in otorhinolaryngology, audiology, speech pathology, head and neck oncology, plastic and reconstructive surgery. The readers are otolaryngologists, head and neck surgeons and oncologists, audiologists, and speech pathologists.