Cochlear implant benefits over time in adult patients with Single Sided Deafness.

IF 2.2 3区医学 Q2 OTORHINOLARYNGOLOGY

European Archives of Oto-Rhino-Laryngology Pub Date : 2025-10-01 Epub Date: 2025-03-21 DOI:10.1007/s00405-025-09298-9

Domenico Cuda, Erica Pizzol, Andrea Laborai, Daria Salsi, Sara Ghiselli

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引用次数: 0

Abstract

Purpose: Recently, the indications for Cochlear Implant (CI) have also been extended to subjects with Single Sided Deafness (SSD) in order to restore binaural hearing. The primary objective of this study was to investigate the advantages of CI following one year of usage in SSD subjects. Secondarily we want to assess the long-term stability of the CI.

Methods: 57 participants performed speech audiometry in noise and localization test. For each was also evaluated subjective hearing profile (with Speech Spatial and Qualities_SSQ questionnaire) and the impact of tinnitus (with the Tinnitus Handicap Inventory_THI questionnaire).

Results: After one year of CI usage, we observed a significant improvement in speech in noise, in sound localization abilities, in the Speech (p-value 0.001) and Spatial (p-value 0.001) subscales of the SSQ questionnaire and in THI questionnaire (p-value 0.001). The improvements in speech in noise and localization abilities and the reduction of the SSQ and THI questionnaires scores were maintained over time. Only eight participants did not fully utilize the CI.

Conclusion: CI in SSD represents an effective method for improving speech recognition in noisy environments, restoring sound localization abilities, reducing tinnitus and improve subjective listening skills.

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人工耳蜗对单侧耳聋成年患者的长期疗效。

目的：近年来，人工耳蜗（Cochlear Implant， CI）的适应症也扩大到单侧耳聋（SSD）患者，以恢复双耳听力。本研究的主要目的是调查在SSD受试者中使用一年后CI的优势。其次，我们要评估CI的长期稳定性。方法：57名被试在噪声和定位测试中进行语音测听。对每个人的主观听力状况（使用语音空间和质量问卷）和耳鸣的影响（使用耳鸣障碍问卷）进行评估。结果：CI使用一年后，我们观察到语音在噪音、声音定位能力、SSQ问卷的语音（p值0.001）和THI问卷的空间（p值0.001）分量表中的语音（p值0.001）和THI问卷（p值0.001）方面的显著改善。随着时间的推移，语音噪音和定位能力的改善以及SSQ和THI问卷得分的降低保持不变。只有8名参与者没有充分利用CI。结论：SSD脑内灌注是提高嘈杂环境下语音识别、恢复声音定位能力、减少耳鸣、提高主观听音能力的有效方法。

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

European Archives of Oto-Rhino-Laryngology 医学-耳鼻喉科学

CiteScore

5.30

自引率

7.70%

发文量

537

审稿时长

2-4 weeks

期刊介绍： Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.