Age at Fitting Affected Unilateral Versus Bilateral Hearing Aids Choice in Asymmetric Hearing Loss.

IF 1 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of International Advanced Otology Pub Date : 2023-03-01 DOI:10.5152/iao.2023.22787

Andrea Frosolini, Pietro Cinquemani, Cosimo de Filippis, Andrea Lovato

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引用次数: 1

Abstract

Background: Bilateral hearing aids are desirable to restore hearing in the most effective and natural way. The aim of the present study was to identify which type of hearing rehabilitation was preferred by our patients and which factors drove their choice.

Methods: One hundred eight patients with moderate-to-severe asymmetrical hearing loss before and after a 1-month trial with bilateral hearing aids were considered.

Results: As high as 58.3% of patients decided to continue with bilateral hearing aids (group BI), while 41.7% chose unilateral hearing aid (UNI group) in the best ear. Patients in the UNI group were significantly older than those in the BI group (P=.04); age > 77 years was an independent prognostic factor of unilateral hearing aid choice (odds ratio=6.26; P=.04). Matrix test scored significantly worse with a single hearing aid than with 2 hearing aids in both groups (UNI P=.03; BI P=.01).

Conclusion: Patients with asymmetric hearing loss often prefer unilateral hearing aid, almost half in our experience. Nonetheless, bilateral hearing aids are desirable as unilateral hearing aid was associated with significantly poorer performance at a speech in noise hearing tests. Age at fitting could play a relevant role and is thus important in early diagnosis. Further studies are needed to confirm our results and investigate strategies to promote bilateral rehabilitation.

Abstract Image

查看原文本刊更多论文

不对称听力损失患者选择单侧助听器与双侧助听器的年龄。

背景:双侧助听器是恢复听力最有效、最自然的方法。本研究的目的是确定哪种类型的听力康复是由我们的患者和哪些因素推动他们的选择。方法:对108例中重度不对称听力损失患者进行1个月的双侧助听器试验。结果:58.3%的患者选择继续使用双侧助听器(BI组)，41.7%的患者选择单侧助听器(UNI组)。UNI组患者年龄明显大于BI组(P= 0.04);年龄> 77岁是单侧助听器选择的独立预后因素(优势比=6.26;P = .04点)。单助听器组的矩阵测试得分明显低于双助听器组(UNI P= 0.03;BI P = . 01)。结论:非对称型听力损失患者往往偏好单侧助听器，在我们的经验中几乎占一半。尽管如此，双侧助听器是可取的，因为单侧助听器在噪音听力测试中的演讲表现明显较差。适合的年龄可以发挥相关作用，因此在早期诊断中很重要。需要进一步的研究来证实我们的结果，并探讨促进双侧康复的策略。

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

Journal of International Advanced Otology OTORHINOLARYNGOLOGY-

CiteScore

1.80

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of International Advanced Otology (IAO – Citation Abbreviation: J Int Adv Otol) is an open access double-blind peer-reviewed, international publication. The Journal of International Advanced Otology is fully sponsored and owned by the European Academy of Otology and Neurotology and the Politzer Society. The Journal of International Advanced Otology is published 3 times per year on April, August, December and its publication language is English. The scope of the Journal is limited with otology, neurotology, audiology (excluding linguistics) and skull base medicine. The Journal of International Advanced Otology aims to publish manuscripts at the highest clinical and scientific level. IAO publishes original articles in the form of clinical and basic research, review articles, short reports and a limited number of case reports. Controversial patient discussions, communications on emerging technology, and historical issues will also be considered for publication.