单侧耳聋患者主动骨传导植入术后耳鸣减轻:一项前瞻性多中心研究。

IF 1.9 3区 医学 Q2 OTORHINOLARYNGOLOGY
Jungho Ha, Moo Kyun Park, Shi Nae Park, Hyong-Ho Cho, Jae Young Choi, Chi Kyou Lee, Il-Woo Lee, Il Joon Moon, Jae Yun Jung, Jinsei Jung, Kyu-Yup Lee, Jeong-Hoon Oh, Hong Ju Park, Jae-Hyun Seo, Jae-Jin Song, Hantai Kim, Jeong Hun Jang, Yun-Hoon Choung
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引用次数: 0

摘要

目的:单侧耳聋(SSD)给患者带来了巨大的挑战,包括声音定位受损、语言识别能力下降以及经常出现耳鸣。这些问题通常通过人工耳蜗植入(CI)和骨传导植入(BCI)等干预措施来解决。然而,BCI 在减少 SSD 患者耳鸣方面的疗效证据仍然有限。本研究探讨了新型主动经皮BCI(Bonebridge BCI602)缓解SSD患者耳鸣的能力:研究设计:前瞻性队列多中心研究:研究设计:前瞻性队列多中心研究:方法:对 30 名 SSD 患者进行前瞻性多中心研究。患者分为两组:有耳鸣(19 人)和无耳鸣(11 人)。在 BCI 手术前后进行了听力评估、主观问卷调查(包括助听器益处简表(APHAB)和单侧耳聋伯恩益处(BBSS))以及耳鸣评估(耳鸣障碍量表(THI)和耳鸣图):结果:手术后,SSD耳鸣患者的THI评分明显降低。耳鸣组和非耳鸣组的主观满意度均有所提高,但前者的 APHAB 问卷得分提高幅度更大。根据耳鸣图,耳鸣的响度降低了,尤其是同侧耳鸣患者。有残余听力的患者的 THI 分数降低幅度更大。然而,有三名无残余听力的患者术后耳鸣症状相对加重:结论:Bonebridge BCI602 能有效减轻 SSD 患者的耳鸣,尤其是有残余听力的患者。耳鸣组和非耳鸣组的主观满意度均有所提高。这些研究结果表明,BCI 具有治疗 SSD 和相关耳鸣的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Tinnitus reduction after active bone-conduction implantation in patients with single-sided deafness: a prospective multicenter study.

Tinnitus reduction after active bone-conduction implantation in patients with single-sided deafness: a prospective multicenter study.

Purpose: Single-sided deafness (SSD) presents significant challenges for patients, including compromised sound localization, reduced speech recognition, and often, tinnitus. These issues are typically addressed using interventions such as cochlear implantation (CI) and bone conduction implant (BCI). However, evidence regarding the efficacy of BCI in reducing tinnitus in SSD patients remains limited. This study explored the ability of a novel active transcutaneous BCI (Bonebridge BCI602) to alleviate tinnitus in SSD patients.

Study design: Prospective cohort multicenter study.

Setting: Tertiary referral hospitals.

Methods: A prospective multicenter study of 30 SSD patients was conducted. The patients were divided into two groups: those with (n = 19) and without (n = 11) tinnitus. Audiometric assessments, subjective questionnaires including the Abbreviated Profile of Hearing Aid Benefit (APHAB) and the Bern Benefit in Single-Sided Deafness (BBSS), and tinnitus evaluations with the Tinnitus Handicap Inventory (THI) and tinnitogram were conducted before and after BCI surgery.

Results: THI scores after surgery were significantly reduced in SSD patients with tinnitus. Subjective satisfaction improved in both the tinnitus and non-tinnitus groups; however, the former group exhibited a significantly greater improvement in the APHAB questionnaire score. According to tinnitograms, the loudness of tinnitus decreased, particularly in patients with ipsilateral tinnitus. Patients with residual hearing had greater reductions in their THI scores. However, three patients without residual hearing had a relative worsening of tinnitus after surgery.

Conclusion: The Bonebridge BCI602 effectively reduced tinnitus in SSD patients, particularly in those with residual hearing. Subjective satisfaction improved in both the tinnitus and non-tinnitus groups. These findings demonstrate the therapeutic potential of BCI for managing SSD and associated tinnitus.

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来源期刊
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.
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