单侧耳聋患者人工耳蜗手术后语音、空间和听力质量及耳鸣功能指数的改善

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Laryngoscope Investigative Otolaryngology Pub Date : 2025-04-22 DOI:10.1002/lio2.70090

Scott B. Shapiro, Todd M. Mowery, P. Ashley Wackym

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引用次数: 0

摘要

目的探讨单侧耳聋（SSD）和不对称听力损失（AHL）患者人工耳蜗手术后听力和耳鸣相关生活质量指标的改善情况。方法对某四级学术医疗中心2年内因SSD或AHL接受人工耳蜗植入手术的成年患者，术前及人工耳蜗激活后至少3个月完成耳鸣功能指数（TFI）和语音、空间、听力质量量表（SSQ）。术前和术后完成了听力评估的标准化方案。结果24例患者符合入选标准，听力学及调查资料完整。总体而言，TFI综合评分从平均严重程度48.2±9.2-18.6±6.53显著改善；（q = 2.01, p < 0.001），术后TFI的8个亚域均有统计学意义的改善。SSQ综合评分从CI后的平均值2.5±0.30-5.07±0.44显著提高（q = 2.01, p < 0.001）。人工耳蜗植入后，SSQ的三个子域均显著改善，但言语听力和空间听力的变化幅度高于听觉质量域。结论：SSD或AHL患者的人工耳蜗植入术可显著改善听力相关的生活质量，尤其是在言语理解、听力空间方面和耳鸣严重程度方面。证据级别3

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Speech, Spatial, and Qualities of Hearing Scale and Tinnitus Functional Index Improvements After Cochlear Implant Surgery for Single-Sided Deafness

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Speech, Spatial, and Qualities of Hearing Scale and Tinnitus Functional Index Improvements After Cochlear Implant Surgery for Single-Sided Deafness

Objective

Examine improvements in hearing and tinnitus-related quality-of-life metrics that occur after cochlear implant surgery in patients with single-sided deafness (SSD) and asymmetric hearing loss (AHL).

Methods

Adult patients undergoing cochlear implant surgery for SSD or AHL during a 2-year period at a quaternary academic medical center completed the validated survey instruments tinnitus functional index (TFI) and Speech, Spatial, and Qualities of Hearing Scale (SSQ) before surgery, and at least 3 months after cochlear implant activation. Standardized protocols for audiometric assessment were completed pre- and postoperatively.

Results

Twenty-four patients met inclusion criteria and had complete audiometric and survey data. Overall, composite TFI score improved significantly from a mean severity of 48.2 ± 9.2–18.6 ± 6.53; after cochlear implantation (q = 2.01, p < 0.001) and there was statistically significant improvement in all eight subdomains of the TFI after surgery. The SSQ composite scores significantly improved from a mean of 2.5 ± 0.30–5.07 ± 0.44 after CI (q = 2.01, p < 0.001). All three subdomains of the SSQ improved significantly after cochlear implantation though the magnitude of the changes were higher for Speech Hearing and Spatial Hearing compared with the Qualities of Hearing domain.

Conclusions

Cochlear implantation surgery in patients with SSD or AHL leads to significant overall improvements in hearing related quality of life, but particularly in the areas of speech understanding, spatial aspects of hearing, and tinnitus severity.