A new adhesive bone conduction hearing system effectively treats conductive hearing loss in children
| Autor: | Katrin Neumann, Stefan Dazert, Jan Peter Thomas, Christiane Voelter |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Hearing aid
Male medicine.medical_specialty Speech perception medicine.medical_treatment Hearing Loss Conductive Audiology 03 medical and health sciences 0302 clinical medicine Bone conduction Hearing Aids Hearing 030225 pediatrics Adhesives Surveys and Questionnaires otorhinolaryngologic diseases Medicine Humans 030223 otorhinolaryngology Child medicine.diagnostic_test business.industry Pure tone Infant General Medicine medicine.disease Middle Ear Implant Conductive hearing loss Otorhinolaryngology Patient Satisfaction Child Preschool Pediatrics Perinatology and Child Health Speech Perception Speech audiometry Audiometry Pure-Tone Female Audiometry business Audiometry Speech Bone Conduction |
| Zdroj: | International journal of pediatric otorhinolaryngology. 122 |
| ISSN: | 1872-8464 |
| Popis: | Objectives Bone conduction hearing devices integrated in softbands (BCDSs) are frequently not well accepted by children with conductive hearing loss due to pressure on the head, sweating, or cosmetic stigma. A non-surgical hearing system (ADHEAR) uses a new bone conduction concept consisting of an audio processor connected to an adhesive adapter fixed behind the ear. This study is the first to evaluate the audiological and clinical outcome of this novel system, comparing it with conventional BCDSs in a short- and mid-term follow-up in children under 10 years of age. Methods The ADHEAR was compared to a BCDS in 10 children with conductive hearing loss (age: 0.7–9.7 years). Aided and unaided pure tone/behavioral observational audiometry and, if applicable, speech audiometry in quiet and noise were performed initially with both devices and after 8 weeks with the ADHEAR alone. The subjective hearing gain and usage of the new hearing system, as well as patients’ and parents’ satisfaction were assessed using questionnaires. Results The functional gain with the ADHEAR averaged over 0.5, 1, 2, and 4 kHz exceeded that of the conventional BCDS (35.6 dB ± 15.1 vs. 29.9 dB ± 14.6, p = .001, n = 9 ears). Speech perception in quiet and noise (n = 8) improved in the aided situation similarly for both hearing devices. The parents of 8 of 10 children evaluated the ADHEAR system as being useful. Minor wearing problems occurred occasionally. Eight children continued using the ADHEAR after the study, one received an active middle ear implant and one continued to use a BCDS. Conclusion The ADHEAR system is a promising solution for children with conductive hearing loss or chronically draining ears. |
| Databáze: | OpenAIRE |
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