Retrospective audiological analysis of bone conduction versus round window vibratory stimulation in patients with mixed hearing loss
| Autor: | Thomas Giere, Thomas Lenarz, Hamidreza Mojallal, Burkard Schwab, Anna-Lena Hinze |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Hearing aid Linguistics and Language medicine.medical_specialty Hearing loss medicine.medical_treatment Audiology Language and Linguistics Young Adult Speech and Hearing Hearing Aids Bone conduction Audiometry Humans Medicine Correction of Hearing Impairment In patient Aged Hearing Loss Mixed Conductive-Sensorineural Retrospective Studies Round window medicine.diagnostic_test business.industry Auditory Threshold Middle Aged Ossicular Prosthesis medicine.anatomical_structure Acoustic Stimulation Round Window Ear Cohort Speech Perception Female Implant medicine.symptom Noise business Bone Conduction |
| Zdroj: | International Journal of Audiology. 54:391-400 |
| ISSN: | 1708-8186 1499-2027 |
| DOI: | 10.3109/14992027.2014.986690 |
| Popis: | To compare audiological outcomes in mild-to-moderate mixed hearing loss patients treated with a bone-anchored hearing aid or an active middle-ear implant. Analysis aimed to refine criteria used in preoperative selection of implant type.Retrospective comparative analysis of audiological data. Follow-up time ranged between 0.55 and 8.8 years.For detailed comparative analysis, 12 patients (six in each group) with comparable bone conduction thresholds and similar clinical characteristics were selected. A larger cohort of 48 patient files were used to evaluate overall audiological indication criteria (24 per group).In free-field tone audiometry, Baha patients showed mean aided thresholds between 40-48 dB, whereas hearing thresholds for VSB patients were 25-43 dB. Baha and VSB users had mean WRS of 56% and 82%, respectively, at 65 dB. Better speech understanding in noise was seen with the VSB.Analysis of the main cohort (n = 48) showed that treatment with round window vibroplasty leads to better hearing performance than treatment with a bone-anchored hearing device, if the bone conduction pure-tone average (0.5 to 4 kHz) is poorer than 35 dB HL. Audiological analysis in the smaller comparative analysis showed similar findings. |
| Databáze: | OpenAIRE |
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