Traditional and adaptive speech audiometry in single-sided deaf (SSD) subjects rehabilitated by bone conductive implants (BCI), quality of life and long-term utilization.
Background: Single-sided deafness (SSD) encompasses the presence of a profoundly deaf ear with a normal, contralateral one. Patients with SSD may have difficulty with speech intelligibility in noise and localizing sounds. Aims/Objectives: This retrospective study aims to evaluate the long-term effec...
| Publicado en: | Acta Oto-Laryngologica Vol. 145; no. 7; pp. 633 - 640 |
|---|---|
| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jul2025
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | Background: Single-sided deafness (SSD) encompasses the presence of a profoundly deaf ear with a normal, contralateral one. Patients with SSD may have difficulty with speech intelligibility in noise and localizing sounds. Aims/Objectives: This retrospective study aims to evaluate the long-term effectiveness of bone conduction implant (BCI) in a group of patients with SSD. Material and Methods: Audiologic benefit was assessed through conventional speech audiometry and adaptive Matrix test. Impact on quality of life was evaluated with the Glasgow Benefit Inventory (GBI) questionnaire. BCI usage data were also obtained from each subject. Results: Thirty-two patients were included. No statistically significant improvements were found at standard audiometric tests using BCI, but at Matrix test the mean SRT is reached at S/N −1.16 dB without BCI and −2.07 with BCI with a statistically significant difference (p = 0.026). The mean GBI score was 25.12, ranging from −8.3 to 47.2. Ten subjects (31%) discontinued the BCI use overtime. Conclusions and Significance: Benefit assessment of BCI in SSD recipients can be difficult. Adaptive audiometric test could be useful. Quality of life measures seem to suggest potential 'beyond-auditory' benefits. SSD recipients can be inconsistent users of BCI. 单侧耳聋 (SSD) 是指一侧耳严重失聪, 而对侧耳正常。SSD 患者可能在噪声环境中难以辨识言语, 也难以定位声音。 本回顾性研究旨在评估骨传导植入 (BCI) 对一群 SSD 患者的长期疗效。 通过常规言语听力检查和适应矩阵测试评估听力效益。使用格拉斯哥效益量表 (GBI) 问卷评估对生活质量的影响。同时收集了每位受试者的 BCI 使用数据。 共纳入 32 名患者。在标准听力测试中, 使用 BCI 的患者未达到统计学显著改善, 但在矩阵测试中, 未使用 BCI 的患者平均 SRT 达到信噪比 (S/N) -1.16dB, 使用 BCI 的患者达到信噪比 (S/N) -2.07, 差异具有统计学意义 (p = 0.026)。 GBI 平均得分为 25.12, 范围为 -8.3 到 47.2。10 名受试者(31%)随着时间的推移停止使用 BCI。 评估 SSD患者的 BCI 效益可能比较困难。适应听力测试可能有所帮助。生活质量测量似乎表明其具有潜在的"听觉之外"的益处。SSD 患者可能会是非持续性的BCI使用者。 |
|---|