1. Precise selection of bone conduction hearing devices for congenital malformation of the middle and outer ear (CMMOE).
- Author
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Zou, YiHui, Wang, QingSen, Liu, Chang, Ren, LiYao, Sun, XiuLi, and Yang, ShiMing
- Subjects
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MIDDLE ear abnormalities , *CONDUCTIVE hearing loss , *BONE conduction , *RESEARCH funding , *HEARING aids , *TREATMENT effectiveness , *AUDIOMETRY , *DESCRIPTIVE statistics , *COMMUNICATION , *ONE-way analysis of variance , *COMPARATIVE studies , *HEARING ,EXTERNAL ear abnormalities - Abstract
Background: No selection criteria for the four bone conduction hearing devices yet. Aims/Objectives: To compare effectiveness of four bone conduction hearing devices in patients with bilateral Congenital Malformation of the Middle and Outer Ear (CMMOE). Material and Methods: 24 Patients (25 ears) were divided into five groups: 1) Bone Anchored Hearing Aid softband (BAHA-s), 2) BAHA implant (BAHA-i nested within group 1), 3) Vibration Sound Bridge implant (VSB-i), 4) Bone Bridge implant (BB-i), and 5) Bone Conduction Hearing Aid softband (BCHA-s). One patient implanted VSB and BB. Auditory parameters were compared: 1. Communication, 2. Average Air Conduction Thresholds (ACT) of pure tone, 3. Sentence Recognition Scores in quiet (SRS-q) and noisy (SRS-n) settings. The one-way analysis of variance (ANOVA) were employed to compare the differences in ACT and SRS-q/n among the groups, a statistical significance level of P < 0.05 was applied. Results: After hearing aid usage, all 24 patients (25 ears) reached or approached the normal in communication (i.e. from difficult to smooth), average ACT and SRS-q/SRS-n (no difference among groups, p > 0.05). However, there was the difference in the optimal frequency of ACT and the absolute value of SRS-q/SRS-n for VSB/BAHA implants was higher than that for BB and BAHA softband. Conclusions and Significance: The precise selection of the four hearing devices mainly depends on patient's hearing level, the optimal frequency of ACT and absolute values of SRS-q/SRS-n. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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