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Multifactorial positive influence of cochlear implantation on patients with single‐sided deafness

机译:耳蜗植入对单面耳聋患者的多因素积极影响

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Objectives Single‐sided deafness (SSD) is an extreme case with profound unilateral hearing loss in the poorer ear and regular hearing in the other ear. The aim of this study is to investigate the impairment in the daily life of SSD patients and the influence of cochlear implants (CI) on their health‐related quality of life (HRQoL), the impact on existing tinnitus distress and psychological comorbidities, and audiometric parameters. Methods In total, 21 patients (8 male and 13 female) were included, and the Charité Test Battery was applied for all patients. Data on HRQoL were collected with the Nijmegen Cochlear Implant Questionnaire and the Medical Outcome Study Short Form 36 (SF‐36) Survey. Tinnitus distress was assessed with the Tinnitus Questionnaire (TQ). Data with regard to psychological comorbidities were collected using four validated questionnaires. Speech perception was assessed with the Freiburg Monosyllable Test (FMS), the Oldenburg Sentence Test (OLSA), and the Oldenburg Inventory (OI). Results HRQoL improved in the subdomain social interactions. Tinnitus distress dropped significantly 6 months postoperatively. SSD patients preoperatively showed elevated levels of stress, depressive symptoms, and anxiety. Postoperatively, these psychological symptoms improved with regard to stress, tension, and demands. The audiometry tools revealed a significant improvement in directional hearing (OI), speech perception in silence, and in the speech intelligibility threshold (OLSA). Conclusion There was an improvement in HRQoL and a reduction of tinnitus and cognitive distress. The preoperatively elevated stress level decreased significantly, and psychological comorbidities such as depressive symptoms and anxiety all improved postimplantation. Level of Evidence II‐2 Laryngoscope , 130:500–506, 2020
机译:目标单面耳聋(SSD)是一个极端的案例,在较贫穷的耳朵中深刻单侧听力损失,并在另一只耳朵中经常听到。本研究的目的是调查SSD患者日常生活的损害以及耳蜗植入物(CI)对其与健康相关的生活质量(HRQOL)的影响,对现有耳鸣窘迫和心理患者的影响,以及听力测量参数。方法总共21名患者(8男,女13例)都包括在内,并且查理特试验电池涂敷了用于所有患者。采用尼伯省耳蜗植入问卷和医疗结果研究短表36(SF-36)调查收集了HRQOL数据。用耳鸣问卷(TQ)评估耳鸣窘迫。使用四项经过验证的问卷收集关于心理学合并症的数据。用弗赖堡单糖膀测试(FMS),奥伦堡句子测试(olsa)和奥尔登堡库存(OI)评估语音感知。结果HRQOL改善了子域社交互动。耳鸣窘迫术后6个月大幅下降。 SSD患者术前表现出升高的压力,抑郁症状和焦虑。术后,这些心理症状在压力,紧张和要求方面得到了改善。听力测量工具揭示了定向听力(OI),默默语音感知的显着改善,以及语音可懂度阈值(OLSA)。结论HRQOL有一种改善和减少耳鸣和认知窘迫。术前高升高的应力水平显着下降,心理致病性,如抑郁症状和焦虑症,所有改善的后期后植物。证据水平II-2喉镜,130:500-506,2020

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