Bone-anchored hearing system, contralateral routing of signals hearing aid or cochlear implant: what is best in single-sided deafness?


Journal

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937

Informations de publication

Date de publication:
Jan 2022
Historique:
received: 04 11 2020
accepted: 20 01 2021
pubmed: 11 2 2021
medline: 11 1 2022
entrez: 10 2 2021
Statut: ppublish

Résumé

The aim of the study was to compare long-term results after 1 year in patients with single-sided deafness (SSD) who were fitted with different hearing aids. The participants tested contralateral routing of signals (CROS) hearing aids and bone-anchored hearing systems (BAHS). They were also informed about the possibility of a cochlear implant (CI) and chose one of the three devices. We also investigated which factors influenced the choice of device. Prospective study with 89 SSD participants who were divided into three groups by choosing BAHS, CROS, or CI. All participants received test batteries with both objective hearing tests (speech perception in noise and sound localisation) and subjective questionnaires. 16 participants opted for BAHS-, 13 for CROS- and 30 for CI-treatment. The greater the subjective impairment caused by SSD, the more likely patients were to opt for surgical treatment (BAHS or CI). The best results in terms of speech perception in noise (especially when sound reaches the deaf ear and noise the hearing ear), sound localization, and subjective results were achieved with CI. The best results regarding the therapy of SSD are achieved with a CI, followed by BAHS. This was evident both in objective tests and in the subjective questionnaires. Nevertheless, an individual decision is required in each case as to which SSD therapy option is best for the patient. Above all, the patient's subjective impairment and expectations should be included in the decision-making process.

Identifiants

pubmed: 33566175
doi: 10.1007/s00405-021-06634-7
pii: 10.1007/s00405-021-06634-7
pmc: PMC8739280
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

149-158

Informations de copyright

© 2021. The Author(s).

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Auteurs

Till F Jakob (TF)

Department of Oto-Rhino-Laryngology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany, Killianstraße 5, 79106, Freiburg, Germany. till.jakob@uniklinik-freiburg.de.

Iva Speck (I)

Department of Oto-Rhino-Laryngology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany, Killianstraße 5, 79106, Freiburg, Germany.

Ann-Kathrin Rauch (AK)

Department of Oto-Rhino-Laryngology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany, Killianstraße 5, 79106, Freiburg, Germany.

Frederike Hassepass (F)

Department of Oto-Rhino-Laryngology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany, Killianstraße 5, 79106, Freiburg, Germany.

Manuel C Ketterer (MC)

Department of Oto-Rhino-Laryngology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany, Killianstraße 5, 79106, Freiburg, Germany.

Rainer Beck (R)

Department of Oto-Rhino-Laryngology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany, Killianstraße 5, 79106, Freiburg, Germany.

Antje Aschendorff (A)

Department of Oto-Rhino-Laryngology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany, Killianstraße 5, 79106, Freiburg, Germany.

Thomas Wesarg (T)

Department of Oto-Rhino-Laryngology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany, Killianstraße 5, 79106, Freiburg, Germany.

Susan Arndt (S)

Department of Oto-Rhino-Laryngology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany, Killianstraße 5, 79106, Freiburg, Germany.

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