S Arndt1, R Laszig2, A Aschendorff2, F Hassepass2, R Beck2, T Wesarg2. 1. Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Freiburg, Killianstraße 5, 79106, Freiburg, Germany. susan.arndt@uniklinik-freiburg.de. 2. Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Freiburg, Killianstraße 5, 79106, Freiburg, Germany.
Abstract
BACKGROUND: The rehabilitation of patients with single-sided deafness (SSD) or asymmetric hearing loss can be achieved with conventional (Bi)CROS hearing aids ((Bi)CROS-HA, (Bi)CROS), bone conduction devices (BCI) or with cochlear implants (CI). Unfortunately, only small case series have been published on the treatment outcomes in SSD patients after CI surgery and there are only a few comparative studies evaluating rehabilitation outcomes. OBJECTIVE: The aim of this study was to provide evidence of successful treatment of SSD and asymmetric hearing loss with a CI compared to the untreated, monaural hearing condition and the therapy options of BCI and (Bi)CROS in a large number of patients. MATERIALS AND METHODS: In a single-centre study, 45 patients with SSD and 40 patients with asymmetric hearing loss were treated with a CI after careful evaluation for CI candidacy. Monaural speech comprehension in noise and localisation ability were examined with (Bi)CROS-HA and BCI devices (on a test rod) both preoperatively and at 12 months after CI switch-on. At the same intervals, subjective evaluation of hearing ability was conducted using the Speech, Spatial and Qualities of Hearing Scale (SSQ). RESULTS AND DISCUSSION: This report presents the first evidence of successful binaural rehabilitation with CI in a relatively large patient cohort and the advantages over (Bi)CROS and BCI in smaller subgroups, thus confirming the indication for CI treatment. Moreover, patients with long-term acquired deafness (>10 years) show a benefit from the CI comparable to that observed in patients with shorter-term deafness.
BACKGROUND: The rehabilitation of patients with single-sided deafness (SSD) or asymmetric hearing loss can be achieved with conventional (Bi)CROS hearing aids ((Bi)CROS-HA, (Bi)CROS), bone conduction devices (BCI) or with cochlear implants (CI). Unfortunately, only small case series have been published on the treatment outcomes in SSDpatients after CI surgery and there are only a few comparative studies evaluating rehabilitation outcomes. OBJECTIVE: The aim of this study was to provide evidence of successful treatment of SSD and asymmetric hearing loss with a CI compared to the untreated, monaural hearing condition and the therapy options of BCI and (Bi)CROS in a large number of patients. MATERIALS AND METHODS: In a single-centre study, 45 patients with SSD and 40 patients with asymmetric hearing loss were treated with a CI after careful evaluation for CI candidacy. Monaural speech comprehension in noise and localisation ability were examined with (Bi)CROS-HA and BCI devices (on a test rod) both preoperatively and at 12 months after CI switch-on. At the same intervals, subjective evaluation of hearing ability was conducted using the Speech, Spatial and Qualities of Hearing Scale (SSQ). RESULTS AND DISCUSSION: This report presents the first evidence of successful binaural rehabilitation with CI in a relatively large patient cohort and the advantages over (Bi)CROS and BCI in smaller subgroups, thus confirming the indication for CI treatment. Moreover, patients with long-term acquired deafness (>10 years) show a benefit from the CI comparable to that observed in patients with shorter-term deafness.
Entities:
Keywords:
Bone conduction; Hearing aids; Implantable neurostimulators; Rehabilitation; Unilateral hearing loss
Authors: S Arndt; R Laszig; A Aschendorff; R Beck; C Schild; F Hassepass; G Ihorst; S Kroeger; P Kirchem; T Wesarg Journal: HNO Date: 2011-05 Impact factor: 1.284
Authors: Dayse Távora-Vieira; Roberta Marino; Jay Krishnaswamy; Jafri Kuthbutheen; Gunesh P Rajan Journal: Laryngoscope Date: 2013-04-02 Impact factor: 3.325
Authors: S Arndt; T Wesarg; Y Stelzig; R Jacob; A Illg; A Lesinski-Schiedat; M C Ketterer; A Aschendorff; I Speck Journal: HNO Date: 2020-01 Impact factor: 1.284
Authors: Paul Van de Heyning; Dayse Távora-Vieira; Griet Mertens; Vincent Van Rompaey; Gunesh P Rajan; Joachim Müller; John Martin Hempel; Daniel Leander; Daniel Polterauer; Mathieu Marx; Shin-Ichi Usami; Ryosuke Kitoh; Maiko Miyagawa; Hideaki Moteki; Kari Smilsky; Wolf-Dieter Baumgartner; Thomas Georg Keintzel; Georg Mathias Sprinzl; Astrid Wolf-Magele; Susan Arndt; Thomas Wesarg; Stefan Zirn; Uwe Baumann; Tobias Weissgerber; Tobias Rader; Rudolf Hagen; Anja Kurz; Kristen Rak; Robert Stokroos; Erwin George; Ruben Polo; María Del Mar Medina; Yael Henkin; Ohad Hilly; David Ulanovski; Ranjith Rajeswaran; Mohan Kameswaran; Maria Fernanda Di Gregorio; Mario E Zernotti Journal: Audiol Neurootol Date: 2017-03-21 Impact factor: 1.854