骨锚式助听器在双侧先天性外中耳畸形患者中的应用效果分析

刘强; 张文阳; 石静华; 李玉玲; 张华; 赵守琴; 夏寅

doi:10.13201/j.issn.1001-1781.2016.19.005

骨锚式助听器在双侧先天性外中耳畸形患者中的应用效果分析

- 1. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科北京市耳鼻咽喉研究所(北京, 100005);
- 2. 中国医学科学院北京协和医学院北京协和医院耳鼻咽喉科;
- 3. 首都医科大学附属北京天坛医院耳鼻咽喉科
基金项目:
首都卫生发展科研专项(No:首发2011-2005-04

2016-2-2046)

北京市教委科技计划面上项目(No:KM201310025029)

北京市自然科学基金(No:7122037)

详细信息

通讯作者: 夏寅,E-mail:xiayin3@163.com

中图分类号: R764.5

收稿日期: 2016-01-13

The efficacy of bone anchored hearing aid application in patients with bilateral congenital aural atresia

- 1. Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery, Ministry of Education, Beijing, 100005, China;
- 2. Department of Otolaryngology, Peking Union Medical College Hospital;
- 3. Department of Otolaryngology, Beijing Tiantan Hospital

More Information

Corresponding author: XIA Yin, E-mail: xiayin3@163.com

Received Date: 13 January 2016

摘要

摘要: 目的:探讨骨锚式助听器(Baha)对双侧先天性外中耳畸形患者的应用效果。方法:选取双侧先天性外中耳畸形接受单侧Baha植入患者18例,分别于术前、术后行纯音测听,安静环境下及噪声下言语测试以及助听器效果评估简表(APHAB)评估,通过对比分析Baha对双侧先天性外中耳畸形患者的听功能改善效果。结果:18例患者术后助听听阈较术前平均降低(31.06±14.32)dB;安静环境下单音节言语识别率平均提高(62.4±31.1)%;噪声下言语识别率平均提高(34.3±10.8)%。APHAB评估结果显示在"交流的难易"、"背景噪声"及"回声"这3个分量表中植入Baha后的得分均明显低于术前,其差值分别为59.3±14.5、46.7±10.1和58.8±8.1,而在"对声音的厌恶程度"这一分量表中,应用Baha时得分却提高66.4±11.9。术后平均随访9.6个月,无骨融合失败、大出血、脑脊液漏、植入体脱出等严重并发症。3例患者曾出现桥基周围皮肤感染、肉芽组织增生,予以对症治疗后恢复良好。结论:双侧先天性外中耳畸形患者植入Baha后可显著改善其听力及言语识别能力,而患者主观满意度也较高,其主观评价与测试结果相一致。Baha植入手术风险较小,无严重并发症,是理想的听力解决方案之一。
- 骨锚式助听器 /
- 先天性外中耳畸形 /
- 纯音测听 /
- 言语测试
Abstract: Objective:To evaluate the efficacy of Bone anchored hearing aid(Baha) application in patients with bilateral congenital aural atresia.Method:Prospective study of 18 patients with bilateral congenital aural atresia received unilateral Baha implanted. Aided and unaided hearing was assessed using pure tone audiometry(PTA),Speech Recognition in quiet and noisy circumstances and the abbreviated profile of hearing and benefit(APHAB) questionnaire.Result:The average decline in pure-tone threshold was(31.06±14.32)dB HL for those with implanted Baha. The average improvement in Mandarin speech test was(62.4±31.1)%, and the average improvement in hearing in noise test(HINT) was (34.3±10.8)%.In the APHAB questionnaire survey, the mean Baha scores of ease of communication(EC), backgroud noise and revereration were decreased by 59.3±14.5,46.7±10.1,58.8±8.1 compared to the unaided scores, and the Baha score of aversiveness was(66.4±11.9) higher than the unaided score. After the mean 9.6 months's follow-up,no serious complications were recorded.Conclusion:Baha can significantly improve hearing ability and quality of life of patients with bilateral congenital aural atresia. It has been one of the most reliable methods of auditory rehabilitation.
- bone-anchored hearing aid /
- bilateral congenital aural atresia /
- pure tone audiometry /
- speech recognition

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