Bone-anchored implantation for single-sided deafness in patients with less than profound hearing loss

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5 Citations (Scopus)

Abstract

Objective. The benefit of bone-anchored implantation (BAI) for the treatment of single-sided deafness (SSD) is well established. In this study, the authors sought to evaluate objective hearing outcomes and subjective benefits in patients undergoing BAI for SSD with residual hearing in the implanted ear. Study Design. Case series with chart review. Setting. Academic tertiary referral center. Subjects and Methods. All adult, English-speaking patients undergoing BAI for SSD from 2004 to 2010 were included. Patients were divided into 2 groups: (1) residual hearing in the affected ear (≤90 db hearing level [HL] pure-tone average [PTA]) and (2) profound hearing loss in the affected ear (>90 dB HL PTA). Patients underwent pre- and postoperative objective hearing outcomes testing including speech-in-noise and monosyllabic word tests. Subjective outcomes were measured pre- and postoperatively using the Glasgow Hearing Aid Benefit Profile (GHABP). Results. Patients in both groups showed significant improvement in all objective hearing measures following implantation (P<.0001), and there were no significant differences in objective hearing outcomes between groups. Subjective benefits from BAI varied across patients according to GHABP results, but patients with residual hearing in the affected ear trended toward improved satisfaction with their device postoperatively. Conclusion. Individuals with SSD and residual cochlear reserve can be successfully implanted with BAI, achieving significant improvements in objective hearing measures. Postoperative improvements do not seem to correlate with the preoperative audiometric testing scores. Although subjective benefit varies across patients, BAI is clearly a viable rehabilitation option for patients with SSD and less than profound hearing loss.

Original languageEnglish
Pages (from-to)105-111
Number of pages7
JournalOtolaryngology - Head and Neck Surgery (United States)
Volume147
Issue number1
DOIs
StatePublished - Jul 1 2012

Fingerprint

Deafness
Hearing Loss
Hearing
Bone and Bones
Ear
Hearing Aids
Cochlea
Tertiary Care Centers
Noise
Rehabilitation
Equipment and Supplies

Keywords

  • bone-anchored implant
  • GHABP
  • profound hearing loss
  • residual hearing
  • single-sided deafness

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery
  • Medicine(all)

Cite this

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title = "Bone-anchored implantation for single-sided deafness in patients with less than profound hearing loss",
abstract = "Objective. The benefit of bone-anchored implantation (BAI) for the treatment of single-sided deafness (SSD) is well established. In this study, the authors sought to evaluate objective hearing outcomes and subjective benefits in patients undergoing BAI for SSD with residual hearing in the implanted ear. Study Design. Case series with chart review. Setting. Academic tertiary referral center. Subjects and Methods. All adult, English-speaking patients undergoing BAI for SSD from 2004 to 2010 were included. Patients were divided into 2 groups: (1) residual hearing in the affected ear (≤90 db hearing level [HL] pure-tone average [PTA]) and (2) profound hearing loss in the affected ear (>90 dB HL PTA). Patients underwent pre- and postoperative objective hearing outcomes testing including speech-in-noise and monosyllabic word tests. Subjective outcomes were measured pre- and postoperatively using the Glasgow Hearing Aid Benefit Profile (GHABP). Results. Patients in both groups showed significant improvement in all objective hearing measures following implantation (P<.0001), and there were no significant differences in objective hearing outcomes between groups. Subjective benefits from BAI varied across patients according to GHABP results, but patients with residual hearing in the affected ear trended toward improved satisfaction with their device postoperatively. Conclusion. Individuals with SSD and residual cochlear reserve can be successfully implanted with BAI, achieving significant improvements in objective hearing measures. Postoperative improvements do not seem to correlate with the preoperative audiometric testing scores. Although subjective benefit varies across patients, BAI is clearly a viable rehabilitation option for patients with SSD and less than profound hearing loss.",
keywords = "bone-anchored implant, GHABP, profound hearing loss, residual hearing, single-sided deafness",
author = "Zeitler, {Daniel M.} and Snapp, {Hillary A} and Telischi, {Fred F} and Angeli, {Simon I}",
year = "2012",
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AU - Zeitler, Daniel M.

AU - Snapp, Hillary A

AU - Telischi, Fred F

AU - Angeli, Simon I

PY - 2012/7/1

Y1 - 2012/7/1

N2 - Objective. The benefit of bone-anchored implantation (BAI) for the treatment of single-sided deafness (SSD) is well established. In this study, the authors sought to evaluate objective hearing outcomes and subjective benefits in patients undergoing BAI for SSD with residual hearing in the implanted ear. Study Design. Case series with chart review. Setting. Academic tertiary referral center. Subjects and Methods. All adult, English-speaking patients undergoing BAI for SSD from 2004 to 2010 were included. Patients were divided into 2 groups: (1) residual hearing in the affected ear (≤90 db hearing level [HL] pure-tone average [PTA]) and (2) profound hearing loss in the affected ear (>90 dB HL PTA). Patients underwent pre- and postoperative objective hearing outcomes testing including speech-in-noise and monosyllabic word tests. Subjective outcomes were measured pre- and postoperatively using the Glasgow Hearing Aid Benefit Profile (GHABP). Results. Patients in both groups showed significant improvement in all objective hearing measures following implantation (P<.0001), and there were no significant differences in objective hearing outcomes between groups. Subjective benefits from BAI varied across patients according to GHABP results, but patients with residual hearing in the affected ear trended toward improved satisfaction with their device postoperatively. Conclusion. Individuals with SSD and residual cochlear reserve can be successfully implanted with BAI, achieving significant improvements in objective hearing measures. Postoperative improvements do not seem to correlate with the preoperative audiometric testing scores. Although subjective benefit varies across patients, BAI is clearly a viable rehabilitation option for patients with SSD and less than profound hearing loss.

AB - Objective. The benefit of bone-anchored implantation (BAI) for the treatment of single-sided deafness (SSD) is well established. In this study, the authors sought to evaluate objective hearing outcomes and subjective benefits in patients undergoing BAI for SSD with residual hearing in the implanted ear. Study Design. Case series with chart review. Setting. Academic tertiary referral center. Subjects and Methods. All adult, English-speaking patients undergoing BAI for SSD from 2004 to 2010 were included. Patients were divided into 2 groups: (1) residual hearing in the affected ear (≤90 db hearing level [HL] pure-tone average [PTA]) and (2) profound hearing loss in the affected ear (>90 dB HL PTA). Patients underwent pre- and postoperative objective hearing outcomes testing including speech-in-noise and monosyllabic word tests. Subjective outcomes were measured pre- and postoperatively using the Glasgow Hearing Aid Benefit Profile (GHABP). Results. Patients in both groups showed significant improvement in all objective hearing measures following implantation (P<.0001), and there were no significant differences in objective hearing outcomes between groups. Subjective benefits from BAI varied across patients according to GHABP results, but patients with residual hearing in the affected ear trended toward improved satisfaction with their device postoperatively. Conclusion. Individuals with SSD and residual cochlear reserve can be successfully implanted with BAI, achieving significant improvements in objective hearing measures. Postoperative improvements do not seem to correlate with the preoperative audiometric testing scores. Although subjective benefit varies across patients, BAI is clearly a viable rehabilitation option for patients with SSD and less than profound hearing loss.

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