Deterioration of Hearing Due to Hearing Aids
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Objectives. A primary reason for the low adoption of hearing aids (HAs) among the large population with sensorineuralhearing loss is the perception that these devices may negatively impact remaining hearing ability. Research address-ing this issue has yielded conflicting results. This study examined the long-term effects of HAs on standard audiomet-ric changes in individuals with sensorineural hearing loss. Methods. We retrospectively analyzed patients who acquired unilateral HAs between 2015 and 2017 and demonstratedconsistent use over a 5-year period. We examined demographics, medical comorbidities, audiometric data, and ques-tionnaire results from the Hearing Handicap Inventory for the Elderly and the International Outcome Inventory forHearing Aids. Additionally, we reviewed each patient’s history of noise exposure and prior HA use. Results. The study included 55 patients who used unilateral HAs, with a mean follow-up period of 5.32 years. Among them,31 patients (56.4%) used the HA on the right side. Audiometric data from the aided side showed no significant dif-ference from the unaided side in either the pre-fit pure-tone average of air conduction (AC) or word recognition score(WRS) (P =0.73 and P =0.11, respectively). Similarly, no significant differences were noted in the 5-year follow-upaudiometry of AC and WRS (P =0.98 and P =0.07, respectively) or in the change from pre-fit to final audiometry foreither parameter (AC, P =0.58; WRS, P =0.70). Eleven patients (20%) exhibited a deterioration in hearing (as mea-sured by AC) of 5 dB or greater on the aided side compared with the unaided side, while 23 (53.5%) showed greaterWRS deterioration on the aided side. No significant factors were found to contribute to the difference in hearing de-terioration between groups for either AC or WRS. Conclusion. No significant factors were identified as contributing to hearing deterioration after prolonged HA use. Overall,the use of HAs did not adversely impact residual hearing.
Abstract
Objectives. A primary reason for the low adoption of hearing aids (HAs) among the large population with sensorineuralhearing loss is the perception that these devices may negatively impact remaining hearing ability. Research address-ing this issue has yielded conflicting results. This study examined the long-term effects of HAs on standard audiomet-ric changes in individuals with sensorineural hearing loss. Methods. We retrospectively analyzed patients who acquired unilateral HAs between 2015 and 2017 and demonstratedconsistent use over a 5-year period. We examined demographics, medical comorbidities, audiometric data, and ques-tionnaire results from the Hearing Handicap Inventory for the Elderly and the International Outcome Inventory forHearing Aids. Additionally, we reviewed each patient’s history of noise exposure and prior HA use. Results. The study included 55 patients who used unilateral HAs, with a mean follow-up period of 5.32 years. Among them,31 patients (56.4%) used the HA on the right side. Audiometric data from the aided side showed no significant dif-ference from the unaided side in either the pre-fit pure-tone average of air conduction (AC) or word recognition score(WRS) (P =0.73 and P =0.11, respectively). Similarly, no significant differences were noted in the 5-year follow-upaudiometry of AC and WRS (P =0.98 and P =0.07, respectively) or in the change from pre-fit to final audiometry foreither parameter (AC, P =0.58; WRS, P =0.70). Eleven patients (20%) exhibited a deterioration in hearing (as mea-sured by AC) of 5 dB or greater on the aided side compared with the unaided side, while 23 (53.5%) showed greaterWRS deterioration on the aided side. No significant factors were found to contribute to the difference in hearing de-terioration between groups for either AC or WRS. Conclusion. No significant factors were identified as contributing to hearing deterioration after prolonged HA use. Overall,the use of HAs did not adversely impact residual hearing.
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