Clinical Factors Influencing the Trial and Purchase of Bilateral Microphones with Contralateral Routing of Signal in Patients with Asymmetric Sensorineural Hearing Loss
0
조회
0
다운로드
0
인용
0
참고문헌
초록
Background and Objectives: Bilateral microphones with contralateral routing of signal (BiCROS) hearing aid is an option for hearing rehabilitation in individuals with asymmetric sensorineural hearing loss (ASNHL). The clinical factors influencing the trial and purchase of BiCROS were investigated. Subjects and Methods: We reviewed the medical records of 78 patients with ASNHL who were recommended to use BiCROS and analyzed the demographic and audiological factors influencing the trial and purchase of BiCROS. Results: Among the 78 patients, 52 (66.7%) availed of the free BiCROS trial and 21 (26.9%) purchased BiCROS. The mean pure tone audiometry (PTA) air conduction (AC) threshold of the better- and worse-hearing ears were 44.2±12.8 dB and 90.7±22.5 dB HL, respectively. The decision for trial or purchase of BiCROS was not influenced by age, sex, duration of hearing loss of the worse-hearing ear, or PTA AC threshold or speech discrimination score of both ears. The first and third quartiles of the PTA AC thresholds for the better-hearing ear of BiCROS buyers were 38.75 dB and 53.75 dB HL, respectively. The counterpart values for the worse-hearing ear were 72.50 dB and 118.75 dB HL, respectively. Conclusions: The clinical factors analyzed in this study were found to be irrelevant to the trial and purchase of BiCROS in patients with ASNHL. Nevertheless, the distribution range of the auditory thresholds of the subjects using BiCROS can be a useful basis for the counseling of patients with ASNHL and selection of candidates for BiCROS use.
Abstract
Background and Objectives: Bilateral microphones with contralateral routing of signal (BiCROS) hearing aid is an option for hearing rehabilitation in individuals with asymmetric sensorineural hearing loss (ASNHL). The clinical factors influencing the trial and purchase of BiCROS were investigated. Subjects and Methods: We reviewed the medical records of 78 patients with ASNHL who were recommended to use BiCROS and analyzed the demographic and audiological factors influencing the trial and purchase of BiCROS. Results: Among the 78 patients, 52 (66.7%) availed of the free BiCROS trial and 21 (26.9%) purchased BiCROS. The mean pure tone audiometry (PTA) air conduction (AC) threshold of the better- and worse-hearing ears were 44.2±12.8 dB and 90.7±22.5 dB HL, respectively. The decision for trial or purchase of BiCROS was not influenced by age, sex, duration of hearing loss of the worse-hearing ear, or PTA AC threshold or speech discrimination score of both ears. The first and third quartiles of the PTA AC thresholds for the better-hearing ear of BiCROS buyers were 38.75 dB and 53.75 dB HL, respectively. The counterpart values for the worse-hearing ear were 72.50 dB and 118.75 dB HL, respectively. Conclusions: The clinical factors analyzed in this study were found to be irrelevant to the trial and purchase of BiCROS in patients with ASNHL. Nevertheless, the distribution range of the auditory thresholds of the subjects using BiCROS can be a useful basis for the counseling of patients with ASNHL and selection of candidates for BiCROS use.
참고문헌 (21)
- Augustine AM, "Assessment of auditory and psychosocial handicap associated with unilateral hearing loss among Indian patients", Indian J Otolaryngol Head Neck Surg, 65, pp.120~125 (2013)
- Lucas L, "The psychological and social consequences of single-sided deafness in adulthood", Int J Audiol, 57, pp.21~30 (2018)
- Welsh LW, "Functional impairments due to unilateral deafness", Ann Otol Rhinol Laryngol, 113, pp.987~993 (2004)
- Agterberg MJ, "Single-sided deafness and directional hearing : contribution of spectral cues and high-frequency hearing loss in the hearing ear", Front Neurosci, 8, pp.188~ (2014)
- Kitterick PT, "Hearing instruments for unilateral severe-to-profound sensorineural hearing loss in adults : a systematic review and meta-analysis", Ear Hear, 37, pp.495~507 (2016)
- Vincent C, "Identification and evaluation of cochlear implant candidates with asymmetrical hearing loss", Audiol Neurootol, 20(Suppl 1), pp.87~89 (2015)
- Snapp HA, "Comparison of speechin-noise and localization benefits in unilateral hearing loss subjects using contralateral routing of signal hearing aids or bone-anchored implants", Otol Neurotol, 38, pp.11~18 (2017)
- Niparko JK, "Comparison of the bone anchored hearing aid implantable hearing device with contralateral routing of offside signal amplification in the rehabilitation of unilateral deafness", Otol Neurotol, 24, pp.73~78 (2003)
- Lin LM, "Amplification in the rehabilitation of unilateral deafness : speech in noise and directional hearing effects with bone-anchored hearing and contralateral routing of signal amplification", Otol Neurotol, 27, pp.172~182 (2006)
- 김용한, "좌우 비대칭형 난청 환자에서 CROS 보청기와 이식형 골도보청기의 선택 과정과 착용 전후 청력역치의 비교", 대한이비인후-두경부외과학회지, 62(3), pp.157~164 (2019), 대한이비인후과학회[DOI]
- 박미나, "일측성 전농 환자에서의 청력 재활: 바하와 크로스 보청기의 이득과 선택 기준", 대한이비인후-두경부외과학회지, 56(6), pp.339~345 (2013), 대한이비인후과학회[DOI]
- van Wieringen A, "Functional benefit of the bone-anchored hearing aid with different auditory profiles : objective and subjective measures", Clin Otolaryngol, 36, pp.114~120 (2011)
- Del Dot J, "Speech perception in noise with BICROS hearing aids", Scand Audiol, 21, pp.261~264 (1992)
- Williams VA, "Subjective and objective outcomes from new BiCROS technology in a veteran sample", J Am Acad Audiol, 23, pp.789~806 (2012)
- Choi JE, "A comparison between wireless CROS", BiCROS and soft-band BAHA for patients with unilateral hearing loss, 2019, pp.14, e0212503~
- Ryu NG, "Clinical effectiveness of wireless CROS(contralateral routing of offside signals)hearing aids", Eur Arch Otorhinolaryngol, 272, pp.2213~2219 (2015)
- Valente M, "Evaluation of a BICROS system with a directional microphone in the receiver and transmitter", J Am Acad Audiol, 26, pp.856~871 (2015)
- Kuk F, "Effects of training on the use of a manual microphone shutoff on a BiCROS device", J Am Acad Audiol, 26, pp.478~493 (2015)
- Pedley AJ, "Contralateral routing of signals disrupts monaural level and spectral cues to sound localisation on the horizontal plane", Hear Res, 353, pp.104~111 (2017)
- Hill SL 3rd, "Assessment of patient satisfaction with various configurations of digital CROS and BiCROS hearing aids", Ear Nose Throat J, 85, pp.427~430 (2006)
- Kompis M, "Factors influencing the decision for Baha in unilateral deafness : the Bern benefit in single-sided deafness questionnaire", Adv Otorhinolaryngol, 71, pp.103~111 (2011)
