Effects of auditory rehabilitation with cochlear implant on tinnitus prevalence and distress, health-related quality of life, subjective hearing and psychological comorbidities: Comparative analysis of patients with asymmetric hearing loss (AHL), double-sided (bilateral) deafness (DSD), and single-sided (unilateral) deafness (SSD)

Ketterer, Manuel Christoph; Péus, Dominik; Häußler, SM; Hildebrandt, Lynn; Gräbel, Stefan; Szczepek, Agnieszka J.

doi:10.3389/fneur.2022.1089610

Cited by 7 publications

(7 citation statements)

References 52 publications

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“…Stratified by type of hearing loss, our study showed that the SSD group alone showed improvement in overall QOL. When considering the different hearing loss groups, it was found that the bilaterally hearing-impaired patient group had worse disease-specific QOL preoperatively, which is consistent with further research by Olze et al (2022) [ 20 ]. Postoperatively, no differences were observed after 1 year.…”

Section: Discussionsupporting

confidence: 86%

“…Satisfactory hearing rehabilitation and improvement in quality of life after cochlear implantation have been demonstrated in numerous studies [ 36 , 37 ]. The positive impact of cochlear implantation on psychological comorbidities or concomitant tinnitus has also been noted in some studies [ 19 , 20 , 37 , 38 ]. However, previous research has rarely considered the importance of mental health and personality factors in subjective outcomes.…”

Section: Discussionmentioning

confidence: 72%

“…Postoperatively, no differences were observed after 1 year. Olze et al (2022) also showed that disease-specific QOL equalized between the groups after 6 months [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…For increased anxiety in particular, there is a strong association with depressive disorders in CI patients [ 19 ]. In addition, previous studies show a strong negative influence of increased tinnitus burden on QOL after CI fitting, with a strong multicollinearity of psychological comorbidities and tinnitus [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

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Influence of depressive disorders, stress, and personality traits on quality of life after cochlear implantation

Lailach,

Stephan,

Martin

et al. 2023

Eur Arch Otorhinolaryngol

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Purpose This study aimed to determine whether preoperative depressiveness, stress, and personality influence quality of life (QOL) after cochlear implant (CI) surgery. Methods In this prospective study, 79 patients undergoing CI surgery were evaluated preoperatively and 12 months postoperatively. Disease-specific QOL was assessed with the Nijmegen Cochlear Implant Questionnaire (NCIQ) and general QOL with the WHOQOL-BREF. Depressiveness and stress were assessed with the Patient Health Questionnaire (PHQ-D). The Charlson Comorbidity Index (CCI) was used to classify comorbidities. The Big Five Personality Test (B5T) was used to assess the basic personality dimensions. Speech comprehension was evaluated in quiet with the Freiburg monosyllable test and in noise with the Oldenburg sentence test. Results After CI surgery, the total NCIQ score improved significantly (Δ 17.1 ± 14.7, p < 0.001). General QOL (WHOQOL-BREF, Δ 0.4 ± 9.9, p = 0.357), stress (Δ 0.25 ± 3.21, p = 0.486), and depressiveness (Δ 0.52 ± 3.21, p = 0.121) were unaffected by CI surgery. Patients without elevated depressiveness (p < 0.01) or stress (p < 0.001) had significantly better total NCIQ scores. The results of the multiple regression analyses show that, after adjusting for the CCI, personality, age, and mental health stress (ß = − 0.495, p < 0.001) was significantly associated with postoperative NCIQ outcome scores. Depressiveness and neuroticism had the strongest influence on the generic QOL (ß = − 0.286 and ß = − 0.277, p < 0.05). Conclusion Stress symptoms and personality traits are significant predictive factors for disease-specific QOL, as well as hearing status. This should be considered in the preoperative consultation and in optimizing the rehabilitation process.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 72%

“…Postoperatively, no differences were observed after 1 year. Olze et al (2022) also showed that disease-specific QOL equalized between the groups after 6 months [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Influence of depressive disorders, stress, and personality traits on quality of life after cochlear implantation

Lailach,

Stephan,

Martin

et al. 2023

Eur Arch Otorhinolaryngol

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“…A subgroup of individuals initially experiencing unilateral profound SSNHL eventually transition to SSD status due to inadequate treatment outcomes. SSD can have a significant impact on the quality of life of affected individuals, including difficulty in localizing sounds, understanding speech in noisy environments, and feeling socially isolated ( 8 , 9 ).…”

Section: Introductionmentioning

confidence: 99%

Clinical characteristics and prognosis of sudden sensorineural hearing loss in single-sided deafness patients

Liu,

Wu,

et al. 2023

Front. Neurol.

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BackgroundSudden sensorineural hearing loss (SSNHL) in patients with single-sided deafness (SSD) is rare. The prognosis of the sole serviceable hearing ear is very important for these patients. However, the clinical characteristics and prognosis of SSNHL in SSD patients are not well-documented.ObjectiveThis study aimed to investigate the clinical features and treatment outcomes of SSNHL in SSD patients.MethodsClinical data of 36 SSD patients and 116 non-SSD patients with unilateral SSNHL from January 2013 to December 2022 were retrospectively investigated. The clinical characteristics of the SSD patients were analyzed. All SSD patients were treated with intratympanic steroids plus intravenous steroids. Pure-tone average (PTA) and word recognition score (WRS) before and after treatment were recorded. The hearing recovery of SSNHL in SSD patients in comparison with non-SSD patients was explored. Auditory outcomes in SSD patients with different etiologies were also compared.ResultsInitial hearing threshold showed no significant differences between the SSD group and the non-SSD group (66.41 ± 24.64 dB HL vs. 69.21 ± 31.48 dB HL, p = 0.625). The SSD group had a higher post-treatment hearing threshold (median (interquartile range, IQR) 53.13(36.56) dB HL) than the non-SSD group (median 32.50(47.5) dB HL, p < 0.01). Hearing gains (median 8.75(13.00) dB) and the rate of significant recovery (13.89%) were lower in the SSD group than in the non-SSD group (median 23.75(34.69) dB, 45.69%). The etiology of SSD was classified as SSNHL, special types of infection, chronic otitis media, and unknown causes. SSNHL accounted for the maximum proportion (38.9%) of causes of SSD in the SSD group. Hearing gains were lower in the SSNHL-SSD group than in other causes of the SSD group. A binary logistic regression analysis demonstrated that SSD serves as an indicator of unfavorable hearing recovery outcomes (OR = 5.264, p < 0.01).ConclusionThe prognosis of SSNHL in SSD patients is unsatisfactory. SSNHL accounts for the maximum proportion of causes of SSD in this group of patients. For SSD patients caused by SSNHL, less hearing improvement after treatment was expected when SSNHL occurred in the contralateral ear in comparison with SSD patients with other causes.

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