Patient-reported long-term benefit with an active transcutaneous bone-conduction device

Abstract

Purpose To evaluate the long-term benefits in hearing-related quality of life, patient satisfaction and wearing time of patients rehabilitated with an active transcutaneous bone-conduction device. Adverse events and audiological outcomes are reported as secondary outcomes. Methods This retrospective, mono-centric cohort analysis involves 16 adults with conductive or mixed hearing loss with a mean device experience of 51.25 months. Patient-reported outcome measures were assessed using the short version of the Speech, Spatial and Qualities of Hearing Scale (SSQ12-B) and the German version of the Audio Processor Satisfaction Questionnaire (APSQ). Audiological outcomes as well as incidence of adverse events were obtained from patients´ charts. Results The hearing-related quality of life improved significantly within all subscales of the SSQ12-B scoring a mean overall of 2.95 points. Patient satisfaction measured with the APSQ scored 8.8 points on average. Wearing times differed considerably and patients with lower levels of education seemed to use their device longer compared to patients with academic education. Eight minor adverse events were documented, all of which resolved during follow-up. The mean gain in word recognition score at the last follow-up measured at 65 dB was 75.9%, while speech reception threshold was lowered by 35.1 dB. Conclusion Even after several years, patients report significant benefits in hearing-related quality of life and device satisfaction. In combination with a low rate of minor adverse events and significantly improved audiological outcomes, the device is considered as a comfortable and effective option in hearing rehabilitation.

Comparison of Quality of Life Outcomes for Percutaneous Versus Transcutaneous Implantable Hearing Devices: A Systematic Review and Meta-analysis

“…Full text review of these 290 articles was conducted, and a total of 52 articles were selected for inclusion (Fig. 1) (13–64). Critical appraisal of studies indicated an acceptably low risk of bias for the majority of included studies (Fig.…”

Comparison of Outcomes of Surgery Versus Implantable Device for the Treatment of Hearing Loss Associated With Congenital Aural Atresia: A Systematic Review and Meta-Analysis

“…An overview of the search process can be found in Figure 1. Descriptive features of articles about atresia surgery can be found in Supplemental Content 2, http://links.lww.com/MAO/B684 (9,10,18–52), and descriptive features of articles about implantable devices can be found in Supplemental Content 3, http://links.lww.com/MAO/B685 (8,10,22,43,47,48,53–99). All articles selected for inclusion were at least level 4 based on Oxford Level of Evidence.…”

Comparison of Transcutaneous and Percutaneous Implantable Hearing Devices for the Management of Congenital Aural Atresia: A Systematic Review and Meta-Analysis

“…Full-text review of these 133 articles was conducted, and a total of 56 articles were selected for inclusion (Fig. 1) (11–14,21–72). Critical appraisal of studies indicated an acceptably low risk of bias for the majority of included studies (Fig.…”