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T.Keintzel, T.Rasse, T.Moser, A.Koller Comparison of audiological results in pa3ents with SSD treated with Cochleaimplant versus Bone Bridge

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  • T.Keintzel,T.Rasse,T.Moser,A.Koller

    Comparison of audiological results in pa3ents with SSD treated with Cochleaimplant versus Bone Bridge

  • Disclosure:

    X Ihavenopoten

  • Single Sided Deafness

    func

  • Single Sided Deafness

    Consequenceisadeficitincommunica

  • Single Sided Deafness

    Theeffectontheauditorysystemisquitedifferentifasinglesideddeafnessoccuresinchild-(beforematura

  • Single Sided Deafness

    binaural

    monaural

    squelcheffect

    +

    binauralesumma

  • Single Sided Deafness

    •  Improvementofhearinginnoisysurroundings

    •  Improvementindirec4onalhearing

    •  Improvementinspa4alhearing

    Aim

  • Single Sided Deafness

    Whichpossibili

  • SSD-study CI vs. Bone Bridge

    Implantexperience:CI1year–6yearsBB4month–3years

    26pa

  • SSD-study CI vs. Bone Bridge

    26pa

  • CI - pa3ents

    AgeatDura120>120>120>120>120>1201188810811096

  • Bone Bridge - pa3ents

    AgeatDura120>120>12093

  • Results

    CIS0NAHCISSSDNAH

    -1,45

    -4,80

    P0,008*

    OLSAinnoiseCI

    unaidedaided

    +1,5

    -2,68

    unaidedaided

    S

  • Results

    CIS0NAHBBS0NAH

    -1,45

    -4,80

    P0,008*

    -2,1

    -4,3

    P0,048*

    OLSAinnoise

    unaidedaidedunaidedaided

    S

    N

    S

  • HSM sentence test

    0%

    19%

    33%

    83%91%

    96%

    unaidedaided unaidedaided unaidedaided

    CIad65dBSSSDNAH

  • SSQ for CI pa3ents

    unaidedaided

    forall3quali

  • Bern Benefit in SSD

    SpeechinquietTVorradio

    MusicDistantspeakerSpeechinnoise

    Conversa

  • Direc3onal hearing

    2x35measurementseachear

    Sizeoftestroom:340x300x220cmRevebera

  • ISVR 5 Localisa3ostest

    33,40°

    10,30°

    21,20°

    14,10°18,0°

    22,15°

    30,85° 32,50°

    Meande

    flec<on

    indegree

    unaidedaidedpinknoisespeech

    unaidedaided unaidedaided unaidedaidedpinknoisespeech

    Pinknoiseandspeech60dB2x35measurements

    CI BB

    Meande

    flec<on

    indegree

  • Conclusion

    •  Improvementofhearinginnoisysurroundings

    •  Improvementindirec4onalhearing

    •  Improvementinspa4alhearing

    •  Improvementinqualityoflife

    BB

    ü --ü 

    CI

    ü 

    ü 

    ü 

    ü 

    •  Thereissta

  • Thankyouforyouraden