comparison of audiological results in paents with ssd treated … · 2018. 4. 3. · • there is...
TRANSCRIPT
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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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Disclosure:
X Ihavenopoten
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Single Sided Deafness
func
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Single Sided Deafness
Consequenceisadeficitincommunica
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Single Sided Deafness
Theeffectontheauditorysystemisquitedifferentifasinglesideddeafnessoccuresinchild-(beforematura
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Single Sided Deafness
binaural
monaural
squelcheffect
+
−
binauralesumma
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Single Sided Deafness
• Improvementofhearinginnoisysurroundings
• Improvementindirec4onalhearing
• Improvementinspa4alhearing
Aim
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Single Sided Deafness
Whichpossibili
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SSD-study CI vs. Bone Bridge
Implantexperience:CI1year–6yearsBB4month–3years
26pa
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SSD-study CI vs. Bone Bridge
26pa
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CI - pa3ents
AgeatDura120>120>120>120>120>1201188810811096
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Bone Bridge - pa3ents
AgeatDura120>120>12093
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Results
CIS0NAHCISSSDNAH
-1,45
-4,80
P0,008*
OLSAinnoiseCI
unaidedaided
+1,5
-2,68
unaidedaided
S
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Results
CIS0NAHBBS0NAH
-1,45
-4,80
P0,008*
-2,1
-4,3
P0,048*
OLSAinnoise
unaidedaidedunaidedaided
S
N
S
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HSM sentence test
0%
19%
33%
83%91%
96%
unaidedaided unaidedaided unaidedaided
CIad65dBSSSDNAH
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SSQ for CI pa3ents
unaidedaided
forall3quali
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Bern Benefit in SSD
SpeechinquietTVorradio
MusicDistantspeakerSpeechinnoise
Conversa
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Direc3onal hearing
2x35measurementseachear
Sizeoftestroom:340x300x220cmRevebera
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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
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Conclusion
• Improvementofhearinginnoisysurroundings
• Improvementindirec4onalhearing
• Improvementinspa4alhearing
• Improvementinqualityoflife
BB
ü --ü
CI
ü
ü
ü
ü
• Thereissta
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Thankyouforyouraden