Abstract
The Bonebridge implant can be a satisfactory solution for patients with conductive or mixed hearing loss (CHL or MHL), or with single-sided deafness (SSD). The aim of the study was to assess patients’ self-reported benefits with the Bonebridge and characterize the relationships between pre-implantation audiometric data, auditory functioning, and satisfaction after implantation. A focus was to see whether different types of hearing loss were associated with particular benefits. The study sample consisted of 81 patients. Procedures comprised pure tone audiometry before implantation, the Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaire, and a structured interview asking about satisfaction. Statistically significant improvements after implantation were found in all groups (CHL, MHL, SSD) on the APHAB questionnaire. In the structured interview, patients with SSD were the least satisfied. No significant correlation was found between pre-operative air-bone gap and bone conduction thresholds or with APHAB score. Bonebridge implantation is beneficial to patients with CHL or MHL, or with SSD. Assessment of patients for Bonebridge implantation is complex, and audiometric data should be complemented by patient-reported outcomes to provide deeper insight into their individual needs and attitudes.
Highlights
The World Health Organization estimates that hearing loss currently affects more than 1.5 billion people or 20% of the global population [1]
We offer single-sided deafness (SSD) patients all currently available solutions— cochlear implant, bone-anchored hearing aid, bone conduction implant, or a contralateral routing of the sound system
In patients with conductive hearing loss (CHL) and mixed hearing loss (MHL), no significant correlation was observed between bone conduction thresholds and air-bone gap and the achieved benefits reported by the Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaire after implantation
Summary
The World Health Organization estimates that hearing loss currently affects more than 1.5 billion people or 20% of the global population [1]. For people affected by this problem, hearing loss means limitations in activity and restrictions to social participation, mainly caused by difficulties in verbal communication, and can have negative effects on educational, social, and professional aspects of their lives. Hearing loss can, depending on many factors, negatively impact quality of life; in most cases, undertaking effective interventions makes it possible to reduce the negative impacts. Two forms of intervention are hearing aids and implantable devices. The idea of a patient-centered approach has promoted interest in the patient’s subjective assessment of hearing loss outcomes to complement the objective measurements
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