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Comparison of Carina active middle-ear implant with conventional hearing aids for mixed hearing loss

Published online by Cambridge University Press:  18 March 2016

V A Savaş ,
B Gündüz ,
R Karamert ,
R Cevizci ,
M Düzlü ,
H Tutar  and
Y A Bayazit
V A Savaş
Affiliation:
ENT Clinic, Silvan State Hospital, Diyarbakır, Ankara, Turkey
B Gündüz
Affiliation:
Department of Audiology, Faculty of Medicine, Gazi University, Ankara, Turkey
R Karamert*
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey
R Cevizci
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Medipol University, Istanbul, Turkey
M Düzlü
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey
H Tutar
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey
Y A Bayazit
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Medipol University, Istanbul, Turkey
*
Address for correspondence: Dr Recep Karamert, KBB Anabilim Dalı, Tıp Fakültesi, Gazi Universitesi, Beşevler, 06500 Ankara, Turkey Fax: +90 312 202 4357 E-mail: recepkaramert@gazi.edu.tr
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Abstract

Objective:

To compare the auditory outcomes of Carina middle-ear implants with those of conventional hearing aids in patients with moderate-to-severe mixed hearing loss.

Methods:

The study comprised nine patients (six males, three females) who underwent middle-ear implantation with Carina fully implantable active middle-ear implants to treat bilateral moderate-to-severe mixed hearing loss. The patients initially used conventional hearing aids and subsequently received the Carina implants. The hearing thresholds with implants and hearing aids were compared.

Results:

There were no significant differences between: the pre-operative and post-operative air and bone conduction thresholds (p > 0.05), the thresholds with hearing aids and Carina implants (p > 0.05), or the pre-operative (mean, 72.8 ± 19 per cent) and post-operative (mean, 69.9 ± 24 per cent) speech discrimination scores (p > 0.05). One of the patients suffered total sensorineural hearing loss three months following implantation despite an initial 38 dB functional gain. All except one patient showed clinical improvements after implantation according to quality of life questionnaire (Glasgow Benefit Inventory) scores.

Conclusion:

Acceptance of Carina implants is better than with conventional hearing aids in patients with mixed hearing loss, although both yield similar hearing amplification. Cosmetic reasons appear to be critical for patient acceptance.

Keywords

Middle Ear ImplantHearing AidsMixed Hearing Loss
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 4 , April 2016 , pp. 340 - 343
Copyright
Copyright © JLO (1984) Limited 2016 

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