Systematic and audiological indication criteria for bone conduction devices and active middle ear implants
Systematic and audiological indication criteria for bone conduction devices and active middle ear implants
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DOI：
10.1016/j.heares.2021.108424
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发表时间：
2022-06-12
期刊：
影响因子：
2.8
通讯作者：
Plontke, Stefan K.
中科院分区：
文献类型：
--
作者：
Rahne, Torsten;Plontke, Stefan K.
某些传导性或混合性听力损失的患者可以从骨传导听力设备或有源中耳植入物中受益。可用的器械在耦合部位、从声音处理器到植入物的能量传递以及主动或被动致动器技术方面有所不同。这些设备的听力学益处取决于设备的最大稳定功率输出和本底噪声、感音神经性听力损失的程度和预期稳定性以及耦合效率，目的是实现最小30-35 dB的有效动态范围。设备的选择通常是关于听力损失、技术设备相关参数和预期耦合效率的最佳听力学解决方案、关于病理解剖学方面、设备尺寸和耦合部位、侵入性或手术风险的最佳手术解决方案以及关于患者的愿望和期望、社会方面、设备可用性和连接性。这篇综述文章列出了所有目前可用的植入式和传统骨导听力器械以及有源中耳植入物的技术特征，如最大功率输出、市场可用性和预期有效输出动态范围。(c)2021作者（S）由Elsevier B. V.发布。这是CC BY许可下的开放获取文章（http：creativecommons.org/licenses/by/4.0/）
Certain patients with conductive or mixed hearing loss can benefit from bone-conduction hearing devices or active middle ear implants. Available devices differ in coupling site, energy transfer from the sound processor to the implant, and the active or passive actuator technology. The audiological benefit of those devices depends on the maximum stable power output and the noise floor of the device, the degree and expected stability of the sensorineural hearing loss and the coupling efficiency with the aim on achieving a minumum of 30-35 dB effective dynamic range. The choice of the device is often a trade-off between the optimal audiological solution with respect to the hearing loss, technical device-related parameters and the expected coupling efficiency, the optimal surgical solution with respect to patho-anatomical aspects, device dimensions and the coupling site, invasiveness or surgical risks, and other patient factors with respect to the patients' wish and expectations, social aspects, device usability and connectivity. This review article lists all currently available implantable and conventional bone-conduction hearing devices and active middle ear implants with respect to technical features like maximum power output, market availability, and the expected effective output dynamic range.(c) 2021 The Author(s). Published by Elsevier B.V.This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/ )