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Bone-Anchored Hearing Implant: Voice...

Deng, Jiahao,

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Bone-Anchored Hearing Implant: Voice of Non-Users and Effectiveness of the Osia® Implant /

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Bone-Anchored Hearing Implant: Voice of Non-Users and Effectiveness of the Osia® Implant // Jiahao Deng.
作者:	Deng, Jiahao,
面頁冊數:	1 electronic resource (140 pages)
附註:	Source: Masters Abstracts International, Volume: 86-03.
Contained By:	Masters Abstracts International86-03.
標題:	Otolaryngology. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31339184
ISBN:	9798384220022

Bone-Anchored Hearing Implant: Voice of Non-Users and Effectiveness of the Osia® Implant /
Deng, Jiahao,

Bone-Anchored Hearing Implant: Voice of Non-Users and Effectiveness of the Osia® Implant /Jiahao Deng. - 1 electronic resource (140 pages)

Source: Masters Abstracts International, Volume: 86-03.

Bone-anchored hearing implants (BAHI) are surgically placed hearing devices that rely on bone conduction to treat patients with hearing loss. Implant and device models are rapidly evolving since their invention in the 70s, with the most recent model the Osia® system constructed using piezoelectric materials and conferring many advantages. BAHI has rehabilitated many hearing-impaired individuals with an exceedingly high success rate. Despite its success, there are still patients who refused the implantation surgery, despite being good audiological candidates during a pre-surgical headband trial. The voice of these BAHI non-users is largely missing in the literature as the current patient-reported outcome measures (PROM) existing in the field are not good at collecting this type of information. Furthermore, the effectiveness of the Osia® model has never been systematically assessed.This thesis addresses these gaps by piloting a newly developed hearing-loss-specific PROM survey using a mixed method analytical approach, and by conducting a systematic review and meta-analysis about the Osia®.The pilot experiment showed that the process of administering the survey was efficient and feasible. BAHI non-users reported negative outcomes from the headband trial and these outcomes, along with some negative emotions, prevented the best trial experiences. However, there were still some benefits perceived from the trial, collectively reflecting many different patient-values and a multi-factorial decision-making process while considering implantation.Meanwhile, the systematic review and meta-analysis revealed the effectiveness of the Osia® in many dimensions: its implantation is safe, its operative techniques are advancing, and it provided a functional gain of 36.82 dB for patients with conductive and mixed hearing loss, which was the largest functional gain among all active transcutaneous BAHIs. The improvement scores of speech recognition and patient-reported outcome questionnaires with Osia® were all clinically relevant.

English

ISBN: 9798384220022Subjects--Topical Terms:

786988
Otolaryngology.

Bone-Anchored Hearing Implant: Voice of Non-Users and Effectiveness of the Osia® Implant /
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520 $a Bone-anchored hearing implants (BAHI) are surgically placed hearing devices that rely on bone conduction to treat patients with hearing loss. Implant and device models are rapidly evolving since their invention in the 70s, with the most recent model the Osia® system constructed using piezoelectric materials and conferring many advantages. BAHI has rehabilitated many hearing-impaired individuals with an exceedingly high success rate. Despite its success, there are still patients who refused the implantation surgery, despite being good audiological candidates during a pre-surgical headband trial. The voice of these BAHI non-users is largely missing in the literature as the current patient-reported outcome measures (PROM) existing in the field are not good at collecting this type of information. Furthermore, the effectiveness of the Osia® model has never been systematically assessed.This thesis addresses these gaps by piloting a newly developed hearing-loss-specific PROM survey using a mixed method analytical approach, and by conducting a systematic review and meta-analysis about the Osia®.The pilot experiment showed that the process of administering the survey was efficient and feasible. BAHI non-users reported negative outcomes from the headband trial and these outcomes, along with some negative emotions, prevented the best trial experiences. However, there were still some benefits perceived from the trial, collectively reflecting many different patient-values and a multi-factorial decision-making process while considering implantation.Meanwhile, the systematic review and meta-analysis revealed the effectiveness of the Osia® in many dimensions: its implantation is safe, its operative techniques are advancing, and it provided a functional gain of 36.82 dB for patients with conductive and mixed hearing loss, which was the largest functional gain among all active transcutaneous BAHIs. The improvement scores of speech recognition and patient-reported outcome questionnaires with Osia® were all clinically relevant.
520 $a Les implants auditifs a ancrage osseux (bone-anchored hearing implant, BAHI) sont des appareils auditifs installes chirurgicalement qui utilisent la conduction osseuse afin d'aider les patients ayant une perte auditive. Les modeles d'implants et d'appareils ont rapidement evolue depuis leur invention dans les annees 70. Le modele le plus recent, soit le systeme Osia®, est compose de materiaux piezoelectriques, ce qui lui confere de nombreux avantages. Ces implants ont permis de rehabiliter de nombreux patients malentendants avec un taux de reussite exceptionnellement eleve. Malgre ces succes, certains patients one refuse la chirurgie d'implantation apres un essai de bandeau pre-chirurgical, malgre le fait qu'ils etaient de bons candidats du point de vue audiologique. Les etudes publiees sur les BAHIs n'incluent que rarement la perspective de ces patients qui ont ultimement choisi de ne pas etre implantes apres un essai de bandeau. Les echelles cliniques des resultats rapportes par les patients (patient-reported outcome measures, PROM) presentement disponibles sont egalement limitees. Finalement, l'efficacite du modele Osia® n'a jamais ete evaluee de maniere systematique.L'objectif principal de cette these etait de combler ces lacunes en etudiant l'utilite d'un questionnaire nouvellement developpe et specifique aux patients ayant une perte d'audition, a l'aide d'une approche analytique a methodes mixtes et d'une revue systematique et meta-analyse sur l'Osia®.Le projet pilote a demontre qu'il etait realisable et efficace d'administrer le questionnaire a ces patients. Les non-utilisateurs/non-utilisatrices de BAHI ont rapporte des resultats non-favorables suite a l'essai du bandeau et ces resultats, ainsi que certaines emotions negatives, ont eu un impact sur leur decision. Cependant, certains avantages ont ete percus dans le cadre de l'essai, indiquant donc que la decision de ne pas proceder a l'implantation est souvent multifactorielle.Par ailleurs, notre etude systematique et notre meta-analyse ont demontre l'efficacite d'Osia® dans de multiples domaines : l'implant est securitaire, les techniques operatoires progressent et le gain fonctionnel moyen est de 36.82 dB pour les patients souffrant de surdite de transmission et de surdite mixte, ce qui represente le gain fonctionnel le plus important parmi tous les BAHIs transcutanes actifs. Les scores d'amelioration de la reconnaissance vocale et les PROMs chez les patients ayant ete implantes avec un Osia® etaient tous cliniquement pertinents.
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