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The impact of cochlear implantation on quality of life and psychological status in single-sided deafness or asymmetric hearing loss with tinnitus and influencing factors of implantation intention: a preliminary study

  • Otology
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Abstract

Purpose

The current study aims to explore the therapeutic effect of cochlear implants (CIs) on tinnitus in patients with single-sided deafness or asymmetric hearing loss (SSD/AHL) as well as the improvement of tinnitus-related quality of life and psychological status. In addition, we also explored whether the levels of quality of life and psychological status was related to the patient's implantation intention.

Methods

Seven patients decided to receive cochlear implantation. Before and after implantation, they completed the Visual Analogue Scale (VAS) and the Tinnitus Questionnaire (TQ) to assess tinnitus severity, the Speech, Spatial and Qualities of Hearing Scale (SSQ), and the Medical Outcomes Study Short Form 36 Health Survey Questionnaire (SF-36) to assess the quality of life, the Simplified Coping Style Questionnaire (SCSQ) to assess psychological status. The other 8 SSD patients refused cochlear implantation. Their scores of the above questionnaires were compared with those of patients received implantation.

Results

Six months after cochlear implantations, the tinnitus perception, loudness, and annoyance significantly decreased compared to that before implantation. In terms of quality of life and physiological status, no statistically significant changes were detected in SSQ, SF-36, and SCSQ measurements. The score of annoyance subcategory of VAS and all subcategories of SSQ of patients refused implantation were better than those of implanted patients before implantation.

Conclusions

These results suggest that CIs can significantly reduce tinnitus severity. Patients refused implantation had better status in the annoyance of VAS and all subcategories of SSQ scores than those received implantation.

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Availability of data and materials

All data of the study are available on reasonable request to the corresponding author.

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Funding

This work was supported by the Science and Technology Commission of Shanghai Municipality (Grant numbers [19411961400]) and Fudan University Eye Ear Nose and Throat Hospital (Grant numbers [SYB202001]).

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Author notes

  1. Shuwen Fan and Chen Zhang have contributed equally to this work.

Authors and Affiliations

  1. Department of Otolaryngology–Head and Neck Surgery, ENT Institute, Eye & ENT Hospital of Fudan University, Shanghai, 200031, China

    Shuwen Fan, Chen Zhang, Min Chen, Jiabao Mao & Shufeng Li

  2. NHC Key Laboratory of Hearing Medicine, Fudan University, Shanghai, 20031, China

    Shuwen Fan, Chen Zhang, Min Chen, Jiabao Mao & Shufeng Li

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  1. Shuwen Fan
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  2. Chen Zhang
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  3. Min Chen
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Contributions

Conceptualization: SL; methodology: SL, SF, CZ, MC; formal analysis and investigation: SF, CZ, MC, JM; writing—original draft preparation: SF, CZ; writing—review and editing: SL; funding acquisition: SL; resources: SL; supervision: SL.

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Correspondence to Shufeng Li.

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Ethical approval

The study was approved by the Ethics Committee of Eye & ENT Hospital of Fudan University.

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Fan, S., Zhang, C., Chen, M. et al. The impact of cochlear implantation on quality of life and psychological status in single-sided deafness or asymmetric hearing loss with tinnitus and influencing factors of implantation intention: a preliminary study. Eur Arch Otorhinolaryngol 281, 95–105 (2024). https://doi.org/10.1007/s00405-023-08086-7

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