Factors Influencing the Purchase Rate of Cartilage Conduction Hearing Aids

Author:

Nishimura Tadashi1,Hosoi Hiroshi2,Sugiuchi Tomoko3,Matsumoto Nozomu4,Nishiyama Takanori5,Kenichi Takano6,Sugimoto Satofumi7,Yazama Hiroaki8,Sato Takeshi9,Komori Masahiro10

Affiliation:

1. Department of Otolaryngology-Head and Neck surgery, Nara Medical University, Kashihara, Nara, Japan

2. The Institute of MBT (Medicine-Based Town), Nara Medical University, Kashihara, Nara, Japan

3. Sugiuchi Clinic, Meguro-ku, Tokyo, Japan

4. Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

5. Department of Otorhinolaryngology-Head and Neck surgery, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan

6. Department of Otolaryngology, Sapporo Medical University, Sapporo, Japan

7. Department of Otorhinolaryngology, Nagoya University Graduate School of Medicine, Showa-ku, Nagoya, Japan

8. Division of Otolaryngology, Head and Neck Surgery, Tottori University, Yonago, Japan

9. Department of Otolaryngology-Head and Neck Surgery, Tohoku University Hospital, Sendai, Miyagi, Japan

10. Department of Otolaryngology, Kochi Medical School, Kochi University, Nankoku-shi, Kochi, Japan

Abstract

Abstract Background Innovated hearing aids (HAs), termed cartilage conduction hearing aids (CC-HAs), show good performance in patients with closed ears and continuous otorrhea. However, factors other than the ear condition that influence the purchase rate of CC-HAs remain unclear. Purpose To identify the factors that influence the purchase rate of CC-HAs. Research Design A correlational study. Study Sample A total of 249 patients were enrolled. Data Collection and Analysis The patients' demographics, clinical characteristics, outcomes, and CC-HA transducer types were compared. The data were analyzed for six groups classified based on the ear condition. Results In the unilateral closed-ear group, the purchase cases were significantly younger than the nonpurchase cases (p < 0.05). Regarding the outcomes in the bilateral closed-ear group, the purchase cases showed significantly better-aided thresholds at 0.25 and 0.5 kHz than the nonpurchase cases. No significant differences in the functional gains and speech recognition scores were found between purchase and nonpurchase cases in all six groups. Regarding the transducer type, the continued-use rate of the simple transducer type was significantly lower in the bilateral chronic continuous otorrhea, bilateral open, and unilateral open groups. Conclusion In the closed ears, no remarkable negative factors were found. Transducer type had a significant influence on the continued-use rate in the nonclosed ears including the ears with chronic continuous otorrhea, although the purchase rate of CC-HAs in the bilateral chronic continuous otorrhea group was comparable to the closed ears.

Publisher

Georg Thieme Verlag KG

Subject

Speech and Hearing

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