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김연지,박시내,한재상,Celeste Ann Chua,서재현,박소영 대한이비인후과학회 2022 대한이비인후과학회지 두경부외과학 Vol.65 No.10
Background and Objectives The objective of this study was to investigate the effect of anactive transcutaneous bone conduction implant (BCI) of Bonebridge (MED-EL) on tinnituspatients with asymmetric hearing loss (AHL) or single-sided deafness (SSD). Subjects and Method Medical records and tinnitus questionnaires were reviewed retrospectivelyof patients with AHL or SSD, who received Bonebridge by a single surgeon at SeoulSt. Mary’s Hospital from 2017 to 2021. Audiologic evaluation and tinnitus questionnaires wereconducted before and after surgery. Results Of the 17 patients, 8 patients had SSD and 9 patients had AHL, and 13 patients(76.47%) had tinnitus before surgery while 4 patients did not. No patient showed newly developedtinnitus after surgery. After implantation, three patients (23.08%) showed a completeresolution of tinnitus. All patients showed significant improvement in hearing level after surgery. The mean tinnitus handicap inventory (THI) score and visual analogue scale (VAS) scorefor effect on life showed a significant decrease after surgery, from 43.1±28.2 to 29.7±25.7(p<0.05), and 4.7±2.9 to 3.2±3.3 (p<0.05), respectively. The mean THI scores of seven AHLpatients and seven patients with tinnitus on the implanted ear were significantly decreased afterimplantation from 50.9±24.7 to 34.6±27.5 (p<0.05) and from 53.1±23.4 to 37.4±15.0 (p<0.05),respectively. Conclusion BCI seems to be effective in suppressing tinnitus in the patients with AHL butnot with SSD. Along with directive counseling, sound therapy with Bonebridge can decreasetinnitus in some patients with AHL.
개방동 유양돌기 절제술에서 탈회된 골기질을 이용한 유양동성형술의 안정성 및 유용성 검증: 탐색적 연구
한재홍,김연지,한재상,Celeste Ann Chua,서재현,박소영,박시내 대한이비인후과학회 2023 대한이비인후과학회지 두경부외과학 Vol.66 No.2
Background and Objectives The canal wall down mastoidectomy brings changes in theanatomy of the external auditory canal (EAC), causing potential problems, such as accumulat-ed crust, vertigo attacks, and difficulties in wearing hearing aids (HAs). The objective of thisstudy is to evaluate the safety and efficacy of mastoidoplasty using the demineralized bonematrix (DBM) to obliterate the mastoidectomized cavity and reconstruct EAC. Subjects and Method Medical records of patients with chronic otitis media with or withoutcholesteatoma who received mastoidoplasty using DBM by a single surgeon at Seoul St. Mary’shospital between 2014 and 2021 were reviewed retrospectively. Results A total of 27 patients were included in this study. None of the patients showed anyrecurrence of cavity problem, wound infection, or any other complications during their follow-up period of 13.07±37 months. The average air and bone conduction hearing level of puretone audiometry showed no significant change after surgery ( p=0.50, p=0.54, respectively). Five patients indicated for hearing rehabilitation could adopt canal type HAs after surgery; sixpatients used completely-in-the canal type HAs, and one patient used in-the-canal type HAs. None of the patients using HAs complained of acoustic feedback or any other problem inwearing HAs. Conclusion Mastoidoplasty using DBM seems to be a very safe and effective surgical pro-cedure that shows functionally acceptable EAC for hearing rehabilitation with canal type HAsand demonstrates no specific complication.