Skip to main content
Erschienen in:

18.09.2018 | Otology

Asymmetric hearing loss and the benefit of cochlear implantation regarding speech perception, tinnitus burden and psychological comorbidities: a prospective follow-up study

verfasst von: Manuel Christoph Ketterer, Steffen Knopke, Sophia Marie Häußler, Tanja Hildenbrand, Christoph Becker, Stefan Gräbel, Heidi Olze

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 11/2018

Einloggen, um Zugang zu erhalten

Abstract

Objectives

We determined the audiological outcome, the subjective and objective hearing quality in patients suffering from asymmetric hearing loss (AHL). Furthermore, we evaluated psychological comorbidities and tinnitus burden before and after cochlear implantation.

Study design

Prospective cohort study.

Methods

44 AHL patients were unilaterally implanted with a multichannel cochlear implant between 2011 and 2016. Speech discrimination (Freiburg Monosyllable Word Test, Oldenburg Sentence Test) was measured before, 6 and 12 months after implantation. Subjective hearing quality, health-related quality of life (HRQoL), tinnitus burden, anxiety, depressiveness, perceived stress level and coping abilities were evaluated before implantation, 6 and 12 months postoperative using specific validated questionnaires (Oldenburg Inventory, Nijmegen Cochlear Implantation Questionnaire, Tinnitus Questionnaire, General Anxiety Disorder-7, Depression Scale, Perceived Stress Questionnaire and Cope Inventory).

Results

Subjective and objective hearing quality, speech discrimination and health-related quality of life were significantly increased in AHL patients. Tinnitus burden significantly decreased over the 12 postoperative months. No significant alteration was observed for anxiety, depressiveness, coping abilities and stress level.

Conclusions

This study demonstrates that cochlear implantation achieves hearing rehabilitation, increases HRQoL and decreases tinnitus burden in patients suffering from AHL. Subjective hearing quality increased, while tinnitus burden significantly decreased 6 and 12 months after implantation. HRQoL in AHL patients is an important factor to focus on and is significantly increased postoperatively. In contrast, general anxiety, depressiveness, coping abilities and perceived stress level remained unaffected.
Literatur
1.
Zurück zum Zitat Andersson G, Freijd A, Baguley DM, Idrizbegovic E (2009) Tinnitus distress, anxiety, depression, and hearing problems among cochlear implant patients with tinnitus. J Am Acad Audiol 20(5):315–319CrossRef Andersson G, Freijd A, Baguley DM, Idrizbegovic E (2009) Tinnitus distress, anxiety, depression, and hearing problems among cochlear implant patients with tinnitus. J Am Acad Audiol 20(5):315–319CrossRef
2.
Zurück zum Zitat Arndt S, Aschendorff A, Laszig R, Beck R, Schild C, Kroeger S, Ihorst G, Wesarg T (2011) Comparison of pseudobinaural hearing to real binaural hearing rehabilitation after cochlear implantation in patients with unilateral deafness and tinnitus. Otol Neurotol 32(1):39–47CrossRef Arndt S, Aschendorff A, Laszig R, Beck R, Schild C, Kroeger S, Ihorst G, Wesarg T (2011) Comparison of pseudobinaural hearing to real binaural hearing rehabilitation after cochlear implantation in patients with unilateral deafness and tinnitus. Otol Neurotol 32(1):39–47CrossRef
3.
Zurück zum Zitat Arndt S, Laszig R, Aschendorff A, Hassepass F, Beck R, Wesarg T (2017) Cochlear implant treatment of patients with single-sided deafness or asymmetric hearing loss. HNO. 10 Arndt S, Laszig R, Aschendorff A, Hassepass F, Beck R, Wesarg T (2017) Cochlear implant treatment of patients with single-sided deafness or asymmetric hearing loss. HNO. 10
4.
Zurück zum Zitat Aschendorff A, Kromeier J, Klenzner T, Laszig R (2007) Quality control after insertion of the nucleus contour and contour advance electrode in adults. Ear Hear 28(2 Suppl):75S–79SCrossRef Aschendorff A, Kromeier J, Klenzner T, Laszig R (2007) Quality control after insertion of the nucleus contour and contour advance electrode in adults. Ear Hear 28(2 Suppl):75S–79SCrossRef
5.
Zurück zum Zitat Borton SA, Mauze E, Lieu JE (2010) Quality of life in children with unilateral hearing loss: a pilot study. Am J Audiol 19(1):61–72CrossRef Borton SA, Mauze E, Lieu JE (2010) Quality of life in children with unilateral hearing loss: a pilot study. Am J Audiol 19(1):61–72CrossRef
6.
Zurück zum Zitat Boyd PJ (2015) Potential benefits from cochlear implantation of children with unilateral hearing loss. Cochlear Implants Int 16(3):121–136CrossRef Boyd PJ (2015) Potential benefits from cochlear implantation of children with unilateral hearing loss. Cochlear Implants Int 16(3):121–136CrossRef
7.
Zurück zum Zitat Brüggemann P, Szczepek AJ, Klee K, Gräbel S, Mazurek B, Olze H (2017) In Patients undergoing cochlear implantation, psychological burden affects tinnitus and the overall outcome of auditory rehabilitation. Front Hum Neurosci 5(11):226CrossRef Brüggemann P, Szczepek AJ, Klee K, Gräbel S, Mazurek B, Olze H (2017) In Patients undergoing cochlear implantation, psychological burden affects tinnitus and the overall outcome of auditory rehabilitation. Front Hum Neurosci 5(11):226CrossRef
8.
Zurück zum Zitat Carver CS, Scheier MF, Weintraub JK (1989) Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol 56(2):267–283CrossRef Carver CS, Scheier MF, Weintraub JK (1989) Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol 56(2):267–283CrossRef
9.
Zurück zum Zitat Damen GW, Beynon AJ, Krabbe PF, Mulder JJ, Mylanus EA (2007) Cochlear implantation and quality of life in postlingually deaf adults: long-term follow-up. Otolaryngol Head Neck Surg 136(4):597–604CrossRef Damen GW, Beynon AJ, Krabbe PF, Mulder JJ, Mylanus EA (2007) Cochlear implantation and quality of life in postlingually deaf adults: long-term follow-up. Otolaryngol Head Neck Surg 136(4):597–604CrossRef
10.
Zurück zum Zitat Fellinger J, Holzinger D, Gerich J, Goldberg D (2007) Mental distress and quality of life in the hard of hearing. Acta Psychiatr Scand 115(3):243–245CrossRef Fellinger J, Holzinger D, Gerich J, Goldberg D (2007) Mental distress and quality of life in the hard of hearing. Acta Psychiatr Scand 115(3):243–245CrossRef
11.
Zurück zum Zitat Fliege H, Rose M, Arck P, Walter OB, Kocalevent RD, Weber C, Klapp BF (2005) The Perceived Stress Questionnaire (PSQ) reconsidered: validation and reference values from different clinical and healthy adult samples. Psychosom Med 67(1):78–88CrossRef Fliege H, Rose M, Arck P, Walter OB, Kocalevent RD, Weber C, Klapp BF (2005) The Perceived Stress Questionnaire (PSQ) reconsidered: validation and reference values from different clinical and healthy adult samples. Psychosom Med 67(1):78–88CrossRef
12.
Zurück zum Zitat Francis HW, Chee N, Yeagle J, Cheng A, Niparko JK (2002) Impact of cochlear implants on the functional health status of older adults. Laryngoscope 112(8 Pt 1):1482–1488CrossRef Francis HW, Chee N, Yeagle J, Cheng A, Niparko JK (2002) Impact of cochlear implants on the functional health status of older adults. Laryngoscope 112(8 Pt 1):1482–1488CrossRef
13.
Zurück zum Zitat Goebel G, Hiller W (1994) The tinnitus questionnaire. A standard instrument for grading the degree of tinnitus. Results of a multicenter study with the tinnitus questionnaire. HNO 42(3):166–172 (German) PubMed Goebel G, Hiller W (1994) The tinnitus questionnaire. A standard instrument for grading the degree of tinnitus. Results of a multicenter study with the tinnitus questionnaire. HNO 42(3):166–172 (German) PubMed
14.
Zurück zum Zitat Hahlbrock KH (1953) Speech audiometry and new word-tests. Arch Ohren Nasen Kehlkopfheilkd 162(5):394–431CrossRef Hahlbrock KH (1953) Speech audiometry and new word-tests. Arch Ohren Nasen Kehlkopfheilkd 162(5):394–431CrossRef
15.
Zurück zum Zitat Hiller W, Goebel G, Rief W (1994) Reliability of self-rated tinnitus distress and association with psychological symptom patterns. Br J Clin Psychol 33(Pt 2):231–239CrossRef Hiller W, Goebel G, Rief W (1994) Reliability of self-rated tinnitus distress and association with psychological symptom patterns. Br J Clin Psychol 33(Pt 2):231–239CrossRef
16.
Zurück zum Zitat Hinderink JB, Krabbe PF, Van Den Broek P (2000) Development and application of a health-related quality-of-life instrument for adults with cochlear implants: the Nijmegen cochlear implant questionnaire. Otolaryngol Head Neck Surg 123(6):756–765CrossRef Hinderink JB, Krabbe PF, Van Den Broek P (2000) Development and application of a health-related quality-of-life instrument for adults with cochlear implants: the Nijmegen cochlear implant questionnaire. Otolaryngol Head Neck Surg 123(6):756–765CrossRef
17.
Zurück zum Zitat Hirschfelder A, Gräbel S, Olze H (2008) The impact of cochlear implantation on quality of life: the role of audiologic performance and variables. Otolaryngol Head Neck Surg 2008 138(3):357–362 Hirschfelder A, Gräbel S, Olze H (2008) The impact of cochlear implantation on quality of life: the role of audiologic performance and variables. Otolaryngol Head Neck Surg 2008 138(3):357–362
18.
Zurück zum Zitat Jenkinson C, Coulter A, Wright L (1993) Short form 36 (SF36) health survey questionnaire: normative data for adults of working age. BMJ 306(6890):1437–1440CrossRef Jenkinson C, Coulter A, Wright L (1993) Short form 36 (SF36) health survey questionnaire: normative data for adults of working age. BMJ 306(6890):1437–1440CrossRef
19.
Zurück zum Zitat Ketterer MC, Aschendorff A, Arndt S, Hassepass F, Wesarg T, Laszig R, Beck R (2018) The influence of cochlearmorphology on the final electrode array position. Eur Arch Otorhinolaryngol 275(2):385–394CrossRef Ketterer MC, Aschendorff A, Arndt S, Hassepass F, Wesarg T, Laszig R, Beck R (2018) The influence of cochlearmorphology on the final electrode array position. Eur Arch Otorhinolaryngol 275(2):385–394CrossRef
20.
Zurück zum Zitat Knoll N, Rieckmann N, Schwarzer R (2005) Coping as a mediator between personality and stress outcomes: a longitudinal study with cataract surgery patients. Eur J Pers 19:229–247CrossRef Knoll N, Rieckmann N, Schwarzer R (2005) Coping as a mediator between personality and stress outcomes: a longitudinal study with cataract surgery patients. Eur J Pers 19:229–247CrossRef
21.
Zurück zum Zitat Knopke S, Szczepek AJ, Häussler SM, Gräbel S, Olze H (2017) Cochlear implantation of bilaterally deafened patients with tinnitus induces sustained decrease of tinnitus-related distress. Front Neurol 25(8):158CrossRef Knopke S, Szczepek AJ, Häussler SM, Gräbel S, Olze H (2017) Cochlear implantation of bilaterally deafened patients with tinnitus induces sustained decrease of tinnitus-related distress. Front Neurol 25(8):158CrossRef
22.
Zurück zum Zitat Knopke S, Gräbel S, Förster-Ruhrmann U, Mazurek B, Szczepek AJ, Olze H (2016) Impact of cochlear implantation on quality of life and mental comorbidity in patients aged 80 years. Laryngoscope 126(12):2811–2816CrossRef Knopke S, Gräbel S, Förster-Ruhrmann U, Mazurek B, Szczepek AJ, Olze H (2016) Impact of cochlear implantation on quality of life and mental comorbidity in patients aged 80 years. Laryngoscope 126(12):2811–2816CrossRef
23.
Zurück zum Zitat Kollmeier B, Holube I (1991) Ein Fragebogen zur Erfassung des subjektiven Hörvermögens; Erstellung der Fragen und Beziehungen zum Tonschwellenaudiogramm. Audiologische Diagnostik 30:48–64 Kollmeier B, Holube I (1991) Ein Fragebogen zur Erfassung des subjektiven Hörvermögens; Erstellung der Fragen und Beziehungen zum Tonschwellenaudiogramm. Audiologische Diagnostik 30:48–64
24.
Zurück zum Zitat Levenstein S, Prantera C, Varvo V, Scribano ML, Berto E, Luzi C, Andreoli A. Development of the perceived stress questionnaire: a new tool for psychosomatic research. J Psychosom Res 37(1):19–32 Levenstein S, Prantera C, Varvo V, Scribano ML, Berto E, Luzi C, Andreoli A. Development of the perceived stress questionnaire: a new tool for psychosomatic research. J Psychosom Res 37(1):19–32
25.
Zurück zum Zitat Lin FR, Yaffe K, Xia J, Xue QL, Harris TB, Purchase-Helzner E, Satterfield S, Ayonayon HN, Ferrucci L, Simonsick EM (2013) Health ABC Study Group. Hearing loss and cognitive decline in older adults. JAMA Intern Med 173(4):293–299CrossRef Lin FR, Yaffe K, Xia J, Xue QL, Harris TB, Purchase-Helzner E, Satterfield S, Ayonayon HN, Ferrucci L, Simonsick EM (2013) Health ABC Study Group. Hearing loss and cognitive decline in older adults. JAMA Intern Med 173(4):293–299CrossRef
26.
Zurück zum Zitat Lin FR (2011) Hearing loss and cognition among older adults in the United States. J Gerontol A Biol Sci Med Sci 66(10):1131–1136CrossRef Lin FR (2011) Hearing loss and cognition among older adults in the United States. J Gerontol A Biol Sci Med Sci 66(10):1131–1136CrossRef
27.
Zurück zum Zitat Louza J, Hempel JM, Krause E, Berghaus A, Müller J, Braun T (2017) Patient benefit from Cochlear implantation in single-sided deafness: a 1-year follow-up. Eur Arch Otorhinolaryngol 274(6):2405–2409CrossRef Louza J, Hempel JM, Krause E, Berghaus A, Müller J, Braun T (2017) Patient benefit from Cochlear implantation in single-sided deafness: a 1-year follow-up. Eur Arch Otorhinolaryngol 274(6):2405–2409CrossRef
28.
Zurück zum Zitat Löwe B, Decker O, Müller S, Brähler E, Schellberg D, Herzog W, Herzberg PY. Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Med Care 46(3):266–74CrossRef Löwe B, Decker O, Müller S, Brähler E, Schellberg D, Herzog W, Herzberg PY. Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Med Care 46(3):266–74CrossRef
29.
Zurück zum Zitat Miyamoto RT, Bichey BG (2003) Cochlear implantation for tinnitus suppression. Otolaryngol Clin North Am 36(2):345–352 (Review) CrossRef Miyamoto RT, Bichey BG (2003) Cochlear implantation for tinnitus suppression. Otolaryngol Clin North Am 36(2):345–352 (Review) CrossRef
30.
Zurück zum Zitat Mo B, Harris S, Lindbaek M (2002) Tinnitus in cochlear implant patients—a comparison with other hearing-impaired patients. Int J Audiol 41(8):527–534CrossRef Mo B, Harris S, Lindbaek M (2002) Tinnitus in cochlear implant patients—a comparison with other hearing-impaired patients. Int J Audiol 41(8):527–534CrossRef
31.
Zurück zum Zitat Mohiyeddini C, Hautzinger M, Bauer S (2002) A latent state-trait analysis on assessing trait and state components of three instruments for measuring depression: ADS, BDI, and SDS. Diagnostica 48(1):12–18CrossRef Mohiyeddini C, Hautzinger M, Bauer S (2002) A latent state-trait analysis on assessing trait and state components of three instruments for measuring depression: ADS, BDI, and SDS. Diagnostica 48(1):12–18CrossRef
32.
Zurück zum Zitat Olze H, Gräbel S, Förster U, Zirke N, Huhnd LE, Haupt H, Mazurek B (2012) Elderly patients benefit from cochlear implantation regarding auditory rehabilitation, quality of life, tinnitus, and stress. Laryngoscope 122(1):196–203CrossRef Olze H, Gräbel S, Förster U, Zirke N, Huhnd LE, Haupt H, Mazurek B (2012) Elderly patients benefit from cochlear implantation regarding auditory rehabilitation, quality of life, tinnitus, and stress. Laryngoscope 122(1):196–203CrossRef
33.
Zurück zum Zitat Olze H, Gräbel S, Haupt H, Förster U, Mazurek B (2012) Extra benefit of a second cochlear implant with respect to health-related quality of life and tinnitus. Otol Neurotol 33(7):1169–1175CrossRef Olze H, Gräbel S, Haupt H, Förster U, Mazurek B (2012) Extra benefit of a second cochlear implant with respect to health-related quality of life and tinnitus. Otol Neurotol 33(7):1169–1175CrossRef
34.
Zurück zum Zitat Olze H, Szczepek AJ, Haupt H, Zirke N, Graebel S, Mazurek B (2012) The impact of cochlear implantation on tinnitus, stress and quality of life in postlingually deafened patients. Audiol Neurootol 17(1):2–11CrossRef Olze H, Szczepek AJ, Haupt H, Zirke N, Graebel S, Mazurek B (2012) The impact of cochlear implantation on tinnitus, stress and quality of life in postlingually deafened patients. Audiol Neurootol 17(1):2–11CrossRef
35.
Zurück zum Zitat Olze H, Knopke S, Gräbel S, Szczepek AJ (2016) Rapid positive influence of cochlear implantation on the quality of life in adults 70 years and older. Audiol Neurootol 21(Suppl 1):43–47 (Epub 2016 Nov 3) CrossRef Olze H, Knopke S, Gräbel S, Szczepek AJ (2016) Rapid positive influence of cochlear implantation on the quality of life in adults 70 years and older. Audiol Neurootol 21(Suppl 1):43–47 (Epub 2016 Nov 3) CrossRef
36.
Zurück zum Zitat Olze H, Szczepek AJ, Haupt H, Förster U, Zirke N, Gräbel S, Mazurek B (2011) Cochlear implantation has a positive influence on quality of life, tinnitus, and psychological comorbidity. Laryngoscope 121(10):2220–2227CrossRef Olze H, Szczepek AJ, Haupt H, Förster U, Zirke N, Gräbel S, Mazurek B (2011) Cochlear implantation has a positive influence on quality of life, tinnitus, and psychological comorbidity. Laryngoscope 121(10):2220–2227CrossRef
37.
Zurück zum Zitat Peracino A (2014) Hearing loss and dementia in the aging population. Audiol Neurootol 19(Suppl 1):6–9CrossRef Peracino A (2014) Hearing loss and dementia in the aging population. Audiol Neurootol 19(Suppl 1):6–9CrossRef
38.
Zurück zum Zitat Piehlmeier W, Bullinger M, Kirchberger I, Land W, Landgraf R (1996) Evaluation of the quality of life of patients with insulin-dependent diabetes mellitus before and after organ transplantation with the SF 36 health survey. Eur J Surg 162(12):933–940PubMed Piehlmeier W, Bullinger M, Kirchberger I, Land W, Landgraf R (1996) Evaluation of the quality of life of patients with insulin-dependent diabetes mellitus before and after organ transplantation with the SF 36 health survey. Eur J Surg 162(12):933–940PubMed
39.
Zurück zum Zitat Ramos-Macías Á, Falcón González JC, Borkoski-Barreiro SA, Ramos de Miguel Á, Batista DS, Pérez Plasencia D (2016) Health-related quality of life in adult cochlear implant users: a descriptive observational study. Audiol Neurootol 21(Suppl 1):36–42CrossRef Ramos-Macías Á, Falcón González JC, Borkoski-Barreiro SA, Ramos de Miguel Á, Batista DS, Pérez Plasencia D (2016) Health-related quality of life in adult cochlear implant users: a descriptive observational study. Audiol Neurootol 21(Suppl 1):36–42CrossRef
40.
Zurück zum Zitat Rösli M, Hoth S, Baumann I, Praetorius M, Plinkert PK (2015) The impact of cochlear implants on the quality of life of patients with single-sided deafness. HNO 63(3):182–188CrossRef Rösli M, Hoth S, Baumann I, Praetorius M, Plinkert PK (2015) The impact of cochlear implants on the quality of life of patients with single-sided deafness. HNO 63(3):182–188CrossRef
41.
Zurück zum Zitat Seydel C, Haupt H, Szczepek AJ, Klapp BF, Mazurek B (2010) Long-term improvement in tinnitus after modified tinnitus retraining therapy enhanced by a variety of psychological approaches. Audiol Neurootol 15(2):69–80CrossRef Seydel C, Haupt H, Szczepek AJ, Klapp BF, Mazurek B (2010) Long-term improvement in tinnitus after modified tinnitus retraining therapy enhanced by a variety of psychological approaches. Audiol Neurootol 15(2):69–80CrossRef
42.
Zurück zum Zitat Spitzer RL, Kroenke K, Williams JB, Löwe B (2006) A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 166(10):1092–1097CrossRef Spitzer RL, Kroenke K, Williams JB, Löwe B (2006) A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 166(10):1092–1097CrossRef
43.
Zurück zum Zitat Van de Heyning P, Vermeire K, Diebl M, Nopp P, Anderson I, De Ridder D (2008) Incapacitating unilateral tinnitus in single-sided deafness treated by cochlear implantation. Ann Otol Rhinol Laryngol 117(9):645–652CrossRef Van de Heyning P, Vermeire K, Diebl M, Nopp P, Anderson I, De Ridder D (2008) Incapacitating unilateral tinnitus in single-sided deafness treated by cochlear implantation. Ann Otol Rhinol Laryngol 117(9):645–652CrossRef
44.
Zurück zum Zitat Van Loon MC, Smits C, Smit CF, Hensen EF, Merkus P (2017) Cochlear implantation in adults with asymmetric hearing loss: benefits of bimodal stimulation. Otol Neurotol 38(6):e100–e106CrossRef Van Loon MC, Smits C, Smit CF, Hensen EF, Merkus P (2017) Cochlear implantation in adults with asymmetric hearing loss: benefits of bimodal stimulation. Otol Neurotol 38(6):e100–e106CrossRef
45.
Zurück zum Zitat Vermeire K, Van de Heyning P (2009) Binaural hearing after cochlear implantation in subjects with unilateral sensorineural deafness and tinnitus. Audiol Neurootol 14(3):163–171CrossRef Vermeire K, Van de Heyning P (2009) Binaural hearing after cochlear implantation in subjects with unilateral sensorineural deafness and tinnitus. Audiol Neurootol 14(3):163–171CrossRef
46.
Zurück zum Zitat Vincent C, Arndt S, Firszt JB, Fraysse B, Kitterick PT, Papsin BC, Snik A, Van de Heyning P, Deguine O, Marx M (2015) Identification and evaluation of cochlear implant candidates with asymmetrical hearing loss. Audiol Neurootol 20(Suppl 1):87–89CrossRef Vincent C, Arndt S, Firszt JB, Fraysse B, Kitterick PT, Papsin BC, Snik A, Van de Heyning P, Deguine O, Marx M (2015) Identification and evaluation of cochlear implant candidates with asymmetrical hearing loss. Audiol Neurootol 20(Suppl 1):87–89CrossRef
47.
Zurück zum Zitat Wie OB, Pripp AH, Tvete O (2010) Unilateral deafness in adults: effects on communication and social interaction. Ann Otol Rhinol Laryngol 119(11):772–781PubMed Wie OB, Pripp AH, Tvete O (2010) Unilateral deafness in adults: effects on communication and social interaction. Ann Otol Rhinol Laryngol 119(11):772–781PubMed
48.
Zurück zum Zitat Zirke N, Seydel C, Szczepek AJ, Olze H, Haupt H, Mazurek B (2013) Psychological comorbidity in patients with chronic tinnitus: analysis and comparison with chronic pain, asthma or atopic dermatitis patients. Qual Life Res 22(2):263–272CrossRef Zirke N, Seydel C, Szczepek AJ, Olze H, Haupt H, Mazurek B (2013) Psychological comorbidity in patients with chronic tinnitus: analysis and comparison with chronic pain, asthma or atopic dermatitis patients. Qual Life Res 22(2):263–272CrossRef
49.
Zurück zum Zitat Zöger S, Svedlund J, Holgers KM (2001) Psychiatric disorders in tinnitus patients without severe hearing impairment: 24 month follow-up of patients at an audiological clinic. Audiology 40(3):133–140CrossRef Zöger S, Svedlund J, Holgers KM (2001) Psychiatric disorders in tinnitus patients without severe hearing impairment: 24 month follow-up of patients at an audiological clinic. Audiology 40(3):133–140CrossRef
Metadaten
Titel
Asymmetric hearing loss and the benefit of cochlear implantation regarding speech perception, tinnitus burden and psychological comorbidities: a prospective follow-up study
verfasst von
Manuel Christoph Ketterer
Steffen Knopke
Sophia Marie Häußler
Tanja Hildenbrand
Christoph Becker
Stefan Gräbel
Heidi Olze
Publikationsdatum
18.09.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Oto-Rhino-Laryngology / Ausgabe 11/2018
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-018-5135-9

Neu im Fachgebiet HNO

Ab sofort gelten die neuen Verordnungsausnahmen für Lipidsenker

Freie Fahrt für Lipidsenker? Das nicht, doch mit niedrigerem Schwellenwert fürs Infarktrisiko und neuen Indikationen hat der G-BA die Verordnungs-Handbremse ein gutes Stück weit gelockert.

Riesenzellarteriitis: bilaterale Biopsie der Temporalarterien von Vorteil

Falls zur diagnostischen Sicherung einer Riesenzellarteriitis (RZA) eine Biopsie der Temporalarterien (TAB) erforderlich ist, scheint die bilaterale TAB der unilateralen überlegen zu sein.

 Diese Version des Artikels wurde inhaltlich überarbeitet und erneut veröffentlicht.

Lagerungsschwindel hält trotz Manöver an: Was steckt dahinter?

Ob sich ein benigner paroxysmaler Lagerungsschwindel erfolgreich behandeln lässt, könnte einem chinesischen Team zufolge auch von psychischen Faktoren abhängen.

Zi veröffentlicht Ranking zur Fehleranfälligkeit gängiger Praxis-EDV

Welches Praxisverwaltungssystem macht am wenigsten Probleme? Das Zi dokumentiert jetzt detaillierte Produktbewertungen zu 17 konkreten Anwendungssituationen.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.