人工聴覚器医療の現状と未来

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  • The Efficacy and Safety of Surgically Implanted Hearing Devices
  • ジンコウ チョウカクキ イリョウ ノ ゲンジョウ ト ミライ

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Summary: Middle ear implants (MEIs) such as VSB® (Vibrant soundbridge), BB® (Bonebridge), and the BAHA® osseointegrated implant for bone conduction (Bone-anchored hearing aid) are attractive and alternative treatments for patients with conductive, sensorineural, and mixed hearing loss who do not benefit from, or who choose not to wear, conventional hearing aids (HAs). Recent studies suggest that MEIs and BAHA can provide better improvements in functional gain, speech perception, and quality of life than HA, while there certain risks associated with the surgery should be taken into consideration, including bleeding, wound infections, facial nerve or chorda tympanic nerve damage, dysfunctions of the middle and inner ears and future device failure/explantation. Some types of MEI furthermore may involve restricted access to MRI scans. In the future, it is likely that there will be an increasing population even in Japan that will meet the new criteria for these implantable hearing devices. However, the long-term efficacy and safety of these devices should be established.

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