Bone Anchored Hearing Implants in Chronic Otitis Media

Study Overview
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Brief Summary
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The aim of this study is to investigate the cost, functional benefits, and impact on the quality of life of using bone-anchored hearing devices in chronic otitis media patients

Detailed Description
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Hearing loss is a significant disability that disrupts an individual's communication with others and can have a profound impact on their social life and career. It can lead to social isolation, depression, anxiety, and even early dementia. Chronic otitis is one of the most important ear diseases that can cause hearing loss. Its treatment is surgical, but sometimes even after surgery, hearing rehabilitation is needed. In such cases, the first option is the use of hearing aids. Some patients may be unable to use hearing aids due to excessive ear canal clearance, recurrent ear infections, or outer ear canal problems. In such cases, bone-anchored hearing devices emerge as the most logical option, although they are more costly compared to regular hearing aids. The aim of this study is to investigate the cost, functional benefits, and impact on the quality of life of using bone-anchored hearing devices in the context of our country

Official Title
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Benefit of Bone Anchored Hearing Implants in Chronic Otitis Media

Conditions
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Hearing

Intervention / Treatment
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* Device: Bone-anchored hearing implants


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults No difficulty in coming to the hospital for follow-up Ability to communicate and express oneself at a level sufficient to interact with researchers Having an indication for BAHI due to Chronic Otitis media Exclusion Criteria: Those with severe systemic illnesses (cancer, HIV, etc.) Psychiatric patients experiencing compliance issues with hearing tests Use of medication or medical devices that could affect the outcome of the study Patients who cannot adhere to regular follow-ups and do not use the device will be excluded from the study.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Bone Anchored Hearing Implants(BAHI) Patient<br>Patients with chronic otitis media whose hearing could not corrected with surgery and also could not use conventional and got bone-anchored hearing implants as a standard of care were included. | Device: Bone-anchored hearing implants<br>* surgically placed hearing device<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| free field hearing level | Measuring hearing threshold with device on | one year | 
| Speech, Spatial and Qualities of Hearing Scale | Subjective evaluation of the hearing by questionaries | One year | 
| World Health Organisation(WHO) Quality of Life Questionarie | Standard question list about the general health and quality of life of the patient | One year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cost Benefit of the intervention | to calculate the health related expenses for the patient before and after the intervention | on year |