Abstract：
OBJECTIVE: To compare changes in music appreciation after cochlear implant (CI) surgery for patients with bilateral and single-sided deafness (SSD).
METHODS: A retrospective cohort study was performed on all adult CI unilateral or bilateral recipients from November 2019 to March 2023. Musical questionnaire subset data from the Cochlear Implant Quality of Life (CIQOL) - 35 Profile Instrument Score (maximum raw score of 15) was collected. Functional CI assessment was measured with CI-alone speech-in-quiet (SIQ) scores (AzBio and CNC).
RESULTS: 22 adults underwent CI surgery for SSD and 21 adults for bilateral deafness (8 sequentially implanted). Every patient group had clinically significant improvements (p < 0.001) in mean SIQ scores in the most recently implanted ear (Azbio (% correct) SSD: 14.23 to 68.48, bilateral: 24.54 to 82.23, sequential: 6.25 to 82.57). SSD adults on average had higher music QOL scores at baseline (SSD: 11.05; bilateral: 7.86, p < 0.001). No group had significant increases in raw score at the first post-operative visit (SSD: 11.45, p = 0.86; bilateral: 8.15, p = 0.15). By the most recent post-implantation evaluation (median 12.8 months for SSD, 12.3 months for bilateral), SSD adults had a significant increase in raw score from baseline (11.05 to 12.45, p = 0.03), whereas bilaterally deafened (7.86 to 9.38, p = 0.12) adults had nonsignificant increases.
CONCLUSIONS: SSD patients demonstrate higher baseline music appreciation than bilaterally deafened individuals regardless of unilateral or bilateral implantation and are more likely to demonstrate continued improvement in subjective music appreciation at last follow-up even when speech perception outcomes are similar.
METHODS: A retrospective cohort study was performed on all adult CI unilateral or bilateral recipients from November 2019 to March 2023. Musical questionnaire subset data from the Cochlear Implant Quality of Life (CIQOL) - 35 Profile Instrument Score (maximum raw score of 15) was collected. Functional CI assessment was measured with CI-alone speech-in-quiet (SIQ) scores (AzBio and CNC).
RESULTS: 22 adults underwent CI surgery for SSD and 21 adults for bilateral deafness (8 sequentially implanted). Every patient group had clinically significant improvements (p < 0.001) in mean SIQ scores in the most recently implanted ear (Azbio (% correct) SSD: 14.23 to 68.48, bilateral: 24.54 to 82.23, sequential: 6.25 to 82.57). SSD adults on average had higher music QOL scores at baseline (SSD: 11.05; bilateral: 7.86, p < 0.001). No group had significant increases in raw score at the first post-operative visit (SSD: 11.45, p = 0.86; bilateral: 8.15, p = 0.15). By the most recent post-implantation evaluation (median 12.8 months for SSD, 12.3 months for bilateral), SSD adults had a significant increase in raw score from baseline (11.05 to 12.45, p = 0.03), whereas bilaterally deafened (7.86 to 9.38, p = 0.12) adults had nonsignificant increases.
CONCLUSIONS: SSD patients demonstrate higher baseline music appreciation than bilaterally deafened individuals regardless of unilateral or bilateral implantation and are more likely to demonstrate continued improvement in subjective music appreciation at last follow-up even when speech perception outcomes are similar.
摘要：
目的：比较双侧和单侧耳聋（SSD）患者人工耳蜗（CI）手术后音乐欣赏的变化。
方法：从2019年11月至2023年3月，对所有成人CI单侧或双侧接受者进行了回顾性队列研究。收集来自耳蜗植入物生活质量(CIQOL)的音乐问卷子集数据-35概况仪器评分(15的最大原始评分)。功能CI评估采用CI-单独安静语音（SIQ）评分（AzBio和CNC）进行测量。
结果：22名成人接受了SSD的CI手术，21名成人接受了双侧耳聋（8个顺序植入）。每个患者组在最近植入的耳朵中的平均SIQ评分均具有临床上的显着改善（p<0.001）（Azbio（正确百分比）SSD：14.23至68.48，双侧：24.54至82.23，序贯：6.25至82.57）。SSD成人在基线时平均具有较高的音乐QOL得分(SSD:11.05;双侧:7.86,p<0.001)。在术后第一次就诊时，没有组的原始评分显着增加（SSD：11.45，p=0.86；双侧：8.15，p=0.15）。通过最近的植入后评估（SSD的中位数为12.8个月，12.3个月为双边)，SSD成人的原始评分从基线显着增加（11.05至12.45，p=0.03），而双侧耳聋（7.86至9.38，p=0.12）的成年人没有显着增加。
结论：SSD患者表现出更高的基线音乐欣赏高于双侧耳聋个体，无论单侧或双侧植入，并且在最后随访时更有可能表现出主观音乐欣赏的持续改善，即使语音感知结果相似。
方法：从2019年11月至2023年3月，对所有成人CI单侧或双侧接受者进行了回顾性队列研究。收集来自耳蜗植入物生活质量(CIQOL)的音乐问卷子集数据-35概况仪器评分(15的最大原始评分)。功能CI评估采用CI-单独安静语音（SIQ）评分（AzBio和CNC）进行测量。
结果：22名成人接受了SSD的CI手术，21名成人接受了双侧耳聋（8个顺序植入）。每个患者组在最近植入的耳朵中的平均SIQ评分均具有临床上的显着改善（p<0.001）（Azbio（正确百分比）SSD：14.23至68.48，双侧：24.54至82.23，序贯：6.25至82.57）。SSD成人在基线时平均具有较高的音乐QOL得分(SSD:11.05;双侧:7.86,p<0.001)。在术后第一次就诊时，没有组的原始评分显着增加（SSD：11.45，p=0.86；双侧：8.15，p=0.15）。通过最近的植入后评估（SSD的中位数为12.8个月，12.3个月为双边)，SSD成人的原始评分从基线显着增加（11.05至12.45，p=0.03），而双侧耳聋（7.86至9.38，p=0.12）的成年人没有显着增加。
结论：SSD患者表现出更高的基线音乐欣赏高于双侧耳聋个体，无论单侧或双侧植入，并且在最后随访时更有可能表现出主观音乐欣赏的持续改善，即使语音感知结果相似。
