Surgical, functional and audiological evaluation of new Baha(®) Attract system implantations.

Bone-anchored hearing aids are well-established solutions for treatment of hearing-impaired patients. However, classical systems with percutaneous abutments have disadvantages concerning aesthetics, hygiene and adverse soft tissue reactions. The study aimed to evaluate surgical, functional and audiological results of a new Baha(®) Attract system, in which the sound processor is attached by magnetic force. Twenty patients implanted with a Baha(®) Attract system were divided into two groups: A-bilateral mixed and conductive hearing loss, B-single-sided deafness, and evaluated during a 6-month follow-up. Parameters analysed comprised: (1) surgery and wound healing, (2) postoperative functional results (GBI, APHAB and BAHU questionnaires), (3) audiological results (free field speech in noise audiometry in two situations: with signal from implant side and from contralateral side). Obtained results revealed: mean time of surgery-44 min, soft tissue reduction-30 %, bone polishing-20 %, haematoma-10 %. Functional results showed: GBI total score-29.6 points, APHAB global score mean gain-23.5 %, BAHU 'good or very good' score for: aesthetic-85 %, hygiene-100 %, ease of placing the processor-100 %, stability of attraction-75 %. Audiological results-mean gain for the two analysed situations: 32.9 % (group A-36.5 %, group B-27.5 %). To conclude, the data obtained prove the safety and effectiveness of the Baha(®) Attract system in patients with conductive and mixed hearing loss as well as in patients with single-sided deafness. Cosmetic aspects are highly acceptable and the idea of Attract itself is important for patients with limited manual dexterity.

Can Assessment of Rheological Properties of Whole Blood and Plasma Be Useful in the Diagnosis of Tinnitus? A Pilot Study.

Tinnitus is a sensation of ringing in the ears in the absence of any physical source in the environment. Between 9-35% of adults experience some form of tinnitus. Common causes of tinnitus include noise, head injury, ototoxic substances, as well as disorders of blood and blood vessels. Vascular causes include: head-neck tumours, turbulent blood flow, problems with blood supply and inner ear cell damage. The aspect of rheology in terms of tinnitus has not been described yet. In the present study, which comprised 12 patients aged 30 to 74 years presenting with tinnitus, rheological properties of whole blood and plasma were assessed. All the subjects underwent audiological and neurological evaluation. The Quemada model was used to describe the variability of red blood cell shape, as well as their tendency to form aggregates. On the basis of the experimental study, statistically different results of haemorheological measurements were observed in the evaluated group in comparison to a reference group.

Temperature influence on 4-aminophthalimide emission in 1-chloroalkanes plus water mixtures.

Thermochromic emission shifts of 4-aminophthalimide (4-AP) dissolved in three 1-chloroalkanes, namely, 1-chloropropane, 1-chlorobutane, and 1-chlorohexane, together with fluorescence decays measured at different wavelengths, all solvents containing different small amounts of water (10(-4)-10(-2) M), are reported in a broad temperature range covering the bulk water melting point. Our studies have shown that 4-AP is an effective indicator of water presence even at concentrations given by solvent suppliers for so-called "dry" solvents. Additionally, indications of water ice-clusters formation in 1-chloroalkanes, starting at different temperatures depending on water concentration, have been found. Finally, 4-AP in 1-chloroalkane + water mixture is shown to present at different temperatures three basic types of sources of time-resolved emission spectra (TRES) time/spectral evolution: emission of two kinetically coupled species, solvent relaxation, and simultaneous emission of two independent species.

Body Balance Analysis in the Visually Impaired Individuals Aged 18-24 Years.

BACKGROUND: Proper body balance is maintained by both sensory, i.e., vision, hearing, vestibular, and proprioception, and motor nervous systems. Visual control facilitates balance both in a static position, as well as during movement. Visual dysfunctions can adversely affect balance and stability control. METHODS: The study comprised a group of 30 individuals visually impaired from birth aged 18-24 years. The control group consisted of 50 persons in the same age range as the study group. The trial was performed as four separate tests: two on a stable surface platform, and two on an unstable surface platform. RESULTS: No statistically significant differences were found in the posturography test on the stable platform between the study groups. When tested on an unstable ground surface, the visually impaired subjects obtained showed worse performance than the sighted persons. Statistically significant differences were observed in the majority of the analyzed results. CONCLUSIONS: Visually impaired individuals present a poorer ability to maintain balance under dynamic conditions. Tests conducted on the unstable surface platform seem to be more relevant and applicable in the diagnosis of the subjects with visual impairment, as they differentiate the subjects to a greater extent.

[Dychotomic tests in Polish for speech audiometry part 1: preparing material for the tests]. / Testy utrudnione w audiometrii mowy dla jezyka polskiego Czesc I: przygotowanie materialu testowego.

INTRODUCTION: Dychotomic tests in speech audiometry are extremely beneficial, especially in diagnosing central auditory processing disorders. MATERIALS AND METHODS: Basing on new articulatory lists (NLA-93), the authors have prepared a new set of language tests, including filtered speech test, numeral and verbal dichotic tests and Calearo test. CONCLUSIONS: The phonetic characteristics of the tests are presented, with special attention paid to their phonetic balance.

[Polish language dychotomic tests for speech audiometry Part 2: A study of people with normal hearing from various age groups]. / Testy utrudnione w audiometrii mowy dla jezyka polskiego (czesc II). Badania osób z prawidlowym sluchem w róznych grupach wiekowych.

INTRODUCTION: Evaluation of the objective results in the clinical examination of central auditory disorders requires the use of reliable language tests which provide the means for the estimation of patients' audio-verbal communicative skills. MATERIALS AND METHODS: The authors present a new set of more difficult language tests in Polish, including a filtered speech test, numeral and verbal dichotic tests and the normal Calearo test. The tests were evaluated on a group of people with good hearing from various age groups. CONCLUSIONS: The presented tests are the only existing ones created for the Polish language which expand the diagnostic possibilities in the case of central auditory processing disorders. It was found that there is a right ear predominance in dichotic tests, which grows together with the patient's age. This observation can be very beneficial in practice, allowing for hearing aids to be better fitted.

[Epidemiological and demographic analysis of indications for Baha® surgery in Poland--multicenter study]. / Analiza epidemiologiczna i demograficzna wskazan do implantacji systemu Baha® w Polsce--badanie wieloosrodkowe.

AIM OF THE STUDY: To collect and analyze epidemiological and demographical data of patients qualified for and implanted with the Baha® system in Poland. MATERIAL AND METHOD: 17 out of 28 otolaryngology departments performing Baha® implantation in Poland participated in the study. Up to date there were 286 patients registered in database. Data were obtained from the preoperative questionnaires including information such as age and gender, indications for the implantation, previous hearing aid use as well as data regarding the surgical technique. RESULTS: The most frequent indication for the Baha® system was bilateral mixed hearing loss (51%), followed by SSD (18%), bilateral conductive hearing loss (17%), unilateral mixed (8%) and conductive (6%) hearing loss. In 11% of subjects hearing impairment was congenital versus 89% cases of acquired. The mean age was 44 years with the slight prevalence of women (52%). 63% of patients did not have previous experience with hearing aids. The most frequent surgical technique was classic dermatome single stage procedure performed under general anesthesia (65%). CONCLUSIONS: Data gather in this multicentre research serve as a valuable source of information on qualifications for the Baha®, shows demographic spectrum of adult recipients in Poland. It also presents the preferences of surgical procedures. Outcomes of the study may constitute a reference for each centre participating in this research as well as for new centers starting the Baha® procedure.