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Brain Mechanism and Outcome of Surgical Intervention of Conductive Hearing Loss.

Not Applicable
Completed
Conditions
Conductive Hearing Loss
Surgery
Tinnitus
Interventions
Other: surgery
Registration Number
NCT06535282
Lead Sponsor
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
Brief Summary

This study explores the brain region activation and remodeling of poor connections of brain regions in the postoperative outcomes of conductive hearing loss patients with tinnitus by comparing pre - and post-operative audiological assessment, tinnitus assessment and EEG data.

Detailed Description

This study explores the brain region activation and remodeling of poor connections of brain regions in the postoperative outcomes of conductive hearing loss patients with tinnitus by comparing pre - and post-operative audiological assessment, tinnitus assessment and EEG data. Including audiological assessment (pure tone audiometry, speech test), tinnitus assessment (tinnitus matching, tinnitus handicap inventory, tinnitus function index, visual analogue scale)and non-invasive brain imaging assessment (EEG, fNIRS).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
26
Inclusion Criteria
  • aged between 18 and 60 years;
  • diagnosed with conductive hearing loss with tinnitus;
  • treated with surgery;
  • able to cooperate with all Chinese version evaluation;
  • right-handed.
Exclusion Criteria
  • Pure tone audiometry indicates that the average pure tone hearing threshold (500Hz, 1kHz, 2kHz, 4kHz) is > 91dB HL;
  • acoustic neuroma, nasopharyngeal carcinoma;
  • hearing loss caused by noise or drugs.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
follow-upsurgerypost-operative period test results
Primary Outcome Measures
NameTimeMethod
speech test3-7 days before surgery, 1-12 months after surgery

Speech audiometry was mainly used to analyze the speech recognition rate of patients before and after surgery

pure tone audiometry3-7 days before surgery, 1-12 months after surgery

The air- conducted threshold, bone-conducted threshold and air- bone gap of each frequency of pure tone audiometry were used to compare pre - and post-operative hearing level.

EEG activation3-7 days before surgery, 1-12 months after surgery

EEG signals were used to explore the activation of brain regions and remodeling of poor connections in the postoperative outcomes of conductive hearing loss patients accompanied by with tinnitus. Power spectral density calculation, traceability analysis, functional connection, microstate, clustering coefficient, feature path length, feature path intermediation, and isocompatibility coefficient were collected and then analyzed.

tinnitus handicap inventory scores3-7 days before surgery, 1-12 months after surgery

The total score of the THI scale and the scores of the three subscales(functional, emotional, and catastrophic) were collected before and after surgery for data analysis.

Secondary Outcome Measures
NameTimeMethod
fNIRS activation3-7 days before surgery, 1-12 months after surgery

fNIRS signals were used to explore the activation of brain regions and remodeling of poor connections in the postoperative outcomes of conductive hearing loss patients accompanied by with tinnitus. Power spectral density calculation, traceability analysis, functional connection, microstate, clustering coefficient, feature path length, feature path intermediation, and isocompatibility coefficient were collected and then analyzed.

tinnitus function index scores3-7 days before surgery, 1-12 months after surgery

The total score of the TFI scale were collected before and after surgery for data analysis.

visual analogue scale3-7 days before surgery, 1-12 months after surgery

The total score of the VAS were collected before and after surgery for data analysis. VAS scale 0-10. A score of 0 means that tinnitus has no impact on daily life, and a score of 10 means that tinnitus has an intolerable, fatal level of impact on daily life.

Trial Locations

Locations (1)

Sun Yat-sen Memorial Hospital of Sun Yat-sen University

🇨🇳

Guangzhou, Guangdong, China

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