Is a hearing aid, specifically Motion 13 1 NX (Not Otherwise Specified), indicated for the patient's left ear, given they already have one in their right ear?

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From the Research

I strongly recommend against providing a Motion 13 1 NX hearing aid for the patient's left ear, as the most recent and highest quality study suggests that bilateral hearing aids may not be an effective treatment for individuals with bilateral, moderate sloping to profound sensorineural hearing loss 1. Instead, the patient should be referred to a Cochlear implant clinic for further evaluation, as this may provide better outcomes in terms of speech understanding and overall quality of life. The study published in the American journal of otolaryngology in 2020 found that bilateral hearing aids were not effective in improving speech understanding in quiet and noise, and that 90% of participants reported dissatisfaction with their overall hearing performance 1. In contrast, other studies have shown that Cochlear implants can provide significant improvements in speech understanding and quality of life for individuals with severe to profound sensorineural hearing loss 2. Therefore, a comprehensive audiological evaluation should be conducted to determine the best course of treatment for the patient, and referral to a Cochlear implant clinic should be considered. It is also important to note that the patient's individual needs and circumstances should be taken into account when making a decision, and that a thorough discussion of the potential benefits and risks of different treatment options should be had with the patient. Some studies have also shown that bone-anchored hearing aids and other devices may be effective for certain types of hearing loss, but these options should be considered on a case-by-case basis 3, 4, 5. Ultimately, the goal should be to provide the patient with the best possible outcome in terms of speech understanding, quality of life, and overall well-being.

References

Research

Bone-anchored hearing system, contralateral routing of signals hearing aid or cochlear implant: what is best in single-sided deafness?

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2022

Research

Bone anchored hearing aid: an evidence-based analysis.

Ontario health technology assessment series, 2002

Research

A comparative study of audiological outcomes and compliance between the Osia system and other bone conduction hearing implants.

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2023

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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