<sec><title>Introduction</title><p> Periodic follow-up appointments are important to ensure long-term effectiveness of rehabilitation with hearing aids. However, not all users are able to maintain adherence to recommendations prescribed during the fitting process and some do not attend those appointments, which compromises the effectiveness of treatment.</p></sec><sec><title>Objective</title><p> Compare hearing aid use after 1 year between subjects who did not attend a follow-up evaluation appointment at a publicly-funded health service (nonattenders) and those who attended the appointment (attenders). Reasons for nonuse of hearing aids and unscheduled appointments were also analyzed.</p></sec><sec><title>Methods</title><p> Prospective observational cross-sectional study. Nonattenders and attenders in a follow-up evaluation appointment were interviewed by telephone about hearing aid use, reasons for nonuse, and unscheduled appointments.</p></sec><sec><title>Results</title><p> The nonattenders group consisted of 108 subjects and the attenders group had 200 subjects; in both groups, most users kept bilateral use but the nonuse rate was higher in nonattenders. The main reason for nonuse of hearing aids among nonattenders was health problems; fitting problems was the main reason for nonuse in the attenders group. Health problems and issues like unavailable companion and transportation difficulties were the reasons for unscheduled follow-up appointments.</p></sec><sec><title>Conclusion</title><p> Nonattenders had a greater nonuse rate and were more likely to abandon hearing aid use. Measures to increase hearing aid use and adherence to prescribed recommendations are also necessary to ensure long-termeffectiveness of rehabilitation with hearing aids.</p></sec>

Introduction  The complaints associated with the use of conventional amplifying hearing aids prompted research at several centers worldwide that ultimately led to the development of implantable devices for aural rehabilitation. Objectives  To review the history, indications, and surgical aspects of the implantable middle ear hearing devices. Data Synthesis  Implantable hearing aids, such as the Vibrant Soundbridge system (Med-El Corporation, Innsbruck, Austria), the Maxum system (Ototronix LLC, Houston, Texas, United States), the fourth-generation of Carina prosthesis (Otologics LLC, Boulder, Colorado, United States), and the Esteem device (Envoy Medical Corporation - Minnesota, United States), have their own peculiarities on candidacy and surgical procedure. Conclusion  Implantable hearing aids, which are currently in the early stages of development, will unquestionably be the major drivers of advancement in otologic practice in the 21st century, improving the quality of life of an increasingly aged population, which will consequently require increased levels of hearing support.

O uso da prótese auditiva e a satisfação podem ser utilizados para determinar a efetividade da reabilitação auditiva, pouco investigada na população brasileira. OBJETIVO: Avaliar o uso da prótese auditiva em adultos atendidos num serviço público de saúde, as intervenções necessárias e a satisfação após um ano de adaptação. MÉTODO: Estudo prospectivo observacional transversal. Usuários de prótese auditiva foram convocados para avaliação formal do uso. RESULTADOS: Duzentos usuários de prótese auditiva compareceram à avaliação formal (perda de 47% da amostra inicial); 76,5% dos usuários avaliados mantiveram o uso bilateral, 10,5% unilateral e 13% nenhuma; 99,5% necessitaram de algum tipo de intervenção. Os usuários que mantiveram o uso foram considerados "satisfeitos". CONCLUSÃO: Os usuários de prótese auditiva atendidos no serviço público de saúde em questão apresentam dificuldade para comparecer às consultas de seguimento. A maioria dos indivíduos avaliados manteve o uso da prótese auditiva; entretanto, praticamente todos necessitaram de algum tipo de intervenção. Apesar do alto grau de satisfação, estes achados não contemplaram os indivíduos que não compareceram à avaliação formal, que poderiam representar os menos aderidos ao tratamento. Os dados evidenciaram a necessidade de seguimento periódico para garantir a efetividade do uso da prótese auditiva em longo prazo.

Hearing aid use and satisfaction can be used to analyze the effectiveness of hearing rehabilitation, an issue few explored in Brazilian users. OBJECTIVE: Evaluate hearing aid use dispensed in a publicly-funded health service after one year, the interventions needed and users' satisfaction. METHOD: Prospective observational cross-sectional study. Hearing aid users were invited by telephone to participate in an evaluation of hearing aid use. RESULTS: 200 hearing aid users attended the evaluation (47% of sample loss); 76.5% of the subjects were using hearing aids bilaterally, 10.5% unilaterally and 13.0% none of them; 99.5% of users needed some kind of intervention. Users who kept wearing their hearing aids were considered "satisfied". CONCLUSION: Active search by telephone showed that hearing aid users who attend this publicly-funded health service have difficulties to attend follow-up appointments. Most of the users that came for evaluation kept using their hearing aids; non-use rate was 13%. Practically all hearing aid users needed some kind of intervention. Despite the high level of satisfaction, those findings did not include users who did not participate in evaluation, which could represent subjects less adhered to the treatment. Results highlighted the need of periodical follow-ups to ensure the effectiveness of auditory rehabilitation.

INTRODUÇÃO: A prótese auditiva é uma das alternativas utilizadas no processo de reabilitação auditiva que visa auxiliar a comunicação e minimizar as limitações causadas pela deficiência auditiva. Mesmo com o avanço da tecnologia, a seleção e adaptação da prótese auditiva exigem um processo criterioso para maximizar o desempenho, benefício e satisfação do usuário. OBJETIVO: Descrever o protocolo de seleção e adaptação de prótese auditiva para candidatos adultos e idosos utilizado em um centro de audiologia, cuja elaboração foi embasada em protocolos validados e descritos previamente na literatura científica específica e complementada por informações de evidências clínicas do serviço. COMENTÁRIOS FINAIS: O protocolo fonoaudiológico de seleção e adaptação da prótese auditiva para adultos e idosos demonstra que um maior número de informações coletadas propicia melhor orientação da expectativa real e maior efetividade no aconselhamento ao uso da prótese auditiva, favorecendo, desta maneira, o desempenho auditivo, a satisfação e o benefício do indivíduo.

INTRODUCTION: The auditive prosthesis is one of the sed alternative in the auditive rehabilitation process that aims to aid the communication and to diminish the restrictions induced by the auditive deficiency. Even with the techonology advance, the selection and adjustment of the auditive prosthesis require a criteria process to maximize the user's performance, benefit and satisfaction. OBJECTIVE: To describe the protocol of selectiom and adjustment of audictive prosthesis for adults and elderly candidates, used in a Audiology Center, which elaboration ws based in vality protocols and previously described in specific scientific literature and completed by informations of clinic evidences from service. COMMENTS FINAIS: The speech protocol of selection and adjustment of auditicve prosthesis for adults and elderly shows that a great number of collected informations propitiates a better orientation of real expectative and more effectiveness to recommend the audictive prosthesis' usage, favorishing in this way, the audictive performance, the individual satisfaction and benefit.