A Position Statement on the Treatment of Hearing Impairment, Focused on Hearing Aids, From the Korean Otological Society Hearing Aid Study Group

Abstract

Hearing impairment not only diminishes sound perception but also leads to various secondary disabilities; therefore, proper management is crucial for individual well-being and socioeconomic savings. This study establishes an expert consensus on the treatment of hearing impairment, primarily concentrating on hearing aids (HAs), to assist physicians. A modified nominal group technique was used to collect expert opinions about the management of hearing impairment with HAs. The expert panel consisted of 13 otologists from the Korean Otological Society Hearing Aid Study Group. The panel formulated and examined 12 subtopics, with each statement evaluated for consensus using a 9-point Likert scale. Statements with strong consensus were preserved, and those with weak consensus were either discarded or deliberated until agreement was achieved. The position statement discusses essential elements of HA utilization: candidacy, prescription, fitting, maintenance, and verification. It further offers direction on audiological and medical assessments, along with the qualifications and responsibilities of HA practitioners. The statement underscores the need for verification techniques, including coupler and real ear measurements, and stresses the importance of auditory rehabilitation for HA users. Furthermore, it examines the function of HAs in addressing tinnitus and hyperacusis and provides guidance for the management of hearing impairment resulting from external or middle ear complications. This position statement presents a thorough and organized methodology for addressing hearing impairment with HAs. It functions as a crucial resource for physicians, offering information vital to the diagnosis, treatment, and rehabilitation of hearing impairment and the management of related diseases. This declaration advocates for a comprehensive approach that combines professional skill, patient awareness, and societal support to effectively manage hearing impairment. © 2025 Elsevier B.V., All rights reserved.