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Ajouter le résultat dans votre panierEnvironmental Factors for Hearing Loss and Middle Ear Disease in Alaska Native Children and Adolescents / Kelli L. Hicks in Ear and hearing, Vol. 44, n°1 (Janvier-Février 2023)
Titre : Environmental Factors for Hearing Loss and Middle Ear Disease in Alaska Native Children and Adolescents : A Cross-Sectional Analysis from a Cluster Randomized Trial Type de document : Article Auteurs : Kelli L. Hicks ; Samantha K. Robler ; Alyssa Platt ; Sarah N. Morton ; Joseph R. Egger ; Suzan D. Emmett Année de publication : 2023 Article en page(s) : p.2-9 Note générale : DOI: 10.1097/AUD.0000000000001265 Langues : Anglais (eng) Descripteurs : HE Vinci
Condition de vie ; Eau courante ; Enfant déficient auditif ; Oreille moyenne
Autres descripteurs
Facteur environnemental ; Infection de l'oreilleRésumé : Objectives: Infection-related childhood hearing loss is one of the few preventable chronic health conditions that can affect a child's lifelong trajectory. This study sought to quantify relationships between infection-mediated hearing loss and middle ear disease and environmental factors, such as exposure to wood smoke, cigarette smoke, household crowding, and lack of access to plumbed (running) water, in a northwest region of rural Alaska.
Design: This study is a cross-sectional analysis to estimate environmental factors of infection-related hearing loss in children aged 3 to 21 years. School hearing screenings were performed as part of two cluster randomized trials in rural Alaska over two academic years (2017-2018 and 2018-2019). The first available screening for each child was used for this analysis. Sociodemographic questionnaires were completed by parents/guardians upon entry into the study. Multivariable regression was performed to estimate prevalence differences and prevalence ratios (PR). A priori knowledge about the prevalence of middle ear disease and the difficulty inherent in obtaining objective hearing loss data in younger children led to analysis of children by age (3 to 6 years versus 7 years and older) and a separate multiple imputation sensitivity analysis for pure-tone average (PTA)-based infection-related hearing loss measures.
Results: A total of 1634 children participated. Hearing loss was present in 11.1% of children sampled based on otoacoustic emission as the primary indicator of hearing loss and was not associated with exposure to cigarette smoke (PR = 1.07; 95% confidence interval [CI], 0.48 to 2.38), use of a wood-burning stove (PR = 0.85; 95% CI, 0.55 to 1.32), number of persons living in the household (PR = 1.06; 95% CI, 0.97 to 1.16), or lack of access to running water (PR = 1.38; 95% CI, 0.80 to 2.39). Using PTA as a secondary indicator of hearing loss also showed no association with environmental factors. Middle ear disease was present in 17.4% of children. There was a higher prevalence of middle ear disease in homes without running water versus those with access to running water (PR = 1.53; 95% CI, 1.03 to 2.27). There was little evidence to support any cumulative effects of environmental factors. Heterogeneity of effect models by age found sample prevalence of hearing loss higher for children aged 3 to 6 years (12.2%; 95% CI, 9.3 to 15.7) compared to children 7 years and older (10.6%; 95% CI, 8.9 to 2.6), as well as for sample prevalence of middle ear disease (22.7%; 95% CI, 18.9 to 26.9 and 15.3%; 95% CI, 13.3 to 17.5, respectively).
Conclusions: Lack of access to running water in the home was associated with increased prevalence of middle ear disease in this rural, Alaska Native population, particularly among younger children (aged 3 to 6 years). There was little evidence in this study that cigarette smoke, wood-burning stoves, and greater numbers of persons in the household were associated with infection-mediated hearing loss or middle ear disease. Future research with larger sample sizes and more sensitive measures of environmental exposure is necessary to further evaluate these relationships. Children who live in homes without access to running water may benefit from earlier and more frequent hearing health visits.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=301586
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p.2-9[article]
Titre : Sex-Linked Biology and Gender-Related Research Is Essential to Advancing Hearing Health Type de document : Article Auteurs : Kelly M. Reavis ; Nicolai Bisgaard ; Judy R. Dubno ; Robert D. Frisina ; Ronna Hertzano ; Barbara Canlon ; Larry E. Humes ; Paul Mick ; Natalie A. Phillips ; Kathleen Pichora-Fuller ; Benjamin Shuster ; Gurjit Singh Année de publication : 2023 Article en page(s) : p. 10-27 Note générale : DOI: 10.1097/AUD.0000000000001291 Langues : Anglais (eng) Descripteurs : HE Vinci
Déficience auditive ; Hormones ; Identité de genreRésumé : There is robust evidence that sex (biological) and gender (behavioral/social) differences influence hearing loss risk and outcomes. These differences are noted for animals and humans-in the occurrence of hearing loss, hearing loss progression, and response to interventions. Nevertheless, many studies have not reported or disaggregated data by sex or gender. This article describes the influence of sex-linked biology (specifically sex-linked hormones) and gender on hearing and hearing interventions, including the role of sex-linked biology and gender in modifying the association between risk factors and hearing loss, and the effects of hearing loss on quality of life and functioning. Most prevalence studies indicate that hearing loss begins earlier and is more common and severe among men than women. Intrinsic sex-linked biological differences in the auditory system may account, in part, for the predominance of hearing loss in males. Sex- and gender-related differences in the effects of noise exposure or cardiovascular disease on the auditory system may help explain some of these differences in the prevalence of hearing loss. Further still, differences in hearing aid use and uptake, and the effects of hearing loss on health may also vary by sex and gender. Recognizing that sex-linked biology and gender are key determinants of hearing health, the present review concludes by emphasizing the importance of a well-developed research platform that proactively measures and assesses sex- and gender-related differences in hearing, including in understudied populations. Such research focus is necessary to advance the field of hearing science and benefit all members of society. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=301588
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 10-27[article]
Titre : Community Health Workers as Patient-Site Facilitators in Adult Hearing Aid Services via Synchronous Teleaudiology: Feasibility Results from the Conexiones Randomized Controlled Trial Type de document : Article Auteurs : Laura Coco ; Scott Carvajal ; Cecilia Navarro ; Rosie Piper ; Nicole Marrone Année de publication : 2023 Article en page(s) : p. 28-42 Note générale : DOI: 10.1097/AUD.0000000000001281 Langues : Anglais (eng) Descripteurs : HE Vinci
Déterminants sociaux de la santé ; Prestations des soins de santé ; Recherche participative basée sur la communauté ; Télé-audiologieRésumé : Objectives: The purpose of this study was to investigate the feasibility of Community Health Workers (CHWs) as patient-site facilitators in teleaudiology-facilitated hearing aid services to improve hearing aid rehabilitation outcomes for older Hispanic/Latino adults in a medically underserved, rural, US-Mexico border community.
Design: A total of 28 adults (aged 55 to 89) with bilateral hearing loss participated in this study. Individuals were randomized to one of two teleaudiology intervention arms that differed at the level of the patient-site facilitator. Participants in the experimental group were assisted locally by trained CHW facilitators. Participants in the control group were assisted locally by trained university student facilitators. Synchronous (real-time) teleaudiology hearing aid services took place with participants located at a rural community health center and the clinician located a university 70 miles away. The results of this feasibility study are presented within the reach, effectiveness, adoption, implementation fidelity, and maintenance implementation framework.
Results: Regarding reach, the participants in this study population are historically under-represented in research (primarily low-income Hispanic/Latino older adults). A total of 57 individuals were recruited, 47 were consented and assessed for eligibility and 28 individuals met inclusion criteria and were randomized. The average age of participants was 73.9 years, (range: 55 to 89 years) and most individuals were female (75%). Most participants (86%) reported having incomes less than $20,000 annually. Effectiveness results (via the Self Efficacy for Situational Communication Management Questionnaire) showed that both groups (CHW and control) significantly improved listening self-efficacy from pre-fitting baseline and no difference between groups was observed. Regarding datalogging, at the short-term follow-up, participants in the CHW group wore their hearing aids for more hours/day on average compared with participants in the control group. Implementation fidelity was high for both groups. Long-term maintenance of CHW-supported teleaudiology appears feasible given that training and institutional support is in place.
Conclusions: Teleaudiology-delivered hearing aid services were feasible when facilitated locally by trained CHWs. Future efficacy and effectiveness research is warranted with CHWs and teleaudiology, potentially leading to a significant reduction in barriers for rural and medically under-resourced communities.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=301592
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 28-42[article]
Titre : Cochlear Reimplantation Rate and Cause: a 22-Year, Single-Center Experience, and a Meta-Analysis and Systematic Review Type de document : Article Auteurs : Haotian Liu ; Xinyi Yao ; Weili Kong ; Lin Zhang ; Jingyuan Si ; Xiuyong Ding ; Yun Zheng ; Yu Zhao Année de publication : 2023 Article en page(s) : p. 43-52 Note générale : DOI: 10.1097/AUD.0000000000001266 Langues : Anglais (eng) Descripteurs : HE Vinci
Echec thérapeutique ; Implants cochléaires ; Prothèses et implantsDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=301604
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 43-52[article]
Titre : The Relationship Between Sleep Traits and Tinnitus in UK Biobank : A Population-Based Cohort Study Type de document : Article Auteurs : Jiajia Peng ; Yaxin Luo ; Danni Cheng ; Yufang Rao ; Ke Qiu ; Yijun Dong ; Yao Song ; Wendu Pang ; Xiaosong Mu ; Chunhong Hu ; Hongchang Chen ; Wei Zhang ; Wei Xu ; Jianjun Ren ; Yu Zhao Année de publication : 2023 Article en page(s) : p. 53-60 Note générale : DOI: 10.1097/AUD.0000000000001273 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Troubles de l'endormissement et du maintien du sommeil ; Troubles de la veille et du sommeilRésumé : Understanding the association between sleep traits and tinnitus could help prevent and provide appropriate interventions against tinnitus. Therefore, this study aimed to assess the relationship between different sleep patterns and tinnitus.
Design: A cross-sectional analysis using baseline data (2006-2010, n = 168,064) by logistic regressions was conducted to evaluate the association between sleep traits (including the overall health sleep score and five sleep behaviors) and the occurrence (yes/no), frequency (constant/transient), and severity (upsetting/not upsetting) of tinnitus. Further, a prospective analysis of participants without tinnitus at baseline (n = 9581) was performed, who had been followed-up for 7 years (2012-2019), to assess the association between new-onset tinnitus and sleep characteristics. Moreover, a subgroup analysis was also carried out to estimate the differences in sex by dividing the participants into male and female groups. A sensitivity analysis was also conducted by excluding ear-related diseases to avoid their confounding effects on tinnitus (n = 102,159).
Results: In the cross-sectional analysis, participants with "current tinnitus" (OR: 1.13, 95% CI: 1.04-1.22, p = 0.004) had a higher risk of having a poor overall healthy sleep score and unhealthy sleep behaviors such as short sleep durations (OR: 1.09, 95% CI: 1.04-1.14, p
Conclusions: Different types of sleep disturbance may be associated with the occurrence and severity of tinnitus; therefore, precise interventions for different types of sleep disturbance, particularly sleeplessness, may help in the prevention and treatment of tinnitus.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=301606
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 53-60[article]
Titre : Intensive Training of Spatial Hearing Promotes Auditory Abilities of Bilateral Cochlear Implant Adults : A Pilot Study Type de document : Article Auteurs : Aurelie Coudert ; Gregoire Verdelet ; Karen Reilly ; Eric Truy ; Valérie Gaveau Année de publication : 2023 Article en page(s) : p. 61-76 Note générale : DOI: 10.1097/AUD.0000000000001256 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Rehabilitation audiologique
HE Vinci
Implant cochléaire bilatéral ; Réalité de synthèse ; Traitement spatialRésumé : Objective: The aim of this study was to evaluate the feasibility of a virtual reality-based spatial hearing training protocol in bilateral cochlear implant (CI) users and to provide pilot data on the impact of this training on different qualities of hearing.
Design: Twelve bilateral CI adults aged between 19 and 69 followed an intensive 10-week rehabilitation program comprised eight virtual reality training sessions (two per week) interspersed with several evaluation sessions (2 weeks before training started, after four and eight training sessions, and 1 month after the end of training). During each 45-minute training session, participants localized a sound source whose position varied in azimuth and/or in elevation. At the start of each trial, CI users received no information about sound location, but after each response, feedback was given to enable error correction. Participants were divided into two groups: a multisensory feedback group (audiovisual spatial cue) and an unisensory group (visual spatial cue) who only received feedback in a wholly intact sensory modality. Training benefits were measured at each evaluation point using three tests: 3D sound localization in virtual reality, the French Matrix test, and the Speech, Spatial and other Qualities of Hearing questionnaire.
Results: The training was well accepted and all participants attended the whole rehabilitation program. Four training sessions spread across 2 weeks were insufficient to induce significant performance changes, whereas performance on all three tests improved after eight training sessions. Front-back confusions decreased from 32% to 14.1% (p = 0.017); speech recognition threshold score from 1.5 dB to -0.7 dB signal-to-noise ratio (p = 0.029) and eight CI users successfully achieved a negative signal-to-noise ratio. One month after the end of structured training, these performance improvements were still present, and quality of life was significantly improved for both self-reports of sound localization (from 5.3 to 6.7, p = 0.015) and speech understanding (from 5.2 to 5.9, p = 0.048).
Conclusions: This pilot study shows the feasibility and potential clinical relevance of this type of intervention involving a sensorial immersive environment and could pave the way for more systematic rehabilitation programs after cochlear implantation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=301632
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 61-76[article]
Titre : Cochlear Implant Facilitates the Use of Talker Sex and Spatial Cues to Segregate Competing Speech in Unilaterally Deaf Listeners Type de document : Article Auteurs : Jingyuan Chen ; Ying Shi ; Ying Kong ; Biao Chen ; Lifang Zhang ; John J. Galvin III ; Yongxin Li ; Qian-Jie Fu Année de publication : 2023 Article en page(s) : p. 77-91 Note générale : DOI: 10.1097/AUD.0000000000001254 Langues : Anglais (eng) Descripteurs : HE Vinci
Différence homme femme ; Implants cochléaires ; Perte auditive unilatérale (USNHL) ; Reconnaissance de la parole ; Seuil de réception de la parole (SRT)
Autres descripteurs
Asynchronie spectrotemporelleRésumé : Objectives: Talker sex and spatial cues can facilitate segregation of competing speech. However, the spectrotemporal degradation associated with cochlear implants (CIs) can limit the benefit of talker sex and spatial cues. Acoustic hearing in the nonimplanted ear can improve access to talker sex cues in CI users. However, it's unclear whether the CI can improve segregation of competing speech when maskers are symmetrically placed around the target (i.e., when spatial cues are available), compared with acoustic hearing alone. The aim of this study was to investigate whether a CI can improve segregation of competing speech by individuals with unilateral hearing loss.
Design: Speech recognition thresholds (SRTs) for competing speech were measured in 16 normal-hearing (NH) adults and 16 unilaterally deaf CI users. All participants were native speakers of Mandarin Chinese. CI users were divided into two groups according to thresholds in the nonimplanted ear: (1) single-sided deaf (SSD); pure-tone thresholds 25 dB HL). SRTs were measured for target sentences produced by a male talker in the presence of two masker talkers (different male or female talkers). The target sentence was always presented via loudspeaker directly in front of the listener (0[degrees]), and the maskers were either colocated with the target (0[degrees]) or spatially separated from the target at +/-90[degrees]. Three segregation cue conditions were tested to measure masking release (MR) relative to the baseline condition: (1) Talker sex, (2) Spatial, and (3) Talker sex + Spatial. For CI users, SRTs were measured with the CI on or off.
Results: Binaural MR was significantly better for the NH group than for the AHL or SSD groups (P
Conclusion: Although the CI benefitted unilaterally deaf listeners' segregation of competing speech, MR was much poorer than that observed in NH listeners. Different from previous findings with steady noise maskers, the CI benefit for segregation of competing speech from a different talker sex was greater in the SSD group than in the AHL group.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=301638
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 77-91[article]
Titre : Longitudinal Effects of Simultaneous and Sequential Bilateral Cochlear Implantation on Cortical Auditory-Evoked Potentials Recorded at Cz in a Large Cohort of Children Type de document : Article Auteurs : Melissa J. Polonenko ; Leticia Vicente ; Blake C. Papsin ; Karen A. Gordon Année de publication : 2023 Article en page(s) : p. 92-108 Note générale : DOI: 10.1097/AUD.0000000000001275 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Developpement auditif ; Reponse corticale (cera)
HE Vinci
Implant cochléaire bilatéral ; Perte auditive asymétrique ; Potentiel évoqué cortical sonore (CAEP)Résumé : Objectives: Auditory development after bilateral cochlear implantation in children has been measured using source localization of multi-channel late latency responses. It is not clear, however, whether this development can be tracked using a more clinically feasible method of recording from one active recording electrode placed at mid-line center of the head (Cz).
Design: In this prospective cohort study, cortical auditory-evoked potential responses (CAEPs) were recorded from Cz referenced to each earlobe (Cz-CAEP) from 222 children with bilateral cochlear implant (CI); 128 (mean +/- SD age: 2.78 +/- 3.30 years) received both CIs in the same surgery (simultaneous group) and 94 (aged 7.72 +/- 4.45 years) received a second CI after 4.21 +/- 2.98 years of unilateral CI use. We sought to (1) identify cortical development over the first couple of years of bilateral CI use; (2) measure known asymmetries in auditory development between the CIs; and (3) detect the effects of bilateral rather than unilateral CI use. 4556 Cz-CAEPs were recorded across the cohort over 33.50 +/- 7.67 months duration of bilateral CI use. Given concerns related to peak picking, amplitude areas were measured across two response time windows (50 to 199 ms and 200 to 400 ms).
Results: Results indicated that small response amplitudes occur at initial CI use and amplitudes increase in the negative or positive direction rapidly over the first months of CI use in both time windows. Asymmetries between Cz-CAEPs evoked by each CI were found in the sequential group and reduced with bilateral CI use, particularly in the first time window; these differences increased with longer inter-implant delay. Bilaterally evoked Cz-CAEPs were larger in amplitude than unilateral responses from either CI in the simultaneous group. In the sequential group, bilateral responses were similar to responses from the first implanted side but increased in relative amplitude with bilateral CI use. The Cz-CAEP measures were not able to predict asymmetries or bilateral benefits in speech perception measures.
Conclusions: The Cz-CAEP was able to indicate cortical detection of CI input and showed gross morphological changes with bilateral CI use. Findings indicate Cz-CAEPs can be used to identify gross changes in auditory development in children with bilateral CIs, but they are less sensitive to tracking the remaining abnormalities that are measured by multi-channel CAEPs and speech perception testing.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=301650
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 92-108[article]
Titre : Spectrotemporal Modulation Discrimination in Infants With Normal Hearing Type de document : Article Auteurs : Anisha Noble ; Jesse Resnick ; Mariette Broncheau ; Stéphanie Klotz ; Jay T. Rubinstein ; Lynne A. Werner ; David L. Horn Année de publication : 2023 Article en page(s) : p. 109-117 Note générale : DOI: 10.1097/AUD.0000000000001277 Langues : Anglais (eng) Descripteurs : HE Vinci
Implants cochléaires ; Ondulation spectrale ; Surdité postlinguale
Autres descripteurs
Resolution de frequenceRésumé : Objectives: Spectral resolution correlates with speech understanding in post-lingually deafened adults with cochlear implants (CIs) and is proposed as a non-linguistic measure of device efficacy in implanted infants. However, spectral resolution develops gradually through adolescence regardless of hearing status. Spectral resolution relies on two different factors that mature at markedly different rates: Resolution of ripple peaks (frequency resolution) matures during infancy whereas sensitivity to across-spectrum intensity modulation (spectral modulation sensitivity) matures by age 12. Investigation of spectral resolution as a clinical measure for implanted infants requires understanding how each factor develops and constrains speech understanding with a CI. This study addresses the limitations of the present literature. First, the paucity of relevant data requires replication and generalization across measures of spectral resolution. Second, criticism that previously used measures of spectral resolution may reflect non-spectral cues needs to be addressed. Third, rigorous behavioral measurement of spectral resolution in individual infants is limited by attrition. To address these limitations, we measured discrimination of spectrally modulated, or rippled, sounds at two modulation depths in normal hearing (NH) infants and adults. Non-spectral cues were limited by constructing stimuli with spectral envelopes that change in phase across time. Pilot testing suggested that dynamic spectral envelope stimuli appeared to hold infants' attention and lengthen habituation time relative to previously used static ripple stimuli. A post-hoc condition was added to ensure that the stimulus noise carrier was not obscuring age differences in spectral resolution. The degree of improvement in discrimination at higher ripple depth represents spectral frequency resolution independent of the overall threshold. It was hypothesized that adults would have better thresholds than infants but both groups would show similar effects of modulation depth.
Design: Participants were 53 6- to 7-month-old infants and 23 adults with NH with no risk factors for hearing loss who passed bilateral otoacoustic emissions screening. Stimuli were created from complexes with 33- or 100-tones per octave, amplitude-modulated across frequency and time with constant 5 Hz envelope phase-drift and spectral ripple density from 1 to 20 ripples per octave (RPO). An observer-based, single-interval procedure measured the highest RPO (1 to 19) a listener could discriminate from a 20 RPO stimulus. Age-group and stimulus pure-tone complex were between-subjects variables whereas modulation depth (10 or 20 dB) was within-subjects. Linear-mixed model analysis was used to test for the significance of the main effects and interactions.
Results: All adults and 94% of infants provided ripple density thresholds at both modulation depths. The upper range of threshold approached 17 RPO with the 100-tones/octave carrier and 20 dB depth condition. As expected, mean threshold was significantly better with the 100-tones/octave compared with the 33-tones/octave complex, better in adults than in infants, and better at 20 dB than 10 dB modulation depth. None of the interactions reached significance, suggesting that the effect of modulation depth on the threshold was not different for infants or adults.
Conclusions: Spectral ripple discrimination can be measured in infants with minimal listener attrition using dynamic ripple stimuli. Results are consistent with previous findings that spectral resolution is immature in infancy due to immature spectral modulation sensitivity rather than frequency resolution.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=301658
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 109-117[article]
Titre : Summating Potential as Marker of Intracochlear Position in Bipolar Electrocochleography Type de document : Article Auteurs : Peter Baumhoff ; Laya Rahbar Nikoukar ; Jose Santos Cruz de Andrade ; Thomas Lenarz ; Andrej Kral Année de publication : 2023 Article en page(s) : p. 118-134 Note générale : DOI: 10.1097/AUD.0000000000001259 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Potentiels évoqués a action composée (eCAP) ; Preservation de l'audition
HE Vinci
Electrocochléographie ; Implants cochléaires ; Potentiels évoqués somatosensorielsRésumé : Objectives: Cochlear implantation criteria include subjects with residual low-frequency hearing. To minimize implantation trauma and to avoid unwanted interactions of electric- and acoustic stimuli, it is often recommended to stop cochlear implantation before the cochlear implant (CI) reaches the cochlear partition with residual hearing, as determined by an audiogram. For this purpose, the implant can be used to record acoustically evoked signals during implantation, including cochlear compound action potentials (CAP), cochlear microphonics (CMs), and summating potentials (SPs). The former two have previously been used to monitor residual hearing in clinical settings.
Design: In the present study we investigated the use of intracochlear, bipolar SP recordings to determine the exact cochlear position of the contacts of implanted CIs in guinea pig cochleae (n = 13). Polarity reversals of SPs were used as a functional marker of intracochlear position. Micro computed tomography ([micro]CT) imaging and a modified Greenwood function were used to determine the cochleotopic positions of the contacts in the cochlea. These anatomical reconstructions were used to validate the SP-based position estimates.
Results: The precision of the SP-based position estimation was on average within +/- 0.37 octaves and was not impaired by moderate hearing loss caused by noise exposure after implantation. It is important to note that acute hearing impairment did not reduce the precision of the method. The cochleotopic position of CI accounted for ~70% of the variability of SP polarity reversals. Outliers in the dataset were associated with lateral CI positions. Last, we propose a simplified method to avoid implantation in functioning parts of the cochlea by approaching a predefined frequency region using bipolar SP recordings through a CI.
Conclusions: Bipolar SP recordings provide reliable information on electrode position in the cochlea. The position estimate remains reliable after moderate hearing loss. The technique presented here could be applied during CI surgery to monitor the CI approach to a predefined frequency region.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=301783
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 118-134[article]
Titre : Influence of the Coupling on the Hearing Outcome After Implantation of an Active Middle Ear Implant: Comparison of the Transmission Behavior in Temporal Bone Experiments With Clinical Data Type de document : Article Auteurs : Christoph Muller ; Susen Lailach ; Matthias Bornitz ; Nikoloz Lasurashvili ; Till Moritz Essinger ; Marcus Neudert ; Thomas Zahnert Année de publication : 2023 Article en page(s) : p.135-145 Note générale : DOI: 10.1097/AUD.0000000000001258 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Vibrant soundbridge
HE Vinci
Analyse de données ; Implant d'oreille moyenne ; Intelligibilité de la parole ; TransducteursRésumé : Objectives: The active middle ear implant, Vibrant Soundbridge (VSB), can be implanted with a variety of couplers. Hearing outcome after implantation has been investigated in both temporal bone (TB) experiments and patient studies, but the relationship between experimental and clinical data is still weak in the literature. Therefore, experimental data from TB experiments should be compared with patient data in a retrospective study, in which the floating mass transducer is used with couplers of the third generation. Actuator coupling structures included the long (LP coupler) and short (SP coupler) incus process, the stapes head (Clip coupler), and the round window membrane (RW soft coupler).
Methods: In the TB experiments, the sound transmission after vibroplasty on the above-mentioned actuator coupling structures was determined in 32 specimens by means of laser Doppler vibrometry on the stapes footplate. Data of 69 patients were analyzed. The main target audiometric parameters were the postoperative aided word recognition score (WRS) in the free field at 65 dB SPL (WRS 65 dB in %), the preoperative and postoperative pure-tone average (PTA4, including the frequencies 0.5, 1, 2, and 4 kHz) of the bone conduction hearing threshold (PTA4BC), the aided postoperative air conduction hearing threshold in the free field (PTA4FF) and the direct threshold (Vibrogram) at least 6 months postoperatively. The coupling efficiency of the actuator (Vibrogram-PTA4BC) as well as the effective hearing gain (PTA4FF-PTA4BC) was compared between the couplers.
Results: The analysis in the main speech range (0.5-4 kHz) indicated that in the TB experiments, the LP coupler tends to have the best coupling quality at low frequencies (500-1000 Hz). This was up to 15 dB above the worst actuator (RW soft coupler). However, the results missed the significance level (p > 0.05). In the high frequencies (2000-4000 Hz), the Clip coupler showed the best coupling quality. This was 15 dB above the worst actuator (SP coupler). However, the results missed the significance level (p > 0.05), too. The postoperative WRS at 65 dB SPL and the postoperative PTA4FF were independent of the actuator coupling structure. The PTA4BC was stable at 6 months postoperatively. For the PTA4 of the coupling efficiency, there were no significant differences between the actuator coupling structures (LP 8.9 dB +/- 12.9; SP 9.5 +/- 6.5 dB; Clip 5.2 +/- 10.5 dB; RW 12.7 +/- 11.0 dB). However, the tendential inferiority of the RW soft coupler with regard to transmission in the low-frequency range and the tendential superiority of the Clip coupler in the high-frequency range that have already been displayed experimentally could be confirmed in the clinical results. However, the clinical results missed the significance level, too (p > 0.05).
Conclusions: In vivo, there are no significant differences in the postoperative outcome stratified according to coupling the target structure. The differences known from the experimental setting were repressed by individual biasing factors. However, to ensure sufficient postoperative speech intelligibility, the frequency-specific transmission behavior of the couplers should be taken into account when setting the indication for VSB implantation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=301806
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p.135-145[article]
Titre : The Effect of Pulse Shape and Interphase Gaps on Speech Perception and Perceived Sound Quality in Electrical Hearing Type de document : Article Auteurs : Rudolfs Liepins ; Alexandra Kaider ; Alice Barbara Auinger ; Valerie Dahm ; Clemens Honeder ; Dominik Riss ; Christoph Arnoldner Année de publication : 2023 Article en page(s) : p. 146-154 Note générale : DOI: 10.1097/AUD.0000000000001262 Langues : Anglais (eng) Descripteurs : HE Vinci
Implants cochléaires ; Nerf facial ; Stimulation électrique
Autres descripteurs
Son impulsionnelRésumé : Background: Stimulation with triphasic pulses has been shown to reduce the occurrence of unwanted facial nerve stimulation (FNS) with cochlear implants (CIs). However, there is little data available on how different pulse shapes affect the hearing outcome with electrical hearing in general. The aim of the study was to evaluate the effects of different stimulation pulse shapes on speech perception in noise, as well as loudness perception and subjective sound quality.
Methods: Twenty experienced cochlear-implant users not suffering from FNS participated in a prospective single-visit study. Based on the subjects' current clinical fitting, six fitting maps with different pulse shapes (biphasic and triphasic) and different interphase gap (IPG) durations (2.1 [micro]s, 10 [micro]s, and 20 [micro]s) were created. First, the loudness was balanced for each configuration by adjusting the stimulation charge amount. Then, speech perception in noise was measured with a German matrix sentence test (Oldenburg Sentence test). The perception of particular sound attributes of speech and music, as well as overall preference, was evaluated with visual analog scales.
Results: Similar levels of speech perception were obtained with triphasic stimulation (P = 0.891) and longer IPGs (P = 0.361) compared to the subjects' clinical map settings. The stimulation amplitudes for equal loudness were significantly higher with triphasic stimulation compared to biphasic stimulation when keeping the IPG constant. Increasing the IPG had a significantly larger effect on perceived loudness (P
Conclusion: Although some sound quality attributes were rated lower compared to the clinical map in the acute test setting, stimulation with triphasic pulses does not affect speech perception in noise and can be considered as a valuable option in CI fitting.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=302034
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 146-154[article]
Titre : Predicting Aided Outcome With Aided Word Recognition Scores Measured With Linear Amplification at Above-conversational Levels Type de document : Article Auteurs : Michal Fereczkowski ; Tobias Neher Année de publication : 2023 Article en page(s) : p. 155-166 Note générale : DOI: 10.1097/AUD.0000000000001263 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Audiométrie vocale ; Audiométrie vocale dans le bruit (VRB) ; Evaluation prédictiveRésumé : Objectives: Many hearing aid (HA) users receive limited benefit from amplification, especially when trying to understand speech in noise, and they often report hearing-related residual activity limitations. Current HA fitting strategies are typically based on pure-tone hearing thresholds only, even though suprathreshold factors have been linked to aided outcomes. Furthermore, clinical measures of speech perception such as word recognition scores (WRSs) are performed without frequency-specific amplification, likely resulting in suboptimal speech audibility and thus inaccurate estimates of suprathreshold hearing abilities. Corresponding measures with frequency-specific amplification ("aided") would likely improve such estimates and enable more accurate aided outcome prediction. Here, we investigated potential links between either unaided WRSs or aided WRSs measured at several above-conversational levels and two established HA outcome measures: The Hearing-In-Noise Test (HINT) and the International Outcome Inventory for Hearing Aids (IOI-HA).
Design: Thirty-seven older individuals with bilateral hearing impairments participated. Two conditions were tested: unaided and aided, with all stimuli presented over headphones. In the unaided condition, the most comfortable level (MCL) for the presented speech stimuli, WRS at MCL+10 dB as well as uncomfortable levels (UCLs) for narrowband noise stimuli were measured. In the aided condition, all stimuli were individually amplified according to the "National Acoustic Laboratories-Revised, Profound" fitting rule. Aided WRSs were then measured using an Interacoustics Affinity system at three above-conversational levels, allowing for the maximum aided WRS as well as the presence of "rollover" in the performance-intensity function to be estimated. Multivariate data analyses were performed to examine the relations between the HINT (measured using a simulated HA with the NAL-RP amplification) or IOI-HA scores (for the participants' own HAs) and various potential predictors (age, pure-tone average hearing loss, unaided WRS, aided WRS, rollover presence [ROp], and UCL).
Results: Aided WRSs predicted the HINT scores better than any other predictor and were also the only significant predictor of the IOI-HA scores. In addition, UCL and ROp in the aided WRSs were significant predictors of the HINT scores and competed for variance in the statistical models. Neither age nor pure-tone average hearing loss could predict the two aided outcomes.
Conclusions: Aided WRSs can predict HA outcome more effectively than unaided WRSs, age or pure-tone audiometry and could be relatively easily implemented in clinical settings. More research is necessary to better understand the relations between ROp, UCL and speech recognition at above-conversational levels.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=302071
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 155-166[article]
Titre : Better Together. Group versus individual Cognitive-Behavioral Therapy for tinnitus : A Multiple-Baseline Single-Case Experimental Design Type de document : Article Auteurs : Matheus Lourenco ; Thomas Fuller ; Saskia Ranson ; Johan W.S. Vlaeyen ; Rilana F. Cima Année de publication : 2023 Article en page(s) : p. 167-178 Note générale : DOI: 10.1097/AUD.0000000000001261 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Psychothérapie de groupe ; Psychothérapie individuelle ; Thérapie cognitivo-comportementale (TCC)Résumé : Objectives: Chronic tinnitus is effectively treated through cognitive-behavioral therapy (CBT). Both group and individual CBT for tinnitus are effective, but no study has directly compared the two. The current study explores group versus individual CBT for tinnitus.
Design: A multiple-baseline single-case experimental design was employed to observe changes within/between individual and group treatments. Six participants started a 10-week CBT protocol and were equally divided into individual or group treatment. Participants were exchanged between treatments at random time points. Diary data included 14 variables on tinnitus experience (e.g. annoyance and distraction) and wellbeing (e.g. happiness and stress). Five male participants (59- to 67-year-old) completed treatment.
Results: Randomization tests comparing means between individual and group treatments did not reveal significant differences. Analysis of data overlap and trend (Tau-U) revealed minor significant improvements for seven variables (50%) in group treatment as compared to individual treatment. Diminished happiness and activity levels were observed in participants who went from group to individual treatment.
Conclusions: Low effect sizes and homogeneity of sample restrict the generalizability of data. Group CBT indicated potential benefits when compared to individual CBT. Social learning may be an underlying process in group delivery boosting tinnitus recovery. Findings are limited to male patients with chronic disabling tinnitus.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=302082
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 167-178[article]
Titre : Teenagers and Young Adults Who Are Deaf or Hard of Hearing: a Snapshot of Acculturation in High School and Post-Secondary Life Moog Type de document : Article Auteurs : Jean Sachar ; Heather Grantham ; Amanda M. Rudge ; Casey K. Reimer Année de publication : 2023 Article en page(s) : p. 179-188 Note générale : DOI: 10.1097/AUD.0000000000001264 Langues : Anglais (eng) Descripteurs : HE Vinci
Acculturation ; Adolescent sourd ; Communication du sourd ; Déficient auditif sévère (DHH)Résumé : The current study investigates acculturation in a group of teenagers and young adults who are deaf or hard of hearing (DHH) and who were raised in an age of early identification, early intervention, advanced audiologic technology, and inclusive education.
Design: The Deaf Acculturation Scale (Maxwell-McCaw & Zea 2011) was administered via online survey to 106 teenagers and young adults (mean ages = 16.87 and 24.65 years, respectively). All participants were alumni of an early childhood program for children who are DHH in the United States learning listening and spoken language skills.
Results: The majority of the participants scored as hearing acculturated (79%), with 1% scoring as deaf acculturated, and 20% as bicultural. Teenagers and adults did not differ significantly on acculturation. Participants who identified as hearing acculturated were less likely to use sign language with their friends, at work, or with their families than those who identified as bicultural.
These results are in contrast to acculturation patterns reported in other populations of young DHH adults, indicating the need to continue investigating the diversity in cultural values, beliefs, and practices of people who are DHH.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=302088
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 179-188[article]
Titre : Reaching to Sounds Improves Spatial Hearing in Bilateral Cochlear Implant Users Type de document : Article Auteurs : Chiara Valzolgher ; Julie Gatel ; Sabrina Bouzaid ; Solène Grenouillet ; Michela Todeschini ; Gregoire Verdelet ; Romeo Salemme ; Valérie Gaveau ; Eric Truy ; Alessandro Farne ; Francesco Pavani Année de publication : 2023 Article en page(s) : p. 189-198 Note générale : DOI: 10.1097/AUD.0000000000001267 Langues : Anglais (eng) Descripteurs : HE Vinci
Ecoute active ; Implants cochléaires ; Perception spatiale ; Réalité de synthèse
Autres descripteurs
Mouvement de teteRésumé : Objectives: We assessed if spatial hearing training improves sound localization in bilateral cochlear implant (BCI) users and whether its benefits can generalize to untrained sound localization tasks.
Design: In 20 BCI users, we assessed the effects of two training procedures (spatial versus nonspatial control training) on two different tasks performed before and after training (head-pointing to sound and audiovisual attention orienting). In the spatial training, participants identified sound position by reaching toward the sound sources with their hand. In the nonspatial training, comparable reaching movements served to identify sound amplitude modulations. A crossover randomized design allowed comparison of training procedures within the same participants. Spontaneous head movements while listening to the sounds were allowed and tracked to correlate them with localization performance.
Results: During spatial training, BCI users reduced their sound localization errors in azimuth and adapted their spontaneous head movements as a function of sound eccentricity. These effects generalized to the head-pointing sound localization task, as revealed by greater reduction of sound localization error in azimuth and more accurate first head-orienting response, as compared to the control nonspatial training. BCI users benefited from auditory spatial cues for orienting visual attention, but the spatial training did not enhance this multisensory attention ability.
Conclusions: Sound localization in BCI users improves with spatial reaching-to-sound training, with benefits to a nontrained sound localization task. These findings pave the way to novel rehabilitation procedures in clinical contexts.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=302090
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 189-198[article]
Titre : Subjective Impact of Age-Related Hearing Loss Is Worse for Those Who Routinely Experience Boredom and Failures of Attention Type de document : Article Auteurs : Carolyn M.L. Crawford ; Kalisha Ramlackhan ; Gurjit Singh ; Mark J. Fenske Année de publication : 2023 Article en page(s) : p. 199-208 Note générale : DOI: 10.1097/AUD.0000000000001271 Langues : Anglais (eng) Descripteurs : HE Vinci
Auto-évaluation diagnostique ; Déficience auditive liée à l'âge (ARHL) ; Ennui ; Fonctions attentionnelles ; PrononciationMots-clés : Mind-wandering, Résumé : Objectives: Despite extensive evidence supporting the benefits of hearing treatments for individuals affected by hearing loss, many leave their hearing issues unaddressed. This underscores the need to better understand the individual factors influencing decision-making regarding hearing loss treatments. One consideration regarding the low uptake of treatment is the finding that the subjective impact of hearing loss is greater for some individuals than for others, yielding a significant discrepancy between subjective measures of hearing loss (e.g., self-report hearing-handicap scales) and objective audiometric assessments (e.g., audiograms). The current study seeks to elucidate some of the cognitive-affective factors that give rise to these individual differences in the subjective impact of hearing loss. Specifically, we hypothesized that a stronger trait tendency to experience boredom would be correlated with more intensely negative experiences of hearing-related issues, and that this relationship would be mediated by underlying attentional difficulties.
Methods: Through a partnership with hearing care clinics (Connect Hearing Canada), we recruited a large sample of older adults (n = 1840) through their network of hearing-care clinics. Audiometric thresholds provided an objective measure of hearing ability for each participant, while self-report questionnaires assessed individual differences in the subjective impact of hearing-related issues (hearing handicap), subjective strain experienced when listening (listening effort), tendency to experience boredom, tendency to experience difficulty maintaining task-focused attention (mind-wandering), and self-perceived level of cognitive functioning.
Results: The subjective impact of hearing loss-both in terms of hearing handicap and strain when listening-was found to be more intensely negative for those who are characteristically more susceptible to experiencing boredom, and this relationship was shown to be mediated by self-reported differences in the ability to maintain task-focused attention. This relationship between trait boredom proneness and the subjective impact of hearing-related issues was evident across all levels of objective hearing abilities. Moreover, there was no evidence that the subjective impact of hearing loss is worse for those who routinely experience boredom because of objectively-poorer hearing abilities in those individuals.
Conclusions: A greater trait susceptibility to experiencing boredom was associated with a more aversive subjective experience of hearing loss, and this relationship is mediated by attentional difficulties. This is a novel discovery regarding the cognitive-affective factors that are linked to individual differences in the effect that hearing loss has on individuals' daily functioning. These results may be helpful for better understanding the determinants of hearing-rehabilitation decisions and how to improve the uptake of treatments for hearing loss. The observational nature of the current study restricts us from drawing any definitive conclusions about the casual directions among the factors being investigated. Further research is therefore needed to establish how individual differences in the characteristic tendency to experience boredom are related to attentional-control difficulties and the experience of hearing-related issues. More research is also required to determine how all of these factors may influence decisions regarding hearing-loss treatments.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=302093
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 199-208[article]
Titre : Developing an Evidence-Based Military Auditory Fitness-for-Duty Standard Based on the 80-Word Modified Rhyme Test Type de document : Article Auteurs : Douglas Brungart ; Hector Galloza ; Benjamin M. Sheffield ; Jaclyn Schurman ; Shoshannah Russell ; Mary E. Barrett ; Krystal Witherell ; Matthew J. Makashay ; Thomas A. Heil Année de publication : 2023 Article en page(s) : p. 209-222 Note générale : DOI: 10.1097/AUD.0000000000001270 Langues : Anglais (eng) Descripteurs : HE Vinci
Evaluation auditive
Autres descripteurs
Deficience auditive minimaleMots-clés : Auditory Fitness-for-Duty, Résumé : Objectives: One important function of military audiology is to conduct evaluations of service members (SMs) with hearing loss to ensure they are fit for deployment in dangerous operational environments. The objective of this study was to establish evidence-based auditory fitness-for-duty criteria based on speech-in-noise performance on the 80- and 160-word clinical versions of the Modified Rhyme Test (MRT80 and MRT160).
Design: Approximately 2400 SMs with various levels of hearing loss were recruited to complete the MRT80 in conjunction with their annual hearing conservation evaluations. These SMs were also asked to perform one or more operationally-relevant listening tasks based on audio recordings made in highly realistic military training environments. The scores on these tests were compared to determine how well a proposed cutoff criterion for the MRT80 was able to identify individuals who are hard of hearing with an exceptionally high risk of abnormally poor performance on operationally-relevant hearing tasks.
Results: The results show that a cutoff criterion that combines the percent correct score on two lists of the MRT80 (i.e. MRT160) with information about the better-ear threshold at 2 kHz is generally able to separate listeners with hearing loss into those who are likely to perform relatively well on operational listening tests and those who are likely to perform poorly on these tasks. This is consistent with current military acquisition standards, which identify the MRT as the preferred test for evaluating speech intelligibility for radios, headsets, and other communication equipment. It is also consistent with prior studies conducted in high-fidelity military simulations which have shown a significant correlation between MRT performance and operational outcomes.
Conclusions: The proposed selection criteria, along with the new hearing profile standards that were recently adopted by the US Army, appear to provide an effective evidence-based methodology for identifying those SMs with hearing loss who are most at risk for poor performance on hearing-critical military tasks.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=302095
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 209-222[article]
Titre : Comprehensive Prediction Model, Including Genetic Testing, for the Outcomes of Cochlear Implantation Type de document : Article Auteurs : Ji Hyuk Han ; Sun Huhn Kim ; In Seok Moon ; Sun Young Joo ; Jung Ah Kim ; Heon Yung Gee ; Jinsei Jung ; Jae Young Choi Année de publication : 2023 Article en page(s) : p. 223-231 Note générale : DOI: 10.1097/AUD.0000000000001269 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépistage génétique ; Implants cochléaires ; Malformations ; Valeur prédictive des tests
Autres descripteurs
Deficience auditive hereditaireRésumé : Objectives: Despite growing interest in the genetic contribution to cochlear implant (CI) outcomes, only a few studies with limited samples have examined the association of CI outcomes with genetic etiologies. We analyzed CI outcomes using known predictors and genetic testing results to obtain a comprehensive understanding of the impact of genetic etiologies.
Design: We retrospectively reviewed the medical records and images of patients who underwent cochlear implantation and genetic testing at a single tertiary medical institution, between May 2008 and December 2020. After excluding those whose speech test results were unavailable, and those in whom the implant was removed due to complications, such as infection or device failure, 203 patients were included in this study. The participants were categorized into adult (>=19 years), child (2-18 years), and infant (
Results: Among the 203 participants, a causative genetic variant was identified in 117 (57.6%) individuals. The presence of a causative variant was significantly associated with better CI outcomes in the infant group ([beta] = 0.23; 95% confidence interval, 0.01 to 0.47; p = 0.044), but not in the child and adult groups. In the genetically confirmed patients without cochlear malformation, genetic variants involving the spiral ganglion was a poor prognostic factor in the child group ([beta] = -57.24; 95% confidence interval, -90.63 to -23.75; p = 0.004).
Conclusions: The presence of known genetic etiology of hearing loss was associated with better CI outcomes in the infant group, but not in the child and adult groups. A neural-type genetic variant was a poor prognostic factor in the genetically diagnosed child subgroup without cochlear malformation. Careful genetic counseling should be performed before cochlear implantation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=302096
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 223-231[article]
Titre : The Frequency of Common Deafness-Associated Variants Among 3,555,336 Newborns in China and 141,456 Individuals Across Seven Populations Worldwide Type de document : Article Auteurs : Jiao Zhang ; Hongyang Wang ; Chengbin Yan ; Jing Guan ; Linwei Yin ; Lan Lan ; Jin Li ; Lijian Zhao ; Qiuju Wang Année de publication : 2023 Article en page(s) : p. 232-241 Note générale : DOI: 10.1097/AUD.0000000000001274 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépistage génétique ; Dépistage précoce de la surdité ; Variation intra-population
Autres descripteurs
Deficience auditive hereditaireRésumé : Objectives: Genetic screening can benefit early detection and intervention for hearing loss. The frequency of common deafness-associated variants in general populations is highly important for genetic screening and genetic counseling tailored to different ethnic backgrounds. We aimed to analyze the frequency of common deafness-associated variants in a large population-based Chinese newborn cohort and to explore the population-specific features in diverse populations worldwide.
Design: This population-based cohort study analyzed the frequency of common deafness-associated variants in 3,555,336 newborns in the Chinese Newborn Concurrent Hearing and Genetic Screening cohort. Participants were newborn infants born between January 2007 and September 2020. Limited genetic screening for 20 variants in 4 common deafness-associated genes and newborn hearing screening were offered concurrently to all newborns in the Chinese Newborn Concurrent Hearing and Genetic Screening cohort. Sequence information of 141,456 individuals was also analyzed from seven ethnic populations from the Genome Aggregation Database for 20 common deafness-related variants. Statistical analysis was performed using R.
Results: A total of 3,555,326 Chinese neonates completed the Newborn Concurrent Hearing and Genetic Screening were included for analysis. We reported the distinct landscape of common deafness-associated variants in this large population-based cohort. We found that the carrier frequencies of GJB2, SLC26A4, GJB3, and MT-RNR were 2.53%, 2.05%, 0.37%, and 0.25%, respectively. Furthermore, GJB2 c.235delC was the most common variant with an allele frequency of 0.99% in the Chinese newborn population. We also demonstrated nine East-Asia-enriched variants, one Ashkenazi Jewish-enriched variant, and one European/American-enriched variant for hearing loss.
Conclusions: We showed the distinct landscape of common deafness-associated variants in the Chinese newborn population and provided insights into population-specific features in diverse populations. These data can serve as a powerful resource for otolaryngologists and clinical geneticists to inform population-adjusted genetic screening programs for hearing loss.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=302097
in Ear and hearing > Vol. 44, n°1 (Janvier-Février 2023) . - p. 232-241[article]
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Titre : American Cochlear Implant Alliance Task Force Guidelines for Clinical Assessment and Management of Adult Cochlear Implantation for Single-Sided Deafness Type de document : Article Auteurs : Margaret T. Dillon ; Armine Kocharyan ; Ghazal Daher ; Matthew Carlson ; William Shapiro ; Hillary A. Snapp ; Jill B. Firszt Année de publication : 2022 Article en page(s) : p. 1605-1619 Note générale : DOI: 10.1097/AUD.0000000000001260 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Oreille controlaterale
HE Vinci
Adulte implanté ; Implants cochléaires ; Perte auditive unilatérale (USNHL) ; Recommandation pour la pratique cliniqueRésumé : The indications for cochlear implantation have expanded to include individuals with profound sensorineural hearing loss in the impaired ear and normal hearing (NH) in the contralateral ear, known as single-sided deafness (SSD). There are additional considerations for the clinical assessment and management of adult cochlear implant candidates and recipients with SSD as compared to conventional cochlear implant candidates with bilateral moderate to profound sensorineural hearing loss. The present report reviews the current evidence relevant to the assessment and management of adults with SSD. A systematic review was also conducted on published studies that investigated outcomes of cochlear implant use on measures of speech recognition in quiet and noise, sound source localization, tinnitus perception, and quality of life for this patient population. Expert consensus and systematic review of the current literature were combined to provide guidance for the clinical assessment and management of adults with SSD. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=298769
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1605-1619[article]
Titre : Hispanic/Latino Perspectives on Hearing Loss and Hearing Healthcare: Focus Group Results Type de document : Article Auteurs : Michelle L. Arnold ; Cruz Arianna Reyes ; Natalia Lugo-Reyes ; Victoria A. Sanchez Année de publication : 2022 Article en page(s) : p. 1620-1634 Note générale : DOI: 10.1097/AUD.0000000000001268 Langues : Anglais (eng) Descripteurs : HE Vinci
Déficience auditive ; Education pour la santé ; Hispano-américain ; Santé auditiveRésumé : Objectives: To better understand the hearing health learning needs of Hispanic/Latino adults by assessing hearing healthcare (HHC) knowledge, attitudes, and behaviors to inform the development of a culturally and linguistically appropriate self-management program. Through a series of focus groups with members of the target audience, this study explored knowledge about hearing loss and interventions, cultural facilitators and barriers to HHC utilization, and preferences for hearing health education and information delivery. Opinions were also received on patient education materials designed to increase self-efficacy for managing hearing loss in daily life.
Design: This work was guided by a practical framework of culturally competent interventions for addressing disparities in health and healthcare, centered on structural, clinical, and organizational barriers to care. A hybrid individualistic social psychology and social constructionist approach was used to build programmatic theory related to the primary research objective. Focus group goals were to generate a combination of personal opinions and collective experiences from participants with an a priori plan to analyze data using combined content analysis/grounded theory methods. Purposive sampling was used to select 31 participants who were Spanish-speaking, identified as Hispanic/Latino, and who had normal hearing or self-reported hearing difficulties. Thirteen focus groups were conducted using Microsoft Teams, and each group was audio and video recorded for later off-line transcription, translation, and analysis. A constant comparison approach was used to systematically organize focus group data into a structured format for interpretation. Transcripts were coded independently by two investigators, and emergent themes were derived and interpreted from the coded data.
Results: Major and minor themes tied to the framework for culturally competent interventions included those related to sociocultural barriers to care. Structural barriers, including inconsistent access to quality care, lack of culturally and linguistically appropriate patient education materials, appointment wait times and intake processes, and referrals to specialty care, were most frequently experienced by participants. Clinical barriers most frequently cited were a lack of culturally and linguistically congruent healthcare providers and lack of language access during healthcare visits. Other major themes included hearing loss lived experiences, family and familism, and hearing-related patient education needs and preferences.
Conclusions: Focus group results were integrated into a Spanish-language hearing loss self-management program that is currently being evaluated in a randomized controlled trial. The themes uncovered provided insight regarding the knowledge, attitudes, and beliefs about hearing loss and HHC, including hearing-related learning needs, of Hispanic/Latino adults in this sample.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=298782
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1620-1634[article]
Titre : Narrative Review of Loudness Perception Measures in Children Type de document : Article Auteurs : Samantha J. Gustafson ; Elsa Newsome ; Ashley N. Flores Année de publication : 2022 Article en page(s) : p. 1635-1642 Note générale : DOI: 10.1097/AUD.0000000000001243 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Enfant implanté ; Implants cochléaires ; Intensité sonore ; Perte d'auditionRésumé : Recent surveys of pediatric audiologists have highlighted the need for improved understanding of pediatric loudness perception and their role in the hearing device fitting process. The purpose of this article is to provide a brief overview of methods used to measure loudness perception and summarize the existing literature exploring loudness perception in children. A narrative literature review was conducted and 29 articles were reviewed to (1) provide evidence for or against developmental differences, (2) describe variability across listeners of the same age, and (3) discuss evaluations of test-retest reliability on measures of loudness discomfort levels (LDLs), loudness growth, and loudness balancing. A wide variety of methods have been used to measure loudness perception in children. Results of existing studies point to potential developmental differences in LDLs but relatively consistent growth of loudness across age. Considerable across-child variability of loudness perception suggests that estimating LDLs from hearing thresholds could introduce error into the hearing device fitting/mapping process. Additional areas in need of research include work using loudness balancing measures, improved understanding of how variations in clinical loudness scaling measures could influence measured loudness perception, and examination of the benefit of individually-measured loudness perception during pediatric hearing device fitting. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=298787
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1635-1642[article]
Titre : A Systematic Review and Meta-Analysis of Extended High-Frequency Hearing Thresholds in Tinnitus With a Normal Audiogram Type de document : Article Auteurs : Zahra Jafari ; David M. Baguley ; Bryan Kolb ; Majid H. Mohajerani Année de publication : 2022 Article en page(s) : p. 1643-1652 Note générale : DOI: 10.1097/AUD.0000000000001229 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Audiogramme ; Audiométrie haute fréquence (EHF) ; Pathologie cochléaire ; Perte auditive cachéeRésumé : Objectives: Current evidence supports the growing application of extended high-frequency (EHF: 9 to 20 kHz) audiometry in hearing research, which likely results from the high vulnerability of this frequency region to damage induced by known auditory risk factors. The present systematic review and meta-analysis were performed to investigate whether adults with a normal audiogram and tinnitus show increased EHF hearing thresholds relative to control peers.
Design: A comprehensive search was undertaken on electronic databases consisting of PubMed, ScienceDirect, Wiley, and Google Scholar using combined keywords: "tinnitus," "extended high frequency," "normal audiogram," and "hidden hearing loss."
Results: From 261 articles found by searching databases, nine studies met the inclusion criteria for the meta-analysis. A significant difference was observed between tinnitus and control groups in the effect size analysis of hearing thresholds at 10, 12.5, 14, 16, and 18 kHz (p = 0.131). Visual inspection by the Funnel plot and Egger's regression test (p >= 0.211) also exhibited no publication bias in the meta-analyses.
Conclusions: Our findings are in support of the idea that in most cases, tinnitus is associated with some degree of cochlear mechanical dysfunction, which may not be detected by conventional audiometry alone. This finding underscores the significance of EHF audiometry in clinical practice, which may help both early identification of individuals susceptible to developing tinnitus and reduce the number of new cases through preventive counseling programs.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=298810
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1643-1652[article]
Titre : Hearing Impairment in the Extended High Frequencies in Children Despite Clinically Normal Hearing Type de document : Article Auteurs : Srikanta K. Mishra ; Udit Saxena ; Hansapani Rodrigo Année de publication : 2022 Article en page(s) : p. 1653-1660 Note générale : DOI: 10.1097/AUD.0000000000001225 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiométrie haute fréquence (EHF) ; Compréhension dans le bruit ; Emissions otoacoustiques évoquées (OEA)(OAE) ; Otite moyenne ; Perte auditive cachéeMots-clés : Digit triplets Résumé : Objectives: Pediatric hearing impairment, regardless of degree and type, has a detrimental effect on speech perception, cognition, oral language development, academic outcomes, and literacy. Hearing assessment in the clinic is limited to 8 kHz although humans can hear up to 20 kHz. Hearing impairment in the extended high frequencies (EHFs > 8 kHz) can occur despite clinically normal hearing. However, to date, the nature and effects of EHF hearing impairment in children remain unknown. The goals of the present study were to determine the effects of EHF hearing impairment on speech-in-noise recognition in children and to examine whether hearing impairment in the EHFs is associated with altered cochlear functioning in the standard frequencies.
Design: A volunteer sample of 542 participants (4 to 19 years) with clinically normal audiograms were tested. Participants identified with EHF impairment were assigned as cases in a subsequent case-control study. EHF loss was defined as hearing thresholds greater than 20 dB in at least one EHFs (10, 12.5, or 16 kHz). Speech recognition thresholds in multi-talker babble were measured using the digit triplet test. Distortion product otoacoustic emissions (f2 = 2, 3, 4, and 5 kHz) were measured to assess cochlear functioning.
Results: Thresholds in the EHFs were as reliable as those in the standard frequency range. Thirty-eight children had EHF hearing impairment regardless of a clinically normal audiogram. A linear mixed-effects model revealed that children with EHF hearing impairment had higher (poorer) mean speech recognition threshold than children with normal EHF sensitivity (estimate = 2.14 dB, 95% CI: 1.36 to 3.92; effect size = small). The overall magnitude of distortion product otoacoustic emissions was lower for children with EHF impairment (estimate = -2.47 dB, 95% CI: -4.60 to -0.73; effect size = medium). In addition, the pure-tone average for standard audiometric frequencies was relatively higher for EHF-impaired children (estimate = 3.68 dB, 95% CI: 2.56 to 4.80; effect size = small).
Conclusions: Hearing impairment in the EHFs is common in children despite clinically normal hearing and can occur without a history of otitis media. EHF impairment is associated with poorer speech-in-noise recognition and preclinical cochlear deficits in the lower frequencies where hearing thresholds are normal. This study highlights the clinical need to identify EHF impairments in children.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=298811
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1653-1660[article]
Titre : Dementia in a Hearing-impaired Population According to Hearing Aid Use: A Nationwide Population-based Study in Korea Type de document : Article Auteurs : Hayoung Byun ; Jae Ho Chung ; Seung Hwan Lee ; Eun Mi Kim ; Inah Kim Année de publication : 2022 Article en page(s) : p. 1661-1668 Note générale : DOI: 10.1097/AUD.0000000000001249 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Cognition ; Démence ; Perte d'auditionRésumé : Background: Hearing loss is considered a potentially modifiable risk factor for dementia. However, the effect of use of a hearing aid on the development of dementia has not been clearly established. We aimed to assess the incidence of dementia in hearing-impaired individuals according to hearing aid use in a nationwide population-based cohort study with matched controls.
Methods: This was a retrospective, longitudinal, cohort study of South Korean national claims data for individuals newly registered with hearing disabilities (better ear >=40 dBHL with worse ear >=80 dBHL, or better ear >=60 dBHL) between 2004 and 2008. The hearing aid cohort comprised individuals who received hearing aid subsidies from the National Health Insurance within a year from disability registration. The comparison cohort comprised individuals without a record of a hearing aid claim during the study period after 1:1 matching for audiologic and sociodemographic factors with the hearing aid cohort. The occurrence of dementia was followed up until 2018.
Results: Each cohort comprised 8780 individuals. Overall incidence of dementia in the hearing aid and comparison cohorts were 156.0 and 184.5 per 10,000 person-years, respectively (incidence rate ratio = 0.85, 95% confidence interval 0.79-0.91). In a multivariable analysis of the whole study populations, hearing aid use (hazard ratio = 0.75, 95% confidence interval 0.70-0.81) attenuated the risk of dementia.
Conclusions: Dementia incidence in individuals with hearing disabilities was lower in hearing aid users than that in nonusers. Hearing rehabilitation with hearing aids should be encouraged for individuals with hearing loss.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=298812
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1661-1668[article]
Titre : Performance of Statistical Indicators in the Objective Detection of Speech-Evoked Envelope Following Responses Type de document : Article Auteurs : Matthew Urichuk ; Vijayalakshmi Easwar ; Susan D. Scollie ; David W. Purcell Année de publication : 2022 Article en page(s) : p. 1669-1677 Note générale : DOI: 10.1097/AUD.0000000000001232 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiométrie objective ; Etudes de validation ; Interprétation statistique de données
Autres descripteurs
Frequence fondamentale (FO)Résumé : Objectives: To assess the sensitivity of statistical indicators used for the objective detection of speech-evoked envelope following responses (EFRs) in infants and adults.
Design: Twenty-three adults and 21 infants with normal hearing participated in this study. A modified/susa[integral]i/speech token was presented at 65 dB SPL monoaurally. Presentation level in infants was corrected using in-ear measurements. EFRs were recorded between high forehead and ipsilateral mastoid. Statistical post-processing was completed using F-test, Magnitude-Square Coherence, Rayleigh test, Rayleigh-Moore test, and Hotelling's T2 test. Logistic regression models assessed the sensitivity of each statistical indicator in both infants and adults as a function of testing duration.
Results: The Rayleigh-Moore and Rayleigh tests were the most sensitive statistical indicators for speech-evoked EFR detection in infants. Comparatively, Magnitude-Square Coherence and Hotelling's T2 also provide clinical benefit for infants in all conditions after ~30 minutes of testing, whereas the F-test failed to detect responses to EFRs elicited by vowels with accuracy greater than chance. In contrast, the F-test was the most sensitive for vowel-elicited response detection for adults in short tests (
Conclusions: The choice of statistical indicator significantly impacts the sensitivity of speech-evoked EFR detection. In both groups and for all stimuli, the Rayleigh test and Rayleigh-Moore tests have high sensitivity. Differences in EFR detection are present between infants and adults regardless of statistical indicator; however, these effects are largest for low-frequency EFR stimuli and for amplitude-based statistical indicators.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=298824
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1669-1677[article]
Titre : Low Frequency Air-Bone Gap in Meniere's Disease: Relationship With Magnetic Resonance Imaging Features of Endolymphatic Hydrops Type de document : Article Auteurs : Irumee Pai ; Steve Connor Année de publication : 2022 Article en page(s) : p. 1678-1686 Note générale : DOI: 10.1097/AUD.0000000000001231 Langues : Anglais (eng) Descripteurs : HE Vinci
Conduction osseuse ; Déficience auditive ; Hydrops endolymphatique ; Imagerie par résonance magnétique ; Maladie de MénièreRésumé : Objectives: The appearance of low-frequency air-bone gaps (LFABGs) in Meniere's disease (MD) is a recognized but relatively unexplored phenomenon. Two theories have been proposed to explain their etiology: increased perilymphatic pressure resulting in either reduced stapedial mobility or dampened transmission of acoustic energy, and direct contact between the dilated saccule and the stapes footplate. The aim of this study was to evaluate these two hypotheses by comparing delayed postgadolinium magnetic resonance imaging (MRI) features of two groups of patients with unilateral definite MD, those with and without LFABGs.
Design: This retrospective case-control study was conducted at a tertiary otolaryngology unit in the United Kingdom. The study included 35 patients who satisfied the 2015 Barany criteria for unilateral definite MD. The cohort was divided into two groups, those with LFABGs (LFABG+ group) and those without (LFABG- group), according to the pure-tone audiometry performed within 6 months of MRI. Alternative potential causes for the LFABGs were excluded on the basis of otologic history, otoscopy, tympanometry, and/or imaging. Using a 4-hr delayed postgadolinium 3-dimensional fluid-attenuated inversion recovery sequence, two observers evaluated the severity of cochlear and vestibular endolymphatic hydrops (EH) and the presence of vestibular endolymphatic space contacting the oval window (VESCO). The air and bone conduction thresholds, ABGs and MRI features were compared between the LFABG+ and LFABG- groups. Where any of the variables were found to be significantly associated with the presence of ABGs, further analysis was performed to determine whether or not they were independent predictors. Continuous variables were compared using the independent t test if normally distributed, and the Mann-Whitney U test or Kruskall-Wallis test if not normally distributed. Categorical variables were compared with Pearson's Chi-squared test or Fishers/Fisher-Freeman-Halton exact tests.
Results: There were 10 patients in the LFABG+ group (28.6%) and 25 patients in the LFABG- group (71.4%). The mean ABGs in the symptomatic ear at 500 Hz, 1 kHz, and 2 kHz were 15.1 dB +/- 6.4, 10.5 dB +/- 9.0, and 4.0 dB +/- 7.7, respectively, in the LFABG+ group and 2.0 +/- 5.8, 2.4 +/- 4.4, and -0.8 +/- 4.7 dB in the LFABG- group. The differences in ABGs between the two groups were statistically significant at all three test frequencies (p Conclusions: The study findings add to the existing body of evidence that LFABGs are a true audiological finding in MD and allow us to propose a mechanism. Analysis of delayed gadolinium-enhanced MRI suggests that direct contact between the distended saccule and the inner surface of the stapes footplate is the more likely underlying pathophysiological mechanism for this audiometric phenomenon.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=298826
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1678-1686[article]
Titre : Biological Response Dynamics to Cochlear Implantation: Modeling and Modulating the Electrode-Tissue Interface Type de document : Article Auteurs : Sebastan A. Ausili ; Matias Parreno ; Florencia Fernandez ; Carlos M. Boccio ; Federico Di Lella Année de publication : 2022 Article en page(s) : p. 1687-1697 Note générale : DOI: 10.1097/AUD.0000000000001236 Langues : Anglais (eng) Descripteurs : HE Vinci
Dexaméthasone ; Implants cochléaires ; Tests d'impédance acoustique ; Tissu sous-cutanéRésumé : Objective: The present study primarily aims to study and model the impedance dynamics following cochlear implant (CI) surgery in humans. Secondarily, to observe how the modulation of a single-dose topic dexamethasone alters this response.
Design: CI impedance and impedance subcomponents were measured in a day-by-day basis between CI surgery and its activation ( 1 month). Impedance dynamics were mathematically modeled. Furthermore, we conducted a randomized double-blind placebo-controlled clinical trial to evaluate the effect of dexamethasone application.
Results: The model showed good fitting for all impedance's measures and both modulations over time. The clinical impedance and impedance subcomponents showed different patterns between groups during the first week postimplantation. Single-dose topical dexamethasone had a transient effect on Impedances, postponing (for 3 days) but not preventing the rise in impedance and its application was mainly effective at the base of the cochlea.
Conclusions: The proposed mathematical fitting properly resembles the impedance dynamics in humans and their modulation due to the dexamethasone. The impedance subcomponents' dynamic pattern showed a time-course consistent with the biological processes of the foreign body reaction. Single-dose topic dexamethasone has a temporal reduction effect in impedance values on the basal turn of the cochlea but does not prevent the rise on the long-term.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=298855
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1687-1697[article]
Titre : Novel Molecular Genetic Etiology of Asymmetric Hearing Loss: Autosomal-Dominant LMX1A Variants Type de document : Article Auteurs : Sang-Yeon Lee ; Hyo Soon Yoo ; Jin Hee Han ; Dae Hee Lee ; Sang Soo Park ; Myung Hwan Suh ; Jun Ho Lee ; Seung-Ha Oh ; Byung Yoon Choi Année de publication : 2022 Article en page(s) : p. 1698-1707 Note générale : DOI: 10.1097/AUD.0000000000001237 Langues : Anglais (eng) Descripteurs : HE Vinci
Génotype ; Modélisation ; Perte auditive asymétriqueMots-clés : DFNA7 LMX1A Luciferase reporter assay Résumé : Introduction: Sensorineural hearing loss is the most common sensory disorder in humans. Genetic analyses have greatly increased our understanding of the pathogenic mechanisms in play. Thus, characterization of audiologic phenotypes by the genetic etiology may aid elucidation of the etiologies of certain types of inherited hearing loss. Further, delineation of specific audiologic phenotypes based on the genetic etiology aids our understanding of some types of inherited hearing loss in terms of the prediction of clinical course, revelation of genotype-phenotype correlations, and application of appropriate audiologic rehabilitation. Here, we describe the interesting audiologic characteristics of LMX1A-associated deafness, which revealed significant asymmetry between two ears.
Methods: Among 728 probands of which genomic DNA went through exome sequencing regardless of any specific audiologic phenotypes, probands for which exome sequencing was performed and a causative LMX1A variant was found were all included. Five LMX1A-associated DFNA7 families (approximately 0.7%), the pedigrees of whom indicated autosomal-dominant hearing loss, were identified, and segregation was studied using Sanger sequencing. The affected individuals underwent comprehensive evaluations, including medical history reviews, physical examinations, imaging, and auditory phenotyping. We functionally characterized the novel LMX1A variants via computational structural modeling and luciferase reporter assays.
Results: Among 728 probands of which genomic DNA went through exome sequencing, we identified four novel LMX1A heterozygous variants related to DFNA7 (c.622C>T:p.Arg208*, c.719A>G:p.Gln240Arg, c.721G>A:p.Val241Met, and c.887dup:p.Gln297Thrfs*41) and one harboring a de novo heterozygous missense LMX1A variant (c.595A>G;p.Arg199Gly) previously reported. It is important to note that asymmetric hearing loss was identified in all probands and most affected individuals, although the extent of asymmetry varied. Structural modeling revealed that the two missense variants, p.Gln240Arg and p.Val241Met, affected conserved residues of the homeodomain, thus attenuating LMX1A-DNA interaction. In addition, Arg208*-induced premature termination of translation destroyed the structure of the LMX1A protein, including the DNA-binding homeodomain, and p.Gln297Thrfs*41 led to the loss of the C-terminal helix involved in LIM2 domain interaction. Compared with the wild-type protein, all mutant LMX1A proteins had significantly reduced transactivation efficiency, indicating that the ability to elicit transcription of the downstream target genes of LMX1A was severely compromised. Thus, in line with the American College of Medical Genetics and Genomics guideline specified to genetic hearing loss, the four novel LMX1A variants were identified as "pathogenic" (p.Arg208* and p.Gln297Thrfs*41), "likely pathogenic" (p.Val241Met), and as a "variant of uncertain significance'' (p.Gln240Arg).
Conclusion: For the first time, we suggest that LMX1A is one of the candidate genes which, if altered, could be associated with dominantly inherited asymmetric hearing loss. We also expand the genotypic spectrum of disease-causing variants of LMX1A causing DFNA7 by doubling the number of LMX1A variants reported thus far in the literature.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299131
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1698-1707[article]
Titre : Differing Bilateral Benefits for Spatial Release From Masking and Sound Localization Accuracy Using Bone Conduction Devices Type de document : Article Auteurs : Fatima Denanto ; Jeremy Wales ; Bo Tideholm ; Filip Asp Année de publication : 2022 Article en page(s) : p. 1708-1720 Note générale : DOI: 10.1097/AUD.0000000000001234 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Discours public
HE Vinci
Audition binaurale ; Conduction osseuse ; Localisation auditive ; Masquage perceptif ; Reconnaissance de la paroleRésumé : Objectives: Normal binaural hearing facilitates spatial hearing and therefore many everyday listening tasks, such as understanding speech against a backdrop of competing sounds originating from various locations, and localization of sounds. For stimulation with bone conduction hearing devices (BCD), used to alleviate conductive hearing losses, limited transcranial attenuation results in cross-stimulation so that both cochleae are stimulated from the position of the bone conduction transducer. As such, interaural time and level differences, hallmarks of binaural hearing, are unpredictable at the level of the inner ears. The aim of this study was to compare spatial hearing by unilateral and bilateral BCD stimulation in normal-hearing listeners with simulated bilateral conductive hearing loss.
Design: Bilateral conductive hearing loss was reversibly induced in 25 subjects (mean age = 28.5 years) with air conduction and bone conduction (BC) pure-tone averages across 0.5, 1, 2, and 4 kHz (PTA4)
Results: The bilateral BCD benefit for recognition thresholds of speech in competing speech was statistically significant but small regardless if the masking speech signals were colocated with, or spatially and symmetrically separated from, the target speech. Spatial release from masking was identical for unilateral and bilateral conditions, and significantly different from zero. A distinct bilateral BCD sound localization benefit existed but varied in magnitude across stimuli. The smallest benefit occurred for a low-frequency stimulus (octave-filtered noise, CF = 0.5 kHz), and the largest benefit occurred for unmodulated broadband and narrowband (octave-filtered noise, CF = 4.0 kHz) stimuli. Sound localization by unilateral BCD was poor across stimuli.
Conclusions: Results suggest that the well-known transcranial transmission of BC sound affects bilateral BCD benefits for spatial processing of sound in differing ways. Results further suggest that patients with bilateral conductive hearing loss and BC thresholds within the normal range may benefit from a bilateral fitting of BCD, particularly for horizontal localization of sounds.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299133
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1708-1720[article]
Titre : NAL-NL2 Prescriptive Targets for Bone Conduction Devices With an Adaptation to Device Constraints in the Low Frequencies Type de document : Article Auteurs : Martijn Toll ; Gertjan J. Dingemanse Année de publication : 2022 Article en page(s) : p. 1721-1729 Note générale : DOI: 10.1097/AUD.0000000000001235 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Conduction osseuse ; Etudes de validationRésumé : Objectives: To study the effectivity of a transformed NAL non-linear version 2 (NAL-NL2) gain prescription for percutaneous bone conduction devices (BCDs) and to investigate how to take into account output constraints for the lower frequencies.
Design: The NAL-NL2 prescription was converted to a bone conduction prescription rule. Adaptations were needed, as this converted rule prescribes more output at low frequencies than the device delivers. Three adaptations with different audibility and compression were compared. Setting 1 (S1, "optimal audibility") had most audibility due to adapted frequency-dependent compression, setting 2 (S2, "moderate audibility") had moderate output reduction below 1 kHz, and setting 3 (S3, "reduced audibility, least distortion") had most output reduction. Eighteen experienced BCD users rated their relative sound quality in paired comparisons for different sounds (own voice, mixed voices, traffic noise, and music). In addition speech intelligibility in quiet and noise were assessed.
Results: The relative sound quality rating for the adapted prescriptions varied between the stimuli: more low-frequency sound was preferred for music (S1 over S3), and less low-frequency sound was preferred for the own voice (S2 and S3 over S1). No differences in quality rating were found for mixed voices or traffic noise. Speech intelligibility in quiet scores at 45 dB SPL was significantly lower for S3 than for S1. Speech intelligibility in noise was significantly reduced in all settings and S3 yielded significantly better speech intelligibility in noise than S1.
Conclusions: With a moderate gain reduction for low frequencies to comply with device constraints the transformed NAL-NL2 prescription was found suitable for fitting BCDs. Perceived sound quality depended on the gain settings, but also on the sound spectra and how the sound was appreciated. A moderate gain reduction below 1 kHz seems to be the optimal adaptation as it has a neutral or positive relative sound quality for all stimuli without negative effects on Speech intelligibility. The NAL-NL2-BC prescribed a sufficient amount of gain, as indicated by the speech tests.Disponible en ligne : Non En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299154
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1721-1729[article]
Titre : Audiovestibular Consequences of Congenital Cytomegalovirus Infection: Greater Vulnerability of the Vestibular Part of the Inner Ear Type de document : Article Auteurs : Emilien Chebib ; Audrey Maudoux ; Charlotte Benoit ; Sophie Bernard ; Thierry Van den Abbeele ; Natacha Teissier ; Sylvette Wiener Vacher Année de publication : 2022 Article en page(s) : p. 1730-1739 Note générale : DOI: 10.1097/AUD.0000000000001240 Langues : Anglais (eng) Descripteurs : HE Vinci
Cytomegalovirus ; Maladies vestibulaires ; Oreille interne ; Surdité neurosensorielle (SNHL)
Autres descripteurs
Infection de l'oreille ; Surdité congénitale ou héréditaireRésumé : Objectives: To investigate the impact of congenital cytomegalovirus infection on cochlear and vestibular function.
Design: This retrospective study conducted between March 2014 and March 2020 included children with confirmed congenital cytomegalovirus infection who underwent a complete audio-vestibular evaluation. It included a bithermal caloric test, a video head impulse test and a cervical vestibular evoked myogenic potential associated with a complete hearing assessment.
Results: The cohort of 130 children included in the study had a median age of 21 months (interquartile range: 12 to 37 months). Eighty-three children (64%) showed an inner ear impairment (both cochlear and vestibular). The vestibular part of the inner ear was significantly more frequently impaired than the cochlear part ([rho] = 0.003). Sixty-two children (48%) showed confirmed hearing impairment. The severity of hearing loss was variable, with a high proportion of profound hearing loss (30/62, 48%), which was often bilateral (47/62, 76%). The vestibular assessment showed a canal function disorder in 67 children (88%) and an otolith function disorder in 63 children (83%; [rho] = 0.36). The video head impulse test was significantly less altered (64%) compared with the bithermal caloric test (80%; [rho] = 0.02) and the cervical vestibular evoked myogenic potential (83%; [rho] = 0.009). Only seven out of 83 children (8%) showed hearing loss without vestibular dysfunction, of which only one had a normal hearing screening test at birth. For the children who passed the hearing screening test at birth and presented an inner ear impairment [n = 36, median age: 16 (11 to 34) months], vestibular disorders were later found in 35 children (97%) and 17 of them (47%) developed hearing loss secondarily. This underlines the importance of assessing both vestibular and auditory parts of the inner ear. When comparing the agreement of cochlear and vestibular impairment, the severity and the laterality of the impairment were low [Cohen's kappa 0.31 (0.22 to 0.40) and 0.43 (0.32 to 0.55), respectively].
Conclusion: In our study, we demonstrated that although both cochlear and vestibular parts of the inner ear can be impaired by congenital cytomegalovirus infection, the vestibular part seems more often impaired compared with the cochlear part. This underlines the importance of vestibular evaluation in the follow-up of cytomegalovirus-infected children associated with hearing assessment.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299183
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1730-1739[article]
Titre : Temporal and Directional Cue Effects on the Cocktail Party Problem for Patients With Listening Difficulties Without Clinical Hearing Loss Type de document : Article Auteurs : Tetsuaki Kawase ; Ryo Teraoka ; Chie Obuchi ; Shuichi Sakamoto Année de publication : 2022 Article en page(s) : p. 1740-1751 Note générale : DOI: 10.1097/AUD.0000000000001247 Langues : Anglais (eng) Descripteurs : HE Vinci
Attention auditive ; Audition dans le bruit ; Condition d'écoute ; Localisation auditiveMots-clés : Cocktail party effect Résumé : Objectives: To evaluate the listening difficulty in a cocktail party environment in the sound field in order to better demonstrate patients' difficulties listening in noise, and to examine temporal and directional cue effects on the speech intelligibility in patients with listening difficulties in noise in comparison with control subjects.
Design: This study examined and analyzed 16 control subjects without any complaints of listening difficulties and 16 patients who had visited the outpatient clinic of the Department of Otolaryngology-Head and Neck Surgery, Tohoku University Hospital, with complaints of listening difficulties, especially in background crowded conditions, despite having relatively good hearing on routine audiograms and speech audiometry. Using five loudspeakers located in front of the subject and at 30[degrees] and 60[degrees] to the left and right from the front, word intelligibility for the target voice (female talker) presented from one of the loudspeakers in random order with four distractor voices (male talker) was assessed under the following cue conditions: (1) "no additional temporal/directional cue (only talker sex as a cue)"; (2) "fixed temporal cue without directional cue" (white noise bursts [cue sounds] were presented from the five loudspeakers just before word presentation at 500-ms intervals); (3) "directional + variable temporal cues" [cue sounds were presented from the loudspeaker where the next target word would be presented with a variable inter-stimulus interval [ISI] of 500, 1000, 1500, or 2000 ms between the cue sound and word presentation); and (4) "directional + fixed temporal cues" (cue sounds were presented from the loudspeaker where the next target word would be presented with a fixed ISI of 500 ms).
Results: The results indicated the following: (1) word intelligibility under distractors was significantly deteriorated in patients with listening difficulties compared with control subjects, although the clinical speech in noise test using the headphone system did not show any significant differences between the two groups; (2) word intelligibility under distractors for patients with listening difficulties was significantly improved with directional cues presented in advance; and (3) under most cue conditions, individual differences in word intelligibility among patients with listening difficulties were significantly correlated with their dichotic listening ability, which is one of the indicators used to assess auditory selective attention ability.
Conclusions: The results of this study indicate the usefulness of the presentation of directional cues for speech comprehension in the cocktail party situation in patients with listening difficulties, as well as the importance of evaluating the degree of listening difficulties spatially in the cocktail party situation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299208
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1740-1751[article]
Titre : Psychological Acceptance in Adults With Hearing Loss-Psychometric Evaluation and Validation of the Hearing Acceptance Questionnaire Type de document : Article Auteurs : Peter Molander ; Gerhard Andersson ; Hugo Hesser Année de publication : 2022 Article en page(s) : p. 1752-1760 Note générale : DOI: 10.1097/AUD.0000000000001245 Langues : Anglais (eng) Descripteurs : HE Vinci
Personnes handicapées ; Qualité de vie ; Troubles de l'auditionMots-clés : Hearing Acceptance Questionnaire Résumé : Objectives: Hearing loss is common and a major contributor to the global number of years lived with disability. An increasing number of studies have begun to consider the specific psychological processes by which distressing thoughts, emotional experiences and non-adaptive behaviours exert an influence on functioning and health among those who suffer from audiological disorders. Psychological acceptance has recently been proposed to be a core process but has to date not been systematically examined among individuals with hearing problems. This study examined the reliability, factor structure and the validity of the Hearing Acceptance Questionnaire (HAQ).
Design: The HAQ was developed from similar questionnaires for other chronic health conditions and was evaluated using data from an online screening of hearing ability (N=1351). Measures included a hearing test (speech-in-noise), standardized and validated self-report measurements of anxiety and depression symptoms (the Hospital Anxiety and Depression scale), hearing related disability (the Amsterdam Inventory of Hearing Disability and Handicap), and quality of life (the Quality of Life Inventory). Factor structure of the HAQ was evaluated with confirmatory factor analysis, and the unique contribution of psychological acceptance in accounting for variance in hearing disability was examined by hierarchical multiple regression analyses.
Results: Findings supported the reliability, factor structure and validity of the HAQ. Confirmatory factor analysis supported a two-factor model with one subscale measuring Avoidance with 9 items; alpha = 0.84) and the other Activity Engagement (3 items; alpha = 0.76). Both subscales of the HAQ explained unique variance in disability after hearing ability, depression and anxiety symptoms were statistically taken into account. Theoretical and clinical implications of psychological acceptance in adults with hearing problems are discussed.
Conclusions: This paper evaluated the psychometric properties of a new measure of hearing loss acceptance, the HAQ, to measure psychological acceptance among individuals with hearing problems. Regression analysis revealed that lack of psychological acceptance was strongly positively correlated with hearing disability, even after accounting for other psychological factors and hearing ability. Taken together, the findings provide preliminary support for HAQ as a psychometrically sound measure of psychological acceptance among individuals with hearing problems.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299230
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1752-1760[article]
Titre : Postlingually Deafened Adult Cochlear Implant Users With Prolonged Recovery From Neural Adaptation at the Level of the Auditory Nerve Tend to Have Poorer Speech Perception Performance Type de document : Article Auteurs : Shuman He ; Jeffrey Skidmore ; Brittney Carter ; Stanley Lemeshow ; Shuai Sun Année de publication : 2022 Article en page(s) : p. 1761-1770 Note générale : DOI: 10.1097/AUD.0000000000001244 Langues : Anglais (eng) Descripteurs : HE Vinci
Adaptation à l'aide auditive ; Nerf vestibulocochléaire ; Perception auditive
Autres descripteurs
Potentiels évoqués a action composée (eCAP)Mots-clés : Recovery from neural adaptation Résumé : Objective: This study investigated the effects of two temporal response properties of the auditory nerve (i.e., neural adaptation and recovery from neural adaptation) on speech perception performance in postlingually deafened adult cochlear implant (CI) users.
Design: Study participants included 18 postlingually deafened adults who were Cochlear Nucleus device users with a full electrode array insertion in the test ear(s). Neural adaptation and adaptation recovery of the auditory nerve (AN) were evaluated using electrophysiological measures of the electrically evoked compound action potential (eCAP). The amount of neural adaptation was quantified by the adaptation index within three time windows: 0 to 8.89 (window 1), 44.44 to 50.00 (window 2), and 94.44 to 100.00 ms (window 3). The speed of neural adaptation was estimated using a two-parameter power law function. To evaluate adaptation recovery of the AN, eCAPs to the last pulse of the 100-ms pulse train were recorded at masker-probe-intervals ranging from 1.054 to 256 ms in logarithmic steps. The amount of adaptation recovery was quantified by the adaptation recovery ratio. The time-constant of adaptation recovery was estimated using an exponential function with up to three components. Speech perception performance was evaluated by measuring consonant-nucleus-consonant (CNC) word scores presented in quiet and in speech-shaped noise at a signal-to-noise ratio (SNR) of +10 dB. One-tailed Pearson Product Moment correlation tests were used (1) to assess the associations among parameters of neural adaptation and adaptation recovery and (2) to evaluate the strength of association between these parameters and CNC word scores measured in quiet and in noise. The contributions of different parameters quantifying neural adaptation and adaptation recovery on speech perception scores were evaluated using multivariable linear regression analyses.
Results: The Pearson Product Moment correlation coefficient demonstrated a moderate, negative correlation between the speed of adaptation recovery and CNC word scores measured in quiet and in noise. The speed of adaptation recovery accounted for 14.1% of variability in CNC word scores measured in quiet and 16.7% of variability in CNC word scores measured in noise. The correlation strengths between CNC word scores and the adaptation index, the adaptation recovery ratio and the speed of neural adaptation ranged from negligible to weak.
Conclusions: The speed of adaptation recovery plays a more important role than other features of neural adaptation and adaptation recovery of the AN in speech perception in postlingually deafened adult CI users. Patients with prolonged adaptation recovery tend to show poorer speech perception performance.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299232
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1761-1770[article]
Titre : The Acoustics of Instant Ear Tips and Their Implications for Hearing-Aid Fitting Vikaer Damsgaard, Anne1; Rose, Steen1; Ives, Terri1; Schmidt, Erik1 Type de document : Article Auteurs : Jens Cubick ; Sueli Caporali ; Dina Lelic ; Jasmina Catic ; Anne Vikaer Damsgaard ; Steen Rose ; Terri Ives ; Erik Schmidt Année de publication : 2022 Article en page(s) : p. 1771-1782 Note générale : DOI: 10.1097/AUD.0000000000001239 Langues : Anglais (eng) Descripteurs : HE Vinci
Acoustique ; Aides auditives ; INTELLIGIBILITE DANS LE VENT ; Mesure réelle de l'oreille (REM) ; Occlusion
Autres descripteurs
Canal auriculaireMots-clés : Instant Ear Tips Résumé : Objectives: Today, approximately 70 to 80% of hearing aid fittings are made with silicone instant ear tips rather than custom earmolds. Nevertheless, little is known about the impact of instant ear tips on the acoustic coupling between the hearing aid receiver and the individual ear canal, even though it can have a major impact on the overall sound of the hearing aids. This study aimed to investigate the acoustic properties of different instant ear tip types and their across-subject variability, the within-subject reliability of those properties, and the influence of the users' level of experience with ear-tip insertion on the acoustics. Furthermore, subjective ratings of occlusion produced by the ear tips were considered.
Design: Five types of instant ear tips (Open, Tulip, Round [2-vent], Round [1-vent], Double Domes) provided by the hearing aid manufacturer Widex were considered in this study. Probe-microphone measurements were performed at the eardrums of 30 participants (60 ears). In the first experiment, the real ear occluded insertion gain and the vent effect (VE) were measured, and the listeners rated the subjective occlusion experienced with each ear tip. In the second experiment, the same measurements were repeated six times per participant. The within-subject variability of the acoustic ear tip properties was investigated as well as the impact of the degree of users' experience with ear tip insertion on the resulting real ear measurements.
Results: All tested ear tips were, on average, acoustically transparent up to 1 kHz except Double Domes, which were only transparent up to 600 Hz. Distinct VE profiles were found for each ear tip type, but a large across-subject variability was observed for both real ear occluded insertion gain and VE. However, the within-subject reliability was high. The measured VE was highly correlated with the perceived occlusion. Finally, no significant effect of the level of experience in ear tip insertion on the acoustic properties of the ear tips was found, but the within-subject variability was larger in the less experienced group.
Conclusions: These results suggest that the acoustic properties of instant ear tips and their coupling to the individual ear canal impact the resulting hearing aid fitting and should be considered by the hearing care professionals and reflected in the fitting software. The high within-subject reliability indicates that the ear tip acoustics remain stable for the individual in daily use. Finally, real ear measurements should be considered an essential part of the hearing aid fitting process in clinical practice to ensure an optimal fit for the individual hearing aid user.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299233
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1771-1782[article]
Titre : The Acoustic Change Complex Compared to Hearing Performance in Unilaterally and Bilaterally Deaf Cochlear Implant Users Type de document : Article Auteurs : Jan A. A. van Heteren ; Bernard M. Vonck ; Robert J. Stokroos ; Huib Versnel ; Marc J.W. Lammers Année de publication : 2022 Article en page(s) : p. 1783-1799 Note générale : DOI: 10.1097/AUD.0000000000001248 Langues : Anglais (eng) Descripteurs : HE Vinci
Discrimination auditive ; Implants cochléaires ; Perception auditive ; Perte auditive unilatérale (USNHL)
Autres descripteurs
Changement acoustique complexe (ACC)Résumé : Objectives: Clinical measures evaluating hearing performance in cochlear implant (CI) users depend on attention and linguistic skills, which limits the evaluation of auditory perception in some patients. The acoustic change complex (ACC), a cortical auditory evoked potential to a sound change, might yield useful objective measures to assess hearing performance and could provide insight in cortical auditory processing. The aim of this study is to examine the ACC in response to frequency changes as an objective measure for hearing performance in CI users.
Design: Thirteen bilaterally deaf and six single-sided deaf subjects were included, all having used a unilateral CI for at least 1 year. Speech perception was tested with a consonant-vowel-consonant test (+10 dB signal-to-noise ratio) and a digits-in-noise test. Frequency discrimination thresholds were measured at two reference frequencies, using a 3-interval, 2-alternative forced-choice, adaptive staircase procedure. The two reference frequencies were selected using each participant's frequency allocation table and were centered in the frequency band of an electrode that included 500 or 2000 Hz, corresponding to the apical electrode or the middle electrode, respectively. The ACC was evoked with pure tones of the same two reference frequencies with varying frequency increases: within the frequency band of the middle or the apical electrode (+0.25 electrode step), and steps to the center frequency of the first (+1), second (+2), and third (+3) adjacent electrodes.
Results: Reproducible ACCs were recorded in 17 out of 19 subjects. Most successful recordings were obtained with the largest frequency change (+3 electrode step). Larger frequency changes resulted in shorter N1 latencies and larger N1-P2 amplitudes. In both unilaterally and bilaterally deaf subjects, the N1 latency and N1-P2 amplitude of the CI ears correlated to speech perception as well as frequency discrimination, that is, short latencies and large amplitudes were indicative of better speech perception and better frequency discrimination. No significant differences in ACC latencies or amplitudes were found between the CI ears of the unilaterally and bilaterally deaf subjects, but the CI ears of the unilaterally deaf subjects showed substantially longer latencies and smaller amplitudes than their contralateral normal-hearing ears.
Conclusions: The ACC latency and amplitude evoked by tone frequency changes correlate well to frequency discrimination and speech perception capabilities of CI users. For patients unable to reliably perform behavioral tasks, the ACC could be of added value in assessing hearing performance.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299242
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1783-1799[article]
Titre : Comparison of the Wii Balance Board System and Foam Posturography System in Assessing Postural Balance Type de document : Article Auteurs : Chuan-Ching Huang ; Hsiang-Hsuan Hung ; Fu-Shan Jaw ; Yi-Ho Young Année de publication : 2022 Article en page(s) : p. 1800-1806 Note générale : DOI: 10.1097/AUD.0000000000001242 Langues : Anglais (eng) Descripteurs : HE Vinci
Balance ; Équilibre postural ; Sujet âgé
Autres descripteurs
Chutes chez la personne ageeRésumé : Objective: Falls are a major cause of disability and mortality in the elderly. Postural balance is associated with falls and can be evaluated by posturography. However, conventional posturography is costly and requires a sufficiently large space to perform. Hence, this study developed a portable system to meet the requirement of field studies, and investigated its reliability and validity.
Design: A custom-written software application was developed to link a computer to the Nintendo Wii balance board (WBB) and the center of pressure was acquired, which was then compared with that obtained from commercially available foam posturography (FP). Forty younger adults including 20 patients with peripheral vestibular disorders as well as 20 healthy controls, and 50 older patients with peripheral vestibular disorders were enrolled. All subjects underwent postural balance testing using the WBB system (WBSS) and FP system (FPS) in a randomized order.
Results: For the intersystem reliability, although the WBSS obtained a significantly smaller mean sway area than the FPS, both systems revealed adequate to excellent reliability with an intraclass correlation coefficient (ICC) of 0.67 to 0.87. The WBBS showed adequate to excellent test-retest reliability (ICC: 0.53 to 0.88). For the validity, the respective cutoff sway areas were 1.03 and 3.09 cm2 under conditions C and D via the WBBS for discriminating the fallers from nonfallers.
Conclusion: The WBBS yielded adequate to excellent reliability and validity for accessing postural balance, and had good performance in discriminating the fallers from nonfallers. The WBBS has advantages over the commercial FPS of low cost, easy portability, programmability, and may be better-suited to mass detection and research programs. Most importantly, this WBBS can be performed outside the hospital for testing postural balance, especially in the elderly.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299250
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1800-1806[article]
Titre : Factors Associated With the Development of Tinnitus and With the Degree of Annoyance Caused by Newly Developed Tinnitus Type de document : Article Auteurs : Thade P.M. Goderie ; Marieke F. van Wier ; Birgit I. Lissenberg-Witte ; Paul Merkus ; Cas Smits ; C. Rene Leemans ; Sophia E. Kramer Année de publication : 2022 Article en page(s) : p. 1807-1815 Note générale : DOI: 10.1097/AUD.0000000000001250 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Etudes longitudinales ; Facteurs de risque ; Prévention santé ; Reconnaissance de la parole
Autres descripteurs
Competence auditiveRésumé : Objectives: Tinnitus is highly prevalent, but only a few risk factors for developing tinnitus are known and little is known about factors associated with the degree of annoyance of new-onset tinnitus. Longitudinal analysis can reveal risk factors associated with the development of tinnitus and might lead to targeted prevention. The aim of this study is twofold. (1) To identify risk factors that are longitudinally associated with the odds of developing tinnitus 5 years later. (2) To identify factors that are cross-sectionally associated with tinnitus annoyance in adults with new-onset tinnitus.
Methods: Baseline, 5-year, and 10-year follow-up data of participants in the Netherlands Longitudinal Study on Hearing (NL-SH) were used. The NL-SH is a web-based prospective cohort study, which started in 2006 and includes both normal hearing and hearing-impaired adults aged 18 to 70 years at baseline. The NL-SH uses an online digit-triplet speech-in-noise test to asses speech recognition ability in noise, and online questionnaires on various aspects of life. At follow-up, participants are asked (1) if they suffer from tinnitus and (2) to rate tinnitus annoyance on a 0 to 100 numeric rating scale. We investigated whether demographic (age, sex, living arrangement, educational level), lifestyle (history of tobacco smoking, alcohol use), health (asthma, severe heart disease, hypertension, history of stroke, osteoarthritis, rheumatoid arthritis, epilepsy, multiple sclerosis, and migraine), hearing (speech recognition ability in noise, hyperacusis, and occupational noise exposure), and psychological variables (distress, somatization, depression, and anxiety) were potential risk factors for new-onset tinnitus, or associated with annoyance caused by new-onset tinnitus. Generalized estimating equations were used to longitudinally analyze the association between potential risk factors and new-onset tinnitus measured 5 years later. A multivariable association model was constructed using a forward selection procedure with pDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299251
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1807-1815[article]
Titre : Random Forest Classification to Predict Response to High-Definition Transcranial Direct Current Stimulation for Tinnitus Relief : A Preliminary Feasibility Study Type de document : Article Auteurs : Emilie Cardon ; Laure Jacquemin ; Martin Schecklmann ; Berthold Langguth ; Griet Mertens ; Olivier Vanderveken ; Marc J.W. Lammers ; Paul Van de Heyning ; Vincent Van Rompaey ; Annick Gilles Année de publication : 2022 Article en page(s) : p. 1816-1823 Note générale : DOI: 10.1097/AUD.0000000000001246 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Activité cérébrale ; Apprentissage machine ; Stimulation magnétique transcranienneMots-clés : Random forest classification Résumé : Objectives: Transcranial direct current stimulation (tDCS) of the right dorsolateral prefrontal cortex has been hypothesized to reduce tinnitus severity by modifying cortical activity in brain regions associated with the perception of tinnitus. However, individual response to tDCS has proven to be variable. We investigated the feasibility of using random forest classification to predict the response to high-definition (HD) tDCS for tinnitus relief.
Design: A retrospective analysis was performed on a dataset consisting of 99 patients with subjective tinnitus receiving six consecutive sessions of HD-tDCS at the Antwerp University Hospital. A baseline assessment consisted of pure-tone audiometry and a set of questionnaires including the Tinnitus Functional Index (TFI), Hospital Anxiety and Depression Scale, and Edinburgh Handedness Inventory. Random forest classification was applied to predict, based on baseline questionnaire scores and hearing levels, whether each individual responded positively to the treatment (defined as a decrease of at least 13 points on the TFI). Further testing of the model was performed on an independent cohort of 32 patients obtained from the tinnitus center at the University of Regensburg.
Results: Twenty-four participants responded positively to the HD-tDCS treatment. The random forest classifier predicted treatment response with an accuracy of 85.71% (100% sensitivity, 81.48% specificity), significantly outperforming a more traditional logistic regression approach. Performance of the classifier on an independent cohort was slightly but not significantly above chance level (71.88% accuracy, 66.67% sensitivity, 73.08% specificity). Feature importance analyses revealed that baseline tinnitus severity, co-occurrence of depressive symptoms and handedness were the most important predictors of treatment response. Baseline TFI scores were significantly higher in responders than in nonresponders.
Conclusions: The proposed random forest classifier predicted treatment response with a high accuracy, significantly outperforming a more traditional statistical approach. Machine learning methods to predict treatment response might ultimately be used in a clinical setting to guide targeted treatment recommendations for individual tinnitus patients.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299252
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1816-1823[article]
Titre : Distortion Product Otoacoustic Emission Component Behavior as a Function of Primary Frequency Ratio and Primary Level Type de document : Article Auteurs : Alessandra Durante ; Uzma Shaheen Akhtar ; Sumitrajit Dhar Année de publication : 2022 Article en page(s) : p. 1824-1835 Note générale : DOI: 10.1097/AUD.0000000000001251 Langues : Anglais (eng) Descripteurs : HE Vinci
Emissions oto-acoustiques à produit de distorsion (DPOAE) ; Emissions otoacoustiques évoquées (OEA)(OAE) ; Produit de distorsion acoustique (PDA)Résumé : Objectives: Distortion product otoacoustic emissions (DPOAEs) are composed of distortion and reflection components. Much is known about the influence of the stimulus frequency ratio (f2/f1) on the overall/composite DPOAE level. However, the influence of f2/f1 on individual DPOAE components is not as well examined. The goals of this pilot study were to systematically evaluate the effects of f2/f1 on DPOAE components in clinically normal-hearing young adult ears. To extend the limited reports in the literature, this examination was carried out over an extended frequency range using two stimulus-level combinations.
Design: DPOAEs were recorded from seven normal-hearing, young adult ears for f2 frequencies between 0.75 and 16 kHz over a range of f2/f1 using two stimulus-level combinations. The distortion (DPOAED) and reflection (DPOAER) components were separated using an inverse fast Fourier transform algorithm. Optimal ratios for the composite DPOAE and DPOAE components were determined from smoothed versions of level versus ratio functions in each case.
Results: The optimal ratio for the composite DPOAE level increased with stimulus level and decreased as a function of frequency above 1 kHz. The optimal ratios for the DPOAE components followed a similar trend, decreasing with increasing frequency. The optimal ratio for DPOAED was generally higher than that for DPOAER. The overall level for DPOAED was greater than that of DPOAER, both decreasing with increasing frequency. DPOAER, but not DPOAED, became unrecordable above the noise floor at the higher frequencies.
Conclusions: DPOAE components behave similarly but not identically as a function of f2/f1. The ear canal DPOAE is generally dominated by DPOAED. The behavior of DPOAED as a function of f2/f1 is entirely consistent with known properties of cochlear mechanics. The behavior of DPOAER is more variable across ears, perhaps reflective of the increased number of parameters that influence its final form. Attempting to use an f2/f1 that would allow a greater bias of the ear canal DPOAE toward one component or the other does not appear to be practical.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299253
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1824-1835[article]
Titre : Etiology, Comorbidities, and Health Service Use in a Clinical Cohort of Children With Hearing Loss Type de document : Article Auteurs : Nadia Olivier ; Daisy Shepherd ; Libby Smith ; Peter Carew ; Georgia Paxton ; Lilian Downie ; Elizabeth Rose ; Kathryn Dawes ; Valerie Sung Année de publication : 2022 Article en page(s) : p. 1836-1844 Note générale : DOI: 10.1097/AUD.0000000000001253 Langues : Anglais (eng) Descripteurs : HE Vinci
Comorbidité ; Etiologie ; Santé auditive
Autres descripteurs
Surdité congénitale ou héréditaireRésumé : Objective: To examine etiology, comorbidities, and health service use in a cohort of children with permanent hearing loss. Receiving an etiological diagnosis can inform reproductive planning, rehabilitation outcomes, predict additional disabilities, and direct intervention or management decisions.
Design: Retrospective audit of 518 deaf/hard-of-hearing children attending a tertiary pediatric outpatient clinic (2016-2019) using descriptive statistics. We used linear regression to investigate the relationship between degree of hearing loss, comorbidities, and health service use.
Results: Of the 518 children who attended the clinic, 481 (92.9%) proceeded with testing for etiology. Most children (399/518, 77.0%) were diagnosed with hearing loss by 3 mo of age. Of the children tested, the cause of hearing loss was confirmed in 234/481 (48.6%), suspected in 113/481 (23.5%), and unknown in 134/481 (27.9%); 17/341 (5.0%) had congenital cytomegalovirus (CMV), 17/320 (5.3%) had enlarged vestibular aqueducts, 67/213 (31.5%) of children with bilateral hearing loss had connexin mutation, and 25/72 (34.7%) of children with unilateral loss had hypoplastic/absent cochlear nerve on imaging. The odds of having a definitive/suspected diagnosis were twice as likely for indivduals with profound hearing loss than mild hearing loss (OR 2.1; 95% CI, 1.2-3.9; P = 0.02). The majority (348/518, 67.2%) of children had medical comorbidities, and most children attended otolaryngology (453/518, 87.5%), early intervention (358/518, 69.1%), and genetic (287/518, 55.4%) services.
Conclusions: Children with hearing loss have diverse etiologies, most have comorbidities, and attend multiple services. Most families elected to proceed with diagnostic testing for etiology. Current guidelines and expanded access to genetic testing identified a confirmed/suspected etiological diagnosis in 72.1% of children tested. The number of comorbidities correlated with service use, regardless of hearing loss severity.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299254
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1836-1844[article]
Titre : Age-related High-frequency Hearing Loss Is Not Associated With Horizontal Semicircular Canal Function Type de document : Article Auteurs : Nick M. Schubert ; Catelijne Roelofs ; Rolien H. Free ; J. Esther Wiersinga-Post ; Sonja J. Pyott Année de publication : 2022 Article en page(s) : p. 1845-1852 Note générale : DOI: 10.1097/AUD.0000000000001252 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiométrie haute fréquence (EHF) ; Déficience auditive liée à l'âge (ARHL) ; Fonction vestibulaire ; Presbyacousie
Autres descripteurs
Angle ponto cerebelleuxRésumé : Objective: Investigate the association between age-related hearing loss and reduced peripheral vestibular function using paired assessments of high-frequency hearing and horizontal semicircular canal (HSC) function. We hypothesized that age-related high-frequency hearing loss would be correlated with reduced HSC function and, therefore, useful to predict age-related vestibular hypofunction.
Design: We conducted a single center, retrospective cross-sectional study in a tertiary/academic referral hospital. This study included 185 patients who were diagnosed with a cerebellopontine angle (CPA) tumor and referred to the academic hospital to evaluate treatment options. Data collected included pure-tone audiometry, caloric reflex test, video head-impulse test (vHIT), and medical history. High-frequency hearing loss was quantified by the high Fletcher index (hFI), and horizontal semicircular canal (HSC) function were quantified by the caloric reflex test and vHIT.
Results: We observed a significant association between age and high-frequency hearing loss that was significantly worse in men compared with women. In contrast, we observed no significant association between age and HSC function assessed by either the caloric reflex test or vHIT. We observed associations between HSC function and sex, with male sex predicting reduced HSC function by caloric reflex testing but enhanced HSC function by vHIT. High-frequency hearing loss did not predict HSC hypofunction.
Conclusions: We found no evidence indicating age-related decline in HSC function or an association between age-related high-frequency hearing loss and age-related decline in HSC function. We did observe sex-specific differences in HSC function. Our study highlights the need for sex-specific normative values for identifying age-related reduced peripheral vestibular function and for future work linking comprehensive assessments of inner ear function with tests of balance and stability to understand the complex interactions underlying hearing loss and imbalance, especially in the elderly.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299255
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1845-1852[article]
Titre : Psychologically Informed Practice in Audiological Rehabilitation: Audiologist Perceived Barriers, Facilitators, and Preparedness Type de document : Article Auteurs : Emma C. Laird ; Christina A. Bryant ; Caitlin Barr ; Rebecca J. Bennett Année de publication : 2022 Article en page(s) : p. 1853-1865 Note générale : DOI: 10.1097/AUD.0000000000001257 Langues : Anglais (eng) Descripteurs : HE Vinci
Motivation ; Rééducation auditive ; Santé mentale
Autres descripteurs
Changement comportemental ; Strategie de facilitationRésumé : Objectives: Psychological factors, such as mental illness, mental health, attitudes, emotions, and coping styles, are known to impact the success of audiological rehabilitation. However, evidence suggests that audiologists are not sufficiently addressing client psychological factors. Psychologically informed practice, implemented in other healthcare professions, is a framework that guides clinicians in addressing both the physical and psychological factors of a condition throughout rehabilitation. Psychologically informed practice may also be an appropriate framework to improve client outcomes in audiology. The objectives of this study were (1) to determine the barriers and facilitators to audiologists addressing client mental health, psychological symptoms, emotions, and feelings, and (2) to determine audiologists' preparedness and willingness to implement aspects of psychologically informed practice in audiological rehabilitation.
Design: A cross-sectional survey was conducted with a convenience sample of 118 Australian clinical audiologists (83.1%, n = 98 female) working in adult audiological rehabilitation.
Results: Most participants (91.5%) reported at least one barrier to discussing mental health with clients, with the most common being insufficient knowledge and skills in mental health (39.8%). Applying the COM-B model of behavior change, audiologists reported that factors related to motivation were primarily facilitators, and factors related to opportunity (e.g., lack of time) and capabilities (e.g., insufficient knowledge) were barriers to discussing client mental health. Many participants (83.1%) reported willingness to incorporate a clear protocol, including when and how to refer to psychological services, within audiological rehabilitation.
Conclusions: Audiologists were generally motivated to incorporate psychologically informed practice into audiological rehabilitation; however, lack of knowledge and organizational barriers would need to be overcome. The insights gained in this study provide a foundation for developing a viable approach to psychologically informed practice, which may ultimately encourage audiologists to engage in person-centered care more actively.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299256
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1853-1865[article]
Titre : Receptive Vocabulary of Children With Bilateral Cochlear Implants From 3 to 16 Years of Age Type de document : Article Auteurs : Tobias Busch ; Ellen Iren Brinchmann ; Johan Braeken ; Ona Bo Wie Année de publication : 2022 Article en page(s) : p. 1866-1880 Note générale : DOI: 10.1097/AUD.0000000000001220 Langues : Anglais (eng) Descripteurs : HE Vinci
Acquisition du vocabulaire ; Développement du langage oral ; Enfant implanté ; Implants cochléairesRésumé : Objectives: The vocabulary of children with cochlear implants is often smaller than that of their peers with typical hearing, but there is uncertainty regarding the extent of the differences and potential risks and protective factors. Some studies indicate that their receptive vocabulary develops well at first, but that they fail to keep up with their typical hearing peers, causing many CI users to enter school with a receptive vocabulary that is not age-appropriate. To better understand the receptive vocabulary abilities of children with cochlear implants this study explored age-related differences to matched children with typical hearing and associations between vocabulary skills and child-level characteristics.
Design: A retrospective cross-sectional study with matched controls was conducted at the Norwegian national cochlear implant center at Oslo University Hospital. Eighty-eight children (mean age 8.7 years; range 3.2 to 15.9; 43 girls, 45 boys) who had received bilateral cochlear implants before 3 years of age were compared with two groups of children with typical hearing. One group was matched for maternal education, sex, and chronological age, the other group was matched for maternal education, sex, and hearing age. Receptive vocabulary performance was measured with the British Picture Vocabulary Scale.
Results: Cochlear implant users' receptive vocabulary was poorer than that of age-matched children with typical hearing (M = 84.6 standard points, SD = 21.1; children with typical hearing: M = 102.1 standard points, SD = 15.8; mean difference -17.5 standard points, 95% CI [-23.0 to -12.0], p Conclusions: On average, the receptive vocabulary of children with cochlear implants was smaller than that of their typical hearing peers. The magnitude of the difference was changing with age and was the largest for children in early primary school. The nonlinear effect of age might explain some of the ambiguity in previous research findings and could indicate that better intervention is required around school entry. The results emphasize that continuous monitoring and support are crucial to avoid far-reaching negative effects on the children's development and well-being.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299257
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1866-1880[article]
Titre : Estimation of Occupational Noise-Induced Hearing Loss Using Kurtosis-Adjusted Noise Exposure Levels Type de document : Article Auteurs : Meibian Zhang ; Xiangjing Gao ; William J. Murphy ; Chucri Kardous ; Xin Sun ; Weijiang Hu ; Wei Gong ; Jingson Li ; Wei Qiu Année de publication : 2022 Article en page(s) : p. 1881-1892 Note générale : DOI: 10.1097/AUD.0000000000001223 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Bruit impulsionnel
HE Vinci
Son complexe ; Surdité due au bruitMots-clés : Kurtosis of noise Résumé : Objectives: Studies have shown that in addition to energy, kurtosis plays an important role in the assessment of hearing loss caused by complex noise. The objective of this study was to investigate how to use noise recordings and audiometry collected from workers in industrial environments to find an optimal kurtosis-adjusted algorithm to better evaluate hearing loss caused by both continuous noise and complex noise.
Design: In this study, the combined effects of energy and kurtosis on noise-induced hearing loss (NIHL) were investigated using data collected from 2601 Chinese workers exposed to various industrial noises. The cohort was divided into three subgroups based on three kurtosis ([beta]) levels (K1: 3 50). Noise-induced permanent threshold shift at test frequencies 3, 4, and 6 kHz (NIPTS346) was used as the indicator of NIHL. Predicted NIPTS346 was calculated using the ISO 1999 model for each participant, and the actual NIPTS was obtained by correcting for age and sex using non-noise-exposed Chinese workers (n = 1297). A kurtosis-adjusted A-weighted sound pressure level normalized to a nominal 8-hour working day (LAeq,8h) was developed based on the kurtosis categorized group data sets using multiple linear regression. Using the NIPTS346 and the LAeq.8h metric, a dose-response relationship for three kurtosis groups was constructed, and the combined effect of noise level and kurtosis on NIHL was investigated.
Results: An optimal kurtosis-adjusted LAeq,8h formula with a kurtosis adjustment coefficient of 6.5 was established by using the worker data. The kurtosis-adjusted LAeq,8h better estimated hearing loss caused by various complex noises. The analysis of the dose-response relationships among the three kurtosis groups showed that the NIPTS of K2 and K3 groups was significantly higher than that of K1 group in the range of 70 dBA K2 > K1. For LAeq,8h >95 dBA, the NIPTS346 of the K2 group tended to be consistent with that of the K1 group, while the NIPTS346 of the K3 group was significantly larger than that of the K1 and K2 groups. When LAeq,8h is below 70 dBA, neither continuous noise nor complex noise produced significant NIPTS346.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299258
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1881-1892[article]
Titre : Pragmatic Uncontrolled Study of Specialized Cognitive Behavioral Therapy for Adults With Chronic Tinnitus Type de document : Article Auteurs : Thomas Fuller ; Gerard van Breukelen ; Johan W.S. Vlaeyen ; Rilana F. Cima Année de publication : 2022 Article en page(s) : p. 1893-1903 Note générale : DOI: 10.1097/AUD.0000000000001226 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Qualité de vie ; Thérapie cognitivo-comportementale (TCC)
Autres descripteurs
Efficacite therapeutiqueRésumé : Objectives: Tinnitus is the perception of sound without an external source, affecting quality of life that can cause severe distress in approximately 1 to 3% of the population of people with tinnitus. Randomized controlled trials of cognitive behavioral therapy for tinnitus have demonstrated its effectiveness in improving quality of life, but the effects of their implementation on a large scale in routine practice remains unknown. Therefore, the main purpose of this study was to examine the effects of stepped-care cognitive behavioral therapy for tinnitus delivered in a tertiary audiological center of a regional hospital. Second, we wished to examine predictors of favorable outcome.
Design: Four hundred three adults with chronic tinnitus were enrolled in this prospective observational study (at 3 months, N=334, 8 months, N=261; 12 months, N=214). The primary outcome was health-related quality of life as measured by the Health Utilities Index III (HUI-III) at 12 months. Secondary outcomes were self-reported levels of tinnitus-related distress, disability, affective distress and tinnitus-related negative beliefs and fear. Measures were completed pre-intervention at 3 months, 8 months, and 12 months. Multilevel modeling was used to examine effects and their predictors.
Results: Younger participants with lower levels of tinnitus distress were more likely to dropout while those with higher tinnitus distress at baseline and quality of life were more likely to receive step 2 of treatment. MLM analyses revealed, with one exception, no relation between any baseline variable and outcome change over time. Most participants' improvement exceeded minimally clinical important difference criteria for quality of life, tinnitus-related handicap, and tinnitus distress.
Conclusions: Results from this large pragmatic study complements those from randomized controlled trials of cognitive behavioral therapy for chronic tinnitus distress and supports its implementation under "real-world" conditionsDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299265
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1893-1903[article]
Titre : Objective and Subjective Hearing Difficulties Are Associated With Lower Inhibitory Control Type de document : Article Auteurs : Maxime Perron ; Andrew Dimitrijevic ; Claude Alain Année de publication : 2022 Article en page(s) : p. 1904-1916 Note générale : DOI: 10.1097/AUD.0000000000001227 Langues : Anglais (eng) Descripteurs : HE Vinci
Auto-évaluation diagnostique ; Perception auditive ; Perte d'audition ; Vieillissement du système auditifRésumé : Objective: Evidence suggests that hearing loss increases the risk of cognitive impairment. However, the relationship between hearing loss and cognition can vary considerably across studies, which may be partially explained by demographic and health factors that are not systematically accounted for in statistical models.
Design: Middle-aged to older adult participants (N = 149) completed a web-based assessment that included speech-in-noise (SiN) and self-report measures of hearing, as well as auditory and visual cognitive interference (Stroop) tasks. Correlations between hearing and cognitive interference measures were performed with and without controlling for age, sex, education, depression, anxiety, and self-rated health.
Results: The risk of having objective SiN difficulties differed between males and females. All demographic and health variables, except education, influenced the likelihood of reporting hearing difficulties. Small but significant relationships between objective and reported hearing difficulties and the measures of cognitive interference were observed when analyses were controlled for demographic and health factors. Furthermore, when stratifying analyses for males and females, different relationships between hearing and cognitive interference measures were found. Self-reported difficulty with spatial hearing and objective SiN performance were better predictors of inhibitory control in females, whereas self-reported difficulty with speech was a better predictor of inhibitory control in males. This suggests that inhibitory control is associated with different listening abilities in males and females.
Conclusions: The results highlight the importance of controlling for participant characteristics when assessing the relationship between hearing and cognitive interference, which may also be the case for other cognitive functions, but this requires further investigations. Furthermore, this study is the first to show that the relationship between hearing and cognitive interference can be captured using web-based tasks that are simple to implement and administer at home without any assistance, paving the way for future online screening tests assessing the effects of hearing loss on cognition.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299266
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022) . - p. 1904-1916[article]
Titre : The Impact of COVID-19 on Universal Newborn Hearing Screening Type de document : Article Auteurs : Roberto Gallus ; Andrea Melis ; Laura Maria De Luca ; Davide Rizzo ; Sara Palmas ; Emilia Degni ; Antonio Piras ; Francesco Bussu Année de publication : 2022 Langues : Anglais (eng) Descripteurs : HE Vinci
COVID-19 ; Dépistage auditif du nouveau-né ; Emissions otoacoustiques évoquées (OEA)(OAE) ; Facteurs de risqueRésumé : Objectives: To report the direct and indirect impact of coronavirus disease 2019 pandemic on the Universal Newborn Hearing Screening program of our institution (Azienda Ospedaliero Universitaria di Sassari).
Design: Monocentric retrospective study whose target population included all the newborns born in or referred to our hospital in 2019 and 2020.
Results: There is no statistically significant difference in time to retest or loss to follow-up rate between the 2 years considered (2019 to 2020). Referral rate is not higher for newborns born to severe acute respiratory syndrome coronavirus 2 polymerase chain reaction positive mothers.
Conclusions: In relation to the analyzed variables, coronavirus disease 2019 seems to have a limited impact on our screening program. Severe acute respiratory syndrome coronavirus 2 did not behave as an audiological risk factor in our series.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=299273
in Ear and hearing > Vol. 43, n°6 (Novembre-Décembre 2022)[article]
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Titre : Adaptive Hearing Aid Benefit in Children With Mild/Moderate Hearing Loss: A Registered, Double-Blind, Randomized Clinical Trial Type de document : Article Auteurs : Hannah Stewart ; Erin Cashin ; Joseph Pinkl ; Cecilia Nakeva von Mentzer ; Li Lin ; Lisa L. Hunter ; David R. Moore Année de publication : 2022 Article en page(s) : p. 1402-1415 Note générale : DOI: 10.1097/AUD.0000000000001230 Langues : Anglais (eng) Descripteurs : HE Vinci
Acclimatation ; Aides auditives ; Audiométrie pédiatrique ; Perte d'auditionMots-clés : Acclimatization, Clinical trial, Hearing aids, Mild to moderate hearing loss, Pediatric Résumé : Objectives: We completed a registered double-blind randomized control trial to compare acclimatization to two hearing aid fitting algorithms by experienced pediatric hearing aid users with mild to moderate hearing loss. We hypothesized that extended use (up to 13 months) of an adaptive algorithm with integrated directionality and noise reduction, OpenSound Navigator (OSN), would result in improved performance on auditory, cognitive, academic, and caregiver- or self-report measures compared with a control, omnidirectional algorithm (OMNI).
Design: Forty children aged 6 to 13 years with mild to moderate/severe symmetric sensorineural hearing loss completed this study. They were all experienced hearing aid users and were recruited through the Cincinnati Children's Hospital Medical Center Division of Audiology. The children were divided into 20 pairs based on similarity of age (within 1 year) and hearing loss (level and configuration). Individuals from each pair were randomly assigned to either an OSN (experimental) or OMNI (control) fitting algorithm group. Each child completed an audiology evaluation, hearing aid fitting using physically identical Oticon OPN hearing aids, follow-up audiological appointment, and 2 research visits up to 13 months apart. Research visit outcome measures covered speech perception (in quiet and in noise), novel grammar and word learning, cognition, academic ability, and caregiver report of listening behaviors. Analysis of outcome differences between visits, groups, ages, conditions and their interactions used linear mixed models. Between 22 and 39 children provided useable data for each task.
Results: Children using the experimental (OSN) algorithm did not show any significant performance differences on the outcome measures compared with those using the control (OMNI) algorithm. Overall performance of all children in the study increased across the duration of the trial on word repetition in noise, sentence repetition in quiet, and caregivers' assessment of hearing ability. There was a significant negative relationship between age at first hearing aid use, final Reading and Mathematical ability, and caregiver rated speech hearing. A significant positive relationship was found between daily hearing aid use and study-long change in performance on the Flanker test of inhibitory control and attention. Logged daily use of hearing aids related to caregiver rated spatial hearing. All results controlled for age at testing/evaluation and false discovery rate.
Conclusions: Use of the experimental (OSN) algorithm neither enhanced nor reduced performance on auditory, cognitive, academic or caregiver report measures compared with the control (OMNI) algorithm. However, prolonged hearing aid use led to benefits in hearing, academic skills, attention, and caregiver evaluation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297618
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1402-1415[article]
Titre : Hearing Loss and Cognitive Function: Baseline Findings From the Brazilian Longitudinal Study of Adult Health : ELSA-Brasil Type de document : Article Auteurs : Alessandra G. Samelli ; Itamar Santos ; Jennifer A. Deal ; Andre R. Brunoni ; Fernanda Padilha ; Carla G. Matas ; Renata R. Moreira ; Camila M. Rabelo ; Emi Z. Murano ; Isabela J. Bensenor ; Paulo A. Lotufo ; Claudia K. Suemoto Année de publication : 2022 Article en page(s) : p. 1416-1425 Note générale : DOI: 10.1097/AUD.0000000000001205 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiométrie ; Déficit cognitif ; Perte d'audition ; Presbyacousie ; Sujet âgéRésumé : Objective: Hearing loss (HL) has been associated with cognitive impairment in high-income countries. However, no study has investigated this association in low- and middle-income countries. Therefore, our aim was to investigate the association between cognitive function and HL in the Brazilian Longitudinal Study of Adult Health.
Design: Cross-sectional analysis of Longitudinal Study of Adult Health (ELSA-Brasil) with 802 individuals (35-74 years old). Hearing was measured using pure-tone audiometry. A pure-tone average (s) of thresholds at 500, 1000, 2000, and 4000 Hz was calculated. HL was defined as a PTA above 25 dB in the better ear or either ear, as a categorical variable. Cognitive performance was measured using the Consortium to Establish a Registry for Alzheimer's Disease word list memory test, the semantic and phonemic verbal fluency (VF) tests, and the Trail Making test version B. To investigate the association between cognitive performance and HL, we used linear regression models adjusted for sociodemographic and clinical variables.
Results: Of the total of participants, 7.6% had HL. After adjustment for sociodemographic and health confounding variables, only VF was associated with HL; a 10 dB increase in the PTA in the better ear was associated with worse performance in the phonemic VF test ([beta] = -0.115 [95% CI, -0.203 to -0.027], p = 0.01). We found a significant interaction between HL and age in the VF domain (p = 0.01). HL was related to poor VF performance among older adults only.
Conclusion: In a community-dwelling sample of most middle-aged adults, objectively measured HL was associated with lower VF. These results should be evaluated with caution, given the likelihood of residual confounding and the fact that only VF showed an association with HL.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297619
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1416-1425[article]
Titre : Cortical Auditory Evoked Potentials Recorded Directly Through the Cochlear Implant in Cochlear Implant Recipients : a Feasibility Study Type de document : Article Auteurs : Joseph Attias ; Suhaill HabibAllah ; Venkata Aditya Tarigoppula ; Chen Chen ; Hannah Glick ; Kanthaiah Koka Année de publication : 2022 Article en page(s) : p. 1426-1436 Note générale : DOI: 10.1097/AUD.0000000000001212 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiométrie objective ; Implants cochléaires ; Potentiel évoqué cortical sonore (CAEP) ; TélémétrieRésumé : Objectives: The use of objective measures in cochlear implant (CI) mapping, has greatly contributed to the refinement of the setting of audible and comfortable stimulation levels, which serve as the basis of the mapping process, especially in cases of infants and young children. In addition, objective measures can also confirm the integrity of the CI system. Current CI objective measures mainly reflect neural activity from the auditory nerve and brainstem site. An objective cortical CI measure that reflects directly central auditory activity is greatly needed, especially since it is closely related to CI outcomes in both children and adults. Recording the brain activity currently requires an external evoked potential (EP) system including scalp electrodes, rendering it impractical for widespread clinical use. This study aimed to assess the feasibility of recording cortical auditory evoked potentials (CAEPs) directly and solely through the cochlear implant in response to external acoustic stimulation in the non-implanted ear.
Design: A total of nine CI users (four females and five males) participated, including seven post-lingual adults (23 to 72 years), and two pediatric cases, one teenager (15 years), and one child (8 years)-both pre-lingual. All participants had a residual hearing in the ear contralateral to the ear with CI. CAEPs were recorded in the implanted ear in response to acoustic stimulation of the non-implanted ear, consisting of a brief tonal stimulus at comfortable listening levels. Recordings used an intracranial montage consisting of an intracochlear apical electrode (active) and one of the two (case and ring) extra-cochlear implanted electrodes serving as reference electrodes. The CI CAEPs were compared with a single-channel conventional CAEP recording obtained simultaneously via scalp electrodes (Fz-mastoid) using a standard EP system and an external trigger from the CI system. Statistical comparisons were made between the CI and the scalp recorded CAEPs and for differences between the CI CAEP measures acquired using the ring and the case as the reference electrode.
Results: CAEPs recorded directly and solely through the CI were equivalent to the standard scalp recorded CAEP responses. CAEP responses acquired using the case electrode as the reference were highly correlated in terms of morphology, latencies, and amplitudes of the CAEP components. The CI CAEP latencies of the two pediatric cases were consistent with their normal developed age group and delayed relative to adult CAEP latencies, as expected.
Conclusions: This study demonstrated the feasibility of recording long latency CAEPs directly and solely through CI in adults with residual hearing, in response to acoustic stimulation of the non-implanted ear. The CI CAEPs closely resembled the CAEPs recorded simultaneously by an external EP system and via scalp electrodes. The ability to record directly from the implant, without the need of an external recording system, presents an innovative method with many clinical and research implications.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297620
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1426-1436[article]
Titre : Is Having Hearing Loss Fundamentally Different? Multigroup Structural Equation Modeling of the Effect of Cognitive Functioning on Speech Identification Type de document : Article Auteurs : Erik Marsja ; Victoria Stenback ; Shahram Moradi ; Henrik Danielsson ; Jerker Rönnberg Année de publication : 2022 Article en page(s) : p. 1437-1446 Note générale : DOI: 10.1097/AUD.0000000000001196 Langues : Anglais (eng) Descripteurs : HE Vinci
Bilan auditif ; Cognition ; Compréhension dans le bruit ; Mémoire à court terme ; Vieillissement du système auditifMots-clés : Raven's Résumé : Objectives: Previous research suggests that there is a robust relationship between cognitive functioning and speech-in-noise performance for older adults with age-related hearing loss. For normal-hearing adults, on the other hand, the research is not entirely clear. Therefore, the current study aimed to examine the relationship between cognitive functioning, aging, and speech-in-noise, in a group of older normal-hearing persons and older persons with hearing loss who wear hearing aids.
Design: We analyzed data from 199 older normal-hearing individuals (mean age = 61.2) and 200 older individuals with hearing loss (mean age = 60.9) using multigroup structural equation modeling. Four cognitively related tasks were used to create a cognitive functioning construct: the reading span task, a visuospatial working memory task, the semantic word-pairs task, and Raven's progressive matrices. Speech-in-noise, on the other hand, was measured using Hagerman sentences. The Hagerman sentences were presented via an experimental hearing aid to both normal hearing and hearing-impaired groups. Furthermore, the sentences were presented with one of the two background noise conditions: the Hagerman original speech-shaped noise or four-talker babble. Each noise condition was also presented with three different hearing processing settings: linear processing, fast compression, and noise reduction.
Results: Cognitive functioning was significantly related to speech-in-noise identification. Moreover, aging had a significant effect on both speech-in-noise and cognitive functioning. With regression weights constrained to be equal for the two groups, the final model had the best fit to the data. Importantly, the results showed that the relationship between cognitive functioning and speech-in-noise was not different for the two groups. Furthermore, the same pattern was evident for aging: the effects of aging on cognitive functioning and aging on speech-in-noise were not different between groups.
Conclusion: Our findings revealed similar cognitive functioning and aging effects on speech-in-noise performance in older normal-hearing and aided hearing-impaired listeners. In conclusion, the findings support the Ease of Language Understanding model as cognitive processes play a critical role in speech-in-noise independent from the hearing status of elderly individuals.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297622
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1437-1446[article]
Titre : Both-Ear Method for the Analysis of Audiometric Data Type de document : Article Auteurs : Chen Chen ; Ning Zhang ; Gary C. Curhan ; Sharon G. Curhan ; Molin Wang Année de publication : 2022 Article en page(s) : p. 1447-1455 Note générale : DOI: 10.1097/AUD.0000000000001216 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiogramme ; Audiométrie ; PERCEPTION BINAURALE
Autres descripteurs
Biais perceptifsMots-clés : Both-ear method, Correlated data, Generalized estimating equation, Worse ear Résumé : Objective: Single-ear hearing measurements, such as better-ear, worse-ear or left/right ear, are often used as outcomes in auditory research, yet, measurements in the two ears of the same individual are often strongly but not perfectly correlated. We propose a both-ear method using the Generalized Estimating Equation approach for analysis of correlated binary ear data to evaluate determinants of ear-specific outcomes that includes information from both ears of the same individual.
Design: We first theoretically evaluated bias in odds ratio (OR) estimates based on worse-ear and better-ear hearing outcomes. A simulation study was conducted to compare the finite sample performances of single-ear and both-ear methods in logistic regression models. As an illustrative example, the single-ear and both-ear methods were applied to estimate the association of Dietary Approaches to Stop Hypertension adherence scores with hearing threshold elevation among 3135 women, aged 48 to 68 years, in the Nurses' Health Study II.
Results: Based on statistical theories, the worse-ear and better-ear methods could bias the OR estimates. The simulation results led to the same conclusion. In addition, the simulation results showed that the both-ear method had satisfactory finite sample performance and was more efficient than the single-ear method. In the illustrative example, the confidence intervals of the estimated ORs for the association of Dietary Approaches to Stop Hypertension scores and hearing threshold elevation using the both-ear method were narrower, indicating greater precision, than for those obtained using the other methods.
Conclusions: The worse-ear and better-ear methods may lead to biased estimates, and the left/right ear method typically results in less-efficient estimates. In certain settings, the both-ear method using the Generalized Estimating Equation approach for analyses of audiometric data may be preferable to the single-ear methods.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297623
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1447-1455[article]
Titre : Temporal Modulation Transfer Functions of Amplitude-Modulated Cervical Vestibular-Evoked Myogenic Potentials in Young Adults Type de document : Article Auteurs : Kerri J. Lawlor ; Christopher G. Clinard ; Erin G. Piker Année de publication : 2022 Article en page(s) : p. 1456-1465 Note générale : DOI: 10.1097/AUD.0000000000001221 Langues : Anglais (eng) Descripteurs : HE Vinci
Ondes ultrasonores ; Otologie ; Potentiels évoqués vestibulaires myogéniques (cVEMP) (mVEMP) (oVEMP)Mots-clés : Steady state, Résumé : Objectives: Cervical vestibular-evoked myogenic potentials (cVEMPs) are widely used to evaluate saccular function in clinical and research applications. Typically, transient tonebursts are used to elicit cVEMPs. In this study, we used bone-conducted amplitude-modulated (AM) tones to elicit AMcVEMPs. This new approach allows the examination of phase-locked vestibular responses across a range of modulation frequencies. Currently, cVEMP temporal modulation transfer functions (TMTFs) are not well defined. The purposes of the present study were (1) to characterize the AMcVEMP TMTF in young, healthy individuals, (2) to compare AMcVEMP TMTFs across different analysis approaches, and (3) to determine the upper frequency limit of the AMcVEMP TMTF.
Design: Young adults (ages 21 to 25) with no history of vestibular lesions or middle ear pathologies participated in this study. Stimuli were amplitude-modulated tones with a carrier frequency of 500 Hz and modulation frequencies ranging from 7 to 403 Hz. Stimuli were presented at 65 dB HL via a B81 bone-oscillator.
Results: AMcVEMP waveforms consisted of transient onset responses, steady-state responses, and transient offset responses; the behavior of these different types of responses varied with modulation frequency. Differences in the TMTF shape were noted across different measures. The amplitude TMTF had a sharp peak, while signal-to-noise ratio and phase coherence TMTFs had broader shapes with plateaus across a range of modulation frequencies. Amplitude was maximal at modulation frequencies of 29 and 37 Hz. Signal-to-noise ratio maintained its peak value at modulation frequencies between 17 Hz and 127 Hz. Phase coherence and modulation gain maintained their peak values at modulation frequencies between 17 Hz and 143 Hz.
Conclusions: AMcVEMPs reflect transient onset and offset responses, as well as a sustained response with the periodicity of an amplitude-modulation frequency. AMcVEMP TMTFs had variable shapes depending on the analysis being applied to the response; amplitude had a narrow shape while others were broader. Average upper frequency limits of the AMcVEMP TMTF were as high as approximately 300 Hz in young, healthy adults.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297625
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1456-1465[article]
Titre : The Rapid Screening for Somatosensory Tinnitus Tool: a Data-Driven Decision Tree Based on Specific Diagnostic Criteria Type de document : Article Auteurs : Sarah Michiels ; Emilie Cardon ; Annick Gilles ; Hazel Goedhart ; Markku Vesala ; Vincent Van Rompaey ; Paul Van de Heyning ; Winfried Schlee Année de publication : 2022 Article en page(s) : p. 1466-1471 Note générale : DOI: 10.1097/AUD.0000000000001224 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Arbres de décision ; Diagnostic auditif ; Troubles somatosensorielsRésumé : Background: Somatosensory or somatic tinnitus (ST) is a type of tinnitus where changes in somatosensory afference from the cervical spine or temporomandibular area alter the tinnitus perception. Very recently, the diagnostic value of a set of 16 diagnostic criteria for ST was determined. The next step in the development of easily applicable diagnostic criteria is to provide an uncomplicated model, based on the existing criteria, which can easily be used in clinical practice.
Objectives: This study aims to construct an accurate decision tree, combining several diagnostic criteria, to optimize both sensitivity and specificity of ST diagnosis.
Design: An online survey was launched on the online forum Tinnitus Talk, managed by Tinnitus Hub in a convenience sample of participants with tinnitus. The survey included 42 questions, both on the presence of diagnostic criteria for ST and on other potentially influencing factors. A decision tree was constructed to classify participants with and without ST using the rpart package in R. Tree depth was optimized during a five-fold cross-validation. Finally, model performance was evaluated on a subset containing 20% of the original dataset.
Results: Data of 7981 participants were used to construct a decision tree for ST diagnosis. Four criteria were included in the final decision tree: 'Tinnitus and neck/jaw pain increase/decrease simultaneously', 'Tension in suboccipital muscles', 'Somatic modulation', and 'Bruxism'. The presented model has an accuracy of 82.2%, a sensitivity of 82.5%, and a specificity of 79%. Receiver operator characteristic curves demonstrated an area under the curve of 0.88.
Conclusions: Based on a 42-item survey, a decision tree was created that was able to detect ST patients with high accuracy (82.2%) using only 4 questions. The RaSST is therefore expected to be easily implementable in clinical practice.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297626
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1466-1471[article]
Titre : Characteristics of the Adaptation Recovery Function of the Auditory Nerve and Its Association With Advanced Age in Postlingually Deafened Adult Cochlear Implant Users Type de document : Article Auteurs : Shuman He ; Jeffrey Skidmore ; Brittney Carter Année de publication : 2022 Article en page(s) : p. 1472-1486 Note générale : DOI: 10.1097/AUD.0000000000001198 Langues : Anglais (eng) Descripteurs : HE Vinci
Implants cochléaires ; Nerf vestibulocochléaire ; Vieillissement
Autres descripteurs
Potentiels évoqués a action composée (eCAP)Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297628
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1472-1486[article]
Titre : Lexical Access Changes Based on Listener Needs: Real-Time Word Recognition in Continuous Speech in Cochlear Implant Users Type de document : Article Auteurs : Francis X. Smith ; Bob McMurray Année de publication : 2022 Article en page(s) : p. 1487-1501 Note générale : DOI: 10.1097/AUD.0000000000001203 Langues : Anglais (eng) Descripteurs : HE Vinci
Accès lexical ; Implants cochléaires ; Oculomotricité ; Perception visuelleRésumé : Objectives: A key challenge in word recognition is the temporary ambiguity created by the fact that speech unfolds over time. In normal hearing (NH) listeners, this temporary ambiguity is resolved through incremental processing and competition among lexical candidates. Post-lingually deafened cochlear implant (CI) users show similar incremental processing and competition but with slight delays. However, even brief delays could lead to drastic changes when compounded across multiple words in a phrase. This study asks whether words presented in non-informative continuous speech (a carrier phrase) are processed differently than in isolation and whether NH listeners and CI users exhibit different effects of a carrier phrase.
Design: In a Visual World Paradigm experiment, listeners heard words either in isolation or in non-informative carrier phrases (e.g., "click on the[horizontal ellipsis]"). Listeners selected the picture corresponding to the target word from among four items including the target word (e.g., mustard), a cohort competitor (e.g., mustache), a rhyme competitor (e.g., custard), and an unrelated item (e.g., penguin). Eye movements were tracked as an index of the relative activation of each lexical candidate as competition unfolds over the course of word recognition. Participants included 21 post-lingually deafened cochlear implant users and 21 NH controls. A replication experiment presented in the Supplemental Digital Content,
http://links.lww.com/EANDH/A999
included an additional 22 post-lingually deafened CI users and 18 NH controls.
Results: Both CI users and the NH controls were accurate at recognizing the words both in continuous speech and in isolation. The time course of lexical activation (indexed by the fixations) differed substantially between groups. CI users were delayed in fixating the target relative to NH controls. Additionally, CI users showed less competition from cohorts than NH controls (even as previous studies have often report increased competition). However, CI users took longer to suppress the cohort and suppressed it less fully than the NH controls. For both CI users and NH controls, embedding words in carrier phrases led to more immediacy in lexical access as observed by increases in cohort competition relative to when words were presented in isolation. However, CI users were not differentially affected by the carriers.
Conclusions: Unlike prior work, CI users appeared to exhibit "wait-and-see" profile, in which lexical access is delayed minimizing early competition. However, CI users simultaneously sustained competitor activation late in the trial, possibly to preserve flexibility. This hybrid profile has not been observed previously. When target words are heard in continuous speech, both CI users and NH controls more heavily weight early information. However, CI users (but not NH listeners) also commit less fully to the target, potentially keeping options open if they need to recover from a misperception. This mix of patterns reflects a lexical system that is extremely flexible and adapts to fit the needs of a listener.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297629
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1487-1501[article]
Titre : Assessing the Clinical Value of Objective and Patient-Reported Audiovestibular Outcome Measures in the Risk Estimation of Systemic Cobalt Toxicity for Patients With a Metal-on-Metal Hip Implant Type de document : Article Auteurs : Laura Leyssens ; Bart Vinck ; Catherine Van Der Straeten ; Ingeborg Dhooge ; Floris L. Wuyts ; Philip Winnock de Grave ; Jan Van Melkebeek ; Filiep Bataillie ; Koen De Smet ; Ruth Van Hecke ; Maya Danneels ; Leen Maes Année de publication : 2022 Article en page(s) : p. 1502-1514 Note générale : DOI: 10.1097/AUD.0000000000001200 Langues : Anglais (eng) Descripteurs : HE Vinci
Hanche ; Metal ; Organes artificiels ; Ototoxicité ; Participation des patients ; VestibulométrieMots-clés : Cobalt, Implant, Metal-on-metal, Résumé : Objectives: Based on limited evidence from case reports and small cohort studies of metal-on-metal (MoM) hip implant patients with presumed systemic cobalt (Co) toxicity, and a few animal studies on Co-induced damage to the otovestibular system, it was hypothesised that Co exhibits an ototoxic potential alongside other systemic manifestations. Preliminary investigations from our research group in MoM patients confirmed this assumption for the auditory system, whereas no signs of Co-induced vestibular impairment were detected, and a clear dose-response relationship between the auditory function and the blood Co levels was lacking. Therefore, the current study aimed to extend and validate these findings in a larger sample of MoM patients and control subjects, to explore the potential clinical value of audiovestibular outcome measures in the risk estimation of systemic Co toxicity in this patient population.
Design: Fifty patients (32 to 68 years) with a primary unilateral/bilateral MoM hip implant were matched for age, gender, and noise exposure to 50 nonimplanted control subjects. Both groups underwent the same protocol, consisting of an objective auditory [i.e., conventional and high-frequency audiometry, transient-evoked and distortion (TEOAEs and DPOAEs), auditory brainstem responses] and vestibular (i.e., cervical and ocular vestibular evoked myogenic potentials, horizontal and vertical video head impulse tests) test battery, a questionnaire inquiring auditory, balance, and general neurological symptoms, and a blood sample collection to determine the plasma Co concentration.
Results: The auditory test battery presented consistently higher audiometric thresholds in the MoM patient group, with group differences ranging from 2.1 to 5.7 dB in the lower frequencies (0.25 to 6.0 kHz) and from 4.6 to 9.3 dB in the high frequencies (8.0 to 14.0 kHz). Group differences at high frequencies were statistically significant (p 0.01). Six patients had elevated Co levels according to our local institutional threshold (>4 or 5 [micro]g/l for unilateral or bilateral MoM hip implants, resp.), but their audiovestibular outcome measures did not differ significantly from those of the other patients.
Conclusions: Corresponding to our preliminary investigations, the results indicate possibly Co-induced (predominantly high-frequency) auditory impairment, probably triggered by toxic damage to the cochlear structures. However, the low mean difference values, the lack of group differences for the patient-reported outcome measures, and the lack of any relationship with the blood Co levels strongly reduce the clinical relevance of these findings. Therefore, the risk of Co-induced ototoxic impairment is considered to be clinically negligible for the majority of MoM hip implant patients, and the use of auditory tests in the risk estimation of systemic Co toxicity should be decided on a case-by-case basis.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297650
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1502-1514[article]
Titre : Oculomotor and Perceptual Measures of Visual Motion Sensitivity in Patients With Chronic Dizziness Symptoms Type de document : Article Auteurs : Ashley Zaleski-King ; Robin Pinto ; Chizuko Tamaki ; Jamie M. Bogle ; Devin L. McCaslin ; Douglas Brungart Année de publication : 2022 Article en page(s) : p. 1515-1525 Note générale : DOI: 10.1097/AUD.0000000000001206 Langues : Anglais (eng) Descripteurs : HE Vinci
Perception visuelle ; Système vestibulaire ; Vertige
Autres descripteurs
Vertige postural perceptuelRésumé : Objective: The purpose of this study was to provide empirical data describing the relationship between behavioral responses to dynamic visual motion in adults with chronic dizziness symptoms with and without clinically identifiable peripheral vestibular impairment.
Design: Prospective, quasi-experimental study including individuals with chronic dizziness symptoms with identified unilateral peripheral vestibular impairment (n=27), and individuals with chronic dizziness symptoms without identified vestibular impairment (n=26). We measured (a) visual perception of verticality in a dynamic background, (b) postural displacement in a dynamic background, (c) eye movement behaviors in various visual contexts, and (d) self-rating degree of anxiety.
Results: Status of peripheral vestibular function was not a significant predictor of behavioral responses to visual motion. The data show that the ability to fixate on a visual target was predictive of postural control in a dynamic visual background. Trial-to-trial variability in verticality responses and degree of self-rated anxiety were also associated with postural control.
Conclusions: Apart from vestibular function, oculomotor control is important for maintaining control of whole-body motor responses during exposure to a dynamic visual stimulus. Vertical perception precision-not accuracy-may be more important for understanding real-world consequences of visual motion sensitivity. Traditional diagnostic evaluations focusing exclusively on characterizing the peripheral vestibular system may not provide insight into the behaviors associated with visual motion sensitivity.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297888
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1515-1525[article]
Titre : Characterizing Electrophysiological Response Properties of the Peripheral Auditory System Evoked by Phonemes in Normal and Hearing Impaired Ears Type de document : Article Auteurs : William Riggs ; Meghan M. Hiss ; Oliver Adunka Année de publication : 2022 Article en page(s) : p. 1526-1539 Note générale : DOI: 10.1097/AUD.0000000000001213 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Potentiels évoqués a action composée (eCAP)
HE Vinci
Electrocochléographie ; Potentiels microphoniques cochléairesRésumé : Objective: This study aimed to characterize time and spectral domain characteristics of the phoneme-evoked electrocochleography (ECochG) response and explore potential associations between the ECochG spectral content, word recognition scores (WRSs), residual hearing, and aging in normal and hearing-impaired listeners.
Design: This was a prospective study with 25 adult participants. All participants underwent intraoperative ECochG testing and responses were recorded from the round window niche. Participants were divided into two groups based on their preoperative pure tone average: normal/mild sensorineural hearing loss and moderate/moderately-severe sensorineural hearing loss. Target stimuli were a 40 ms /da/ and an 80 ms /ba/ presented in alternating polarity (rarefaction/condensation). Waveform response patterns were analyzed including amplitude, latency, and spectra. Structural similarity index measure (SSIM) was used to determine similarity between the stimulus spectrum and that of the ECochG differential waveform. Correlation analyses were carried out among pure tone average, SSIM, age, and WRS.
Results: ECochG alternating waveform morphology evoked by the /da/ stimulus consisted of five prominent peaks labeled N1-N5. Its spectrum was dominated by the fundamental (F0) frequency. The ECochG alternating response evoked by /ba/ consisted of nine prominent peaks labeled N1-N9 and was also dominated by F0. Amplitudes and latencies were not statistically different between groups for both stimuli. Significant positive correlations were found between SSIM and WRS for responses evoked by /da/ (r = 0.56) and responses evoked by /ba/ (r = 0.67). High frequency pure tone average and the /ba/ SSIM were found to have a significant negative correlation (r = -0.58).
Conclusions: Speech-like stimuli have become increasingly utilized in the assessment of auditory function. Here, we provided the groundwork for understanding how commonly employed syllable stimuli are encoded by the peripheral auditory system in regard to temporal and spectral characteristics. Expanding this work to include measurements of central auditory processing in conjunction with cochlear physiology is warranted to further understand the relationship between peripheral and central encoding of speech-like stimuli.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297891
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1526-1539[article]
Titre : An Exploratory Investigation of Pupillometry As a Measure of Tinnitus Intrusiveness on a Test of Auditory Short-Term Memory Type de document : Article Auteurs : Doug J.K. Barrett ; David Souto ; Michael Pilling ; David M. Baguley Année de publication : 2022 Article en page(s) : p. 1540-1548 Note générale : DOI: 10.1097/AUD.0000000000001214 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Mémoire auditive ; PupillométrieRésumé : Objectives: The purpose of the current study was to investigate the potential of pupillometry to provide an objective measure of competition between tinnitus and external sounds during a test of auditory short-term memory.
Design: Twelve participants with chronic tinnitus and twelve control participants without tinnitus took part in the study. Pretest sessions used an adaptive method to estimate listeners' frequency discrimination threshold on a test of delayed pitch discrimination for pure tones. Target and probe tones were presented at 72 dB SPL and centered on 750 Hz+/-2 semitones with an additional jitter of 5 to 20 Hz. Test sessions recorded baseline pupil diameter and task-related pupillary responses (TEPRs) during three blocks of delayed pitch discrimination trials. The difference between target and probe tones was set to the individual's frequency detection threshold for 80% response-accuracy. Listeners with tinnitus also completed the Tinnitus Handicap Inventory (THI). Linear mixed effects procedures were applied to examine changes in baseline pupil diameter and TEPRs associated with group (tinnitus versus control), block (1 to 3) and their interaction. The association between THI scores and maximum TEPRs was assessed using simple linear regression.
Results: Patterns of baseline pupil dilation across trials diverged in listeners with tinnitus and controls. For controls, baseline pupil dilation remained constant across blocks. For listeners with tinnitus, baseline pupil dilation increased on blocks 2 and 3 compared with block 1. TEPR amplitudes were also larger in listeners with tinnitus than controls. Linear mixed effects models yielded a significant group by block interaction for baseline pupil diameter and a significant main effect of group on maximum TEPR amplitudes. Regression analyses yielded a significant association between THI scores and TEPR amplitude in listeners with tinnitus.
Conclusions: Our data indicate measures of baseline pupil diameter, and TEPRs are sensitive to competition between tinnitus and external sounds during a test of auditory short-term memory. This result suggests pupillometry can provide an objective measure of intrusion in tinnitus. Future research will be required to establish whether our findings generalize to listeners across a full range of tinnitus severity.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297892
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1540-1548[article]
Titre : Impact of Effortful Word Recognition on Supportive Neural Systems Measured by Alpha and Theta Power Type de document : Article Auteurs : David B. Ryan ; Mark A. Eckert ; Eric W. Sellers ; Kim Schairer ; Matthew McBee ; Marissa Jones ; Sherri L. Smith Année de publication : 2022 Article en page(s) : p. 1549-1562 Note générale : DOI: 10.1097/AUD.0000000000001211 Langues : Anglais (eng) Descripteurs : HE Vinci
Effort d'écoute ; Electroencéphalographie (EEG) ; Rapport signal-bruit (SNRs) (RSB) ; Reconnaissance auditive du motRésumé : Objectives: The goal of this study was to use theta and alpha electroencephalography (EEG) frequency power and self-report measures to examine performance monitoring, cognitive inhibition, and perceived effort required for speech understanding in noise. It was hypothesized that with a linear increase in word recognition task difficulty, there would be a linear increase in listening effort and word recognition performance would decrease in the challenging conditions. In addition, theta and alpha power would have an inverted U-shape across easy to challenging listening conditions. The inverted U-shape would reflect the neural underpinnings of listening effort that cannot be measured by task performance alone.
Design: EEG data were collected in 34 normal-hearing adults (18 to 33 years old) during the Words-In-Noise (WIN) test, which was presented in sound field. EEG frequency data were averaged and analyzed at three frontal channels for theta power (4 to 8 Hz), which is thought to reflect performance monitoring, and three parietal channels for alpha power (8 to 12 Hz), which is thought to reflect cognitive inhibition. A ten-point visual analog scale was administered after each WIN signal-to-noise ratio (SNR) condition to capture self-reported required and invested listening effort (RLE and ILE, respectively). The WIN SNR conditions were presented in descending and random order.
Results: The SNR presentation (descending or random SNR) had a null effect on word recognition performance; however, presentation did have an effect on theta power, alpha power, and ILE. When controlling for presentation, there were significant effects of SNR and presentation on both theta and alpha frequency power. Theta and alpha power had an inverted U-shape as a function of SNR from easy to challenging, with peak power in the moderate SNR conditions. RLE and ILE both significantly increased as task difficulty increased as expected; however, RLE showed a stronger relation to task performance than ILE. Alpha power was a significant predictor of RLE, ILE, and WIN performance when controlling for SNR.
Conclusions: The elevated theta and alpha power in the easy to moderate SNRs and alpha power predicting self-reported listening effort suggest the activation of supportive neural systems during word recognition that could be considered a marker of listening effort. Moreover, the measures of neural support systems and listening effort were independent from task performance, which is a key element to further understanding the neural bases for listening effort. In the context of the broader literature, these results are consistent with (1) a parietal alpha role in supporting inhibitory control to suppress irrelevant information and (2) a frontal theta role in supporting performance monitoring in difficult listening conditions where speech recognition is feasible.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297894
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1549-1562[article]
Titre : Automatic Prediction of Conductive Hearing Loss Using Video Pneumatic Otoscopy and Deep Learning Algorithm Type de document : Article Auteurs : Hayoung Byun ; Chae Jung Park ; Seong Je Oh ; Myung Jin Chung ; Baek Hwan Cho ; Yang-Sun Cho Année de publication : 2022 Article en page(s) : p. 1563-1573 Note générale : DOI: 10.1097/AUD.0000000000001217 Langues : Anglais (eng) Descripteurs : HE Vinci
Conduction osseuse ; Epanchement ; Membrane du tympan ; Otite moyenne ; Otoscopie ; Plasticité neuronale
Autres descripteurs
OtoscleroseRésumé : Objectives: Diseases of the middle ear can interfere with normal sound transmission, which results in conductive hearing loss. Since video pneumatic otoscopy (VPO) findings reveal not only the presence of middle ear effusions but also dynamic movements of the tympanic membrane and part of the ossicles, analyzing VPO images was expected to be useful in predicting the presence of middle ear transmission problems. Using a convolutional neural network (CNN), a deep neural network implementing computer vision, this preliminary study aimed to create a deep learning model that detects the presence of an air-bone gap, conductive component of hearing loss, by analyzing VPO findings.
Design: The medical records of adult patients who underwent VPO tests and pure-tone audiometry (PTA) on the same day were reviewed for enrollment. Conductive hearing loss was defined as an average air-bone gap of more than 10 dB at 0.5, 1, 2, and 4 kHz on PTA. Two significant images from the original VPO videos, at the most medial position on positive pressure and the most laterally displaced position on negative pressure, were used for the analysis. Applying multi-column CNN architectures with individual backbones of pretrained CNN versions, the performance of each model was evaluated and compared for Inception-v3, VGG-16 or ResNet-50. The diagnostic accuracy predicting the presence of conductive component of hearing loss of the selected deep learning algorithm used was compared with experienced otologists.
Results: The conductive hearing loss group consisted of 57 cases (mean air-bone gap = 25 +/- 8 dB): 21 ears with effusion, 14 ears with malleus-incus fixation, 15 ears with stapes fixation including otosclerosis, one ear with a loose incus-stapes joint, 3 cases with adhesive otitis media, and 3 ears with middle ear masses including congenital cholesteatoma. The control group consisted of 76 cases with normal hearing thresholds without air-bone gaps. A total of 1130 original images including repeated measurements were obtained for the analysis. Of the various network architectures designed, the best was to feed each of the images into the individual backbones of Inception-v3 (three-column architecture) and concatenate the feature maps after the last convolutional layer from each column. In the selected model, the average performance of 10-fold cross-validation in predicting conductive hearing loss was 0.972 mean areas under the curve (mAUC), 91.6% sensitivity, 96.0% specificity, 94.4% positive predictive value, 93.9% negative predictive value, and 94.1% accuracy, which was superior to that of experienced otologists, whose performance had 0.773 mAUC and 79.0% accuracy on average. The algorithm detected over 85% of cases with stapes fixations or ossicular chain problems other than malleus-incus fixations. Visualization of the region of interest in the deep learning model revealed that the algorithm made decisions generally based on findings in the malleus and nearby tympanic membrane.
Conclusions: In this preliminary study, the deep learning algorithm created to analyze VPO images successfully detected the presence of conductive hearing losses caused by middle ear effusion, ossicular fixation, otosclerosis, and adhesive otitis media. Interpretation of VPO using the deep learning algorithm showed promise as a diagnostic tool to differentiate conductive hearing loss from sensorineural hearing loss, which would be especially useful for patients with poor cooperation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297897
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1563-1573[article]
Titre : Disparities in Speech and Language Delay Among Children With Aural Atresia Type de document : Article Auteurs : Michelle M. Florentine ; Sophie Le Clec'h ; Susanna Upton ; Chiara Scarpelli ; Jason P. Carr ; Dylan Chan Année de publication : 2022 Article en page(s) : p. 1574-1581 Note générale : DOI: 10.1097/AUD.0000000000001218 Langues : Anglais (eng) Descripteurs : HE Vinci
Atrésie auriculaire bilatérale ; Audiologie pédiatrique ; Perte auditive asymétriqueRésumé : Objective: To describe risk factors for speech and language delay in a diverse population of children with aural atresia.
Methods: Retrospective chart review was performed from 2012 to 2020 at UCSF Benioff Children's Hospital to identify children with aural atresia evaluated for speech, language, or auditory skills delays. Ninety-five children with aural atresia, conductive hearing loss, and assessment of speech, language, or auditory skills delay were included. Demographic and clinical data were analyzed to identify predictors of speech and language delay. Cohort and case-control analyses were performed to determine risk factors for delayed intervention, and for ultimate delays in speech, language, or auditory skills.
Results: Children exhibited a wide diversity of race/ethnicity, primary home language, geography, and insurance status. Eighty-nine percent had unilateral aural atresia. Forty-eight percent had delays in speech, language, or auditory skills. Most children used hearing aids (84%), had educational accommodations (84%), and received speech therapy (63%). In a univariate retrospective cohort analysis, public-insured (p = 0.004), non-English speaking (p = 0.002) and non-white/non-Hispanic children (p = 0.007) were found to be significantly less likely to be fit with hearing aids in infancy. Children with delays were fit with hearing aids at later ages. In a multivariate case-control analysis, primary home language was a significant predictor for presence of delays [OR, 3.9 (95% CI: 1.2-13.2), p = 0.03].
Conclusions: Disparities due to insurance type, primary language, and race/ethnicity are associated with delays in hearing aid fitting for children with aural atresia. Earlier, hearing amplification is correlated with reduced risk for speech, language, and auditory skills delay. These findings can help identify at-risk children for targeted support.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297898
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1574-1581[article]
Titre : Tobacco, but Neither Cannabis Smoking Nor Co-Drug Use, Is Associated With Hearing Loss in the National Health and Nutrition Examination Survey, : 2011 to 2012 and 2015 to 2016 Type de document : Article Auteurs : Rachael R. Baiduc ; Joshua W. Sun ; Christopher Spankovich ; Eric A. Vance Année de publication : 2022 Article en page(s) : p. 1582-1592 Note générale : DOI: 10.1097/AUD.0000000000001219 Langues : Anglais (eng) Descripteurs : HE Vinci
Déficience auditive ; Épidémiologie ; Fumer du tabac ; Usagers de droguesRésumé : Introduction: A relationship between tobacco smoking and hearing loss has been reported; associations with cannabis smoking are unknown. In this cross-sectional population-based study, we examined relationships between hearing loss and smoking (tobacco, cannabis, or co-drug use).
Methods: We explored the relationship between hearing loss and smoking among 2705 participants [mean age = 39.41 (SE: 0.36) years] in the National Health and Nutrition Examination Survey (2011 to 12; 2015 to 16). Smoking status was obtained via questionnaire; four mutually exclusive groups were defined: nonsmokers, current regular cannabis smokers, current regular tobacco smokers, and co-drug users. Hearing sensitivity (0.5 to 8 kHz) was assessed, and two puretone averages (PTAs) computed: low- (PTA0.5,1,2) and high-frequency (PTA3,4,6,8). We defined hearing loss as threshold >15 dB HL. Multivariable logistic regression was used to examine sex-specific associations between smoking and hearing loss in the poorer ear (selected based on PTA0.5,1,2) adjusting for age, sex, race/ethnicity, hypertension, diabetes, education, and noise exposure with sample weights applied.
Results: In the age-sex adjusted model, tobacco smokers had increased odds of low- and high-frequency hearing loss compared with non-smokers [odds ratio (OR) = 1.58, 95% confidence ratio (CI): 1.05 to 2.37 and OR = 1.97, 95% CI: 1.58 to 2.45, respectively]. Co-drug users also had greater odds of low- and high-frequency hearing loss [OR = 2.07, 95% CI: 1.10 to 3.91 and OR = 2.24, 95% CI: 1.27 to 3.96, respectively]. In the fully adjusted multivariable model, compared with non-smokers, tobacco smokers had greater odds of high-frequency hearing loss [multivariable adjusted odds ratio = 1.64, 95% CI: 1.28-2.09]. However, in the fully adjusted model, there were no statistically significant relationships between hearing loss (PTA0.5,1,2 or PTA3,4,6,8) and cannabis smoking or co-drug use.
Discussion: Cannabis smoking without concomitant tobacco consumption is not associated with hearing loss. However, sole use of cannabis was relatively rare and the prevalence of hearing loss in this population was low, limiting generalizability of the results. This study suggests that tobacco smoking may be a risk factor for hearing loss but does not support an association between hearing loss and cannabis smoking. More definitive evidence could be derived using physiological measures of auditory function in smokers and from longitudinal studies.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297899
in Ear and hearing > Vol. 43, n°5 (septembre-octobre 2022) . - p. 1582-1592[article]
Paru le : 01/08/2022
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Titre : Ear and Hearing's Commitment to Promoting Inclusion, Diversity, Equity, and Accessibility in Research on Hearing and Hearing Healthcare Type de document : Article Auteurs : Brenda M. Ryals ; Kathleen Pichora-Fuller Année de publication : 2022 Article en page(s) : p. 1s-4s Note générale : DOI: 10.1097/AUD.0000000000001233 Langues : Anglais (eng) Descripteurs : HE Vinci
Accessibilité des services de santé ; Audiologie ; Santé publiqueRésumé : Global events of the past 2 years, including the coronavirus disease 2019 (COVID-19) pandemic, have brought into stark relief racial, demographic, ethnic, and other disparities in society and their influence on public health. It is very clear to us that these factors affect the broad spectrum of hearing research-from the basic biology of hearing to the wider cultural issues that influence hearing healthcare. Attention must be paid to the potential for these factors to alter our understanding of risks to hearing health and our ability to provide equitable and accessible hearing healthcare. Ear and Hearing is committed to promoting inclusion for people living with hearing loss, increasing awareness of inequities in hearing research, advancing diversity in our views of hearing health, and improving hearing and communication accessibility to overcome barriers to social participation. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297042
in Ear and hearing > Vol 43, Supp 1 (Aout 2022) . - p. 1s-4s[article]
Paru le : 01/07/2022
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Titre : Hearing Assessment and Rehabilitation for People Living With Dementia Type de document : Article Auteurs : Piers Dawes ; Jenna Littlejohna ; Anthea Bott ; Siobhan Brennan ; Simon Burrow ; Tammy Hopper ; Emma Scanlan Année de publication : 2022 Article en page(s) : p.1089-1102 Note générale : DOI: 10.1097/AUD.0000000000001174 Langues : Anglais (eng) Descripteurs : HE Vinci
Déficience intellectuelle ; Démence ; Perte d'auditionRésumé : Hearing impairment commonly co-occurs with dementia. Audiologists, therefore, need to be prepared to address the specific needs of people living with dementia (PwD). PwD have needs in terms of dementia-friendly clinical settings, assessments, and rehabilitation strategies tailored to support individual requirements that depend on social context, personality, background, and health-related factors, as well as audiometric HL and experience with hearing assistance. Audiologists typically receive limited specialist training in assisting PwD and professional guidance for audiologists is scarce. The aim of this review was to outline best practice recommendations for the assessment and rehabilitation of hearing impairment for PwD with reference to the current evidence base. These recommendations, written by audiology, psychology, speech-language, and dementia nursing professionals, also highlight areas of research need. The review is aimed at hearing care professionals and includes practical recommendations for adapting audiological procedures and processes for the needs of PwD. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295846
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p.1089-1102[article]
Titre : The Interrelationship of Tinnitus and Hearing Loss Secondary to Age, Noise Exposure, and Traumatic Brain Injury Type de document : Article Auteurs : Royce Ellen Clifford ; Allen F. Ryan Année de publication : 2022 Article en page(s) : p. 1114-1124 Note générale : DOI: 10.1097/AUD.0000000000001222 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Déficience auditive liée à l'âge (ARHL) ; Surdité due au bruit ; Traumatismes cranioencéphaliquesRésumé : Objective: Tinnitus has been the No. 1 disability at the Veteran Administration for the last 15 years, yet its interaction with hearing loss secondary to etiologies such as age, noise trauma, and traumatic brain injuries remains poorly characterized. Our objective was to analyze hearing loss and tinnitus, including audiogram data, of the Million Veteran Program within the context of military exposures in an aging population.
Design: Health records, questionnaires, audiograms, and military data were aggregated for 758,005 Veteran participants in the Million Veteran Program 2011 to 2020, with relative risks (RR) calculated for ancestries, sex, hearing loss and military exposures such as combat, blast, and military era served. A multivariate model with significant demographic measures and exposures was then analyzed. Next, audiogram data stratified by sex were compared for those with and without tinnitus by two methods: first, mean thresholds at standard frequencies were compared to thresholds adjusted per ISO 7029:2000E age and sex formulae. Second, levels for those Results: Tinnitus was either self-reported, diagnosed, or both in 37.5% (95% CI, 37.4 to 37.6), mean age 61.5 (95% CI, 61.4 to 61.5), range 18 to 112 years. Those with hearing loss were 4.15 times (95% CI, 4.12 to 4.15) as likely to have tinnitus. Americans of African descent were less likely to manifest tinnitus (RR 0.61, 95% CI, 0.60 to 0.61), as were women (RR 0.65, 95% CI, 0.64 to 0.65). A multivariate model indicated a higher RR of 1.73 for traumatic brain injury (95% CI, 1.71 to 1.73) and daily combat noise exposure (1.17, 95% CI, 1.14 to 1.17) than age (0.998, 95% CI, 0.997 to 0.998). Subjects 40 with new onset of tinnitus were at risk for hearing loss sooner and with greater incidence than those who were younger. The rate of hearing loss following tinnitus approached 100%. In contrast, only approximately 50% of those who self-reported hearing loss initially were at risk for later hearing loss, in contrast to ICD comparison, where those with ICD of hearing loss were more likely to sustain an ICD of tinnitus subsequently.
Conclusions: Evidence suggests that the occurrence of tinnitus in the military is more closely related to environmental exposures than to aging. The finding that tinnitus affects hearing frequencies across the audiogram spectrum suggests an acoustic injury independent of tonotopicity. Particularly for males >40, tinnitus may be a harbinger of audiologic damage predictive of later hearing loss.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295847
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1114-1124[article]
Titre : Age and Hearing Ability Influence Selective Attention During Childhood Type de document : Article Auteurs : Kristina M. Ward ; Tina Grieco-Calub Année de publication : 2022 Article en page(s) : p. 1125-1138 Note générale : DOI: 10.1097/AUD.0000000000001164 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Attention selective
HE Vinci
Aides auditives ; Audiologie pédiatrique ; Implants cochléairesRésumé : Objectives: The purpose of the present study was to determine whether age and hearing ability influence selective attention during childhood. Specifically, we hypothesized that immaturity and disrupted auditory experience impede selective attention during childhood.
Design: Seventy-seven school-age children (5 to 12 years of age) participated in this study: 61 children with normal hearing and 16 children with bilateral hearing loss who use hearing aids and/or cochlear implants. Children performed selective attention-based behavioral change detection tasks comprised of target and distractor streams in the auditory and visual modalities. In the auditory modality, children were presented with two streams of single-syllable words spoken by a male and female talker. In the visual modality, children were presented with two streams of grayscale images. In each task, children were instructed to selectively attend to the target stream, inhibit attention to the distractor stream, and press a key as quickly as possible when they detected a frequency (auditory modality) or color (visual modality) deviant stimulus in the target, but not distractor, stream. Performance on the auditory and visual change detection tasks was quantified by response sensitivity, which reflects children's ability to selectively attend to deviants in the target stream and inhibit attention to those in the distractor stream. Children also completed a standardized measure of attention and inhibitory control.
Results: Younger children and children with hearing loss demonstrated lower response sensitivity, and therefore poorer selective attention, than older children and children with normal hearing, respectively. The effect of hearing ability on selective attention was observed across the auditory and visual modalities, although the extent of this group difference was greater in the auditory modality than the visual modality due to differences in children's response patterns. Additionally, children's performance on a standardized measure of attention and inhibitory control related to their performance during the auditory and visual change detection tasks.
Conclusions: Overall, the findings from the present study suggest that age and hearing ability influence children's ability to selectively attend to a target stream in both the auditory and visual modalities. The observed differences in response patterns across modalities, however, reveal a complex interplay between hearing ability, task modality, and selective attention during childhood. While the effect of age on selective attention is expected to reflect the immaturity of cognitive and linguistic processes, the effect of hearing ability may reflect altered development of selective attention due to disrupted auditory experience early in life and/or a differential allocation of attentional resources to meet task demands.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295848
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1125-1138[article]
Titre : Reverberation Degrades Pitch Perception but Not Mandarin Tone and Vowel Recognition of Cochlear Implant Users Type de document : Article Auteurs : Lei Xu ; Jianfen Luo ; Dianzhao Xie ; Xiuhua Chao ; Ruijie Wang ; Pavel Zahorik ; Xin Luo Année de publication : 2022 Article en page(s) : p. 1139-1150 Note générale : DOI: 10.1097/AUD.0000000000001173 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépistage auditif ; Dépistage auditif du nouveau-né ; Évaluation économiqueRésumé : Objectives: The primary goal of this study was to investigate the effects of reverberation on Mandarin tone and vowel recognition of cochlear implant (CI) users and normal-hearing (NH) listeners. To understand the performance of Mandarin tone recognition, this study also measured participants' pitch perception and the availability of temporal envelope cues in reverberation.
Design: Fifteen CI users and nine NH listeners, all Mandarin speakers, were asked to recognize Mandarin single-vowels produced in four lexical tones and rank harmonic complex tones in pitch with different reverberation times (RTs) from 0 to 1 second. Virtual acoustic techniques were used to simulate rooms with different degrees of reverberation. Vowel duration and correlation between amplitude envelope and fundamental frequency (F0) contour were analyzed for different tones as a function of the RT.
Results: Vowel durations of different tones significantly increased with longer RTs. Amplitude-F0 correlation remained similar for the falling Tone 4 but greatly decreased for the other tones in reverberation. NH listeners had robust pitch-ranking, tone recognition, and vowel recognition performance as the RT increased. Reverberation significantly degraded CI users' pitch-ranking thresholds but did not significantly affect the overall scores of tone and vowel recognition with CIs. Detailed analyses of tone confusion matrices showed that CI users reduced the flat Tone-1 responses but increased the falling Tone-4 responses in reverberation, possibly due to the falling amplitude envelope of late reflections after the original vowel segment. CI users' tone recognition scores were not correlated with their pitch-ranking thresholds.
Conclusions: NH listeners can reliably recognize Mandarin tones in reverberation using salient pitch cues from spectral and temporal fine structures. However, CI users have poorer pitch perception using F0-related amplitude modulations that are reduced in reverberation. Reverberation distorts speech amplitude envelopes, which affect the distribution of tone responses but not the accuracy of tone recognition with CIs. Recognition of vowels with stationary formant trajectories is not affected by reverberation for both NH listeners and CI users, regardless of the available spectral resolution. Future studies should test how the relatively stable vowel and tone recognition may contribute to sentence recognition in reverberation of Mandarin-speaking CI users.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295849
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1139-1150[article]
Titre : Development and Evaluation of a Language-Independent Test of Auditory Discrimination for Referrals for Cochlear Implant Candidacy Assessment Type de document : Article Auteurs : Teresa Y.C. Ching ; Harvey Dillon ; Sanna Hou ; Mark Seeto ; Ana Sodan ; Nicky Chong-White Année de publication : 2022 Article en page(s) : p. 1151-1163 Note générale : DOI: 10.1097/AUD.0000000000001166 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Test de discrimination auditive
HE Vinci
Dépistage auditif ; Implants cochléairesRésumé : Objectives: The purpose of this study was to (1) develop a Language-independent Test of Auditory Discrimination (LIT-AD) between speech sounds so that people with hearing loss who derive limited speech perception benefits from hearing aids (HAs) may be identified for consideration of cochlear implantation and (2) examine the relationship between the scores for the new discrimination test and those of a standard sentence test for adults wearing either HAs or cochlear implants (CIs).
Design: The test measures the ability of the listener to correctly discriminate pairs of nonsense syllables, presented as sequential triplets in an odd-one-out format, implemented as a game-based software tool for self-administration using a tablet computer. Stage 1 included first a review of phonemic inventories in the 40 most common languages in the world to select the consonants and vowels. Second, discrimination testing of 50 users of CIs at several signal to noise ratios (SNRs) was carried out to generate psychometric functions. These were used to calculate the corrections in SNR for each consonant-pair and vowel combination required to equalize difficulty across items. Third, all items were individually equalized in difficulty and the overall difficulty set. Stage 2 involved the validation of the LIT-AD in English-speaking listeners by comparing discrimination scores with performance in a standard sentence test. Forty-one users of HAs and 40 users of CIs were assessed. Correlation analyses were conducted to examine test-retest reliability and the relationship between performance in the two tests. Multiple regression analyses were used to examine the relationship between demographic characteristics and performance in the LIT-AD. The scores of the CI users were used to estimate the probability of superior performance with CIs for a non-CI user having a given LIT-AD score and duration of hearing loss.
Results: The LIT-AD comprises 81 pairs of vowel-consonant-vowel syllables that were equalized in difficulty to discriminate. The test can be self-administered on a tablet computer, and it takes about 10 min to complete. The software automatically scores the responses and gives an overall score and a list of confusable items as output. There was good test-retest reliability. On average, higher LIT-AD discrimination scores were associated with better sentence perception for users of HAs (r = -0.54, p Conclusions: The LIT-AD could increase access to CIs by screening for those who obtain limited benefits from HAs to facilitate timely referrals for CI candidacy evaluation. The test results can be used to provide patients and professionals with practical information about the probability of potential benefits for speech perception from cochlear implantation. The test will need to be evaluated for speakers of languages other than English to facilitate adoption in different countries.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295850
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1151-1163[article]
Titre : Predictive Sentence Context Reduces Listening Effort in Older Adults With and Without Hearing Loss and With High and Low Working Memory Capacity Type de document : Article Auteurs : Cynthia Hunter ; Larry E. Humes Année de publication : 2022 Article en page(s) : p. 1164-1177 Note générale : DOI: 10.1097/AUD.0000000000001192 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Effet de l'age
HE Vinci
Capacité cognitive ; Double tâche ; Effort d'écoute ; Mémoire à court terme ; Perception de la paroleRésumé : Objectives: Listening effort is needed to understand speech that is degraded by hearing loss, a noisy environment, or both. This in turn reduces cognitive spare capacity, the amount of cognitive resources available for allocation to concurrent tasks. Predictive sentence context enables older listeners to perceive speech more accurately, but how does contextual information affect older adults' listening effort? The current study examines the impacts of sentence context and cognitive (memory) load on sequential dual-task behavioral performance in older adults. To assess whether effects of context and memory load differ as a function of older listeners' hearing status, baseline working memory capacity, or both, effects were compared across separate groups of participants with and without hearing loss and with high and low working memory capacity.
Design: Participants were older adults (age 60-84 years; n = 63) who passed a screen for cognitive impairment. A median split classified participants into groups with high and low working memory capacity. On each trial, participants listened to spoken sentences in noise and reported sentence-final words that were either predictable or unpredictable based on sentence context, and also recalled short (low-load) or long (high-load) sequences of digits that were presented visually before each spoken sentence. Speech intelligibility was quantified as word identification accuracy, and measures of listening effort included digit recall accuracy, and response time to words and digits. Correlations of context benefit in each dependent measure with working memory and vocabulary were also examined.
Results: Across all participant groups, accuracy and response time for both word identification and digit recall were facilitated by predictive context, indicating that in addition to an improvement in intelligibility, listening effort was also reduced when sentence-final words were predictable. Effects of predictability on all listening effort measures were observed whether or not trials with an incorrect word identification response were excluded, indicating that the effects of predictability on listening effort did not depend on speech intelligibility. In addition, although cognitive load did not affect word identification accuracy, response time for word identification and digit recall, as well as accuracy for digit recall, were impaired under the high-load condition, indicating that cognitive load reduced the amount of cognitive resources available for speech processing. Context benefit in speech intelligibility was positively correlated with vocabulary. However, context benefit was not related to working memory capacity.
Conclusions: Predictive sentence context reduces listening effort in cognitively healthy older adults resulting in greater cognitive spare capacity available for other mental tasks, irrespective of the presence or absence of hearing loss and baseline working memory capacity.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295851
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1164-1177[article]
Titre : Parameter-Specific Morphing Reveals Contributions of Timbre to the Perception of Vocal Emotions in Cochlear Implant Users Type de document : Article Auteurs : Celina von Eiff ; Verena Skuk ; Romi Zaske ; Christine Nussbaum ; Sascha Fruhholz ; Ute Feuer ; Orlando Guntinas-Lichius Année de publication : 2022 Article en page(s) : p. 1178-1186 Note générale : DOI: 10.1097/AUD.0000000000001181 Langues : Anglais (eng) Descripteurs : HE Vinci
Implants cochléaires ; Qualité de vie ; Reconnaissance des émotions ; Timbre vocalRésumé : Objectives: Research on cochlear implants (CIs) has focused on speech comprehension, with little research on perception of vocal emotions. We compared emotion perception in CI users and normal-hearing (NH) individuals, using parameter-specific voice morphing.
Design: Twenty-five CI users and 25 NH individuals (matched for age and gender) performed fearful-angry discriminations on bisyllabic pseudoword stimuli from morph continua across all acoustic parameters (Full), or across selected parameters (F0, Timbre, or Time information), with other parameters set to a noninformative intermediate level.
Results: Unsurprisingly, CI users as a group showed lower performance in vocal emotion perception overall. Importantly, while NH individuals used timbre and fundamental frequency (F0) information to equivalent degrees, CI users were far more efficient in using timbre (compared to F0) information for this task. Thus, under the conditions of this task, CIs were inefficient in conveying emotion based on F0 alone. There was enormous variability between CI users, with low performers responding close to guessing level. Echoing previous research, we found that better vocal emotion perception was associated with better quality of life ratings.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295852
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1178-1186[article]
Titre : Apical Reference Stimulation: A Possible Solution to Facial Nerve Stimulation Type de document : Article Auteurs : Jacques van der Westhuizen ; Tania Hanekom ; Johan J. Hanekom Année de publication : 2022 Article en page(s) : p. 1189-1197 Note générale : DOI: 10.1097/AUD.0000000000001170 Langues : Anglais (eng) Descripteurs : HE Vinci
Aide auditive implantable ; Besoin spécifique ; Implants cochléaires ; Nerf facial ; SUIVI POST IMPLANTMots-clés : Apical reference stimulation mode Résumé : Objectives: Postimplantation facial nerve stimulation is a common side-effect of intracochlear electrical stimulation. Facial nerve stimulation occurs when electric current intended to stimulate the auditory nerve, spread beyond the cochlea to excite the nearby facial nerve, causing involuntarily facial muscle contractions. Facial nerve stimulation can often be resolved through adjustments in speech processor fitting but, in some instances, these measures exhibit limited benefit or may have a detrimental effect on speech perception. In this study, apical reference stimulation mode was investigated as a potential intervention to facial nerve stimulation. Apical reference stimulation is a bipolar stimulation strategy in which the most apical electrode is used as the reference electrode for stimulation on all the other intracochlear electrodes.
Design: A person-specific model of the human cochlea, facial nerve and electrode array, coupled with a neural model, was used to predict excitation of auditory and facial nerve fibers. These predictions were used to evaluate the effectiveness in reducing facial nerve stimulation using apical reference stimulation. Predictions were confirmed in psychoacoustic tests by determining auditory comfort and threshold levels for the apical reference stimulation mode while capturing electromyography data in two participants.
Results: Models predicted a favorable outcome for apical reference stimulation, as facial nerve fiber thresholds were higher and auditory thresholds were lower, in direct comparison to conventional monopolar stimulation. Psychophysical tests also illustrated decreased auditory thresholds and increased dynamic range during apical reference stimulation. Furthermore, apical reference stimulation resulted in lower electromyography energy levels, compared to conventional monopolar stimulation, which suggests a reduction in facial nerve stimulation. Subjective feedback corroborated that apical reference stimulation alleviated facial nerve stimulation.
Conclusion: Apical reference stimulation may be a viable strategy to alleviate facial nerve stimulation considering the improvements in dynamic range and auditory thresholds, complemented with a reduction in facial nerve stimulation symptoms.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295957
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1189-1197[article]
Titre : Hearing Features and Cochlear Implantation Outcomes in Patients With PathogenicMYO15AVariants : a Multicenter Observational Study Type de document : Article Auteurs : Pey-Yu Chen ; Cheng-Yu Tsai ; Che-Ming Wu ; Jiunn-Liang Wu ; Yi-Lu Li ; Kuang-Chao Chen ; Chung-Feng Hwang ; Hung-Ching Lin ; Yen-Fu Cheng ; Hung-Pin Wu ; Ming-Yu Lo ; Tien-Chen Liu ; Ting-Hua Yang ; Pei-Lung Chen ; Chuan-Jen Hsu ; Chen-Chi Wu, Auteur Année de publication : 2022 Article en page(s) : p. 1198-1207 Note générale : DOI: 10.1097/AUD.0000000000001171 Langues : Anglais (eng) Descripteurs : HE Vinci
Génotype ; Implants cochléaires ; Phénotype
Autres descripteurs
Deficience auditive progressiveMots-clés : MYO15A Résumé : Objectives: Recessive variants in theMYO15Agene constitute an important cause of sensorineural hearing impairment (SNHI). However, the clinical features ofMYO15A-related SNHI have not been systemically investigated. This study aimed to delineate the hearing features and outcomes in patients with pathogenicMYO15Avariants.
Design: This study recruited 40 patients with biallelicMYO15Avariants from 31 unrelated families. The patients were grouped based on the presence of N-terminal domain variants (N variants). The longitudinal audiological data and for those undergoing cochlear implantation, the auditory and speech performance with cochlear implants, were ascertained and compared between patients with different genotypes.
Results: At the first audiometric examination, 32 patients (80.0%) presented with severe to profound SNHI. Patients with at least one allele of the N variant exhibited significantly better hearing levels than those with biallelic non-N variants (78.2 +/- 23.9 dBHL and 94.7 +/- 22.8 dBHL, respectively) (p= 0.033). Progressive SNHI was observed in 82.4% of patients with non-profound SNHI, in whom the average progression rate of hearing loss was 6.3 +/- 4.8 dBHL/year irrespective of the genotypes. Most of the 25 patients who underwent cochlear implantation exhibited favorable auditory and speech performances post-implantation.
Conclusions: The hearing features of patients with biallelic pathogenicMYO15Avariants are characterized by severe to profound SNHI, rapid hearing progression, and favorable outcomes with cochlear implants. Periodic auditory monitoring is warranted for these patients to enable early intervention.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295958
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1198-1207[article]
Titre : Threshold Equalizing Noise Test Reveals Suprathreshold Loss of Hearing Function, Even in the "Normal" Audiogram Range Type de document : Article Auteurs : Michael A. Stone ; Emanuele Perugia ; Warren Bakay ; Melanie Lough ; Helen Whiston ; Christopher Plack Année de publication : 2022 Article en page(s) : p. 1208-1221 Note générale : DOI: 10.1097/AUD.0000000000001175 Langues : Anglais (eng) Descripteurs : Autres descripteurs
TEN test ; Zone morte cochléaire (ZMC)
HE Vinci
Exposition au bruit ; Surdité due au bruitMots-clés : Subclinical hearing loss Résumé : Objectives: The threshold equalizing noise (TEN(HL)) is a clinically administered test to detect cochlear "dead regions" (i.e., regions of loss of inner hair cell [IHC] connectivity), using a "pass/fail" criterion based on the degree of elevation of a masked threshold in a tone-detection task. With sensorineural hearing loss, some elevation of the masked threshold is commonly observed but usually insufficient to create a "fail" diagnosis. The experiment reported here investigated whether the gray area between pass and fail contained information that correlated with factors such as age or cumulative high-level noise exposure (>100 dBA sound pressure levels), possibly indicative of damage to cochlear structures other than the more commonly implicated outer hair cells.
Design: One hundred and twelve participants (71 female) who underwent audiometric screening for a sensorineural hearing loss, classified as either normal or mild, were recruited. Their age range was 32 to 74 years. They were administered the TEN test at four frequencies, 0.75, 1, 3, and 4 kHz, and at two sensation levels, 12 and 24 dB above their pure-tone absolute threshold at each frequency. The test frequencies were chosen to lie either distinctly away from, or within, the 2 to 6 kHz region where noise-induced hearing loss is first clinically observed as a notch in the audiogram. Cumulative noise exposure was assessed by the Noise Exposure Structured Interview (NESI). Elements of the NESI also permitted participant stratification by music experience.
Results: Across all frequencies and testing levels, a strong positive correlation was observed between elevation of TEN threshold and absolute threshold. These correlations were little-changed even after noise exposure and music experience were factored out. The correlations were observed even within the range of "normal" hearing (absolute thresholds
Conclusions: Using a clinical test, sensorineural hearing deficits were observable even within the range of clinically "normal" hearing. Results from the TEN test residing between "pass" and "fail" are dominated by processes not related to IHCs. The TEN test for IHC-related function should therefore only be considered for its originally designed function, to generate a binary decision, either pass or fail.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295960
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1208-1221[article]
Titre : The Resting State Central Auditory Network: a Potential Marker of HIV-Related Central Nervous System Alterations Type de document : Article Auteurs : Yi Zhan ; Qiurong Yu ; Dan-Chao Cai ; James C. Ford ; Xiudong Shi ; Abigail M Fellows ; Odile H. Clavier ; Sigfrid D. Soli ; Mingxia Fan ; Hongzhou Lu ; Zhiyong Zhang ; Jay C. Buckey ; Yuxin Shi, Auteur Année de publication : 2022 Article en page(s) : p. 1222-1227 Note générale : DOI: 10.1097/AUD.0000000000001186 Langues : Anglais (eng) Descripteurs : HE Vinci
Imagerie par résonance magnétique ; Syndrome d'immunodéficience acquise (SIDA) ; Système nerveux central ; Troubles de l'audition centraleRésumé : Objective: HIV positive (HIV+) individuals with otherwise normal hearing ability show central auditory processing deficits as evidenced by worse performance in speech-in-noise perception compared with HIV negative (HIV-) controls. HIV infection and treatment are also associated with lower neurocognitive screening test scores, suggesting underlying central nervous system damage. To determine how central auditory processing deficits in HIV+ individuals relate to brain alterations in the cortex involved with auditory processing, we compared auditory network (AN) functional connectivity between HIV+ adults with or without speech-in-noise perception difficulties and age-matched HIV- controls using resting-state fMRI.
Design: Based on the speech recognition threshold of the hearing-in-noise test, twenty-seven HIV+ individuals were divided into a group with speech-in-noise perception abnormalities (HIV+SPabnl, 38.2 +/- 6.8 years; 11 males and 2 females) and one without (HIV+SPnl 34.4 +/- 8.8 years; 14 males). An HIV- group with normal speech-in-noise perception (HIV-, 31.3 +/- 5.2 years; 9 males and 3 females) was also enrolled. All of these younger and middle-aged adults had normal peripheral hearing determined by audiometry. Participants were studied using resting-state fMRI. Independent component analysis was applied to identify the AN. Group differences in the AN were identified using statistical parametric mapping.
Results: Both HIV+ groups had increased functional connectivity (FC) in parts of the AN including the superior temporal gyrus, middle temporal gyrus, supramarginal gyrus, and Rolandic operculum compared to the HIV- group. Compared with the HIV+SPnl group, the HIV+SPabnl group showed greater FC in parts of the AN including the middle frontal and inferior frontal gyri.
Conclusions: The classical auditory areas in the temporal lobe are affected by HIV regardless of speech perception ability. Increased temporal FC in HIV+ individuals might reflect functional compensation to achieve normal primary auditory perception. Furthermore, increased frontal FC in the HIV+SPabnl group compared with the HIV+SPnl group suggest that speech-in-noise perception difficulties in HIV-infected adults also affect areas involved in higher-level cognition, providing imaging evidence consistent with the hypothesis that HIV-related neurocognitive deficits can include central auditory processing deficits.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295961
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1222-1227[article]
Titre : Neural Adaptation of the Electrically Stimulated Auditory Nerve Is Not Affected by Advanced Age in Postlingually Deafened, Middle-aged, and Elderly Adult Cochlear Implant Users Type de document : Article Auteurs : Shuman He ; Jeffrey Skidmore ; Sara Conroy ; William Riggs ; Brittney Carter ; Ruili Xie Année de publication : 2022 Article en page(s) : p. 1228-1244 Note générale : DOI: 10.1097/AUD.0000000000001184 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Effet de l'age ; Potentiels évoqués a action composée (eCAP)
HE Vinci
Implants cochléaires ; Nerf vestibulocochléaireRésumé : Objective: This study aimed to investigate the associations between advanced age and the amount and the speed of neural adaptation of the electrically stimulated auditory nerve (AN) in postlingually deafened adult cochlear implant (CI) users.
Design: Study participants included 26 postlingually deafened adult CI users, ranging in age between 28.7 and 84.0 years (mean: 63.8 years, SD: 14.4 years) at the time of testing. All study participants used a Cochlear Nucleus device with a full electrode array insertion in the test ear. The stimulus was a 100-ms pulse train with a pulse rate of 500, 900, 1800, or 2400 pulses per second (pps) per channel. The stimulus was presented at the maximum comfortable level measured at 2400 pps with a presentation rate of 2 Hz. Neural adaptation of the AN was evaluated using electrophysiological measures of the electrically evoked compound action potential (eCAP). The amount of neural adaptation was quantified by the adaptation index (AI) within three time windows: around 0 to 8 ms (window 1), 44 to 50 ms (window 2), and 94 to 100 ms (window 3). The speed of neural adaptation was quantified using a two-parameter power law estimation. In 23 participants, four electrodes across the electrode array were tested. In three participants, three electrodes were tested. Results measured at different electrode locations were averaged for each participant at each pulse rate to get an overall representation of neural adaptation properties of the AN across the cochlea. Linear-mixed models (LMMs) were used (1) to evaluate the effects of age at testing and pulse rate on the speed of neural adaptation and (2) to assess the effects of age at testing, pulse rate, and duration of stimulation (i.e., time window) on the amount of neural adaptation in these participants.
Results: There was substantial variability in both the amount and the speed of neural adaptation of the AN among study participants. The amount and the speed of neural adaptation increased at higher pulse rates. In addition, larger amounts of adaptation were observed for longer durations of stimulation. There was no significant effect of age on the speed or the amount of neural adaptation.
Conclusions: The amount and the speed of neural adaptation of the AN are affected by both the pulse rate and the duration of stimulation, with higher pulse rates and longer durations of stimulation leading to faster and greater neural adaptation. Advanced age does not affect neural adaptation of the AN in postlingually deafened, middle-aged and elderly adult CI users.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295962
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1228-1244[article]
Titre : Wideband Tympanometry Findings in School-aged Children: Effects of Age, Gender, Ear Laterality, and Ethnicity Type de document : Article Auteurs : Cerys Downing ; Joseph Key ; Carlie Driscoll ; Robyn Choi ; Dion Scott Année de publication : 2022 Article en page(s) : p. 1245-1255 Note générale : DOI: 10.1097/AUD.0000000000001197 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Reflexion a large bande
HE Vinci
Conduction osseuse ; Oreille moyenne ; Tests d'impédance acoustique ; Tympanométrie ; Wideband absorbance (WBA)Résumé : Objectives: Wideband tympanometry (WBT) measures middle-ear function across a range of frequencies (250 to 8000 Hz) while the ear-canal pressure is varied from +200 to -300 daPa. WBT is a suitable test to evaluate middle-ear function in children, but there is a lack of age-, ear-, gender-, or ethnicity-specific data throughout the literature. The purpose of this study was to investigate the effects of age, ear laterality, gender, and ethnicity on the WBT data retrieved from children aged 4 to 13 years determined to have normal middle-ear function.
Design: Data were collected cross-sectionally from 924 children aged 4 to 13 years who passed a test battery consisting of 226-Hz tympanometry, ipsilateral acoustic stapedial reflexes, and pure-tone screening, and without significant history of middle-ear dysfunction. Participants were grouped according to their age: 4 to 6 years, 7 to 9 years, 10 to 13 years. Wideband absorbance values were extracted at 0 daPa (WBA0) and tympanometric peak pressure (WBATPP).
Results: The effects of age, frequency, and pressure (WBA0 versus WBATPP) were statistically significant. There were significant differences between WBA0 and WBATPP for all age groups such that WBA0 had lower absorbance at low frequencies (250 to 1600 Hz) and greater absorbance at mid to high frequencies (2500 to 8000 Hz). Statistically significant effects of age were present for WBA0 and WBATPP such that absorbance generally increased with age from 250 to 1250 Hz and decreased with age from 2000 to 5000 Hz. There were no significant main effects of gender, ear, or ethnicity.
Conclusions: Gender-, ear-, and ethnicity-specific clinical WBA0 and WBATPP norms are not required for diagnostic purposes; however, age-specific norms may be necessary. Age-related changes in middle-ear function were observed across WBA0 and WBATPP. The data presented in this study are a suitable clinical reference for evaluating the outer- and middle-ear function of school-aged children.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295963
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1245-1255[article]
Titre : Clinical Spectrum of Positional Vertigo in an Outpatient Setting Type de document : Article Auteurs : Chih-Chung Chen ; Chen-Yu Wang ; Po-Yueh Chen ; Mei-Chien Chen ; Ting-Yi Lee ; Hsun-Hua Lee Année de publication : 2022 Article en page(s) : p. 1256-1261 Note générale : DOI: 10.1097/AUD.0000000000001177 Langues : Anglais (eng) Descripteurs : HE Vinci
MIGRAINE VESTIBULAIRE ; Nystagmus pathologique ; Vertige positionnel paroxystique bénin (VPPB) (BPPV)Résumé : Objectives: To explore the clinical spectrum of positional vertigo (PV) and to study the causes of PV with atypical positional nystagmus (PN) and PV without PN.
Design: We retrospectively analyzed the registry (2425 cases) in a university hospital. Patients who actively reported PV as their main dizziness pattern were included. Candidates were divided into three groups according to their PN: (1) benign paroxysmal PV (BPPV); (2) PV with atypical PN; and (3) PV without PN. The diagnoses and reported symptoms in each group were analyzed.
Results: PV was the most commonly (n = 518, 28.3%) reported pattern in the registry. The two most common diagnoses of PV were BPPV (n = 146, 29.2%) and vestibular migraine (VM; n = 137, 27.4%). Fifty-seven (11.4%) patients had PV with atypical PN, the majority of which was caused by VM. Moreover, 297 (59.4%) patients had PV without PN. The two main diagnoses in this group were VM and functional dizziness, although the cause remained uncertain in 23.9% of the cases of PV without PN. The odds ratio of VM was 3.95 in patients with PV who reported headaches.
Conclusions: PV is the most common self-reported dizziness pattern and is predominantly caused by BPPV and VM. VM is the most common cause of PV with atypical PN and PV without PN. Clinicians often erroneously assume the presence of PN in those with PV. Managing PV without PN can be challenging because of the uncertainty surrounding this phenomenon. Structured patient-oriented questionnaires assist clinicians in making timely diagnoses and adjusting treatment goals accordingly.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295966
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1256-1261[article]
Titre : The Impact of Synchronized Cochlear Implant Sampling and Stimulation on Free-Field Spatial Hearing Outcomes: : Comparing the ciPDA Research Processor to Clinical Processors Type de document : Article Auteurs : Stephen R. Dennison ; Heath J. Jones ; Alan Kan ; Ruth Y. Litovsky Année de publication : 2022 Article en page(s) : p. 1262-1272 Note générale : DOI: 10.1097/AUD.0000000000001179 Langues : Anglais (eng) Descripteurs : HE Vinci
dys-synchronie auditive ; Implant cochléaire bilatéral ; Masquage perceptifRésumé : Objectives: Bilateral cochlear implant (BiCI) listeners use independent processors in each ear. This independence and lack of shared hardware prevents control of the timing of sampling and stimulation across ears, which precludes the development of bilaterally-coordinated signal processing strategies. As a result, these devices potentially reduce access to binaural cues and introduce disruptive artifacts. For example, measurements from two clinical processors demonstrate that independently-running processors introduce interaural incoherence. These issues are typically avoided in the laboratory by using research processors with bilaterally-synchronized hardware. However, these research processors do not typically run in real-time and are difficult to take out into the real-world due to their benchtop nature. Hence, the question of whether just applying hardware synchronization to reduce bilateral stimulation artifacts (and thereby potentially improve functional spatial hearing performance) has been difficult to answer. The CI personal digital assistant (ciPDA) research processor, which uses one clock to drive two processors, presented an opportunity to examine whether synchronization of hardware can have an impact on spatial hearing performance.
Design: Free-field sound localization and spatial release from masking (SRM) were assessed in 10 BiCI listeners using both their clinical processors and the synchronized ciPDA processor. For sound localization, localization accuracy was compared within-subject for the two processor types. For SRM, speech reception thresholds were compared for spatially separated and co-located configurations, and the amount of unmasking was compared for synchronized and unsynchronized hardware. There were no deliberate changes of the sound processing strategy on the ciPDA to restore or improve binaural cues.
Results: There was no significant difference in localization accuracy between unsynchronized and synchronized hardware (p = 0.62). Speech reception thresholds were higher with the ciPDA. In addition, although five of eight participants demonstrated improved SRM with synchronized hardware, there was no significant difference in the amount of unmasking due to spatial separation between synchronized and unsynchronized hardware (p = 0.21).
Conclusions: Using processors with synchronized hardware did not yield an improvement in sound localization or SRM for all individuals, suggesting that mere synchronization of hardware is not sufficient for improving spatial hearing outcomes. Further work is needed to improve sound coding strategies to facilitate access to spatial hearing cues. This study provides a benchmark for spatial hearing performance with real-time, bilaterally-synchronized research processors.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295968
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1262-1272[article]
Titre : Video Head Impulse Test in Darkness, Without Visual Fixation : A Study on Healthy Subjects Type de document : Article Auteurs : Paz Perez-Vazquez ; Virginia Franco-Gutierrez Année de publication : 2022 Article en page(s) : p. 1273-1281 Note générale : DOI: 10.1097/AUD.0000000000001180 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Difference de genre
HE Vinci
Réflexe vestibulo-oculaire (VOR) ; Test d'impulsion rotatoire de la tête (vHIT)Résumé : Objective: The head impulse test (HIT) is triggered by the vestibulo-ocular reflex (VOR), complemented by the optokinetic and pursuit systems. This study aimed to evaluate the possibility of individualizing the VOR contribution to the HIT.
Design: Thirty-six healthy individuals (19 males, 17 females; age 21-64 years, mean 39 years) underwent horizontal video HIT (vHIT). This was first conducted in darkness, without visual fixation, and then visually tracked.
Results: Seventy percent of the impulses delivered ocular responses opposite to the direction of the head, matching its velocity to a point where quick anticompensatory eye movements (SQEM) stopped the response (SQEM mean latency 58.21 ms, interquartile range 50-67 ms). Of these, 75% recaptured the head velocity after culmination. Thirty percent of the responses completed a bell-shaped curve. The completed bell-shaped curve gains and instantaneous gains (at 40, 60, and 80 ms) before SQEM were equivalent for both paradigms. Females completed more bell-shaped traces (42%) than males (15%); p = 0.01. The SQEM latency was longer (62.81 versus 55.71 ms, p
Conclusions: The VOR effect can be localized in the first 70 ms of the vHIT response. In addition, other influences may take place in estimating the vHIT responses. The study of these influences might provide useful information that can be applied to patient management.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295970
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1273-1281[article]
Titre : Cholesteatoma Is Associated With Pediatric Progressive Sensorineural Hearing Loss Type de document : Article Auteurs : Jordan M. Racca ; John Lee ; Faith Sikorski ; E. Bryan III Crenshaw ; Linda J. Hood Année de publication : 2022 Article en page(s) : p. 1282-1290 Note générale : DOI: 10.1097/AUD.0000000000001176 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Deficience auditive progressive
HE Vinci
CholestéatomeRésumé : Objectives: This study identified an association between cholesteatoma and progressive sensorineural hearing loss using a large pediatric longitudinal audiologic dataset. Cholesteatoma is a potential sequela of chronic otitis media with effusion, a commonly observed auditory pathology that can contribute to hearing loss in children. The purpose of this report is to (i) describe the process of identifying the association between cholesteatoma and progressive sensorineural hearing loss in a large pediatric dataset and (ii) describe the audiologic data acquired over time in patients identified with cholesteatoma-associated progressive sensorineural hearing loss.
Design: Records of patients included in the Audiologic and Genetics Database (n = 175,215 patients) were examined using specified criteria defining progressive hearing loss. A linear regression model examined the log frequency of all diagnostic codes in the electronic health record assigned to patients for a progressive hearing loss cohort compared with a stable hearing loss group. Based on findings from the linear regression analysis, longitudinal audiometric air (AC) and bone conduction (BC) thresholds were extracted for groups of subjects with cholesteatoma-associated progressive (n = 58 subjects) and stable (n = 55 subjects) hearing loss to further analyze changes in hearing over time.
Results: The linear regression analyses identified that diagnostic codes for cholesteatoma were associated with progressive sensorineural hearing loss in children. The longitudinal audiometric data demonstrated within-subject changes in masked BC sensitivity consistent with progressive sensorineural hearing loss in children diagnosed with cholesteatoma. Additional analyses showed that mastoidectomy surgeries did not appear to contribute to the observed progressive hearing loss and that a high number of cholesteatoma patients with progressive hearing loss had normal-hearing thresholds at their first test.
Conclusions: The statistical analyses demonstrated an association between cholesteatoma and pediatric progressive sensorineural hearing loss. These findings inform clinical management by suggesting that children with cholesteatoma diagnoses may be at increased risk for progressive sensorineural hearing loss and should receive continued monitoring even after a normal masked BC baseline has been established.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295971
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1282-1290[article]
Titre : Pure Tone Audiometry Evaluation Method Effectiveness in Detecting Hearing Changes Due to Workplace Ototoxicant, Continuous Noise, and Impulse Noise Exposures Type de document : Article Auteurs : Marc Blair ; Jeremy Slagley ; Nicholas Cody Schaal Année de publication : 2022 Article en page(s) : p. 1291-1299 Note générale : DOI: 10.1097/AUD.0000000000001178 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Bruit impulsionnel
HE Vinci
Audiométrie tonale ; Bruit de fond ; OtotoxicitéRésumé : Objectives: The purpose of this retrospective cohort study was to compare the relative risks (RR) of hearing impairment due to co-exposure of continuous noise, impulse noise, metal ototoxicants, and organic solvent ototoxicants using several pure tone audiometry (PTA) evaluation methods.
Design: Noise and ototoxicant exposure and PTA records were extracted from a DoD longitudinal repository and were analyzed for U.S. Air Force personnel (n = 2372) at a depot-level aircraft maintenance activity at Tinker Air Force Base, Oklahoma using an historical cohort study design. Eight similar exposure groups based on combinations of ototoxicant and noise exposure were created: (1) Continuous noise (reference group); (2) Continuous noise + Impulse noise; (3) Metal exposure + Continuous noise; (4) Metal exposure + Continuous noise + Impulse noise; (5) Solvent exposure + Continuous noise; (6) Solvent exposure + Continuous noise + Impulse noise; (7) Metal exposure + Solvent exposure + Continuous noise; and (8) Metal exposure + Solvent exposure + Continuous noise + Impulse noise. RR of hearing impairment compared to the Continuous noise-exposed reference group was assessed with five PTA evaluation methods including (1) U.S. Department of Defense (DoD) Significant Threshold Shift (STS), (2) Occupational Safety and Health Administration (OSHA) age-adjusted STS, (3) National Institute for Occupational Safety and Health (NIOSH) STS, (4) NIOSH Material Hearing Impairment, and (5) All Frequency Threshold Average.
Results: Hearing impairment was significantly worse for SEG (2) combined exposure to continuous noise and impulse noise only for the PTA evaluation method (2) OSHA Age Adjusted with an RR of 3.11, [95% confidence interval (CI), 1.16-8.31] and was nearly significantly different using PTA evaluation method (4) NIOSH Material Hearing Impairment with an RR of 3.16 (95% CI, 0.99-10.15). Despite no significant differences for SEGs with an ototoxicant exposure, PTA evaluation method (3) NIOSH STS was most sensitive in detecting hearing changes for SEG (8) Metal exposure + Solvent exposure + Continuous noise + Impulse noise as demonstrated by a RR of 1.12 (95% CI, 0.99-1.27).
Conclusions: Results suggest that a single PTA evaluation technique may not be adequate in fully revealing hearing impairment risk due to all stressors and tailoring the PTA evaluation technique to the hazards present in the workplace could better detect hearing impairment. Additionally, results suggest that PTA may not be effective as the sole technique for evaluating hearing impairment due to ototoxicant exposure with continuous noise co-exposure.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295972
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1291-1299[article]
Titre : The Effect of Advanced Age on the Electrode-Neuron Interface in Cochlear Implant Users Type de document : Article Auteurs : Jeffrey Skidmore ; Brittney Carter ; William Riggs ; Shuman He Année de publication : 2022 Article en page(s) : p. 1300-1315 Note générale : DOI: 10.1097/AUD.0000000000001185 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Effet de l'age ; Potentiels évoqués a action composée (eCAP)
HE Vinci
Implants cochléaires ; Nerf vestibulocochléaireRésumé : Objectives: This study aimed to determine the effect of advanced age on how effectively a cochlear implant (CI) electrode stimulates the targeted cochlear nerve fibers (i.e., the electrode-neuron interface [ENI]) in postlingually deafened adult CI users. The study tested the hypothesis that the quality of the ENI declined with advanced age. It also tested the hypothesis that the effect of advanced age on the quality of the ENI would be greater in basal regions of the cochlea compared to apical regions.
Design: Study participants included 40 postlingually deafened adult CI users. The participants were separated into two age groups based on age at testing in accordance with age classification terms used by the World Health Organization and the Medical Literature Analysis and Retrieval System Online bibliographic database. The middle-aged group included 16 participants between the ages of 45 and 64 years and the elderly group included 24 participants older than 65 years. Results were included from one ear for each participant. All participants used Cochlear Nucleus CIs in their test ears. For each participant, electrophysiological measures of the electrically evoked compound action potential (eCAP) were used to measure refractory recovery functions and amplitude growth functions (AGFs) at three to seven electrode sites across the electrode array. The eCAP parameters used in this study included the refractory recovery time estimated based on the eCAP refractory recovery function, the eCAP threshold, the slope of the eCAP AGF, and the negative-peak (i.e., N1) latency. The electrode-specific ENI was evaluated using an optimized combination of the eCAP parameters that represented the responsiveness of cochlear nerve fibers to electrical stimulation delivered by individual electrodes along the electrode array. The quality of the electrode-specific ENI was quantified by the local ENI index, a value between 0 and 100 where 0 and 100 represented the lowest- and the highest-quality ENI across all participants and electrodes in the study dataset, respectively.
Results: There were no significant age group differences in refractory times, eCAP thresholds, N1 latencies or local ENI indices. Slopes of the eCAP AGF were significantly larger in the middle-aged group compared to the elderly group. There was a significant effect of electrode location on each eCAP parameter, except for N1 latency. In addition, the local ENI index was significantly larger (i.e., better ENI) in the apical region than in the basal and middle regions of the cochlea for both age groups.
Conclusions: The model developed in this study can be used to estimate the quality of the ENI at individual electrode locations in CI users. The quality of the ENI is affected by the location of the electrode along the length of the cochlea. The method for estimating the quality of the ENI developed in this study holds promise for identifying electrodes with poor ENIs that could be deactivated from the clinical programming map. The ENI is not strongly affected by advanced age in middle-aged and elderly CI users.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295973
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1300-1315[article]
Titre : Bilinguals Show Proportionally Greater Benefit From Visual Speech Cues and Sentence Context in Their Second Compared to Their First Language Type de document : Article Auteurs : Alexandre Chauvin ; Natalie A. Phillips Année de publication : 2022 Article en page(s) : p. 1316-1326 Note générale : DOI: 10.1097/AUD.0000000000001182 Langues : Anglais (eng) Descripteurs : HE Vinci
Audition dans le bruit ; Bilinguisme ; Perception de la parole
Autres descripteurs
Perception audiovisuelle de la paroleRésumé : Objectives: Speech perception in noise is challenging, but evidence suggests that it may be facilitated by visual speech cues (e.g., lip movements) and supportive sentence context in native speakers. Comparatively few studies have investigated speech perception in noise in bilinguals, and little is known about the impact of visual speech cues and supportive sentence context in a first language compared to a second language within the same individual. The current study addresses this gap by directly investigating the extent to which bilinguals benefit from visual speech cues and supportive sentence context under similarly noisy conditions in their first and second language.
Design: Thirty young adult English-French/French-English bilinguals were recruited from the undergraduate psychology program at Concordia University and from the Montreal community. They completed a speech perception in noise task during which they were presented with video-recorded sentences and instructed to repeat the last word of each sentence out loud. Sentences were presented in three different modalities: visual-only, auditory-only, and audiovisual. Additionally, sentences had one of two levels of context: moderate (e.g., "In the woods, the hiker saw a bear.") and low (e.g., "I had not thought about that bear."). Each participant completed this task in both their first and second language; crucially, the level of background noise was calibrated individually for each participant and was the same throughout the first language and second language (L2) portions of the experimental task.
Results: Overall, speech perception in noise was more accurate in bilinguals' first language compared to the second. However, participants benefited from visual speech cues and supportive sentence context to a proportionally greater extent in their second language compared to their first. At the individual level, performance during the speech perception in noise task was related to aspects of bilinguals' experience in their second language (i.e., age of acquisition, relative balance between the first and the second language).
Conclusions: Bilinguals benefit from visual speech cues and sentence context in their second language during speech in noise and do so to a greater extent than in their first language given the same level of background noise. Together, this indicates that L2 speech perception can be conceptualized within an inverse effectiveness hypothesis framework with a complex interplay of sensory factors (i.e., the quality of the auditory speech signal and visual speech cues) and linguistic factors (i.e., presence or absence of supportive context and L2 experience of the listener).Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295974
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1316-1326[article]
Titre : Sensitivity of Vowel-Evoked Envelope Following Responses to Spectra and Level of Preceding Phoneme Context Type de document : Article Auteurs : Vijayalakshmi Easwar ; Sriram Boothalingam ; Emily Wilson Année de publication : 2022 Article en page(s) : p. 1327-1335 Note générale : DOI: 10.1097/AUD.0000000000001190 Langues : Anglais (eng) Descripteurs : HE Vinci
Consonne ; Masquage
Autres descripteurs
Frequency following response (FFR) ; Transition des formantsRésumé : Objective: Vowel-evoked envelope following responses (EFRs) could be a useful noninvasive tool for evaluating neural activity phase-locked to the fundamental frequency of voice (f0). Vowel-evoked EFRs are often elicited by vowels in consonant-vowel syllables or words. Considering neural activity is susceptible to temporal masking, EFR characteristics elicited by the same vowel may vary with the features of the preceding phoneme. To this end, the objective of the present study was to evaluate the influence of the spectral and level characteristics of the preceding phoneme context on vowel-evoked EFRs.
Design: EFRs were elicited by a male-spoken /i/ (stimulus; duration = 350 msec), modified to elicit two EFRs, one from the region of the first formant (F1) and one from the second and higher formants (F2+). The stimulus, presented at 65 dB SPL, was preceded by one of the four contexts: /[integral]/, /m/, /i/ or a silent gap of duration equal to that of the stimulus. The level of the context phonemes was either 50 or 80 dB SPL, 15 dB lower and higher than the level of the stimulus /i/. In a control condition, EFRs to the stimulus /i/ were elicited in isolation without any preceding phoneme contexts. The stimulus and the contexts were presented monaurally to a randomly chosen test ear in 21 young adults with normal hearing. EFRs were recorded using single-channel electroencephalogram between the vertex and the nape.
Results: A repeated measures analysis of variance indicated a significant three-way interaction between context type (/[integral]/, /i/, /m/, silent gap), level (50, 80 dB SPL), and EFR-eliciting formant (F1, F2+). Post hoc analyses indicated no influence of the preceding phoneme context on F1-elicited EFRs. Relative to a silent gap as the preceding context, F2+-elicited EFRs were attenuated by /[integral]/ and /m/ presented at 50 and 80 dB SPL, as well as by /i/ presented at 80 dB SPL. The average attenuation ranged from 14.9 to 27.9 nV. When the context phonemes were presented at matched levels of 50 or 80 dB SPL, F2+-elicited EFRs were most often attenuated when preceded by /[integral]/. At 80 dB SPL, relative to the silent preceding gap, the average attenuation was 15.7 nV, and at 50 dB SPL, relative to the preceding context phoneme /i/, the average attenuation was 17.2 nV.
Conclusion: EFRs elicited by the second and higher formants of /i/ are sensitive to the spectral and level characteristics of the preceding phoneme context. Such sensitivity, measured as an attenuation in the present study, may influence the comparison of EFRs elicited by the same vowel in different consonant-vowel syllables or words. However, the degree of attenuation with realistic context levels exceeded the minimum measurable change only 12% of the time. Although the impact of the preceding context is statistically significant, it is likely to be clinically insignificant a majority of the time.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295975
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1327-1335[article]
Titre : Pitch Accuracy of Vocal Singing in Deaf Children With Bimodal Hearing and Bilateral Cochlear Implants Type de document : Article Auteurs : Li Xu ; Jing Yang ; Emily Hahn ; Rosalie Huchanski ; Lisa Davidson Année de publication : 2022 Article en page(s) : p. 1336-1346 Note générale : DOI: 10.1097/AUD.0000000000001189 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiologie pédiatrique ; Audition bimodale ; Implant cochléaire bilatéral ; Voix chantéeRésumé : Objectives: The purpose of the present study was to investigate the pitch accuracy of vocal singing in children with severe to profound hearing loss who use bilateral cochlear implants (CIs) or bimodal devices [CI at one ear and hearing aid (HA) at the other] in comparison to similarly-aged children with normal-hearing (NH).
Design: The participants included four groups: (1) 26 children with NH, (2) 13 children with bimodal devices, (3) 31 children with bilateral CIs that were implanted sequentially, and (4) 10 children with bilateral CIs that were implanted simultaneously. All participants were aged between 7 and 11 years old. Each participant was recorded singing a self-chosen song that was familiar to him or her. The fundamental frequencies (F0) of individual sung notes were extracted and normalized to facilitate cross-subject comparisons. Pitch accuracy was quantified using four pitch-based metrics calculated with reference to the target music notes: mean note deviation, contour direction, mean interval deviation, and F0 variance ratio. A one-way ANOVA was used to compare listener-group difference on each pitch metric. A principal component analysis showed that the mean note deviation best accounted for pitch accuracy in vocal singing. A regression analysis examined potential predictors of CI children's singing proficiency using mean note deviation as the dependent variable and demographic and audiological factors as independent variables.
Results: The results revealed significantly poorer performance on all four pitch-based metrics in the three groups of children with CIs in comparison to children with NH. No significant differences were found among the three CI groups. Among the children with CIs, variability in the vocal singing proficiency was large. Within the group of 13 bimodal users, the mean note deviation was significantly correlated with their unaided pure-tone average thresholds (r = 0.582, p = 0.037). The regression analysis for all children with CIs, however, revealed no significant demographic or audiological predictor for their vocal singing performance.
Conclusion: Vocal singing performance in children with bilateral CIs or bimodal devices is not significantly different from each other on a group level. Compared to children with NH, the pediatric bimodal and bilateral CI users, in general, demonstrated significant deficits in vocal singing ability. Demographic and audiological factors, known from previous studies to be associated with good speech and language development in prelingually-deafened children with CIs, were not associated with singing accuracy for these children.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295976
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1336-1346[article]
Titre : Phonological Priming as a Lens for Phonological Organization in Children With Cochlear Implants Type de document : Article Auteurs : Emily Lund Année de publication : 2022 Article en page(s) : p. 1355-1365 Note générale : DOI: 10.1097/AUD.0000000000001191 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Organisation phonologique
HE Vinci
Enfant implanté ; Implants cochléaires ; Temps de réactionRésumé : Objectives: To evaluate the subconscious knowledge of between-word phonological similarities in children with cochlear implants as compared with children with typical hearing.
Design: Participants included 30 children with cochlear implants between the ages of five and seven who used primarily spoken English to communicate, 30 children matched for chronological age, and 30 children matched for vocabulary size. Participants completed an animacy judgment task in either a (a) neutral condition, (b) a phonological prime condition where the consonant and vowel onset of the pictured word was presented prior to the visual target's appearance, (c) an inhibition prime condition where a consonant and vowel onset not matching the pictured word was presented prior to the target's appearance. Reaction times were recorded.
Results: Children with cochlear implants reacted differently and more slowly than children with typical hearing in both groups to the primes: children with typical hearing experienced a phonological facilitation effect in the phonological prime condition, whereas children with cochlear implants did not. Children with cochlear implants also had reaction times that, overall, were slower than children matched for chronological age but similar to children matched for vocabulary size.
Conclusions: The different experience of children with cochlear implants with phonological facilitation and inhibition effects may indicate children with cochlear implants have phonological organization strategies that are different from those of children with typical hearing.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297026
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1355-1365[article]
Titre : Prelinguistic Consonant Production and the Influence of Mouthing Before and After Cochlear Implantation Type de document : Article Auteurs : Mary K. Fagan ; Minh-Chau Vu Année de publication : 2022 Article en page(s) : p. 1347-1354 Note générale : DOI: 10.1097/AUD.0000000000001193 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant implanté ; Surdité neurosensorielle (SNHL) ; TRAITEMENT DES CONSONNES ; VocalisationRésumé : Objectives: The goal of the study was to investigate prelinguistic consonant production and the influence of vocalizations that co-occurred with object mouthing on consonant production in infants with profound sensorineural hearing loss before and after cochlear implantation to advance knowledge of early speech development in infants with profound hearing loss.
Design: Participants were 43 infants, 16 infants with profound sensorineural hearing loss and 27 hearing infants. In the mixed longitudinal and cross-sectional design, infants with profound hearing loss and age-matched hearing infants participated before cochlear implantation, at an average age of 9.9 mo, and/or after cochlear implantation, at an average age of 17.8 mo. Mean age at cochlear implantation for infants with profound hearing loss was 12.4 mo; mean duration of cochlear implant use at time of testing was 4.2 mo.
Results: Before and after cochlear implantation, infants with profound hearing loss produced significantly fewer supraglottal consonants per consonant-vowel vocalization than hearing peers and had smaller overall consonant inventories. Before, but not after cochlear implantation, infants with profound hearing loss produced proportionally more vocalizations, supraglottal consonant-vowel vocalizations, and different supraglottal consonants in vocalizations during mouthing than did hearing infants.
Conclusions: The results document consonant production before cochlear implantation in a larger group of infants with profound hearing loss than previously examined. The results also extend evidence of early delays in consonant production to infants who received cochlear implants at 12 mo of age, and show that they likely miss the potential benefits of auditory-motor feedback in vocalization-mouthing combinations that occur before they have access to sound through cochlear implants.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297027
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1347-1354[article]
Titre : The Impact of Occupational Noise Exposure on Hyperacusis: a Longitudinal Population Study of Female Workers in Sweden Type de document : Article Auteurs : Sofie Fredriksson ; Laith Hussain-Alkhateeb ; Kjell Toren ; Mattias Sjostrom ; Jenny Selander ; Per Gustavsson ; Kim Kahari ; Lennart Magnusson ; Kerstin Persson Waye Année de publication : 2022 Article en page(s) : p. 1366-1377 Note générale : DOI: 10.1097/AUD.0000000000001194 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Institutrice maternelle
HE Vinci
Bruit au travail ; Exposition au bruit ; HyperacousieRésumé : Objectives: The aim was to assess the risk of hyperacusis in relation to occupational noise exposure among female workers in general, and among women working in preschool specifically.
Design: A retrospective longitudinal study was performed. Survey data were collected in 2013 and 2014 from two cohorts: randomly selected women from the population in region Vastra Gotaland, Sweden, and women selected based on having received a preschool teacher degree from universities in the same region. The final study sample included n = 8328 women born between 1948 and 1989. Occupational noise exposure was objectively assigned to all time periods from the first to the last reported occupation throughout working life, using the Swedish Job-Exposure Matrix (JEM) with three exposure intervals: 85 dB(A). The JEM assigns preschool teachers to the 75 to 85 dB(A) exposure interval. The outcome hyperacusis was assessed by self-report using one question addressing discomfort or pain from everyday sounds. In the main analysis, a hyperacusis event was defined by the reported year of onset, if reported to occur at least a few times each week. Additional sensitivity analyses were performed using more strict definitions: (a) at least several times each week and (b) every day. The risk (hazard ratio, HR) of hyperacusis was analyzed in relation to years of occupational noise exposure, using survival analysis with frailty regression modeling accounting for individual variation in survival times which reflect, for example, noise exposure during years prior to onset. Occupational noise exposure was defined by the occupation held at year of hyperacusis onset, or the occupation held at the survey year if no event occurred. Models were adjusted for confounders including age, education, income, family history of hearing loss, and change of jobs due to noise.
Results: In total, n = 1966 hyperacusis events between 1960 and 2014 were analyzed in the main analysis. A significantly increased risk of hyperacusis was found among women working in any occupation assigned to the 75 to 85 dB(A) noise exposure group [HR: 2.6, 95% confidence interval (CI): 2.4-2.9], compared with the reference group 85 dB(A), where only six hyperacusis events were identified (HR: 1.4, 95% CI: 0.6-3.1). In the sensitivity analysis, where hyperacusis was defined as occurring every day, the HR was significant also in the highest exposure group (HR: 3.8, 95% CI: 1.4-10.3), and generally slightly higher in the other exposure groups compared to the main analysis.
Conclusions: This study indicates increased risk of hyperacusis already below the permissible occupational noise exposure limit in Sweden (85 dB LAeq,8h) among female workers in general, and in particular among preschool teachers. Prospective studies and less wide exposure intervals could confirm causal effects and assess dose-response relationships, respectively, although this study at present suggest a need for risk assessment, improved hearing prevention measures, and noise abatement measures in occupations with noise levels from 75 dB(A). The results could also have implications for management of occupational disability claims.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297029
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1366-1377[article]
Titre : More Than Words: the Relative Roles of Prosody and Semantics in the Perception of Emotions in Spoken Language by Postlingual Cochlear Implant Users Type de document : Article Auteurs : Riki Taitelbaum Swead ; Michal Icht ; Boaz M. Ben-David Année de publication : 2022 Article en page(s) : p. 1378-1389 Note générale : DOI: 10.1097/AUD.0000000000001199 Langues : Anglais (eng) Descripteurs : HE Vinci
Implants cochléaires ; Prosodie émotionnelle ; Reconnaissance des émotions
Autres descripteurs
Deficience auditive postlingualRésumé : Objectives: The processing of emotional speech calls for the perception and integration of semantic and prosodic cues. Although cochlear implants allow for significant auditory improvements, they are limited in the transmission of spectro-temporal fine-structure information that may not support the processing of voice pitch cues. The goal of the current study is to compare the performance of postlingual cochlear implant (CI) users and a matched control group on perception, selective attention, and integration of emotional semantics and prosody.
Design: Fifteen CI users and 15 normal hearing (NH) peers (age range, 18-65 years) 1istened to spoken sentences composed of different combinations of four discrete emotions (anger, happiness, sadness, and neutrality) presented in prosodic and semantic channels-T-RES: Test for Rating Emotions in Speech. In three separate tasks, listeners were asked to attend to the sentence as a whole, thus integrating both speech channels (integration), or to focus on one channel only (rating of target emotion) and ignore the other (selective attention). Their task was to rate how much they agreed that the sentence conveyed each of the predefined emotions. In addition, all participants performed standard tests of speech perception.
Results: When asked to focus on one channel, semantics or prosody, both groups rated emotions similarly with comparable levels of selective attention. When the task was called for channel integration, group differences were found. CI users appeared to use semantic emotional information more than did their NH peers. CI users assigned higher ratings than did their NH peers to sentences that did not present the target emotion, indicating some degree of confusion. In addition, for CI users, individual differences in speech comprehension over the phone and identification of intonation were significantly related to emotional semantic and prosodic ratings, respectively.
Conclusions: CI users and NH controls did not differ in perception of prosodic and semantic emotions and in auditory selective attention. However, when the task called for integration of prosody and semantics, CI users overused the semantic information (as compared with NH). We suggest that as CI users adopt diverse cue weighting strategies with device experience, their weighting of prosody and semantics differs from those used by NH. Finally, CI users may benefit from rehabilitation strategies that strengthen perception of prosodic information to better understand emotional speech.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297031
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1378-1389[article]
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Titre : The Use of Person-centered Language in Medical Research Articles Focusing on Hearing Loss or Deafness Type de document : Article Auteurs : Savannah Nicks ; Austin Johnson ; Brett Traxler ; Matthew Bush ; Lacy Brame ; Tom Hamilton ; Micah Hartwell Année de publication : 2022 Article en page(s) : p. 703-711 Note générale : 10.1097/AUD.0000000000001168 Langues : Anglais (eng) Descripteurs : HE Vinci
Langage Centré sur la Personne (LCP) ; Perte d'audition ; Stigmatisation ; SurditéRésumé : Background: Hearing loss represents one of the most common disabilities worldwide. Despite its prevalence, there is a degree of stigmatization within the public's perception of, or attitude toward, individuals diagnosed with hearing loss or deafness. This stigmatization is propagated by the way hearing loss is referenced, especially in writing. Although the medical community is familiar with hearing loss, medical research is not consistently compliant with nonstigmatizing terminology, like person-centered language (PCL). This study aims to quantify the use of PCL in medical research related to hearing loss.
Methods: A cross-sectional analysis of articles related to hearing loss was performed using PubMed as the primary search engine. The search encompassed articles from January 1, 2016, to November 17, 2020. Journals had to have at least 20 search returns to be included in this study. The primary search resulted in 2392 articles from 31 journals. The sample was then randomized and the first 500 articles were chosen for data extraction. Article screening was performed systematically. Each article was evaluated for predetermined non-PCL terminology to determine adherence to the American Medical Association Manual of Style (AMAMS) guidelines. Articles were included if they involved research with human participants and were available in English. Commentaries and editorials were excluded.
Results: Four hundred eighty-two articles were included in this study. Results from this study indicate that 326 articles were not adherent to AMAMS guidelines for PCL (326/482; 68%). Emotional language (i.e., burden, suffer, afflicted) was employed to reference hearing loss in 114 articles (114/482; 24%). Non-PCL adherent labels (i.e., impaired and handicapped) were identified in 46% (221/482) of articles related to hearing loss or deafness. Sixty-seven articles (67/482; 14%) used person-first language in reference to the word "deaf" and 15 articles (15/482; 3%) used "deaf" as a label.
Conclusions: Based on the findings from this cross-sectional analysis, the majority of medical research articles that address hearing loss contain terminology that does not conform to PCL guidelines, as established by AMAMS. Many respected organizations, like the American Medical Association, have encouraged the use of PCL in interactions between patient and medical provider. This encompasses communication in person and in writing. This recommendation stems from the understood role that language plays in how we build impressions of others, especially in a medical context. Implementing PCL to destigmatize language used in reference to deafness or hearing loss is essential to increase advocacy and protect the autonomy of these individuals.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293761
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 703-711[article]
Titre : A Systematic Review on the Association Between Vestibular Dysfunction and Balance Performance in Children With Hearing Loss Type de document : Article Auteurs : Anisha Singh ; Dana Guggenheim ; Hannah Heet ; Margaret Lim ; Bhavika Garg ; Matthew Bao ; Sherri L. Smith ; Doug Garrison ; Eileen Raynor ; Janet W. Lee ; Jordan Wrigley ; Kristal M. Riska Année de publication : 2022 Article en page(s) : p. 712-721 Note générale : 10.1097/AUD.0000000000001131 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiologie pédiatrique ; Balance ; Surdité ; VestibulométrieRésumé : Objectives: The objective of this study was to understand the functional impact of vestibular dysfunction on balance control in children with hearing loss. The vestibular system is an important contributor to maintaining balance. In adults, vestibular dysfunction is known to lead to unsteadiness and falls. Considerably less is known about the effects of vestibular dysfunction in children with hearing loss.
Design: We conducted a systematic review in concordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. We included articles on children with hearing loss who underwent vestibular and balance testing. The Downs and Black checklist was used to assess the risk of bias.
Results: A total of 20 articles were included in this systematic review, of which, 17 reported an association between vestibular dysfunction and balance abnormalities in children with hearing loss. Bias (as measured by the Downs and Black Checklist) was a concern, as most studies were nonblinded cohort studies or case series selected through convenience sampling.
Conclusions: Research to date has predominantly found that children with concomitant hearing loss and vestibular impairment tend to perform more poorly on balance measures than either children with hearing loss and normal vestibular function or children with both normal-hearing and normal vestibular function. A standardized approach to assessing both vestibular function and balance would better characterize the impact of vestibular dysfunction in children with hearing loss at the population level.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293767
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 712-721[article]
Titre : Early Life Influences on Hearing in Adulthood: a Systematic Review and Two-Step Individual Patient Data Meta-Analysis Type de document : Article Auteurs : Piers Dawes ; John Newall ; Petra L. Graham ; Clive Osmond ; Mikaela von Bonsdorff ; Johan Gunnar Erikson Année de publication : 2022 Article en page(s) : p. 722-732 Langues : Anglais (eng) Descripteurs : HE Vinci
Développement du nourrisson ; Poids de naissance ; Risque auditif ; Troubles de l'auditionRésumé : Objectives: Adverse prenatal and early childhood development may increase susceptibility of hearing loss in adulthood. The objective was to assess whether indices of early development are associated with adult-onset hearing loss in adults >=18 years.
Design: In a systematic review and meta-analysis, four electronic databases were searched for studies reporting associations between indices of early development (birth weight and adult height) and adult-onset hearing loss in adults >=18 years. We screened studies, extracted data, and assessed risk of bias. Authors were contacted to provide adjusted odds ratios from a logistic regression model for relationships between birth weight/adult height and normal/impaired hearing enabling a two-step individual patient data random-effects meta-analysis to be carried out. The study is registered with PROSPERO, CRD42020152214.
Results: Four studies of birth weight and seven of adult height were identified. Three studies reported smaller birth weight associated with poorer adult hearing. Six studies reported shorter height associated with poorer hearing. Risk of bias was low to moderate. Four studies provided data for two-step individual patient data random-effects meta-analysis. Odds of hearing impairment were 13.5% lower for every 1 kg increase in birth weight [OR: 0.865 (95% confidence interval: 0.824 to 0.909)] in adulthood over two studies (N=81,289). Every 1 cm increase in height was associated with a 3% reduction in the odds of hearing impairment [OR: 0.970 (95% confidence interval: 0.968 to 0.971)] over four studies (N=156,740).
Conclusions: Emerging evidence suggests that adverse early development increases the likelihood of hearing impairment in adulthood. Research and public health attention should focus on the potential for prevention of hearing impairment by optimizing development in early life.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293770
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 722-732[article]
Titre : Identifying the Factors that Affect Consistent Hearing Aid Use in Young Children With Early Identified Hearing Loss : A Scoping Review Type de document : Article Auteurs : Lisa Nailand ; Natalie Munro ; Alison Purcell Année de publication : 2022 Article en page(s) : p. 733-740 Note générale : 10.1097/AUD.0000000000001139 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Déficience auditive ; Dépistage précoce de la surdité ; Jeune enfantRésumé : Objectives: This study is a scoping review examining factors that affect consistent hearing aid use in young children with early identified hearing loss (HL).
Design: Online databases were used to identify journal articles published between 2009 and 2019, yielding over 1800 citations. The citations were uploaded into an online software product called Covidence that enables scoping/systematic review management. After duplicates were removed, 857 articles were screened by abstract and title name, 93 of which were put through for full-text screening. Twenty-five articles met predetermined inclusion and exclusion criteria. Appraisal tools were utilized to establish the quality of the studies included. Numerical summaries were used to synthesize and describe the data set. Thematic analysis was utilized to identify global and subthemes within the data set.
Results: Numerical summaries revealed that over half of the studies in the data set used a quantitative design. Thematic analysis of the data identified four global themes namely, "each child is an individual," "parents are key," "parents require support," and "professionals make a difference." Each global theme was further divided into subthemes, most of which centered around the parents of children with HL. Each subtheme was categorized as a malleable or a fixed factor that impacts on hearing aid use in young children with HL.
Conclusions: This scoping review identified malleable and fixed factors that impact on hearing aid use in young children with HL. These factors centered around the individual characteristics of children with HL, the key responsibility their parents have, and the important contribution that professionals can make. Irrespective of whether factors are malleable or fixed, parents and professionals working with children with HL can have a positive impact on hearing aid use. This is likely to have a flow on, positive impact on their overall communication and learning outcomes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293772
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 733-740[article]
Titre : Cogmed Training Does Not Generalize to Real-World Benefits for Adult Hearing Aid Users: Results of a Blinded, Active-Controlled Randomized Trial Type de document : Article Auteurs : Helen Henshaw ; Antje Heinrich ; Ashana Tittle ; Melanie A. Ferguson Année de publication : 2022 Article en page(s) : p. 741-763 Note générale : 10.1097/AUD.0000000000001096 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Compréhension dans le bruit ; Déficience auditive ; Mémoire à court termeRésumé : Objectives: Performance on working memory tasks is positively associated with speech-in-noise perception performance, particularly where auditory inputs are degraded. It is suggested that interventions designed to improve working memory capacity may improve domain-general working memory performance for people with hearing loss, to benefit their real-world listening. We examined whether a 5-week training program that primarily targets the storage component of working memory (Cogmed RM, adaptive) could improve cognition, speech-in-noise perception and self-reported hearing in a randomized controlled trial of adult hearing aid users with mild to moderate hearing loss, compared with an active control (Cogmed RM, nonadaptive) group of adults from the same population.
Design: A preregistered randomized controlled trial of 57 adult hearing aid users (n = 27 experimental, n = 30 active control), recruited from a dedicated database of research volunteers, examined on-task learning and generalized improvements in measures of trained and untrained cognition, untrained speech-in-noise perception and self-reported hearing abilities, pre- to post-training. Participants and the outcome assessor were both blinded to intervention allocation. Retention of training-related improvements was examined at a 6-month follow-up assessment.
Results: Per-protocol analyses showed improvements in trained tasks (Cogmed Index Improvement) that transferred to improvements in a trained working memory task tested outside of the training software (Backward Digit Span) and a small improvement in self-reported hearing ability (Glasgow Hearing Aid Benefit Profile, Initial Disability subscale). Both of these improvements were maintained 6-month post-training. There was no transfer of learning shown to untrained measures of cognition (working memory or attention), speech-in-noise perception, or self-reported hearing in everyday life. An assessment of individual differences showed that participants with better baseline working memory performance achieved greater learning on the trained tasks. Post-training performance for untrained outcomes was largely predicted by individuals' pretraining performance on those measures.
Conclusions: Despite significant on-task learning, generalized improvements of working memory training in this trial were limited to (a) improvements for a trained working memory task tested outside of the training software and (b) a small improvement in self-reported hearing ability for those in the experimental group, compared with active controls. We found no evidence to suggest that training which primarily targets storage aspects of working memory can result in domain-general improvements that benefit everyday communication for adult hearing aid users. These findings are consistent with a significant body of evidence showing that Cogmed training only improves performance for tasks that resemble Cogmed training. Future research should focus on the benefits of interventions that enhance cognition in the context in which it is employed within everyday communication, such as training that targets dynamic aspects of cognitive control important for successful speech-in-noise perception.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293782
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 741-763[article]
Titre : Distortion of Spectral Ripples Through Cochlear Implants Has Major Implications for Interpreting Performance Scores Type de document : Article Auteurs : Matthew B. Winn ; Gabrielle O'Brien Année de publication : 2022 Article en page(s) : p. 764-772 Note générale : 10.1097/AUD.0000000000001162 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse spectrale ; Implants cochléaires ; Ondulation spectraleRésumé : The spectral ripple discrimination task is a psychophysical measure that has been found to correlate with speech recognition in listeners with cochlear implants (CIs). However, at ripple densities above a critical value (around 2 RPO, but device-specific), the sparse spectral sampling of CI processors results in stimulus distortions resulting in aliasing and unintended changes in modulation depth. As a result, spectral ripple thresholds above a certain number are not ordered monotonically along the RPO dimension and thus cannot be considered better or worse spectral resolution than each other, thus undermining correlation measurements. These stimulus distortions are not remediated by changing stimulus phase, indicating these issues cannot be solved by spectrotemporally modulated stimuli. Speech generally has very low-density spectral modulations, leading to questions about the mechanism of correlation between high ripple thresholds and speech recognition. Existing data showing correlations between ripple discrimination and speech recognition include many observations above the aliasing limit. These scores should be treated with caution, and experimenters could benefit by prospectively considering the limitations of the spectral ripple test. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293785
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 764-772[article]
Titre : Understanding Self-reported Hearing Disability in Adults With Normal Hearing Type de document : Article Auteurs : Aryn M. Kamerer ; Sara E. Harris ; Judy G. Kopun ; Stephen T. Neely ; Daniel M. Rasetshwane Année de publication : 2022 Article en page(s) : p. 773-784 Note générale : 10.1097/AUD.0000000000001161 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiométrie ; Bruit ambiant ; Condition d'écoute ; Déficience auditive ; Speech spatial and qualities of hearing scale (SSQ)Résumé : Objectives: Despite a diagnosis of normal hearing, many people experience hearing disability (HD) in their everyday lives. This study assessed the ability of a number of demographic and auditory variables to explain and predict self-reported HD in people regarded as audiologically healthy via audiometric thresholds.
Design: One-hundred eleven adults (ages 19 to 74) with clinically normal hearing (i.e., audiometric thresholds Results: History of impulse noise exposure, speech-intelligibility index, and FM detection threshold accurately predicted SSQ12 and were able to account for 40% of the SSQ12 score. These three measures were also able to predict whether participants self-reported HD with a sensitivity of 89% and specificity of 86%.
Conclusions: Although participant audiometric thresholds were within normal limits, higher thresholds, history of impulse noise exposure, and FM detection predicted self-reported HD.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294473
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 773-784[article]
Titre : Descriptions of Hearing Aids Influence the Experience of Listening to Hearing Aids Type de document : Article Auteurs : Lori Rakita ; Huiwen Goy ; Gurjit Singh Année de publication : 2022 Article en page(s) : p. 785-793 Note générale : 10.1097/AUD.0000000000001130 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Espoir ; Placebo ; Récits personnels
Autres descripteurs
Savoir partageRésumé : Objectives: Experiences can be strongly influenced by expectations. In hearing healthcare, previous studies have shown that descriptions of hearing aids or contextual factors during the hearing aid fitting process can change subjective and even objective outcomes with hearing aids via the placebo effect. Personality factors have also been shown to affect susceptibility to placebo effects. The purposes of the present study were to (a) investigate the effects of communicating narratives designed to foster positive, negative, or neutral expectations about hearing aids on short-term patient outcomes, and (b) to determine if the degree to which the narratives affected end-user outcomes could be predicted by personality factors.
Design: Nineteen adults between the ages of 54 and 81 (mean age = 68.5, SD = 8.9) had 3 separate research appointments, each exposing them to a different narrative condition: positive, negative, or neutral. the appointment was designed to look and feel like a "traditional" hearing aid fitting appointment, during which the experimenter introduced (i.e., the narrative condition) and fit a pair of hearing aids, the participant was asked to provide their initial feedback about the hearing aids, and the participant performed speech-in-noise testing. Unbeknownst to the research participant, the hearing aids fitted at all three appointments were the same, and the only difference between the three appointments was the way the hearing aids were described to the participants.
Results: The results of this study showed that communication of a positive narrative about hearing aids before a hearing aid fitting led to better speech-in-noise performance on the QuickSIN as compared with performance following the negative or neutral narrative conditions. Also, the positive narrative led to the perception that acclimatization to the hearing aids would occur faster than the negative or neutral narrative conditions. Notably, the effect of communication of a positive narrative was stronger for individuals who scored higher on agreeableness, and susceptibility to positive and negative messaging was stronger for individuals low in neuroticism.
Conclusions: The study suggests that short-term evaluations of hearing aids can be strongly influenced by narratives as provided by the hearing healthcare provider at the time of a hearing aid fitting.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294474
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 785-793[article]
Titre : Ototoxicity After Cisplatin-Based Chemotherapy: Factors Associated With Discrepancies Between Patient-Reported Outcomes and Audiometric Assessments Type de document : Article Auteurs : Shirin Ardeshirrouhanifard ; Sophie D. Fossa ; Robert Huddart ; Patrick O. Monahan ; M. Eileen Dolan ; Robert J. Hamilton ; David Vaughn ; Neil Martin ; Christian Kollmannsberger ; Paul Dinh ; Lawrence Einhorn ; Lois B. Travis ; Robert D. Frisina ; Darren R. Feldman ; Yiqing Song ; Chunkit Fung Année de publication : 2022 Article en page(s) : p. 794-807 Note générale : 10.1097/AUD.0000000000001172 Langues : Anglais (eng) Descripteurs : HE Vinci
Cisplatine ; Ototoxicité ; Survivants du cancer ; Tumeurs du testiculeRésumé : Objectives: To provide new information on factors associated with discrepancies between patient-reported and audiometrically defined hearing loss (HL) in adult-onset cancer survivors after cisplatin-based chemotherapy (CBCT) and to comprehensively investigate risk factors associated with audiometrically defined HL.
Design: A total of 1410 testicular cancer survivors (TCS) >=6 months post-CBCT underwent comprehensive audiometric assessments (0.25 to 12 kHz) and completed questionnaires. HL severity was defined using American Speech-Language-Hearing Association criteria. Multivariable multinomial regression identified factors associated with discrepancies between patient-reported and audiometrically defined HL and multivariable ordinal regression evaluated factors associated with the latter.
Results: Overall, 34.8% of TCS self-reported HL. Among TCS without tinnitus, those with audiometrically defined HL at only extended high frequencies (EHFs) (10 to 12 kHz) (17.8%) or at both EHFs and standard frequencies (0.25 to 8 kHz) (23.4%) were significantly more likely to self-report HL than those with no audiometrically defined HL (8.1%) [odds ratio (OR) = 2.48; 95% confidence interval (CI), 1.31 to 4.68; and OR = 3.49; 95% CI, 1.89 to 6.44, respectively]. Older age (OR = 1.09; 95% CI, 1.07 to 1.11, p 300 mg/m2, OR = 1.47; 95% CI, 1.21 to 1.80, p = 0.0001), and hypertension (OR = 1.80; 95% CI, 1.28 to 2.52, p = 0.0007) were associated with greater American Speech-Language-Hearing Association-defined HL severity, whereas postgraduate education (OR = 0.58; 95% CI, 0.40 to 0.85, p = 0.005) was associated with less severe HL.
Conclusions: Discrepancies between patient-reported and audiometrically defined HL after CBCT are due to several factors. For survivors who self-report HL but have normal audiometric findings at standard frequencies, referral to an audiologist for additional testing and inclusion of EHFs in audiometric assessments should be considered.Disponible en ligne : Non En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294494
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 794-807[article]
Titre : Amplification Self-Adjustment: Controls and Repeatability Type de document : Article Auteurs : Arthur Boothroyd ; Jennifer Retana ; Carol L. Mackersie Année de publication : 2022 Article en page(s) : p. 808-821 Note générale : 10.1097/AUD.0000000000001141 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Amplification auditive ; Auto-évaluation diagnostique ; Condition d'écoute ; Intelligibilité de la parole ; Perception de la parole ; Réglage d'appareil auditifRésumé : Objectives: This study was a continuation of work on an explore-and-select approach to the self-adjustment of amplification. Goals were to determine (i) the effect of changing the number of adjustment controls from three to two, (ii) the effect of changing the initial adjustment from overall output to high-frequency output, (iii) individual repeatability, (iv) the effect on phoneme recognition of increasing and decreasing overall output relative to the starting and adjusted conditions, and (v) listener reactions to, and opinions of, the self-adjustment procedure.
Design: Twenty-two adults with hearing loss, 10 of whom were hearing aid users, adjusted level and spectrum of connected speech to preference, using three configurations of number and order of adjustment parameters. The three adjustments were replicated to give a total of six. Presentation was monaural, in quiet, using the ear with the better threshold at 2 kHz. The starting condition was a generic prescription for a typical mild-to-moderate hearing loss. Real ear output spectra were measured for the 6 self-adjustments, the generic starting condition, and the individual NAL-NL2 prescriptions for speech at 65 dB SPL. Monaural phoneme recognition in monosyllables was assessed, in quiet, at levels of -14, -7, 0 and +7 dB relative to both the starting and the self-adjusted conditions. Participants completed a questionnaire and their comments on each question were transcribed.
Results: Changing the number of listener controls from 3 to 2 reduced mean adjustment time by around 50% but had negligible effect on group-mean output response. Starting adjustment with high-frequency output rather than overall output resulted in a 2 to 3 dB reduction of group-mean self-adjusted output below 1 kHz. Individual self-adjustments were within +/-5 dB of NAL-NL2 prescription (for a 65 dB SPL speech input) for two-thirds of the participants in the high frequencies and for just over half in the low frequencies. In six self-adjustments, individuals self-adjusted, on average, to within +/-4 dB of their own mean in both high and low frequencies. There was no evidence that these findings differed for hearing aid users and nonusers. Changes of overall output by +/-7 dB after self-adjustment did not significantly affect group mean phoneme recognition. Preference for number and order of self-adjustment differed among participants, as did opinions on self-fitting of hearing aids.
Conclusions: These findings support the conclusion that, for many adults with hearing loss, an explore-and-select procedure for self-adjustment of amplification leads to output values that are repeatable within a few dB, are relatively immune to the number and order of adjustment parameters, and place the average listener well along the plateau of a phoneme recognition versus amplitude function.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294495
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 808-821[article]
Titre : Extended High-frequency Hearing Impairment Despite a Normal Audiogram: Relation to Early Aging, Speech-in-noise Perception, Cochlear Function, and Routine Earphone Use Type de document : Article Auteurs : Srikanta K. Mishra ; Udit Saxena ; Hansapani Rodrigo Année de publication : 2022 Article en page(s) : p. 822-835 Note générale : 10.1097/AUD.0000000000001140 Langues : Anglais (eng) Descripteurs : HE Vinci
Ecouteur (audiologie) ; Emissions otoacoustiques spontanées (OAEs) ; Perte auditive cachée ; Reconnaissance de la parole ; synaptopathie cochléaire ; Vieillissement du système auditif
Autres descripteurs
Seuil auditif de haute fréquenceMots-clés : Digit triplets Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294496
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 822-835[article]
Titre : Reduced Semantic Context and Signal-to-Noise Ratio Increase Listening Effort As Measured Using Functional Near-Infrared Spectroscopy Type de document : Article Auteurs : Joseph Rovetti ; Huiwen Goy ; Michael Zara ; Franck A. Russo Année de publication : 2022 Article en page(s) : p. 836-848 Note générale : 10.1097/AUD.0000000000001137 Langues : Anglais (eng) Descripteurs : HE Vinci
Compréhension dans le bruit ; Effort d'écoute ; Perception de la parole ; Rapport signal-bruit (SNRs) (RSB) ; Spectroscopie proche infrarougeRésumé : Objectives: Understanding speech-in-noise can be highly effortful. Decreasing the signal-to-noise ratio (SNR) of speech increases listening effort, but it is relatively unclear if decreasing the level of semantic context does as well. The current study used functional near-infrared spectroscopy to evaluate two primary hypotheses: (1) listening effort (operationalized as oxygenation of the left lateral PFC) increases as the SNR decreases and (2) listening effort increases as context decreases.
Design: Twenty-eight younger adults with normal hearing completed the Revised Speech Perception in Noise Test, in which they listened to sentences and reported the final word. These sentences either had an easy SNR (+4 dB) or a hard SNR (-2 dB), and were either low in semantic context (e.g., "Tom could have thought about the sport") or high in context (e.g., "She had to vacuum the rug"). PFC oxygenation was measured throughout using functional near-infrared spectroscopy.
Results: Accuracy on the Revised Speech Perception in Noise Test was worse when the SNR was hard than when it was easy, and worse for sentences low in semantic context than high in context. Similarly, oxygenation across the entire PFC (including the left lateral PFC) was greater when the SNR was hard, and left lateral PFC oxygenation was greater when context was low.
Conclusions: These results suggest that activation of the left lateral PFC (interpreted here as reflecting listening effort) increases to compensate for acoustic and linguistic challenges. This may reflect the increased engagement of domain-general and domain-specific processes subserved by the dorsolateral prefrontal cortex (e.g., cognitive control) and inferior frontal gyrus (e.g., predicting the sensory consequences of articulatory gestures), respectively.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294497
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 836-848[article]
Titre : Effect of Noise Reduction on Cortical Speech-in-Noise Processing and Its Variance due to Individual Noise Tolerance Type de document : Article Auteurs : Subong Kim ; Yu-Hsiang Wu ; Hari M. Bharadwaj ; Inyong Choi Année de publication : 2022 Article en page(s) : p. 849-861 Note générale : 10.1097/AUD.0000000000001144 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Compréhension dans le bruit ; Différences individuelles ; Electroencéphalographie (EEG) ; Reconnaissance de la parole ; Réduction de bruit (NR) ; ToléranceRésumé : Objectives: Despite the widespread use of noise reduction (NR) in modern digital hearing aids, our neurophysiological understanding of how NR affects speech-in-noise perception and why its effect is variable is limited. The current study aimed to (1) characterize the effect of NR on the neural processing of target speech and (2) seek neural determinants of individual differences in the NR effect on speech-in-noise performance, hypothesizing that an individual's own capability to inhibit background noise would inversely predict NR benefits in speech-in-noise perception.
Design: Thirty-six adult listeners with normal hearing participated in the study. Behavioral and electroencephalographic responses were simultaneously obtained during a speech-in-noise task in which natural monosyllabic words were presented at three different signal-to-noise ratios, each with NR off and on. A within-subject analysis assessed the effect of NR on cortical evoked responses to target speech in the temporal-frontal speech and language brain regions, including supramarginal gyrus and inferior frontal gyrus in the left hemisphere. In addition, an across-subject analysis related an individual's tolerance to noise, measured as the amplitude ratio of auditory-cortical responses to target speech and background noise, to their speech-in-noise performance.
Results: At the group level, in the poorest signal-to-noise ratio condition, NR significantly increased early supramarginal gyrus activity and decreased late inferior frontal gyrus activity, indicating a switch to more immediate lexical access and less effortful cognitive processing, although no improvement in behavioral performance was found. The across-subject analysis revealed that the cortical index of individual noise tolerance significantly correlated with NR-driven changes in speech-in-noise performance.
Conclusions: NR can facilitate speech-in-noise processing despite no improvement in behavioral performance. Findings from the current study also indicate that people with lower noise tolerance are more likely to get more benefits from NR. Overall, results suggest that future research should take a mechanistic approach to NR outcomes and individual noise tolerance.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294638
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 849-861[article]
Titre : Cochlear Implant Compression Optimization for Musical Sound Quality in MED-EL Users Type de document : Article Auteurs : Mélanie Gilbert ; Mickael L.D. Deroche ; Patpong Jiradejvong ; Karen Chan Barrett ; Charles J. Limb Année de publication : 2022