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Ajouter le résultat dans votre panierEfficacy and Effectiveness of Wireless Binaural Beamforming Technology of Hearing Aids in Improving Speech Perception in Noise / Sathish Kumar in Ear and hearing, Vol. 44, n°6 (November December 2023)
Titre : Efficacy and Effectiveness of Wireless Binaural Beamforming Technology of Hearing Aids in Improving Speech Perception in Noise : A Systematic Review Type de document : Article Auteurs : Sathish Kumar ; Ankitha Guruvayurappan ; Arivudai Nambi Pitchaimuthu ; Srikanth Nayak Année de publication : 2023 Article en page(s) : p. 1289-1300 Note générale : DOI: 10.1097/AUD.0000000000001374 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Compréhension dans le bruit ; PERCEPTION BINAURALE
Autres descripteurs
BeamformerRésumé : Objectives: To conduct a systematic review to address the following research questions: Q1. Does wireless binaural beamforming technology perform better than conventional microphone technologies in improving the speech perception in noise abilities of individuals with hearing aids bilaterally? and Q2. Do the subjective rating scores of hearing aid benefits suggest that wireless binaural beamforming technology is better than other microphone technologies?
Design: Two independent authors performed a comprehensive search utilizing electronic databases like PubMed, Embase, Web of Science, and Scopus. Aside from these databases, course transcripts, white papers, evidence, and field study articles from various manufacturer websites were also included. The certainty of the evidence for each outcome was determined using Grading of Recommendations Assessment, Development, and Evaluation (GRADE) guidelines.
Results: Eleven studies were included for the qualitative synthesis. The available data were categorized into three groups (bilateral omnidirectional, bilateral directional, and bilateral asymmetric directional microphone processing) and compared against wireless binaural beamformers. The results of the Sign test revealed that for Q1, the wireless binaural beamformer significantly outperformed the bilateral omnidirectional microphone processing. However, no significant differences were observed when compared with other groups. Results for Q2 showed no significant improvement in wireless binaural beamformers compared to other groups.
Conclusion: The superior performance of the wireless binaural beamformers over conventional microphone technologies was demonstrated by the speech perception in noise tasks but not by the self-reported subjective ratings. Nevertheless, the evidence for both speech perception noise and subjective ratings was weak.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=312194
in Ear and hearing > Vol. 44, n°6 (November December 2023) . - p. 1289-1300[article]
Titre : The Self-Stigma of Hearing Loss in Adults and Older Adults: A Systematic Review Type de document : Article Auteurs : Jamile Cabral Da Silva ; Cristiano Miranda De Araujo ; Debora Luders ; Rosane Sampaio Santos ; Adriana Bender Moreira de Lacerda ; Maria Renata Jose ; Ana Cristina Guarinello Année de publication : 2023 Article en page(s) : p. 1301-1310 Note générale : DOI: 10.1097/AUD.0000000000001398 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Perte d'audition ; Presbyacousie ; StigmatisationRésumé : Objectives: Previous studies have demonstrated that individuals with hearing loss can internalize social stigmas, resulting in several self-perceived negative connotations, such as incompetence, cognitive impairment, and social disability. This systematic review aimed to investigate the impact of the social stigma associated with hearing loss on the self-stigma experienced by adults and older adults.
Design: Combinations of words and appropriate truncations were selected and adjusted specifically for each electronic database. The Population, Exposure, Comparator, Outcomes, and Study Characteristics strategy was used to delimit the scope of the review, bearing in mind the importance of a well-formulated research question.
Results: A total of 953 articles were retrieved from the final search of each database. Thirty-four studies were selected for full-text reading. Thirteen were excluded, and 21 studies were ultimately included in this review. The results of this review were divided into three themes: (1) impact of social stigmas on self-stigma, (2) effect of emotions on self-stigma, and (3) other factors that impact self-stigma. The themes were related to the relationship between the individual and social perceptions reported by the participants with respect to their hearing experiences.
Conclusions: Our results suggest that the impact of social stigma associated with hearing loss on the self-stigma of adults and older adults is strongly associated with the effects of aging and hearing loss, which may lead to withdrawal, social segregation, and negative self-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=312196
in Ear and hearing > Vol. 44, n°6 (November December 2023) . - p. 1301-1310[article]
Titre : Telemedicine Referral to Improve Access to Specialty Care for Preschool Children in Rural Alaska : A Cluster-Randomized Controlled Trial Type de document : Article Auteurs : Samantha Kleindienst Robler ; Alyssa Platt ; Joseph J. Gallo ; Alain Labrique ; Elisabeth L. Turner ; Philip Hofstetter ; Meade Inglis-Jenson ; Cole D. Jenson ; Kelli L. Hicks ; Nae-Yuh Wang ; Suzan D. Emmett Année de publication : 2023 Article en page(s) : p. 1311-1321 Note générale : DOI: 10.1097/AUD.0000000000001372 Langues : Anglais (eng) Descripteurs : HE Vinci
Accessibilité des services de santé ; Dépistage auditif de l'enfant ; Perte d'audition ; Santé en zone rurale ; Télé-audiologieRésumé : Objectives: Preschool programs provide essential preventive services, such as hearing screening, but in rural regions, limited access to specialists and loss to follow-up compound rural health disparities. We conducted a parallel-arm cluster-randomized controlled trial to evaluate telemedicine specialty referral for preschool hearing screening. The goal of this trial was to improve timely identification and treatment of early childhood infection-related hearing loss, a preventable condition with lifelong implications. We hypothesized that telemedicine specialty referral would improve time to follow-up and the number of children receiving follow-up compared with the standard primary care referral.
Design: We conducted a cluster-randomized controlled trial in K-12 schools in 15 communities over two academic years. Community randomization occurred within four strata using location and school size. In the second academic year (2018-2019), an ancillary trial was performed in the 14 communities that had preschools to compare telemedicine specialty referral (intervention) to standard primary care referral (comparison) for preschool hearing screening. Randomization of communities from the main trial was used for this ancillary trial. All children enrolled in preschool were eligible. Masking was not possible because of timing in the second year of the main trial, but referral assignment was not openly disclosed. Study team members and school staff were masked throughout data collection, and statisticians were blinded to allocation during analysis. Preschool screening occurred once, and children who were referred for possible hearing loss or ear disease were monitored for follow-up for 9 months from the screening date. The primary outcome was time to ear/hearing-related follow-up from the date of screening. The secondary outcome was any ear/hearing follow-up from screening to 9 months. Analyses were conducted using an intention-to-treat approach.
Results: A total of 153 children were screened between September 2018 and March 2019. Of the 14 communities, 8 were assigned to the telemedicine specialty referral pathway (90 children), and 6 to the standard primary care referral pathway (63 children). Seventy-one children (46.4%) were referred for follow-up: 39 (43.3%) in the telemedicine specialty referral communities and 32 (50.8%) in the standard primary care referral communities. Of children referred, 30 (76.9%) children in telemedicine specialty referral communities and 16 (50.0%) children in standard primary care referral communities received follow-up within 9 months (Risk Ratio = 1.57; 95% confidence interval [CI], 1.22 to 2.01). Among children who received follow-up, median time to follow-up was 28 days (interquartile range [IQR]: 15 to 71) in telemedicine specialty referral communities compared with 85 days (IQR: 26 to 129) in standard primary care referral communities. Mean time to follow-up for all referred children was 4.5 (event time ratio = 4.5; 95% CI, 1.8 to 11.4; p = 0.045) times faster in telemedicine specialty referral communities compared with standard primary care referral communities in the 9-month follow-up time frame.
Conclusions: Telemedicine specialty referral significantly improved follow-up and reduced time to follow-up after preschool hearing screening in rural Alaska. Telemedicine referrals could extend to other preventive school-based services to improve access to specialty care for rural preschool 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=312200
in Ear and hearing > Vol. 44, n°6 (November December 2023) . - p. 1311-1321[article]
Titre : Socioeconomic Inequality in Hearing Impairment Among Working-Age Australians : Evidence From a Cross-Sectional and Longitudinal Analyses Type de document : Article Auteurs : Mohammad Nure Alam ; Piers Dawes ; Kompal Sinha Année de publication : 2023 Article en page(s) : p. 1322-1331 Note générale : DOI: 10.1097/AUD.0000000000001375 Langues : Anglais (eng) Descripteurs : HE Vinci
Déficience auditive ; Niveau socio-économiqueRésumé : Objectives: The objective of this study was to analyze the spatial and temporal association between socioeconomic gradient in hearing impairment among working-age Australians.
Design: We modeled the cross-sectional and longitudinal associations between individual- and area-level socioeconomic status (SES) and hearing impairment among working-age Australians using longitudinal data from the Household, Income and Labour Dynamics in Australia (HILDA) Survey for 10,719 working-age adults aged between 15 and 64 years surveyed between 2008 and 2018. Associations between self-reported hearing impairment and education, income, employment status, and area-level SES were estimated using a multivariate logistic regression model and Cox proportional hazards regression, controlling for age, sex, and a range of other sociodemographic factors.
Results: Among 10,719 participants, the prevalence of hearing impairment was higher among individuals with lower income, occupational status and socioeconomic disadvantage. The odds ratio (OR) of those with the lowest income quintile versus highest income quintile (OR = 2.10, 95% confidence interval [CI] = 1.40 to 3.14); for blue-collar occupation versus white-collar (OR = 1.92, 95% CI = 1.39 to 2.66) and most disadvantaged area quintile versus most advantaged area quintile (OR = 1.76, 95% CI = 1.10 to 2.83) were associated with higher odds of prevalence of hearing impairment. For the 10,046 participants without hearing loss at baseline, income quintile 1 versus quintile 5 (hazard ratio [HR] = 1.44, 95% CI = 1.33 to 1.56), = bachelor's degree (HR = 2.15, 95% CI = 1.98-2.34) blue-collar occupation versus white collar (HR = 1.15, 95% CI = 1.07 to 1.25) and most disadvantaged area quintile versus most advantaged quintile (HR = 1.49, 95% CI = 1.37 to 1.63) was positively associated with incident hearing impairment.
Conclusions: Lower individual-level and area-level SES was associated with an increased risk of prevalence and incidence of hearing impairment among working-age Australians. These findings are particularly concerning since working-age Australians are mostly not eligible for socially subsidized hearing-related health care in Australia. This lack of access to affordable hearing services could exacerbate the negative consequences of hearing impairment and increase social inequality.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=312201
in Ear and hearing > Vol. 44, n°6 (November December 2023) . - p. 1322-1331[article]
Titre : Associations Between Cardiovascular Risk Factors and Audiometric Hearing: Findings From the Canadian Longitudinal Study on Aging Type de document : Article Auteurs : Paul Thomas Mick ; Rasel Kabir ; M. Kathleen Pichora-Fuller ; Charlotte Jones ; Lindy Moxham ; Natalie A. Phillips ; Emily Urry ; Walter Wittich Année de publication : 2023 Article en page(s) : p. 1332-1343 Note générale : DOI: 10.1097/AUD.0000000000001370 Langues : Anglais (eng) Descripteurs : HE Vinci
Diabète ; Dyslipidémies ; Épidémiologie ; Fumer du tabac ; Hypertension arterielle ; Obésité ; Perte d'audition ; Presbyacousie ; Risque cardiovasculaire ; Sujet âgéRésumé : Objectives: The objectives of the study were to determine, among a population-based sample of Canadian adults, if risk factors for cardiovascular disease (alone and in combination) were associated with hearing loss. Cross-sectional and longitudinal associations (the latter with about 3 years of follow-up) were examined. Risk factors considered included diabetes, dyslipidemia, hypertension, obesity, and smoking. We also aimed to determine if associations were modified by sex and age group (45 to 54, 55 to 64, 65 to 74, and 75 to 86 years old at baseline).
Design: A secondary analysis of data collected for the Canadian Longitudinal Study on Aging was performed. Data were collected in two waves, the first between 2012 and 2015, and the second between 2015 and 2018. Hearing was measured using screening air-conduction pure-tone audiometry. The outcome of interest was defined as the mid-frequency (1000, 2000, 3000, and 4000 Hz) pure-tone average for both ears. Diabetes was defined based on self-reported physician diagnosis, use of diabetes medications, or a hemoglobin A1c level >=6.5%. Dyslipidemia was determined by blood lipid profile as defined using the Canadian guidelines for the diagnosis and treatment of dyslipidemia (low-density lipoprotein cholesterol >=3.5 mmol/L or non-high-density lipoprotein cholesterol >=4.3 mmol/L). Hypertension was determined by self-reported physician diagnosis or an average systolic blood pressure >=140 mm Hg or an average diastolic blood pressure >=90 mm Hg. Obesity was defined as a waist-to-height ratio >=0.6. Smoking history was determined by self-report (current/former/never-smoker). Two composite measures of cardiovascular risk were also constructed: a count of the number of risk factors and a general cardiovascular risk profile (Framingham) score. Independent associations between risk factors for cardiovascular disease and hearing were determined using multivariable regression models. Survey weights were incorporated into the analyses. All results were disaggregated by sex. Effect modification according to age was determined using multiplicative interaction terms between the age group and each of the risk factor variables. A complete case (listwise deletion) approach was performed for the primary analysis. We then repeated the multivariable regression analyses using multiple imputation using chained equations to determine if the different approaches to dealing with missing data qualitatively changed the outcomes.
Results: In longitudinal analyses, hypertension and the general cardiovascular risk profile score were associated with greater loss of hearing over the 3-year follow-up period for both sexes. In addition, smoking in males and obesity in females were associated with faster rates of hearing decline. In cross-sectional analyses, smoking, obesity, diabetes, and composite measures were each independently associated with worse hearing for both sexes (although for females, obesity was only associated with hearing loss in the 55 to 64-year-old age group). The results were similar for the complete case and multiple imputation approaches, but more cross-sectional associations were observed using multiple imputation.
Conclusions: Diabetes, obesity, hypertension, and smoking were associated with hearing loss. Higher combinations of risk factors increased the risk of hearing loss. Further studies are needed to confirm age and sex differences and whether interventions to address these risk factors could slow the progression of hearing loss in older 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=312202
in Ear and hearing > Vol. 44, n°6 (November December 2023) . - p. 1332-1343[article]
Titre : The Effect of Tinnitus and Related Characteristics on Subcortical Auditory Processing Type de document : Article Auteurs : Kenneth Morse ; Kathy R. Vander Werff Année de publication : 2023 Article en page(s) : p. 1344-1353 Note générale : DOI: 10.1097/AUD.0000000000001376 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Audition periphérique ; Potentiels évoqués auditifs du tronc cérébral (ABR)Résumé : Objectives: The primary aim of this study was to evaluate whether individuals with tinnitus exhibited evidence of reduced inhibition and increased excitation at the subcortical auditory processing level. Based on the proposed mechanism of tinnitus generation, including peripheral auditory insult that triggers reduced inhibition and subcortical hyperactivity, it was hypothesized that a tinnitus group would yield reduced amplitudes for the most peripheral auditory brainstem response (ABR) component (wave I) and larger amplitudes for the most central ABR component (wave V) relative to controls matched on factors of age, sex, and hearing loss. Further, this study assessed the relative influence of tinnitus presence versus other related individual characteristics, including hearing loss, age, noise exposure history, and speech perception in noise on these ABR outcomes.
Design: Subcortical processing was examined using click-evoked ABR in an independent groups experimental design. A group of adults who perceived daily unilateral or bilateral tinnitus were matched with a control group counterpart without tinnitus by age, hearing, and sex (in each group n = 18; 10 females, 8 males). Amplitudes for ABR waves I, III, V, and the V/I ratio were compared between groups by independent t-tests. The relative influence of tinnitus (presence/absence), age (in years), noise exposure history (subjective self-report), hearing loss (audiometric thresholds), and speech perception in noise (SNR-50) was determined based on the proportional reduction in error associated with accounting for each variable of interest using multiple regression.
Results: Between-group trends were consistent with smaller amplitudes for all ABR components in individuals with tinnitus. Contrary to our hypotheses, however, none of the tinnitus compared with control group differences in ABR outcomes were statistically significant. In the multiple regression models, none of the factors including tinnitus presence, age, noise exposure history, hearing loss, and speech perception in noise significantly predicted ABR V/I ratio outcomes.
Conclusions: The presence of reduced inhibition and subcortical hyperactivity in the tinnitus group was not supported in the current study. There were trends in ABR outcomes consistent with reduced peripheral to central brainstem auditory activity in the tinnitus group, but none of the group differences reached significance. It should also be noted that the tinnitus group had poorer extended high-frequency thresholds compared with controls. Regardless, neither tinnitus presence nor any of the proposed related characteristics were found to significantly influence the ABR V/I ratio. These findings suggest that either reduced subcortical inhibition was not a primary underlying mechanism for the tinnitus perceived by these subjects, or that ABR was not a reliable indicator of reduced subcortical inhibition possibly due to characteristics of the sample including a skewed distributions toward young and normal hearing individuals with little tinnitus distress.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=312203
in Ear and hearing > Vol. 44, n°6 (November December 2023) . - p. 1344-1353[article]
Titre : Vestibular Follow-up Program for Congenital Cytomegalovirus Based on 6 Years of Longitudinal Data Collection Type de document : Article Auteurs : Cleo Dhondt ; Leen Maes ; Emmely Van Acker ; Sarie Martens ; Saartje Vanaudenaerde ; Lotte Rombaut ; Elise De Cuyper ; Helen Van Hoecke ; Els De Leenheer ; Ingeborg Dhooge Année de publication : 2023 Article en page(s) : p. 1354-1366 Note générale : DOI: 10.1097/AUD.0000000000001377 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiologie pédiatrique ; Cytomegalovirus ; Potentiels évoqués vestibulaires myogéniques (cVEMP) (mVEMP) (oVEMP) ; Test d'impulsion rotatoire de la tête (vHIT)Résumé : Objectives: Congenital cytomegalovirus (cCMV), the leading nongenetic cause of pediatric sensorineural hearing loss, can also affect vestibular function. Literature findings suggest clinical presentation of vestibular loss in cCMV to be as variable as the hearing loss. Still, probably due to the considerable additional burden it entails for both patients and diagnostic centers, longitudinal vestibular follow-up in cCMV is not well-established in clinical practice. Therefore, this study aims to propose an evidence-based vestibular follow-up program with proper balance between its feasibility and sensitivity.
Design: In this longitudinal cohort study, 185 cCMV-patients (mean age 3.2 years, SD 1.6 years, range 0.5-6.7 years) were included. Vestibular follow-up data were obtained through lateral video head impulse test (vHIT) and cervical vestibular evoked myogenic potential (cVEMP) evaluations around the ages of 6 months, 1 year, and 2 years. Around 3 and 4.5 years of age, data from vertical vHIT and ocular vestibular evoked myogenic potentials (oVEMP) were also collected.
Results: At birth, 55.1% (102/185) of patients were asymptomatic and 44.9% (83/185) were symptomatic. The mean duration of follow-up for all patients was 20.8 (SD 16.3) months (mean number of follow-up assessments: 3.2, SD 1.5). Vestibular loss occurred at some point during follow-up in 16.8% (31/185) of all patients. Six percent (10/164) of patients with normal vestibular function at first assessment developed delayed-onset vestibular loss; 80.0% (8/10) of these within the first 2 years of life. Vestibular deterioration was reported both in patients who had been treated with postnatal antiviral therapy and untreated patients. At final evaluation, both the semicircular and the otolith system were impaired in the majority of vestibular-impaired ears (29/36, 80.6%). Dysfunctions limited to the semicircular system or the otolith system were reported in 4 (4/36, 11.1%) and 3 (3/36, 8.3%) ears, respectively. The occurrence of vestibular loss was highest in patients with first trimester seroconversion (16/59, 27.1%) or with an unknown timing of seroconversion (13/71, 18.3%), patients with sensorineural hearing loss (16/31, 51.6%), and patients with periventricular cysts on magnetic resonance imaging (MRI) (7/11, 63.6%).
Conclusions: Longitudinal vestibular follow-up, most intensively during the first 2 years of life, is recommended in cCMV-patients with vestibular risk factors (first trimester or unknown timing of seroconversion; sensorineural hearing loss; periventricular cysts on MRI). If those risk factors can be ruled out, a single evaluation early in life (around 6 months of age) might be sufficient. Both semicircular and otolith system evaluation should be part of the follow-up program, as partial losses were reported.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=312204
in Ear and hearing > Vol. 44, n°6 (November December 2023) . - p. 1354-1366[article]
Titre : The Influence of Caregiver Language on the Association Between Child Temperament and Spoken Language in Children Who Are Deaf or Hard of Hearing Type de document : Article Auteurs : Kristina Bowdrie ; Holly Lind-Combs ; Andrew Blank ; Rachael Frush Holt Année de publication : 2023 Article en page(s) : p. 1367-1378 Note générale : DOI: 10.1097/AUD.0000000000001378 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant sourd ; Interaction langagière ; Langage oral ; Relations entre professionnels de santé et patients ; TempéramentRésumé : Objectives: To examine the interaction between child temperament and caregiver linguistic input (i.e., syntactic complexity and lexical diversity) on receptive language in children who are deaf or hard of hearing (DHH).
Design: Families of 59 DHH children (M age = 5.66 years) using spoken language for communication participated in this cross-sectional study. Caregivers completed the Child Behavior Questionnaire-Short Form, which measured child temperament across three established factors (i.e., effortful control, negative affectivity, surgency-extraversion) and participated with their child in a semi-structured, dyadic play interaction that occurred during a home visit. Caregivers' language during the play interaction was quantified based on lexical diversity and syntactic complexity. Children also completed norm-referenced receptive language measures (i.e., Comprehensive Assessment of Spoken Language-2, age-appropriate Clinical Evaluation of Language Fundamentals) during the home visit that were combined into a composite measure of child receptive language.
Results: When caregivers used lower to moderate levels of lexical diversity, child effortful control was positively related to child receptive language. However, when caregivers used higher levels of lexical diversity, child effortful control and child receptive language were not related to each other.
Conclusions: Family environments rich in caregiver lexical input to children might provide a protective influence on DHH child language outcomes by helping to ensure DHH children with varying self-regulatory abilities achieve better spoken language comprehension. These findings highlight the importance of encouraging caregivers to provide rich and stimulating language-learning environments for DHH 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=312430
in Ear and hearing > Vol. 44, n°6 (November December 2023) . - p. 1367-1378[article]
Titre : Postoperative Impedance-Based Estimation of Cochlear Implant Electrode Insertion Depth Type de document : Article Auteurs : Stephan Schraivogel ; Philipp Aebischer ; Franca Wagner ; Stefan Weder ; Georgios Mantokoudis ; Marco Caversaccio ; Wilhelm Wimmer Année de publication : 2023 Article en page(s) : p. 1379-1388 Note générale : DOI: 10.1097/AUD.0000000000001379 Langues : Anglais (eng) Descripteurs : HE Vinci
Adaptation ; Implants cochléaires ; Position des électrodes ; Préservation de l'audition ; Suivi de l'aide auditiveRésumé : Objectives: Reliable determination of cochlear implant electrode positions shows promise for clinical applications, including anatomy-based fitting of audio processors or monitoring of electrode migration during follow-up. Currently, electrode positioning is measured using radiography. The primary objective of this study is to extend and validate an impedance-based method for estimating electrode insertion depths, which could serve as a radiation-free and cost-effective alternative to radiography. The secondary objective is to evaluate the reliability of the estimation method in the postoperative follow-up over several months.
Design: The ground truth insertion depths were measured from postoperative computed tomography scans obtained from the records of 56 cases with an identical lateral wall electrode array. For each of these cases, impedance telemetry records were retrieved starting from the day of implantation up to a maximum observation period of 60 mo. Based on these recordings, the linear and angular electrode insertion depths were estimated using a phenomenological model. The estimates obtained were compared with the ground truth values to calculate the accuracy of the model.
Results: Analysis of the long-term recordings using a linear mixed-effects model showed that postoperative tissue resistances remained stable throughout the follow-up period, except for the two most basal electrodes, which increased significantly over time (electrode 11: ~10 [ohm]/year, electrode 12: ~30 [ohm]/year). Inferred phenomenological models from early and late impedance telemetry recordings were not different. The insertion depth of all electrodes was estimated with an absolute error of 0.9 mm +/- 0.6 mm or 22[degrees] +/- 18[degrees] angle (mean +/- SD).
Conclusions: Insertion depth estimations of the model were reliable over time when comparing two postoperative computed tomography scans of the same ear. Our results confirm that the impedance-based position estimation method can be applied to postoperative impedance telemetry recordings. Future work needs to address extracochlear electrode detection to increase the performance of the method.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=312447
in Ear and hearing > Vol. 44, n°6 (November December 2023) . - p. 1379-1388[article]
Titre : The P300 Auditory Evoked Potential: A Physiological Measure of the Engagement of Cognitive Systems Contributing to Listening Effort? Type de document : Article Auteurs : Katrien Kestens ; Lindsey Van Yper ; Sofie Degeest ; Hannah Keppler Année de publication : 2023 Article en page(s) : p. 1389-1403 Note générale : DOI: 10.1097/AUD.0000000000001381 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Auditory P300
HE Vinci
Effort d'écoute ; Potentiel évoqué cognitif (ERP)Résumé : Objectives: This study aimed to explore the potential of the P300 (P3b) as a physiological measure of the engagement of cognitive systems contributing to listening effort.
Design: Nineteen right-handed young adults (mean age: 24.79 years) and 20 right-handed older adults (mean age: 58.90 years) with age-appropriate hearing were included. The P300 was recorded at Fz, Cz, and Pz using a two-stimulus oddball paradigm with the Flemish monosyllabic numbers "one" and "three" as standard and deviant stimuli, respectively. This oddball paradigm was conducted in three listening conditions, varying in listening demand: one quiet and two noisy listening conditions (+4 and -2 dB signal to noise ratio [SNR]). At each listening condition, physiological, behavioral, and subjective tests of listening effort were administered. P300 amplitude and latency served as a potential physiological measure of the engagement of cognitive systems contributing to listening effort. In addition, the mean reaction time to respond to the deviant stimuli was used as a behavioral listening effort measurement. Last, subjective listening effort was administered through a visual analog scale. To assess the effects of listening condition and age group on each of these measures, linear mixed models were conducted. Correlation coefficients were calculated to determine the relationship between the physiological, behavioral, and subjective measures.
Results: P300 amplitude and latency, mean reaction time, and subjective scores significantly increased as the listening condition became more taxing. Moreover, a significant group effect was found for all physiological, behavioral, and subjective measures, favoring young adults. Last, no clear relationships between the physiological, behavioral, and subjective measures were found.
Conclusions: The P300 was considered a physiological measure of the engagement of cognitive systems contributing to listening effort. Because advancing age is associated with hearing loss and cognitive decline, more research is needed on the effects of all these variables on the P300 to further explore its usefulness as a listening effort measurement for research and clinical purposes.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=312463
in Ear and hearing > Vol. 44, n°6 (November December 2023) . - p. 1389-1403[article]
Titre : The Vestibular Time Constant and Clinical Response to Antimotion Sickness Medication Type de document : Article Auteurs : Daniel Lagami ; Avi Shupak ; Anna Jamison ; Dror Tal Année de publication : 2023 Article en page(s) : p. 1404-1409 Note générale : DOI: 10.1097/AUD.0000000000001385 Langues : Anglais (eng) Descripteurs : HE Vinci
Fonction vestibulaire ; Mal des transports ; ScopolamineRésumé : Objective: The therapeutic effects of antimotion sickness medications involve suppression of several components along the vestibular system. Scopolamine-based medications have proved to be the most effective anti-seasickness agents. However, there is high variability in individual responses. The vestibular nuclei, in which the vestibular time constant is modulated, contain acetylcholine receptors which are affected by scopolamine. The hypothesis of the study was that successful seasickness prevention by scopolamine requires vestibular suppression to be reflected by the shortening of the vestibular time constant.
Design: Subjects were 30 naval crew members suffering from severe seasickness and were treated with oral scopolamine. The study participants were defined as responsive or non-responsive to the anti-seasickness medication according to the clinical outcome: successful response to scopolamine was defined as a reduction of seasickness severity from the highest score of 7 according to the Wiker scale to 4 or less. Scopolamine and placebo were assigned to each subject in a crossover, double-blind design. The horizontal semicircular canal time constant was evaluated by a computerized rotatory chair before, 1 and 2 hours after drug or placebo administration.
Results: The vestibular time constant was significantly shortened from 16.01 +/- 3.43 seconds to 12.55 +/- 2.40 seconds (p
Conclusions: Reduction in the vestibular time constant after scopolamine administration can be used to predict whether motion sickness alleviation will occur. This will enable the administration of appropriate pharmaceutical treatment without the need for prior exposure to sea conditions.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=312475
in Ear and hearing > Vol. 44, n°6 (November December 2023) . - p. 1404-1409[article]
Titre : Cochlear Implant Users can Effectively Combine Place and Timing Cues for Pitch Perception Type de document : Article Auteurs : Raymond Goldsworthy ; Susan R. Bissmeyer Année de publication : 2023 Article en page(s) : p. 1410-1422 Note générale : DOI: 10.1097/AUD.0000000000001383 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Psychophysique de l'audition
HE Vinci
HAUTEUR TONALE ; Implants cochléaires ; Neurosciences cognitivesRésumé : Objectives: The study objective was to characterize cochlear implant (CI) pitch perception for pure, complex, and modulated tones for frequencies and fundamental frequencies in the ecologically essential range between 110 and 440 Hz. Stimulus manipulations were used to examine CI users' reliance on stimulation place and rate cues for pitch discrimination.
Design: The study was a within-subjects design with 21 CI users completing pitch discrimination measures using pure, complex, and modulated tones. Stimulus manipulations were used to test whether CI users have better pitch discrimination for low-pass compared with high-pass filtered harmonic complexes, and to test whether they have better pitch discrimination when provided a covarying place cue when listening to amplitude-modulated tones.
Results: Averaged across conditions, participants had better pitch discrimination for pure tones compared with either complex or amplitude-modulated tones. Participants had better pitch discrimination for low-pass compared with high-pass harmonic complexes and better pitch discrimination for amplitude-modulated tones when provided a covarying place cue.
Conclusions: CI users integrate place and rate cues across the ecologically essential pitch range between 110 and 440 Hz. We interpret the observed better pitch discrimination for low-pass compared with high-pass filtered harmonics complexes, and for amplitude-modulated tones when provided a covarying place cue, as evidence for the importance of providing place-of-excitation cues for fundamental frequencies below 440 Hz. Discussion considers how such encoding could be implemented with existing devices.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=312752
in Ear and hearing > Vol. 44, n°6 (November December 2023) . - p. 1410-1422[article]
Titre : GJB2 p.V37I Mutation Associated With Moderate Nonsyndromic Hearing Loss in an Adult Taiwanese Population Type de document : Article Auteurs : Ting-Ting Yen ; I-Chieh Chen ; Sudi Cho ; Ting-Gang Chang ; Kai-Hsiang Shih ; Men-Wei Hua ; Jui-Lin Li ; Chiann-Yi Hsu ; Tzu-Hung Hsiao ; Yi-Ming Chen Année de publication : 2023 Article en page(s) : p. 1423-1429 Note générale : DOI: 10.1097/AUD.0000000000001384 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiogramme ; Surdité neurosensorielle (SNHL)
Autres descripteurs
Surdite gjb2Résumé : Background: Gap junction protein beta 2 (GJB2) p.V37I mutations are the most important hereditary cause of sensorineural hearing loss (SNHL) in Taiwan. Hearing outcomes are associated with hearing levels at baseline and the duration of follow-up. However, the audiological features of GJB2 p.V37I mutations in the adult population are unknown. The objectives of the present study were to investigate the audiological features, progression rate, and allele frequency of GJB2 p.V37I mutations among an adult Taiwanese population.
Methods: Subjects of this case-control study were chosen from 13,580 participants of the Taiwan Precision Medicine Initiative. The genetic variations of GJB2 p.V37I were determined by polymerase chain reaction. We analyzed existing pure-tone threshold data from 38 individuals who were homozygous or compound heterozygotes for GJB2 p.V37I, 129 who were heterozygotes, and 602 individuals who were wild-type. Phenome-wide association studies (PheWAS) analysis was also performed to identify phenotypes associated with GJB2 p.V37I.
Results: The minor allele frequency of GJB2 p.V37I was 0.92% in our study population. The mean hearing level of participants with a p.V37I mutation indicated moderate to severe hearing loss with 38.2% +/- 22.3% binaural hearing impairment. GJB2 p.V37I was associated with an increased risk of hearing disability (odds ratio: 21.46, 95% confidence interval: 8.62 to 53.44, p
Conclusions: The present study recommends patients with known GJB2 p.V37I mutations receive regular audiometric evaluation and genetic counseling. Early assistive listening device intervention is suggested to improve the quality of hearing.Disponible en ligne : Oui En ligne : https://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=yrovftz2&A [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=312807
in Ear and hearing > Vol. 44, n°6 (November December 2023) . - p. 1423-1429[article]
Titre : Typewriter Tinnitus: Value of ABR as a Diagnostic and Prognostic Indicator Type de document : Article Auteurs : Huiying Sun ; Ruizhe Yang ; Hong Jiang ; Xu Tian ; Yang Zhao ; Zhiqiang Gao ; Haiyan Wu Année de publication : 2023 Article en page(s) : p. 1430-1436 Note générale : DOI: 10.1097/AUD.0000000000001382 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Potentiels évoqués auditifs du tronc cérébral (ABR) ; Récidive
Autres descripteurs
Efficacite therapeutique ; Machine a ecrireRésumé : Typewriter tinnitus refers to a special kind of staccato tinnitus, which is mostly described by patients as Morse code, popcorn, or machine-gun. It has been accepted that the mechanism of typewriter tinnitus is caused by the neurovascular compression of the cochleovestibular nerve. Patients who suffered from typewriter tinnitus have exhibited a good response to carbamazepine or oxcarbazepine, but there is a risk of recurrence after treatment cessation. The present study aims to determine the value of auditory brainstem response (ABR) in diagnosing typewriter tinnitus and predicting relapse after drug withdrawal.
Methods: Patients who presented with typewriter tinnitus from March 2019 to March 2022 were included for the present retrospective study. The auditory and vestibular test results and drug treatment effects were collected and analyzed. Patients with idiopathic unilateral subjective tinnitus, who were matched by age to patients with typewriter tinnitus at a ratio of 2:1, were consecutively recruited for the control group.
Results: Eighteen patients with typewriter tinnitus and 38 controls were included. Ears with typewriter tinnitus had longer interpeak latency (IPL) I-III, and wave III and V latencies, and a higher ratio of IPL I-III >=2.3 ms based on ABR, when compared to the unaffected side and controls (p 0.05). Ramsay Hunt syndrome and neuromyelitis optica spectrum disorders were identified in two cases.
Conclusion: Prolonged IPL I-III based on ABR can help in the diagnosis of typewriter tinnitus and its prognosis after treatment cessation. Patients with IPL I-III greater than 2.4 ms, older age and poorer hearing are more likely to relapse. In addition to the neurovascular conflict of the cochleovestibular nerve, the etiologies of neuroinflammation and demyelinating diseases are also possible for typewriter tinnitus.Disponible en ligne : Non En ligne : https://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=yrovftz2&A [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=312808
in Ear and hearing > Vol. 44, n°6 (November December 2023) . - p. 1430-1436[article]
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Titre : Association Between Adult-Onset Hearing Loss and Income : A Systematic Review Type de document : Article Auteurs : Audrey Mossman ; Virgil K. DeMario ; Carrie Price ; Stella M. Seal ; Amber Willink ; Nicholas S. Reed ; Carrie L. Nieman Année de publication : 2023 Article en page(s) : p. 931-939 Note générale : DOI: 10.1097/AUD.0000000000001396 Langues : Anglais (eng) Descripteurs : HE Vinci
Déficience auditive ; Facteurs socioéconomiques ; Revenus modeste ; Troubles de la communicationRésumé : Hearing loss has been shown to be associated with both negative health outcomes and low socioeconomic position, including lower income. Despite this, a thorough review of the existing literature on this relationship has not yet been performed.
Objectives: To evaluate available literature on the possible association between income and adult-onset hearing loss.
Design: A search was conducted in eight databases for all relevant literature using terms focused on hearing loss and income. Studies reporting the presence or absence of an association between income and hearing loss, full-text English-language access, and a predominantly adult population (>=18 years old) were eligible. The Newcastle-Ottawa Quality Assessment Scale was used to assess risk of bias.
Results: The initial literature search yielded 2994 references with three additional sources added through citation searching. After duplicate removal, 2355 articles underwent title and abstract screening. This yielded 161 articles eligible for full-text review resulting in 46 articles that were included in qualitative synthesis. Of the included studies, 41 of 46 articles found an association between income and adult-onset hearing loss. Due to heterogeneity among study designs, a meta-analysis was not performed.
Conclusions: The available literature consistently supports an association between income and adult-onset hearing loss but is limited entirely to cross-sectional studies with the directionality remaining unknown. An aging population and the negative health outcomes associated with hearing loss, emphasize the importance of understanding and addressing the role of social determinants of health in the prevention and management of 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=309630
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 931-939[article]
Titre : Utility of Inter-Frequency Amplitude Ratio of Vestibular-Evoked Myogenic Potentials in Identifying Meniere's Disease : A Systematic Review and Meta-Analysis Type de document : Article Auteurs : Niraj Kumar Singh ; Prawin Kumar ; Nirmala Jagadish ; Akshay Mendhakar ; Yatin Mahajan Année de publication : 2023 Article en page(s) : p. 940-948 Note générale : DOI: 10.1097/AUD.0000000000001343 Langues : Anglais (eng) Descripteurs : HE Vinci
Fréquence sonore ; Maladie de Ménière ; Potentiels évoqués vestibulaires myogéniques (cVEMP) (mVEMP) (oVEMP)
Autres descripteurs
Modulation d'amplitudeRésumé : Objectives: A recently devised parameter of vestibular-evoked myogenic potential (VEMP) based on the principles of frequency tuning is the inter-frequency amplitude ratio (IFAR). It refers to the ratio of the amplitude of 1000 Hz tone burst evoked VEMP to 500 Hz evoked tone burst. A pathology like Meniere's disease changes the frequency response and alters the frequency tuning of the otolith organs. Because IFAR is based on the principle of frequency tuning of VEMP, it is likely to help identify Meniere's disease. Few studies in the last decade have investigated the utility of IFAR in identifying Meniere's disease. However, a systematic review and a meta-analysis on IFAR in Meniere's disease are lacking. The present study investigates whether the IFAR of VEMP helps identify Meniere's disease and differentiates it from healthy ears and other vestibular pathologies.
Design: The present study is a systematic review and a meta-analysis. The studies investigating the IFAR of cervical and ocular VEMPs in Meniere's disease, healthy controls, and other vestibular pathologies were searched across research databases such as PubMed, Science Direct, and Scopus. The search strategy was developed using the PICO (population, intervention, comparison, and outcomes) format, and Medical Subject Headings (MeSH) terms and Boolean operators were employed. The systematic review was performed using the Rayyan software, whereas the Review Manager software was used to carry out the meta-analysis. A total of 16,605 articles were retrieved from the databases. After the duplicate removal, 2472 articles remained. These were eliminated using title screening, abstract screening, and full-length inspections. A total of nine articles were found eligible for quality assessment and meta-analysis, and the New Castle-Ottawa Scale was used for quality assessment. After the data extraction, 24 six articles were found to have the desired data format for the meta-analysis.
Results: The results showed significantly higher IFAR in the affected ears of individuals in the Meniere's disease group than in the control group's unaffected ears. There was no significant difference between the unaffected ears of individuals in the Meniere's disease group and the ears of the control group. The only study on Meniere's disease and benign paroxysmal positional vertigo found significantly larger ocular VEMP IFAR in ears with Meniere's disease than in benign paroxysmal positional vertigo.
Conclusions: This systematic review and meta-analysis found IFAR efficient in differentiating Meniere's disease from healthy controls. We also found an enhanced IFAR as a potential marker for Meniere's disease. However, more investigations are needed to confirm the utility of an enhanced IFAR value in the exclusive identification of Meniere's disease.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=309631
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 940-948[article]
Titre : Affirming Practices With LGBTQIA+ Patients Seeking Speech and Hearing Care Type de document : Article Auteurs : Emilie K. Clark ; Ashley L. Koenig Année de publication : 2023 Article en page(s) : p. 949-954 Note générale : DOI: 10.1097/AUD.0000000000001373 Langues : Anglais (eng) Descripteurs : HE Vinci
Accessibilité des services de santé ; Inclusion ; Minorités sexuellesRésumé : Due to heightened risks of healthcare discrimination as well as ongoing worldwide attacks on their rights and liberties, LGBTQIA+ people need safe and affirming environments to access their medical care. Studies have found that 8% of all LGBTQ individuals and 22% of transgender individuals avoid seeking health care when they need it due to fears of discrimination. Audiologists and speech pathologists must take a hard look at their practices to ensure that both LGBTQIA+ patients and staff are welcome, safe, and affirmed. This article proposes both short- and long-term interventions to patient interactions, office environments, and patient paperwork that can be easily implemented in most practices to ensure that LGBTQIA+ individuals are safe and comfortable to seek the care they need. 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=309633
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 949-954[article]
Titre : Two-Year Outcomes of Cochlear Implant Use for Children With Unilateral Hearing Loss: Benefits and Comparison to Children With Normal Hearing Type de document : Article Auteurs : Lisa R. Park ; Margaret T. Dillon ; Emily Buss ; Kevin D. Brown Année de publication : 2023 Article en page(s) : p. 955-968 Note générale : DOI: 10.1097/AUD.0000000000001353 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiologie pédiatrique ; Déficient auditif sévère (DHH) ; Implants cochléaires ; Localisation auditive ; Perte auditive unilatérale (USNHL)Résumé : Objectives: Children with severe-to-profound unilateral hearing loss, including cases of single-sided deafness (SSD), lack access to binaural cues that support spatial hearing, such as recognizing speech in complex multisource environments and sound source localization. Listening in a monaural condition negatively impacts communication, learning, and quality of life for children with SSD. Cochlear implant (CI) use may restore binaural hearing abilities and improve outcomes as compared to alternative treatments or no treatment. This study investigated performance over 24 months of CI use in young children with SSD as compared to the better hearing ear alone and to children with bilateral normal hearing (NH).
Design: Eighteen children with SSD who received a CI between the ages of 3.5 and 6.5 years as part of a prospective clinical trial completed assessments of word recognition in quiet, masked sentence recognition, and sound source localization at regular intervals out to 24-month postactivation. Eighteen peers with bilateral NH, matched by age at the group level, completed the same test battery. Performance at 24-month postactivation for the SSD group was compared to the performance of the NH group.
Results: Children with SSD have significantly poorer speech recognition in quiet, masked sentence recognition, and localization both with and without the use of the CI than their peers with NH. The SSD group experienced significant benefits with the CI+NH versus the NH ear alone on measures of isolated word recognition, masked sentence recognition, and localization. These benefits were realized within the first 3 months of use and were maintained through the 24-month postactivation interval.
Conclusions: Young children with SSD who use a CI experience significant isolated word recognition and bilateral spatial hearing benefits, although their performance remains poorer than their peers with NH.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=309634
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 955-968[article]
Titre : A 15-Year Review of 260 Children With Auditory Neuropathy Spectrum Disorder: I. Demographic and Diagnostic Characteristics Type de document : Article Auteurs : Thierry Morlet ; William Parkes ; Cedric Pritchet ; Emily Venskytis ; Brooke DeVore ; Robert C. O'Reilly Année de publication : 2023 Article en page(s) : p. 969-978 Note générale : DOI: 10.1097/AUD.0000000000001337 Langues : Anglais (eng) Descripteurs : HE Vinci
Diagnostic auditif ; Neuropathie auditive (NA) ; Perte d'auditionRésumé : Objectives: The aim of the study was to review the demographic and clinical characteristics of all pediatric patients diagnosed with auditory neuropathy spectrum disorder (ANSD) by a pediatric health care system from 2005 to 2020 and examine whether or not our diagnostic capabilities in an ANSD population have evolved as our institutional experience has grown and knowledge in the field has expanded.
Design: This was a retrospective study reviewing the demographic data, medical history, imaging studies, audiological and speech-language data, type of audiological intervention and mode of communication in 260 pediatric patients diagnosed with ANSD over a 15-year period.
Results: The study revealed that male and female children were equally affected with all levels of hearing detection being represented and that about 40% of affected children were premature and most were admitted to the neonatal intensive care unit. More than a third of our patients presented with a complex medical history and/or neural involvement while about 30% were full-term newborns with normal pregnancy, no prenatal complications or infections, normal birth weight, no neonatal intensive care unit need, no hyperbilirubinemia, no respiratory distress requiring ventilation, and no known syndrome. Review of audiological findings confirms that otoacoustic emissions are not always present in ANSD cases, and that the presence of an abnormal wave V on the auditory brainstem response tracings (only present at high intensities and with an absent intensity/latency function) is not a rare finding and should not immediately be dismissed as not being a case of ANSD.
Conclusions: This review of ANSD diagnosis over a 15-year period clearly reveals the drastic improvements made in the identification of ANSD, with a drastic decrease in the age at diagnosis and a reduction in the percentage of misdiagnosed patients. The study also stresses the need for continued improvement in different areas such as genetic studies and physiological measures to help clinicians distinguish between pre- and postsynaptic ANSD.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=309635
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 969-978[article]
Titre : A 15-year Review of 260 Children With Auditory Neuropathy Spectrum Disorder: II. Management and Outcomes Type de document : Article Auteurs : Thierry Morlet ; Robert C. O'Reilly ; Cedric Pritchet ; Emily Venskytis ; William Parkes Année de publication : 2023 Article en page(s) : p. 979-989 Note générale : DOI: 10.1097/AUD.0000000000001366 Langues : Anglais (eng) Descripteurs : HE Vinci
Aide auditive implantable ; Implants cochléaires ; Neuropathie auditive (NA)Résumé : Objectives: Following a review of the demographic and clinical characteristics of all pediatric patients diagnosed with auditory neuropathy spectrum disorder (ANSD) by a pediatric health care system from 2005 to 2020, the present report highlights the type and timing of intervention and outcomes in the same 260 patients with ANSD.
Design: This was a retrospective study reviewing the demographic data, medical history, imaging studies, audiological and speech language data, type of audiological intervention (hearing aids or cochlear implants), and mode of communication in 260 pediatric patients diagnosed with ANSD over a 15-year period.
Results: A significant decrease over time in the age at hearing aid fitting was observed. While a similar reduction in the age at implantation occurred over time, cochlear implantation is still rarely performed by 12 months of age in most ANSD patients. Among bilateral ANSD patients fitted with hearing aids, the majority (89.2%) did not benefit from conventional amplification and most received cochlear implants. Some hearing aid benefit for speech and language development was observed in 5.8%, though communication difficulties were persistent and most used a combination of oral and sign language for communication. Only six patients (5%) received significant benefit from their hearing aids for speech and language development.
Conclusions: This review of ANSD management over a 15-year period reveals that hearing aids are not a viable option to develop speech and language for most infants and children with ANSD. This finding confirms previous reports and suggest that while hearing aid trials are warranted, children must be tracked closely so as to avoid delays in decision making. Cochlear implantation constitutes the major (if not only) rehabilitative intervention that allows for speech perception in patients who do not benefit from conventional amplification.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=309797
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 979-989[article]
Titre : Sustainable Benefits of High Variability Phonetic Training in Mandarin-speaking Kindergarteners With Cochlear Implants: Evidence From Categorical Perception of Lexical Tones Type de document : Article Auteurs : Hao Zhang ; Wen Ma ; Hongwei Ding ; Yang Zhang Année de publication : 2023 Article en page(s) : p. 990-1006 Note générale : DOI: 10.1097/AUD.0000000000001341 Langues : Anglais (eng) Descripteurs : HE Vinci
GAIN PROTHETIQUE ; Implants cochléaires ; Ton sonore ; Variabilité acoustique
Autres descripteurs
Perception du contraste phonetiqueRésumé : Objectives: Although pitch reception poses a great challenge for individuals with cochlear implants (CIs), formal auditory training (e.g., high variability phonetic training [HVPT]) has been shown to provide direct benefits in pitch-related perceptual performances such as lexical tone recognition for CI users. As lexical tones in spoken language are expressed with a multitude of distinct spectral, temporal, and intensity cues, it is important to determine the sources of training benefits for CI users. The purpose of the present study was to conduct a rigorous fine-scale evaluation with the categorical perception (CP) paradigm to control the acoustic parameters and test the efficacy and sustainability of HVPT for Mandarin-speaking pediatric CI recipients. The main hypothesis was that HVPT-induced perceptual learning would greatly enhance CI users' ability to extract the primary pitch contours from spoken words for lexical tone identification and discrimination. Furthermore, individual differences in immediate and long-term gains from training would likely be attributable to baseline performance and duration of CI use.
Design: Twenty-eight prelingually deaf Mandarin-speaking kindergarteners with CIs were tested. Half of them received five sessions of HVPT within a period of 3 weeks. The other half served as control who did not receive the formal training. Two classical CP tasks on a tonal continuum from Mandarin tone 1 (high-flat in pitch) to tone 2 (mid-rising in pitch) with fixed acoustic features of duration and intensity were administered before (pretest), immediately after (posttest), and 10 weeks posttraining termination (follow-up test). Participants were instructed to either label a speech stimulus along the continuum (i.e., identification task) or determine whether a pair of stimuli separated by zero or two steps from the continuum was the same or different (i.e., discrimination task). Identification function measures (i.e., boundary position and boundary width) and discrimination function scores (i.e., between-category score, within-category score, and peakedness score) were assessed for each child participant across the three test sessions.
Results: Linear mixed-effects (LME) models showed significant training-induced enhancement in lexical tone categorization with significantly narrower boundary width and better between-category discrimination in the immediate posttest over pretest for the trainees. Furthermore, training-induced gains were reliably retained in the follow-up test 10 weeks after training. By contrast, no significant changes were found in the control group across sessions. Regression analysis confirmed that baseline performance (i.e., boundary width in the pretest session) and duration of CI use were significant predictors for the magnitude of training-induced benefits.
Conclusions: The stringent CP tests with synthesized stimuli that excluded acoustic cues other than the pitch contour and were never used in training showed strong evidence for the efficacy of HVPT in yielding immediate and sustained improvement in lexical tone categorization for Mandarin-speaking children with CIs. The training results and individual differences have remarkable implications for developing personalized computer-based short-term HVPT protocols that may have sustainable long-term benefits for aural rehabilitation in this clinical population.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=309800
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 990-1006[article]
Titre : Investigation of Frequency-Specific Loudness Discomfort Levels in Listeners With Migraine: A Case-Control Study Type de document : Article Auteurs : Angeliki Mourgela ; Michail Vikelis ; Joshua D. Reiss Année de publication : 2023 Article en page(s) : p. 1007-1013 Note générale : DOI: 10.1097/AUD.0000000000001339 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépistage auditif ; HYPERSENSIBILITE AUDITIVE ; MIGRAINE VESTIBULAIRERésumé : Objectives: Hypersensitivity to auditory stimuli is a commonly reported symptom in listeners with migraine, yet it remains relatively unexplored in research. This study aims to investigate loudness discomfort levels in listeners with migraine, while identifying the frequencies most affected by the phenomenon.
Design: To achieve this, the study compared just audible level and loudness discomfort level ranges between participants with and without migraine from the United Kingdom, Greece as well as the participant recruitment platform Prolific, across 13 frequencies from 100 to 12,000 Hz, through an online listening test.
Results: Fifty-five participants with migraine and 49 participants without migraine from both countries and Prolific were included in the analysis, where threshold ranges between just audible and mildly uncomfortable levels were compared in 13 frequencies. Migraineur group participants presented significantly smaller ranges between just audible and mildly uncomfortable level, due to lower thresholds of mild discomfort in 12 of the 13 frequencies when compared with the nonmigraineur group participants. Participants taking the test during their migraine attack or aura presented a tendency for smaller ranges. In addition, participants with self-reported higher severity migraine exhibited bigger ranges compared with participants with low severity migraine within the migraineur group. No relationship between ranges and medication or migraine attack frequency within the migraineur group was observed.
Conclusions: Results from the study demonstrate a tendency for the migraineur group to present lower thresholds of mild discomfort compared with the nonmigraineur group, aligning with previous studies while extending the phenomenon to more frequencies than those previously examined. Though the present study presented no relationship between ranges and medication or attack frequency, further research is required to investigate a potential link between these factors.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=309801
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1007-1013[article]
Titre : Longitudinal Electrocochleography as an Objective Measure of Serial Behavioral Audiometry in Electro-Acoustic Stimulation Patients Type de document : Article Auteurs : Viral D. Tejani ; Jeong-Seo Kim ; Christine Etler ; Jeffrey Skidmore ; Yi Yuan ; Shuman He ; Marlan R. Hansen ; Bruce J. Gantz ; Paul J. Abbas ; Carolyn J. Brown Année de publication : 2023 Article en page(s) : p. 1014-1028 Note générale : DOI: 10.1097/AUD.0000000000001342 Langues : Anglais (eng) Descripteurs : HE Vinci
Electrocochléographie ; Implants cochléaires ; Préservation de l'audition ; Stimulation électro-acoustique (EAS)Résumé : Objective: Minimally traumatic surgical techniques and advances in cochlear implant (CI) electrode array designs have allowed acoustic hearing present in a CI candidate prior to surgery to be preserved postoperatively. As a result, these patients benefit from combined electric-acoustic stimulation (EAS) postoperatively. However, 30% to 40% of EAS CI users experience a partial loss of hearing up to 30 dB after surgery. This additional hearing loss is generally not severe enough to preclude use of acoustic amplification; however, it can still impact EAS benefits. The use of electrocochleography (ECoG) measures of peripheral hair cell and neural auditory function have shed insight into the pathophysiology of postimplant loss of residual acoustic hearing. The present study aims to assess the long-term stability of ECoG measures and to establish ECoG as an objective method of monitoring residual hearing over the course of EAS CI use. We hypothesize that repeated measures of ECoG should remain stable over time for EAS CI users with stable postoperative hearing preservation. We also hypothesize that changes in behavioral audiometry for EAS CI users with loss of residual hearing should also be reflected in changes in ECoG measures.
Design: A pool of 40 subjects implanted under hearing preservation protocol was included in the study. Subjects were seen at postoperative visits for behavioral audiometry and ECoG recordings. Test sessions occurred 0.5, 1, 3, 6, 12 months, and annually after 12 months postoperatively. Changes in pure-tone behavioral audiometric thresholds relative to baseline were used to classify subjects into two groups: one group with stable acoustic hearing and another group with loss of acoustic hearing. At each test session, ECoG amplitude growth functions for several low-frequency stimuli were obtained. The threshold, slope, and suprathreshold amplitude at a fixed stimulation level was obtained from each growth function at each time point. Longitudinal linear mixed effects models were used to study trends in ECoG thresholds, slopes, and amplitudes for subjects with stable hearing and subjects with hearing loss.
Results: Preoperative, behavioral audiometry indicated that subjects had an average low-frequency pure-tone average (125 to 500 Hz) of 40.88 +/- 13.12 dB HL. Postoperatively, results showed that ECoG thresholds and amplitudes were stable in EAS CI users with preserved residual hearing. ECoG thresholds increased (worsened) while ECoG amplitudes decreased (worsened) for those with delayed hearing loss. The slope did not distinguish between EAS CI users with stable hearing and subjects with delayed loss of hearing.
Conclusions: These results provide a new application of postoperative ECoG as an objective tool to monitor residual hearing and understand the pathophysiology of delayed hearing loss. While our measures were conducted with custom-designed in-house equipment, CI companies are also designing and implementing hardware and software adaptations to conduct ECoG recordings. Thus, postoperative ECoG recordings can potentially be integrated into 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=309802
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1014-1028[article]
Titre : Vestibular Vertigo and Disparities in Healthcare Access Among Adults in the United States Type de document : Article Auteurs : Gun Min Youn ; Jay P. Shah ; Yuri Agrawal ; Eric X. Wei Année de publication : 2023 Article en page(s) : p. 1029-1035 Note générale : DOI: 10.1097/AUD.0000000000001344 Langues : Anglais (eng) Descripteurs : HE Vinci
Assurance ; Disparités en matière de santé, minorités et populations vulnérables ; Facteurs raciaux ; Revenu ; VertigeRésumé : Objective: Vertigo and dizziness have a high lifetime prevalence with significant impacts on daily life. We sought to explore differences in access to and ability to afford care among adults with vestibular vertigo by race/ethnicity, income, and insurance type.
Design: This is a cross-sectional study using the 2016 National Health Interview Survey. A total of 32,047 adults who completed the 2016 National Health Interview Survey Balance Supplement were analyzed. We used a previously validated definition of vertigo defined as (1) positional vertigo, (2) rotational vertigo, or (3) recurrent dizziness with nausea and either oscillopsia or imbalance. We examined several self-reported measures of healthcare utilization and access.
Results: Among adults with vestibular vertigo, African Americans had significantly increased odds of delayed care due to lack of transportation; Hispanic ethnicity was associated with decreased odds of skipping medication doses and asking a doctor for a lower-cost medication. Adults with public insurance had significantly lower odds of reporting delayed care due to worry about cost, not receiving medical care due to cost, and delayed filling of a prescription, but had greater odds of reporting delayed care due to lack of transportation. Lack of insurance and lower income were associated with increased odds of delaying and not receiving care due to cost.
Conclusion: These findings demonstrate significant differences in access to care among adults with vestibular vertigo in the United States based on race, income, and health insurance status.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=309803
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1029-1035[article]
Titre : An Accurate and Individualized Preoperative Estimation Method for the Linear Insertion Depth of Cochlear Implant Electrode Arrays Based on Computed Tomography Type de document : Article Auteurs : Gaogan Jia ; Zijun Song ; Lingjie Wu ; Qiushi Sun ; Yaru Sheng ; Yusu Ni ; Huawei Li ; Wenyan Li Année de publication : 2023 Article en page(s) : p. 1036-1042 Note générale : DOI: 10.1097/AUD.0000000000001346 Langues : Anglais (eng) Descripteurs : HE Vinci
Implants cochléaires ; Position des électrodes ; Préservation de l'audition ; TomographieRésumé : Objectives: Cochlear implantation or auditory brainstem implantation is currently the only accepted method for improving severe or profound sensorineural hearing loss. The length of the electrodes implanted during cochlear implantation is closely related to the degree of hearing improvement of hearing after the surgery. We aimed to explore new methods to accurately estimate the electrode array (EA) linear insertion depth based on computed tomography (CT) images prior surgery, which could help surgeons select the appropriate EA length for each patient.
Design: Previous studies estimated the linear insertion depth by measuring the length of the lateral wall of the cochlea rather than the electrode's path in the cochlea duct. Here, we determined the actual position of the EA on the CT image after cochlear surgery in order to predict the path of the EA, and the length of the predicted EA path was measured by the contouring technique (CoT) to estimate the linear insertion depth of the EA. Because CoT can only measure the length of the estimated EA path on a two-dimensional plane, we further modified the measurement by weighting the height of the cochlea and the length of the EA tail (the length of the last stimulating electrode to the end, which cannot be displayed on the CT image), which we termed the modified CoT + height + tail (MCHT) measurement.
Results: Based on our established method, MCHT could reduce the error to the submillimeter range (0.67 +/- 0.37 mm) when estimating the linear insertion depth of various kinds of EAs compared with the actual implant length. The correlation coefficient between the linear insertion depth as predicted by MCHT and the actual was 0.958. The linear insertion depth estimated by this method was more accurate than that estimated using the classical CoT technique (R = 0.442) and using the modified Escude's method (R = 0.585).
Conclusions: MCHT is a method based on CT images that can accurately predict the linear insertion depth of cochlear implants preoperatively. This is the first report that we are aware of a method for predicting linear insertion depth before cochlear implantation with only submillimeter errors and that is tailored to different types of EAs.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=309804
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1036-1042[article]
Titre : Self-Reported Cycling Performance and Impact on Falls in Persons With Bilateral Vestibulopathy Type de document : Article Auteurs : Maya Danneels ; Raymond van de Berg ; Laura Leyssens ; Ruth Van Hecke ; Ingeborg Dhooge ; Dirk Cambier ; Vincent Van Rompaey ; Leen Maes Année de publication : 2023 Article en page(s) : p. 1043-1048 Note générale : DOI: 10.1097/AUD.0000000000001349 Langues : Anglais (eng) Descripteurs : HE Vinci
Ajustement postural ; Cyclisme ; Vestibulopathie bilatérale
Autres descripteurs
EquilibreRésumé : Objectives: The aim of this study was to investigate cycling skills, cycling difficulties, fall concern, and fall history while cycling in persons with bilateral vestibulopathy.
Design: Fifty-one persons with bilateral vestibulopathy and 51 healthy control subjects filled out a questionnaire about cycling abilities. This questionnaire consisted of four parts: (1) general information about audiovestibular function, vision, and physical activity; (2) general cycling abilities, history, and difficulties; (3) fall concern while cycling in various situations; and (4) fall history.
Results: Out of the 51 patients, 61% found riding a bicycle difficult, 29% were not able to cycle anymore, and 10% reported not having any problems riding a bicycle. Their mean cycling time decreased from 3.15 hrs weekly before to 1.27 hrs weekly after disease onset (p = 0.002). The latter also differed significantly from the mean cycling time of 3.51 hrs weekly in control subjects (p Conclusions: This study demonstrates cycling difficulties in persons with bilateral vestibulopathy, related to problems with postural control and gaze stabilization. Knowledge about specific complaints and triggers is important to prevent future falls. A combination of coping strategies and aids, with vestibular rehabilitation focused on gaze stabilization might be considered, as well as avoidance of cycling in specific cases.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=309805
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1043-1048[article]
Titre : The Assistive Benefits of Remote Microphone Technology for Normal Hearing Children With Listening Difficulties Type de document : Article Auteurs : Lucy Shiels ; Dani Tomlin ; Gary Rance Année de publication : 2023 Article en page(s) : p. 1049-1060 Note générale : DOI: 10.1097/AUD.0000000000001351 Langues : Anglais (eng) Descripteurs : HE Vinci
Activité d'écoute ; Attention auditive ; Intelligibilité de la parole ; Microphone à distance sans fil (RM)Résumé : Objectives: Children often present with listening difficulties (LiD) but with normal sound detection thresholds. These children are susceptible to learning challenges, and struggle with the suboptimal acoustics of standard classrooms. Remote microphone technology (RMT) is one way to improve the listening environment. The aim of this study was to determine the assistive potential of RMT for speech identification and attention skills in children with LiD, and to investigate whether the benefits obtained by these children were greater than for those with no listening concerns.
Design: A total of 28 children with LiD and 10 control participants with no listening concerns aged 6 to 12 years were included in this study. Children attended two laboratory-based testing sessions, where their speech intelligibility and attention skills were behaviorally assessed with and without the use of RMT.
Results: There were significant improvements in speech identification and attention skills when RMT was used. For the LiD group, use of the devices improved speech intelligibility to being comparable or better than control abilities without RMT. Auditory attention scores also improved from being poorer than controls without RMT to comparable to control performance with device assistance.
Conclusions: Use of RMT was found to have a positive effect on both speech intelligibility and attention. RMT should be considered a viable option for addressing common behavioral symptoms of LiD, including for the many children that present with concerns of inattentiveness.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=309806
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1049-1060[article]
Titre : Acoustically Evoked Compound Action Potentials Recorded From Cochlear Implant Users With Preserved Acoustic Hearing Type de document : Article Auteurs : Jeong-Seo Kim ; Carolyn J. Brown Année de publication : 2023 Article en page(s) : p. 1061-1077 Note générale : DOI: 10.1097/AUD.0000000000001350 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Potentiels évoqués a action composée (eCAP)
HE Vinci
Electrocochléographie ; Implants cochléaires ; Préservation de l'audition ; Stimulation électro-acoustique (EAS)Résumé : Objectives: Less traumatic intracochlear electrode design and the introduction of the soft surgery technique allow for the preservation of low-frequency acoustic hearing in many cochlear implant (CI) users. Recently, new electrophysiologic methods have also been developed that allow acoustically evoked peripheral responses to be measured in vivo from an intracochlear electrode. These recordings provide clues to the status of peripheral auditory structures. Unfortunately, responses generated from the auditory nerve (auditory nerve neurophonic [ANN]) are somewhat difficult to record because they are smaller than the hair cell responses (cochlear microphonic). Additionally, it is difficult to completely segregate the ANN from the cochlear microphonic, complicating the interpretation and limiting clinical applications. The compound action potential (CAP) is a synchronous response of multiple auditory nerve fibers and may provide an alternative to ANN where the status of the auditory nerve is of primary interest. This study is a within-subject comparison of CAPs recorded using traditional stimuli (clicks and 500 Hz tone bursts) and a new stimulus (CAP chirp). We hypothesized that the chirp stimulus might result in a more robust CAP than that recorded using traditional stimuli, allowing for a more accurate assessment of the status of the auditory nerve.
Design: Nineteen adult Nucleus L24 Hybrid CI users with residual low-frequency hearing participated in this study. CAP responses were recorded from the most apical intracochlear electrode using a 100 [mu]s click, 500 Hz tone bursts, and chirp stimuli presented via the insert phone to the implanted ear. The chirp stimulus used in this study was CAP chirp generated using parameters from human-derived band CAPs (Chertoff et al. 2010). Additionally, nine custom chirps were created by systematically varying the frequency sweep rate of the power function used to construct the standard CAP chirp stimulus. CAPs were recorded using all acoustic stimuli, allowing for within-subject comparisons of the CAP amplitude, threshold, percentage of measurable CAP responses, and waveform morphology.
Results: Considerable variation in response morphology was apparent across stimuli and stimulation levels. Clicks and CAP chirp significantly evoked identifiable CAP response more compared to 500 Hz tone bursts. At relatively high stimulation levels, the chirp-evoked CAPs were significantly larger in amplitude and less ambiguous in morphology than the click-evoked CAPs. The status of residual acoustic hearing at high frequencies influenced the likelihood that a CAP could be reliably recorded. Subjects with better preserved hearing at high frequencies had significantly larger CAP amplitudes when CAP chirp was used. Customizing the chirp stimulus by varying the frequency sweep rates significantly affected the CAP amplitudes; however, pairwise comparisons did not show significant differences between chirps.
Conclusions: CAPs can be measured more effectively using broadband acoustic stimuli than 500 Hz tone bursts in CI users with residual low-frequency acoustic hearing. The advantage of using CAP chirp stimulus relative to standard clicks is dependent on the extent of preserved acoustic hearing at high frequencies and the stimulus level. The chirp stimulus may present an attractive alternative to standard clicks or tone bursts for this CI population when the goal is to record robust CAP responses.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=309807
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1061-1077[article]
Titre : Community Perspectives on Hearing Loss in Rural Alaska Type de document : Article Auteurs : Meade Inglis-Jenson ; Samantha K. Robler ; Joseph J. Gallo ; Paul Ivanoff ; Stephanie Ryan ; Philip Hofstetter ; Suzan D. Emmett Année de publication : 2023 Article en page(s) : p. 1078-1087 Note générale : DOI: 10.1097/AUD.0000000000001348 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépistage auditif ; Perte d'audition ; Santé auditiveMots-clés : Alaska Native health care, Hearing Norton Sound, Résumé : Objectives: The aim of this study is to present an explanatory model of hearing loss in the Bering Strait region of Alaska in order to contextualize the results of a cluster randomized trial and propose implications for regional hearing-related health care.
Design: To promote ecological validity, or the generalizability of trial findings to real world experiences, qualitative methods (focus groups and interviews) were used within a mixed methods cluster randomized trial evaluating school hearing screening and follow-up processes in 15 communities in the Bering Strait region of Alaska. Focus groups were held between April and August 2017, and semistructured interviews were conducted between December 2018 and August 2019. Convenience sampling was used for six of the 11 focus groups to capture broad community feedback. Purposive sampling was used for the remaining five focus groups and for all interviews to capture a variety of experiences with hearing loss. Audio recordings of focus groups and interviews were transcribed, and both notes and transcripts were deidentified. All notes and transcripts were included in the analysis. The constant comparative method was used to develop a codebook by iteratively moving between transcripts and preliminary themes. Researchers then used this codebook to code data from all focus groups and interviews using qualitative analysis software (NVIVO 12, QSR International) and conducted thematic analyses to distill the findings presented in this article.
Results: Participants in focus groups (n = 116) and interviews (n = 101) shared perspectives in three domains: etiology, impact, and treatment of hearing loss. Regarding etiology, participants emphasized noise-induced hearing loss but also discussed infection-related hearing loss and various causes of ear infections. Participants described the impact of hearing loss on subsistence activities, while also detailing social, academic, and economic consequences. Participants described burdensome treatment pathways that are repetitive and often travel and time intensive. Communication breakdowns within these pathways were also described. Some participants spoke positively of increased access via onsite hearing health care services in "field clinics" as well as via telemedicine services. Others described weaknesses in these processes (infrequent field clinics and communication delays in telemedicine care pathways). Participants also described home remedies and stigma surrounding the treatment for hearing loss.
Conclusions: Patient-centered health care requires an understanding of context. Explanatory models of illness are context-specific ways in which patients and their networks perceive and describe the experience of an illness or disability. In this study, we documented explanatory models of hearing loss to foster ecological validity and better understand the relevance of research findings to real-life hearing-related experiences. These findings suggest several areas that should be addressed in future implementation of hearing health care interventions elsewhere in rural Alaska, including management of repetitious treatments, awareness of infection-mediated hearing loss, mistrust, and communication breakdowns. For hearing-related health care in this region, these findings suggest localized recommendations for approaches for prevention and treatment. For community-based hearing research, this study offers an example of how qualitative methods can be used to generate ecologically valid (i.e., contextually grounded) findings.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=310037
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1078-1087[article]
Titre : Characteristics of the Summating Potential Measured Across a Cochlear Implant Array as an Indicator of Cochlear Function Type de document : Article Auteurs : Jared Panario ; Christofer Bester ; Stephen O'Leary Année de publication : 2023 Article en page(s) : p. 1088-1106 Note générale : DOI: 10.1097/AUD.0000000000001347 Langues : Anglais (eng) Descripteurs : HE Vinci
Cellules ciliées auditives internes (OHC) ; Electrocochléographie ; Implants cochléairesMots-clés : Summating potential Résumé : Objectives: The underlying state of cochlear and neural tissue function is known to affect postoperative speech perception following cochlear implantation. The ability to assess these tissues in patients can be performed using intracochlear electrocochleography (IC ECochG). One component of ECochG is the summating potential (SP) that appears to be generated by multiple cochlear tissues. Its qualities may be able to detect the presence of functional inner hair cells, but evidence for this is limited in human cochleae. This study aimed to examine the IC SP characteristics in cochlear implantation recipients, its relationship to preoperative speech perception and audiometric thresholds, and to other IC ECochG components.
Design: This is a retrospective analysis of 113 patients' IC ECochG recordings across the array in response to a 500 Hz tone burst stimulus. Responses to condensation and rarefaction stimuli were then subtracted from one another to emphasize the cochlear microphonic and added to one another to emphasize the SP, auditory nerve neurophonic, and compound action potential. Patients were grouped based on their maximum SP deflection being large and positive (+SP), large and negative (-SP), or minimal (0 SP) to further investigate these relationships.
Results: Patients in the +SP group had better preoperative speech perception (mean consonant-vowel-consonant phoneme score 46%) compared to the -SP and 0 SP groups (consonant-vowel-consonant phoneme scores 34% and 36%, respectively, difference to +SP: p 0.1). There were also distinct differences between SP groups in the qualities of their other ECochG components. These included the +SP patients having larger cochlear microphonic maximum amplitude, more apical SP peak electrode locations, and a more spatially specific SP magnitude growth pattern across the array.
Conclusions: Patients with large positive SP deflection in IC ECochG have preoperatively better speech perception and lower audiometric thresholds than those without. Patterns in other ECochG components suggest its positive deflection may be an indicator of cochlear 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=310038
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1088-1106[article]
Titre : Neural Correlates of Individual Differences in Speech-in-Noise Performance in a Large Cohort of Cochlear Implant Users Type de document : Article Auteurs : Joel I. Berger ; Phillip E. Gander ; Subong Kim ; Adam T. Schwalje ; Jihwand Woo ; Young-min Na ; Ann Holmes ; Jean M. Hong ; Camille C. Dunn ; Marlan R. Hansen ; Bruce J. Gantz ; Bob McMurray ; Timothy Griffiths ; Inyong Choi Année de publication : 2023 Article en page(s) : p. 1107-1120 Note générale : DOI: 10.1097/AUD.0000000000001357 Langues : Anglais (eng) Descripteurs : HE Vinci
Electroencéphalographie (EEG) ; Implants cochléaires ; Perception auditive ; Surdite partielle
Autres descripteurs
N1-p2 complexRésumé : Objectives: Understanding speech-in-noise (SiN) is a complex task that recruits multiple cortical subsystems. Individuals vary in their ability to understand SiN. This cannot be explained by simple peripheral hearing profiles, but recent work by our group (Kim et al. 2021, Neuroimage) highlighted central neural factors underlying the variance in SiN ability in normal hearing (NH) subjects. The present study examined neural predictors of SiN ability in a large cohort of cochlear-implant (CI) users.
Design: We recorded electroencephalography in 114 postlingually deafened CI users while they completed the California consonant test: a word-in-noise task. In many subjects, data were also collected on two other commonly used clinical measures of speech perception: a word-in-quiet task (consonant-nucleus-consonant) word and a sentence-in-noise task (AzBio sentences). Neural activity was assessed at a vertex electrode (Cz), which could help maximize eventual generalizability to clinical situations. The N1-P2 complex of event-related potentials (ERPs) at this location were included in multiple linear regression analyses, along with several other demographic and hearing factors as predictors of SiN performance.
Results: In general, there was a good agreement between the scores on the three speech perception tasks. ERP amplitudes did not predict AzBio performance, which was predicted by the duration of device use, low-frequency hearing thresholds, and age. However, ERP amplitudes were strong predictors for performance for both word recognition tasks: the California consonant test (which was conducted simultaneously with electroencephalography recording) and the consonant-nucleus-consonant (conducted offline). These correlations held even after accounting for known predictors of performance including residual low-frequency hearing thresholds. In CI-users, better performance was predicted by an increased cortical response to the target word, in contrast to previous reports in normal-hearing subjects in whom speech perception ability was accounted for by the ability to suppress noise.
Conclusions: These data indicate a neurophysiological correlate of SiN performance, thereby revealing a richer profile of an individual's hearing performance than shown by psychoacoustic measures alone. These results also highlight important differences between sentence and word recognition measures of performance and suggest that individual differences in these measures may be underwritten by different mechanisms. Finally, the contrast with prior reports of NH listeners in the same task suggests CI-users performance may be explained by a different weighting of neural processes than NH listeners.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=310039
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1107-1120[article]
Titre : Effect of Auditory Distractors on Speech Recognition and Listening Effort Type de document : Article Auteurs : Samantha J. Gustafson ; Loren Nelson ; Jack W. Silcox Année de publication : 2023 Article en page(s) : p. 1121-1132 Note générale : DOI: 10.1097/AUD.0000000000001356 Langues : Anglais (eng) Descripteurs : HE Vinci
Attention auditive ; Compréhension dans le bruit ; Distraction ; Effort d'écouteRésumé : Objectives: Everyday listening environments are filled with competing noise and distractors. Although significant research has examined the effect of competing noise on speech recognition and listening effort, little is understood about the effect of distraction. The framework for understanding effortful listening recognizes the importance of attention-related processes in speech recognition and listening effort; however, it underspecifies the role that they play, particularly with respect to distraction. The load theory of attention predicts that resources will be automatically allocated to processing a distractor, but only if perceptual load in the listening task is low enough. If perceptual load is high (i.e., listening in noise), then resources that would otherwise be allocated to processing a distractor are used to overcome the increased perceptual load and are unavailable for distractor processing. Although there is ample evidence for this theory in the visual domain, there has been little research investigating how the load theory of attention may apply to speech processing. In this study, we sought to measure the effect of distractors on speech recognition and listening effort and to evaluate whether the load theory of attention can be used to understand a listener's resource allocation in the presence of distractors.
Design: Fifteen adult listeners participated in a monosyllabic words repetition task. Test stimuli were presented in quiet or in competing speech (+5 dB signal-to-noise ratio) and in distractor or no distractor conditions. In conditions with distractors, auditory distractors were presented before the target words on 24% of the trials in quiet and in noise. Percent-correct was recorded as speech recognition, and verbal response time (VRT) was recorded as a measure of listening effort.
Results: A significant interaction was present for speech recognition, showing reduced speech recognition when distractors were presented in the quiet condition but no effect of distractors when noise was present. VRTs were significantly longer when distractors were present, regardless of listening condition.
Conclusions: Consistent with the load theory of attention, distractors significantly reduced speech recognition in the low-perceptual load condition (i.e., listening in quiet) but did not impact speech recognition scores in conditions of high perceptual load (i.e., listening in noise). The increases in VRTs in the presence of distractors in both low- and high-perceptual load conditions (i.e., quiet and noise) suggest that the load theory of attention may not apply to listening effort. However, the large effect of distractors on VRT in both conditions is consistent with the previous work demonstrating that distraction-related shifts of attention can delay processing of the target task. These findings also fit within the framework for understanding effortful listening, which proposes that involuntary attentional shifts result in a depletion of cognitive resources, leaving less resources readily available to process the signal of interest; resulting in increased listening effort (i.e., elongated VRT).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=310051
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1121-1132[article]
Titre : Clinical Interpretation of Word-Recognition Scores for Listeners with Sensorineural Hearing Loss: Confidence Intervals, Limits, and Levels Type de document : Article Auteurs : Robert H. Margolis ; Richard H. Wilson ; George L. Saly Année de publication : 2023 Article en page(s) : p. 1133-1139 Note générale : DOI: 10.1097/AUD.0000000000001355 Langues : Anglais (eng) Descripteurs : HE Vinci
Confiance ; Intervalles de confiance ; Reconnaissance auditive du mot ; Surdité neurosensorielle (SNHL)Résumé : Objectives: Confidence levels were established to determine if a word-recognition score is within the expected range for a hearing loss group (based on 3-frequency pure-tone average) or significantly below or above the expected range.
Design: Two large clinical databases were mined to produce data-sets composed of word-recognition scores obtained with Q/MASS NU-6 materials and VA NU-6 materials for patients with average hearing losses ranging from 0 to 70 dB HL. Percentiles representing scores that are below (2.5%, 5%, and 10%) and above (90%, 95%, and 97.5%) the expected range (defined as the 80% confidence interval) were established. To estimate the distribution of scores and percentiles for the Auditec NU-6 materials (for which a large database is not available) Q/MASS scores were transformed to Auditec scores based on published psychometric functions.
Results: The resulting confidence levels and expected ranges of word-recognition scores should be useful for interpreting the relationship between a score and the distribution of scores for the patient's hearing loss severity. Confidence levels are described as low, moderate, and high corresponding to the statistical level of assurance that a score is lower or higher than the expected score.
Conclusions: The confidence levels and expected ranges may be helpful for interpreting word-recognition scores obtained with three widely used sets of NU-6 test materiaDisponible 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=310052
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1133-1139[article]
Titre : Asymmetric Hearing Loss in Adult Cochlear Implant Recipients: Results and Recommendations From a Multisite Prospective Clinical Trial Type de document : Article Auteurs : Jill B. Firszt ; Laura K. Holden ; Noel Y. Dwyer ; Ruth M. Reeder ; Michael J. Strube Année de publication : 2023 Article en page(s) : p. 1140-1156 Note générale : DOI: 10.1097/AUD.0000000000001354 Langues : Anglais (eng) Descripteurs : HE Vinci
Implants cochléaires ; Localisation auditive ; Perception auditive ; Perte auditive asymétriqueRésumé : Objective: A multisite clinical trial was conducted to obtain cochlear implant (CI) efficacy data in adults with asymmetric hearing loss (AHL) and establish an evidence-based framework for clinical decision-making regarding CI candidacy, counseling, and assessment tools. Study hypotheses were threefold: (1) 6-month postimplant performance in the poor ear (PE) with a CI will be significantly better than preimplant performance with a hearing aid (HA), (2) 6-month postimplant performance with a CI and HA (bimodal) will be significantly better than preimplant performance with bilateral HAs (Bil HAs), and (3) 6-month postimplant bimodal performance will be significantly better than aided, better ear (BE) performance.
Design: Forty adults with AHL from four, metropolitan CI centers participated. Hearing criteria for the ear to be implanted included (1) pure-tone average (PTA, 0.5, 1, 2 kHz) of >70 dB HL, (2) aided, monosyllabic word score of =6 months, and (4) onset of hearing loss >=6 years of age. Hearing criteria for the BE included (1) PTA (0.5, 1, 2, 4 kHz) of 40 to 70 dB HL, (2) currently using a HA, (3) aided, word score of >40%, and (4) stable hearing for the previous 1-year period. Speech perception and localization measures, in quiet and in noise, were administered preimplant and at 3-, 6-, 9-, and 12-months postimplant. Preimplant testing was performed in three listening conditions, PE HA, BE HA, and Bil HAs. Postimplant testing was performed in three conditions, CI, BE HA, and bimodal. Outcome factors included age at implantation and length of deafness (LOD) in the PE.
Results: A hierarchical nonlinear analysis predicted significant improvement in the PE by 3 months postimplant versus preimplant for audibility and speech perception with a plateau in performance at approximately 6 months. The model predicted significant improvement in postimplant, bimodal outcomes versus preimplant outcomes (Bil HAs) for all speech perception measures by 3 months. Both age and LOD were predicted to moderate some CI and bimodal outcomes. In contrast with speech perception, localization in quiet and noise was not predicted to improve by 6 months when comparing Bil HAs (preimplant) to bimodal (postimplant) outcomes. However, when participants' preimplant everyday listening condition (BE HA or Bil HAs) was compared with bimodal performance, the model predicted significant improvement by 3 months for localization in quiet and noise. Lastly, BE HA results were stable over time; a generalized linear model analysis revealed bimodal performance was significantly better than performance with a BE HA at all postimplant intervals for most speech perception measures and localization.
Conclusions: Results revealed significant CI and bimodal benefit for AHL participants by 3-months postimplant, with a plateau in CI and bimodal performance at approximately 6-months postimplant. Results can be used to inform AHL CI candidates and to monitor postimplant performance. On the basis of this and other AHL research, clinicians should consider a CI for individuals with AHL if the PE has a PTA (0.5, 1, 2 kHz) >70 dB HL and a Consonant-Vowel Nucleus-Consonant word score 10 years should not be a contraindication.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=310053
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1140-1156[article]
Titre : Aided Cortical Auditory Evoked Potentials in Infants With Frequency-Specific Synthetic Speech Stimuli: Sensitivity, Repeatability, and Feasibility Type de document : Article Auteurs : Anisa S. Visram ; Michael A. Stone ; Suzanne C. Purdy ; Steven Lewis Bell ; Jo Brooks ; Iain A. Bruce ; Michael Alexander Chesnaye ; Harvey Dillon ; James M. Harte ; Caroline Louise Hudson ; Søren Laugesen ; Rhiannon Morgan ; Martin O'Driscoll ; Stephen A. Roberts ; Amber Roughley ; David Martin Simpson ; Kevin J. Munro Année de publication : 2023 Article en page(s) : p. 1157-1172 Note générale : DOI: 10.1097/AUD.0000000000001352 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Audiologie pédiatrique ; Potentiel évoqué cortical sonore (CAEP)Résumé : Objectives: The cortical auditory evoked potential (CAEP) test is a candidate for supplementing clinical practice for infant hearing aid users and others who are not developmentally ready for behavioral testing. Sensitivity of the test for given sensation levels (SLs) has been reported to some degree, but further data are needed from large numbers of infants within the target age range, including repeat data where CAEPs were not detected initially. This study aims to assess sensitivity, repeatability, acceptability, and feasibility of CAEPs as a clinical measure of aided audibility in infants.
Design: One hundred and three infant hearing aid users were recruited from 53 pediatric audiology centers across the UK. Infants underwent aided CAEP testing at age 3 to 7 months to a mid-frequency (MF) and (mid-)high-frequency (HF) synthetic speech stimulus. CAEP testing was repeated within 7 days. When developmentally ready (aged 7-21 months), the infants underwent aided behavioral hearing testing using the same stimuli, to estimate the decibel (dB) SL (i.e., level above threshold) of those stimuli when presented at the CAEP test sessions. Percentage of CAEP detections for different dB SLs are reported using an objective detection method (Hotellings T2). Acceptability was assessed using caregiver interviews and a questionnaire, and feasibility by recording test duration and completion rate.
Results: The overall sensitivity for a single CAEP test when the stimuli were >=0 dB SL (i.e., audible) was 70% for the MF stimulus and 54% for the HF stimulus. After repeat testing, this increased to 84% and 72%, respectively. For SL >10 dB, the respective MF and HF test sensitivities were 80% and 60% for a single test, increasing to 94% and 79% for the two tests combined. Clinical feasibility was demonstrated by an excellent >99% completion rate, and acceptable median test duration of 24 minutes, including preparation time. Caregivers reported overall positive experiences of the test.
Conclusions: By addressing the clinical need to provide data in the target age group at different SLs, we have demonstrated that aided CAEP testing can supplement existing clinical practice when infants with hearing loss are not developmentally ready for traditional behavioral assessment. Repeat testing is valuable to increase test sensitivity. For clinical application, it is important to be aware of CAEP response variability in this age 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=310139
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1157-1172[article]
Titre : Pre-Existing Audiometric Hearing Loss is a Predictor of Significant Threshold Shift Following Injury During Combat Deployment Type de document : Article Auteurs : Antony R. Joseph ; Andrew J. MacGregor ; Amber L. Dougherty Année de publication : 2023 Article en page(s) : p. 1173-1181 Note générale : DOI: 10.1097/AUD.0000000000001359 Langues : Anglais (eng) Descripteurs : HE Vinci
Exposition au bruit ; Santé militaire ; Seuil auditifMots-clés : Blast injury, Blast-Related Auditory Injury Database, Early identification, Hearing loss, Hearing threshold shift, Retrospective cohort study, Significant threshold shift, Susceptibility Résumé : Objectives: Military personnel are exposed to multiple risk factors for hearing loss, particularly on the battlefield. The objective of this study was to determine whether pre-existing hearing loss predicted hearing threshold shift in male U.S. military personnel following injury during combat deployment.
Design: This was a retrospective cohort study with 1573 male military personnel physically injured in Operations Enduring and Iraqi Freedom between 2004 and 2012. Audiograms before and after injury were analyzed and used to calculate significant threshold shift (STS), defined as a 30 dB or greater change in the sum of hearing thresholds at 2000, 3000, and 4000 Hz in either ear on the postinjury audiogram, relative to the same frequencies on the preinjury audiogram.
Results: Twenty-five percent (n = 388) of the sample had preinjury hearing loss, which mostly occurred in the higher frequencies (i.e., 4000 and 6000 Hz). The prevalence of postinjury STS ranged from 11.7% to 33.3% as preinjury hearing level moved from better to worse. In multivariable logistic regression, preinjury hearing loss was a predictor of STS, and there was a dose-response relationship between severity of preinjury hearing threshold and postinjury STS, specifically for preinjury hearing levels of 40 to 45 dBHL (odds ratio [OR] = 1.99; 95% confidence interval [CI] = 1.03 to 3.88), 50 to 55 dBHL (OR = 2.33; 95% CI = 1.17 to 4.64), and >55 dBHL (OR = 3.77; 95% CI = 2.25 to 6.34).
Conclusions: These findings suggest that better preinjury hearing provides increased resistance to threshold shift than impaired preinjury hearing. Although STS is calculated using 2000 to 4000 Hz, clinicians must closely attend to the pure-tone response at 6000 Hz and use this test frequency to identify service members at-risk for STS prior to combat deployment.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=310143
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1173-1181[article]
Titre : Duration and Quality of Sleep and Risk of Self-reported Hearing Loss: The UK Biobank Study Type de document : Article Auteurs : Humberto Yevenes-Briones ; Francisco Felix Caballero ; Daniela Estrada-de Leon ; Ellen A. Struijk ; Arthur Eumann Mesas ; Jose R. Banegas ; Fernando Rodriguez-Artalejo ; Esther Lopez-Garcia Année de publication : 2023 Article en page(s) : p. 1182-1189 Note générale : DOI: 10.1097/AUD.0000000000001360 Langues : Anglais (eng) Descripteurs : HE Vinci
Déficience auditive ; Études de cohortes ; Qualité du sommeilMots-clés : UK Biobank Résumé : Objective: The duration and quality of sleep have been associated with multiple health conditions in adults. However, whether sleep duration and quality are associated with hearing loss (HL) is uncertain. The present study investigates the prospective association between duration and quality of sleep and HL.
Design: This longitudinal analysis included 231,650 participants aged 38 to 72 years from the UK Biobank cohort, established in 2006-2010 in the United Kingdom. Duration and sleep complaints (snoring at night, daytime sleepiness, sleeplessness, difficulty getting up in the morning, and eveningness preference) were self-reported. HL was self-reported at baseline and during the follow-up.
Results: Over a median follow-up of 4.19 (SD: 2.15) years, 6436 participants reported incident HL. In fully adjusted models, in comparison with sleeping between 7 and 8 hours a day, the adjusted hazard ratio (HR) (95% CI) associated with sleeping 8 hours a day was 0.98 (0.88 to 1.08). After adjustment for potential confounders, the HRs (95% confidence interval) of HL associated with having 1, 2, 3, and 4 to 5 vs. 0 sleep complaints were: 1.15 (1.05 to 1.27), 1.16 (1.05 to 1.28), 1.32 (1.19 to 1.47), and 1.49 (1.31 to 1.69), respectively; p for trend: Conclusion: In this large population-based study, poor sleep quality was associated with an increased risk of HL; however, sleep duration was not associated with risk.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=310147
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1182-1189[article]
Titre : Copresence Was Found to Be Related to Some Pupil Measures in Persons With Hearing Loss While They Performed a Speech-in-Noise Task Type de document : Article Auteurs : Hidde Pielage ; Bethany Plain ; Gabrielle H. Saunders ; Niek J. Versfeld ; Thomas Lunner ; Sophia E. Kramer ; Adriana A. Zekveld Année de publication : 2023 Article en page(s) : p. 1190-1201 Note générale : DOI: 10.1097/AUD.0000000000001361 Langues : Anglais (eng) Descripteurs : HE Vinci
Compréhension dans le bruit ; Effort d'écoute ; Perception de la parole ; PupillométrieMots-clés : Copresence, Résumé : Objectives: To assess if a manipulation of copresence was related to speech-in-noise task performance, arousal, and effort of persons with hearing loss. Task-related arousal and effort were measured by means of pupillometry.
Design: Twenty-nine participants (mean age: 64.6 years) with hearing loss (4-frequency pure-tone average [4F-PTA] of 50.2 dB HL [SD = 8.9 dB] in the right ear and 51.3 dB HL [SD = 8.7 dB] in the left ear; averaged across 0.5, 1, 2, and 4 kHz) listened to and repeated spoken Danish sentences that were masked by four streams of continuous speech. Participants were presented with blocks of 20 sentences, during which copresence was manipulated by having participants do the task either alone or accompanied by two observers who were recruited from a similar age group. The task was presented at two difficulty levels, which was accomplished by fixing the signal-to-noise ratio of the speech and masker to match the thresholds at which participants were estimated to correctly repeat 50% (difficult) or 80% (easy) of the sentences in a block. Performance was assessed based on whether or not sentences were repeated correctly. Measures of pupil size (baseline pupil size [BPS], peak pupil dilation [PPD], and mean pupil dilation [MPD]) were used to index arousal and effort. Participants also completed ratings of subjective effort and stress after each block of sentences and a self-efficacy for listening-questionnaire.
Results: Task performance was not associated with copresence, but was found to be related to 4F-PTA. An increase in BPS was found for copresence conditions, compared to alone conditions. Furthermore, a post-hoc exploratory analysis revealed that the copresence conditions were associated with a significantly larger pupil size in the second half of the task-evoked pupil response (TEPR). No change in PPD or MPD did was detected between copresence and alone conditions. Self-efficacy, 4F-PTA, and age were not found to be related to the pupil data. Subjective ratings were sensitive to task difficulty but not copresence.
Conclusion: Copresence was not found to be related to speech-in-noise performance, PPD, or MPD in persons with HL but was associated with an increase in arousal (as indicated by a larger BPS). This could be related to premobilization of effort and/or discomfort in response to the observers' presence. Furthermore, an exploratory analysis of the pupil data showed that copresence was associated with greater pupil dilations in the second half of the TEPR. This may indicate that participants invested more effort during the speech-in-noise task while in the presence of the observers, but that this increase in effort may not necessarily have been related to listening itself. Instead, other speech-in-noise task-related processes, such as preparing to respond, could have been influenced by copresence.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=310149
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1190-1201[article]
Titre : Relationships Between the Auditory Nerve's Ability to Recover From Neural Adaptation, Cortical Encoding of and Perceptual Sensitivity to Within-channel Temporal Gaps in Postlingually Deafened Adult Cochlear Implant Users Type de document : Article Auteurs : Shuman He ; Yi Yuan ; Jeffrey Skidmore Année de publication : 2023 Article en page(s) : p. 1202-1211 Note générale : DOI: 10.1097/AUD.0000000000001362 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Potentiels évoqués a action composée (eCAP)
HE Vinci
Nerf vestibulocochléaire ; Seuil de détection d'écart sonore ; Surdité postlingualeRésumé : Objective: As a step toward identifying the origin of the across-electrode variation in within-channel gap detection thresholds (GDTs) measured in individual cochlear implant (CI) users, this study assessed the relationships between the auditory nerve's (AN's) ability to recover from neural adaptation, cortical encoding of and perceptual sensitivity to within-channel temporal gaps in postlingually deafened adult CI users.
Design: Study participants included 11 postlingually deafened adults with Cochlear Nucleus devices, including three bilaterally implanted participants. In each of the 14 ears tested, recovery from neural adaptation of the AN was measured using electrophysiological measures of the electrically evoked compound action potential at up to four electrode locations. The two CI electrodes in each ear showing the largest difference in the speed of adaptation recovery were selected for assessing within-channel temporal GDT. GDTs were measured using both psychophysical and electrophysiological procedures. Psychophysical GDTs were evaluated using a three-alternative, forced-choice procedure, targeting 79.4% correct on the psychometric function. Electrophysiological GDTs were measured using the electrically evoked auditory event-related potential (eERP) evoked by temporal gaps embedded in electrical pulse trains (i.e., the gap-eERP). Objective GDT was defined as the shortest temporal gap that could evoke a gap-eERP. Related-samples Wilcoxon Signed Rank test was used to compare psychophysical GDTs and objective GDTs measured at all CI electrode locations. It was also used to compare psychophysical GDTs and objective GDTs measured at the two CI electrode locations with different speeds or amounts of adaptation recovery of the AN. A Kendall Rank correlation test was used to assess the correlation between GDTs measured at the same CI electrode location using psychophysical or electrophysiological procedures.
Results: Objective GDTs were significantly larger than those measured using psychophysical procedures. There was a significant correlation between objective and psychophysical GDTs. GDTs could not be predicted based on the amount or the speed of adaptation recovery of the AN.
Conclusions: Electrophysiological measures of the eERP evoked by temporal gaps can potentially be used to assess within-channel GDT in CI users who cannot provide reliable behavioral responses. The difference in adaptation recovery of the AN is not the primary factor accounting for the across-electrode variation in GDT in individual 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=310156
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1202-1211[article]
Titre : Association of Hearing Status and Cognition With Fall Among the Oldest-Old Chinese: A Nationally Representative Cohort Study Type de document : Article Auteurs : Jun Wang ; Xing-Xing Chen ; Dan Liu ; E. Tian ; Zhao-Qi Guo ; Jing-Yu Chen ; Wei-Jia Kong ; Su-Lin Zhang Année de publication : 2023 Article en page(s) : p. 1212-1220 Note générale : DOI: 10.1097/AUD.0000000000001364 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Cognition ; Déficience auditive ; Sujet âgé de 80 ans ou plusRésumé : Objectives: The oldest-old (aged >=80 years) are the most rapidly growing population and age is related to hearing impairment (HI) and cognitive decline. We aimed to estimate the association between HI and fall, and the effect of different cognitive states on this association among the oldest-old Chinese population.
Design: A total of 6931 Chinese oldest-old were included in the 2018 cross-cohort from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). The presence of HI was identified by using a dichotomized metric of self-reported hearing status. Cognitive function was evaluated by using the modified Mini-Mental State Examination (MMSE). Cognitive impairment was defined as the MMSE score below 24 points. Data on fall history were collected by questionnaires survey from the participants or their relatives. We studied the association of hearing status and cognitive function with fall by using multivariable logistic regressions, upon adjustment of sociodemographic characteristics, lifestyles, and health conditions.
Results: Our participants were aged 92 (range 80 to 117) on average, with 60.1% being women. In total, 39.1% of the participants had reported HI, 50.1% had cognitive impairment, and 26.2% had a history of falling. Participants with HI had a higher incidence of cognitive impairment (79.4%), as compared with their counterparts without HI (31.3%). Compared with those without HI, HI patients had a higher risk of falling after full adjustment for potential confounders (OR = 1.16 [95% confidence interval, CI, 1.01, 1.32], p = 0.031). In comparison with HI participants without cognitive impairment, HI patients with cognitive impairment had a higher fall risk (OR = 1.45 [95% CI = 1.23, 1.72], p
Conclusions: Association of hearing status and cognition with fall was, for the first time, examined on the basis of a nationally-representative oldest-old Chinese population. Poor cognitive performance was common in individuals with HI, and those with HI and cognitive impairment further increased the risk of falling.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=310173
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1212-1220[article]
Titre : Evaluation of Two Spectro-Temporal Ripple Tests and Their Relation to the Matrix Speech-in-Noise Sentence Test in Cochlear Implant Recipients Type de document : Article Auteurs : Nicolaas R. A. van Groesen ; Jeroen J. Briaire ; Johan H.M. Frijns Année de publication : 2023 Article en page(s) : p. 1221-1228 Note générale : DOI: 10.1097/AUD.0000000000001365 Langues : Anglais (eng) Descripteurs : HE Vinci
Implants cochléaires ; Ondulation spectrale ; Perception de la parole
Autres descripteurs
Asynchronie spectrotemporelleRésumé : Objectives: Spectro-temporal ripple tests are commonly used in cochlear implant (CI) research as language-independent indicators of speech recognition (in noise) or as stand-alone tests. Test-retest reliability of these tests has been scarcely documented. We evaluated the test-retest reliability of spectral-temporally modulated ripple test (SMRT) and spectro-temporal ripple for investigating processor effectiveness (STRIPES) and correlated their findings to the Dutch/Flemish Matrix speech-in-noise sentence test (MST) in CI recipients. This is the first time spectro-temporal ripple tests are correlated to an MST.
Design: Take-home data from 15 participants over 2 test days were analyzed. Participants were fitted with their clinical speech encoding strategy (Advanced Bionics HiRes Optima) or a 14-channel non-steered monopolar strategy. Test-retest reliability was calculated through intraclass correlation coefficients and visualized through Bland Altman plots. Association of the spectro-temporal ripple tests with the MST was evaluated through linear regression analysis.
Results: The SMRT and STRIPES possessed a similarly rated "good" test-retest reliability (SMRT: ICC = 0.81, confidence interval = 0.67 to 0.92; STRIPES: ICC = 0.87, confidence interval = 0.76 to 0.95) and an identical linear relationship to speech recognition in noise (SMRT: R2 = 0.28, p = 0.04; STRIPES: R2 = 0.28, p = 0.04). Both tests revealed a stable variability between session 1 and 2 outcome scores on Bland Altman plots.
Conclusion: On the basis of our data, both spectro-temporal ripple tests possess similar test-retest reliability and a similar association with the MST. The SMRT and STRIPES can therefore both be used equally well as a quick indicator of across-listener differences in speech recognition in noise in CI recipients.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=310174
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1221-1228[article]
Titre : Toward a Listening Training Paradigm: Evaluation in Normal-Hearing Young and Middle-Aged Adults Type de document : Article Auteurs : Mira Van Wilderode ; Nathan Van Humbeeck ; Ralf T. Krampe ; Astrid van Wieringen Année de publication : 2023 Article en page(s) : p. 1229-1239 Note générale : DOI: 10.1097/AUD.0000000000001367 Langues : Anglais (eng) Descripteurs : HE Vinci
Apprentissage ; Audition dans le bruit ; Intelligibilité de la parole ; Perception auditiveRésumé : Objectives: Adults' most common complaint relates to understanding speech in noisy environments. Hearing aids can compensate for sensory loss but do not restore hearing to normal. Listening training has the potential to partially remediate these problems. In this study, we propose and evaluate a Flemish version of a listening training paradigm, which involves the use of cognitive control as well as auditory perception. The paradigm entails a discrimination task where participants are cued to attend to one of two concurrent talkers with target speakers randomly varying between a female and a male voice. We evaluate learning effects, different scenarios, and masking types.
Design: In total, 70 young and 54 middle-aged adults participated in this study. Each adult performed one or more conditions. Participants' hearing was screened before participation, all middle-aged adults passed a cognitive screening task.
Results: Analyses indicated learning effects across scenarios that were similar in terms of speech intelligibility. Our results indicated better speech intelligibility when the female speaker was the target, but speech intelligibility did not differ when the target was the male speaker. An unintelligible masker noise results in worse speech intelligibility than a competing talker masker. Our results suggest that listeners could use an intensity cue to identify and/or select the target speaker when presented at a lower signal to noise ratio (SNR). Error analysis suggested higher cognitive control demands when the target and masker were presented at similar levels (i.e., around 0 dB SNR). The addition of independent trials with the intensity of target and masker reversed improved speech intelligibility. Inhibitory control, but not task switching, was reliably correlated with listening performance.
Conclusions: The proposed paradigm turned out to be feasible and practicable, demonstrating its potential for training speech intelligibility in noise. We believe that this training paradigm can generate real-life benefits including for persons with hearing loss. This latter application awaits future evaluationDisponible 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=310206
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1229-1239[article]
Titre : Prevalence of Childhood Hearing Loss in Rural Alaska Type de document : Article Auteurs : Suzan D. Emmett ; Meade Inglis-Jenson ; Nae-Yuh Wang ; Alain Labrique ; Joseph J. Gallo ; Alyssa Platt ; Cole D. Jenson ; Philip Hofstetter ; Kelli L. Hicks ; Alexandra Ross ; Joseph R. Egger ; Samantha K. Robler Année de publication : 2023 Article en page(s) : p. 1240-1250 Note générale : DOI: 10.1097/AUD.0000000000001368 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiologie pédiatrique ; Déficience auditive ; Disparités en matière de santé, minorités et populations vulnérables ; Prévalence ; Santé auditive ; Services de santé communautairesRésumé : Objectives: Childhood hearing loss has well-known lifelong consequences. Certain rural populations are at higher risk for infection-related hearing loss. For Alaska Native children, historical data on hearing loss prevalence suggest a higher burden of infection-related hearing loss, but updated prevalence data are urgently needed in this high-risk population.
Design: Hearing data were collected as part of two school-based cluster-randomized trials in 15 communities in rural northwest Alaska over two academic years (2017-2019). All enrolled children from preschool to 12th grade were eligible. Pure-tone thresholds were obtained using standard audiometry and conditioned play when indicated. The analysis included the first available audiometric assessment for each child (n = 1634 participants, 3 to 21 years), except for the high-frequency analysis, which was limited to year 2 when higher frequencies were collected. Multiple imputation was used to quantify the prevalence of hearing loss in younger children, where missing data were more frequent due to the need for behavioral responses. Hearing loss in either ear was evaluated using both the former World Health Organization (WHO) definition (pure-tone average [PTA] > 25 dB) and the new WHO definition (PTA >= 20 dB), which was published after the study. Analyses with the new definition were limited to children 7 years and older due to incomplete data obtained on younger children at lower thresholds.
Results: The overall prevalence of hearing loss (PTA > 25 dB; 0.5, 1, 2, 4 kHz) was 10.5% (95% confidence interval [CI], 8.9 to 12.1). Hearing loss was predominately mild (PTA >25 to 40 dB; 8.9%, 95% CI, 7.4 to 10.5). The prevalence of unilateral hearing loss was 7.7% (95% CI, 6.3 to 9.0). Conductive hearing loss (air-bone gap of >= 10 dB) was the most common hearing loss type (9.1%, 95% CI, 7.6 to 10.7). Stratified by age, hearing loss (PTA >25 dB) was more common in children 3 to 6 years (14.9%, 95% CI, 11.4 to 18.5) compared to children 7 years and older (8.7%, 95% CI, 7.1 to 10.4). In children 7 years and older, the new WHO definition increased the prevalence of hearing loss to 23.4% (95% CI, 21.0 to 25.8) compared to the former definition (8.7%, 95% CI, 7.1 to 10.4). Middle ear disease prevalence was 17.6% (95% CI, 15.7 to 19.4) and was higher in younger children (23.6%, 95% CI, 19.7 to 27.6) compared to older children (15.2%, 95% CI, 13.2 to 17.3). High-frequency hearing loss (4, 6, 8kHz) was present in 20.5% (95% CI, 18.4 to 22.7 [PTA >25 dB]) of all children and 22.8% (95% CI, 20.3 to 25.3 [PTA >25 dB]) and 29.7% (95% CI, 27.0 to 32.4 [PTA >= 20 dB]) of children 7 years and older (limited to year 2).
Conclusions: This analysis represents the first prevalence study on childhood hearing loss in Alaska in over 60 years and is the largest cohort with hearing data ever collected in rural Alaska. Our results highlight that hearing loss continues to be common in rural Alaska Native children, with middle ear disease more prevalent in younger children and high-frequency hearing loss more prevalent with increasing age. Prevention efforts may benefit from managing hearing loss type by age. Lastly, continued research is needed on the impact of the new WHO definition of hearing loss on field 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=310211
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1240-1250[article]
Titre : Development and Validation of a Brief Version of the Vanderbilt Fatigue Scale for Adults: The VFS-A-10 Type de document : Article Auteurs : Benjamin W.Y. Hornsby ; Stephen Camarata ; Sun-Joo Cho ; Hilary Davis ; Ronan McGarrigle ; Fred H. Bess Année de publication : 2023 Article en page(s) : p. 1251-1261 Note générale : DOI: 10.1097/AUD.0000000000001369 Langues : Anglais (eng) Descripteurs : HE Vinci
Déficience auditive ; Effort d'écoute ; Fatigue auditive
Autres descripteurs
Mesure subjectiveMots-clés : Vanderbilt Fatigue Scale for Adults Résumé : Objectives: Listening-related fatigue can be a significant problem for adults who struggle to hear and understand, particularly adults with hearing loss. However, valid, sensitive, and clinically useful measures for listening-related fatigue do not currently exist. The purpose of this study was to develop and validate a brief clinical tool for measuring listening-related fatigue in adults.
Design: The clinical scale was derived from the 40-item version of the Vanderbilt Fatigue Scale for Adults (VFS-A-40), an existing, reliable, and valid research tool for measuring listening-related fatigue. The study consisted of two phases. Phase 1 (N = 580) and Phase 2 (N = 607) participants consisted of convenience samples of adults recruited via online advertisements, clinical records review, and a pool of prior research participants. In Phase 1, results from item response theory (IRT) analyses of VFS-A-40 items were used to identify high-quality items for the brief (10-item) clinical scale: the VFS-A-10. In Phase 2, the characteristics and quality of the VFS-A-10 were evaluated in a separate sample of respondents. Dimensionality was evaluated using exploratory factor analyses (EFAs) and item quality and characteristics were evaluated using IRT. VFS-A-10 reliability and validity were assessed in multiple ways. IRT reliability analysis was used to examine VFS-A-10 measurement fidelity. In addition, test-retest reliability was assessed in a subset of Phase 2 participants (n = 145) who completed the VFS-A-10 a second time approximately one month after their initial measure (range 5 to 90 days). IRT differential item functioning (DIF) was used to assess item bias across different age, gender, and hearing loss subgroups. Convergent construct validity was evaluated by comparing VFS-A-10 responses to two other generic fatigue scales and a measure of hearing disability. Known-groups validity was assessed by comparing VFS-A-10 scores between adults with and without self-reported hearing loss.
Results: EFA suggested a unidimensional structure for the VFS-A-10. IRT analyses confirmed all test items were high quality. IRT reliability analysis revealed good measurement fidelity over a wide range of fatigue severities. Test-retest reliability was excellent (rs = 0.88, collapsed across participants). IRT DIF analyses confirmed the VFS-A-10 provided a valid measure of listening-related fatigue regardless of respondent age, gender, or hearing status. An examination of associations between VFS-A-10 scores and generic fatigue/vigor measures revealed only weak-to-moderate correlations (Spearman's correlation coefficient, rs = -0.36 to 0.57). Stronger associations were seen between VFS-A-10 scores and a measure of perceived hearing difficulties (rs = 0.79 to 0.81) providing evidence of convergent construct validity. In addition, the VFS-A-10 was more sensitive to fatigue associated with self-reported hearing difficulties than generic measures. It was also more sensitive than generic measures to variations in fatigue as a function of degree of hearing impairment.
Conclusions: These findings suggest that the VFS-A-10 is a reliable, valid, and sensitive tool for measuring listening-related fatigue in adults. Its brevity, high sensitivity, and good reliability make it appropriate for clinical use. The scale will be useful for identifying those most affected by listening-related fatigue and for assessing benefits of interventions designed to reduce its negative effects.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=310216
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1251-1261[article]
Titre : A Hybrid Deep Learning Approach to Identify Preventable Childhood Hearing Loss Type de document : Article Auteurs : Felix Q. Jin ; Samantha Kleindienst Robler ; Sarah N. Morton ; Alyssa Platt ; Joseph R. Egger ; Suzan D. Emmett ; Mark L. Palmeri Année de publication : 2023 Article en page(s) : p. 1262-1270 Note générale : DOI: 10.1097/AUD.0000000000001380 Langues : Anglais (eng) Descripteurs : HE Vinci
Apprentissage profond ; Audiologie pédiatrique ; Dépistage auditif de l'enfant ; TympanométrieRésumé : Objective: Childhood hearing loss has well-known, lifelong consequences. Infection-related hearing loss disproportionately affects underserved communities yet can be prevented with early identification and treatment. This study evaluates the utility of machine learning in automating tympanogram classifications of the middle ear to facilitate layperson-guided tympanometry in resource-constrained communities.
Design: Diagnostic performance of a hybrid deep learning model for classifying narrow-band tympanometry tracings was evaluated. Using 10-fold cross-validation, a machine learning model was trained and evaluated on 4810 pairs of tympanometry tracings acquired by an audiologist and layperson. The model was trained to classify tracings into types A (normal), B (effusion or perforation), and C (retraction), with the audiologist interpretation serving as reference standard. Tympanometry data were collected from 1635 children from October 10, 2017, to March 28, 2019, from two previous cluster-randomized hearing screening trials (NCT03309553, NCT03662256). Participants were school-aged children from an underserved population in rural Alaska with a high prevalence of infection-related hearing loss. Two-level classification performance statistics were calculated by treating type A as pass and types B and C as refer.
Results: For layperson-acquired data, the machine-learning model achieved a sensitivity of 95.2% (93.3, 97.1), specificity of 92.3% (91.5, 93.1), and area under curve of 0.968 (0.955, 0.978). The model's sensitivity was greater than that of the tympanometer's built-in classifier [79.2% (75.5, 82.8)] and a decision tree based on clinically recommended normative values [56.9% (52.4, 61.3)]. For audiologist-acquired data, the model achieved a higher AUC of 0.987 (0.980, 0.993), had an equivalent sensitivity of 95.2 (93.3, 97.1), and a higher specificity of 97.7 (97.3, 98.2).
Conclusions: Machine learning can detect middle ear disease with comparable performance to an audiologist using tympanograms acquired either by an audiologist or a layperson. Automated classification enables the use of layperson-guided tympanometry in hearing screening programs in rural and underserved communities, where early detection of treatable pathology in children is crucial to prevent the lifelong adverse effects of childhood 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=310217
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1262-1270[article]
Titre : Mobile Health School Screening and Telemedicine Referral to Improve Access to Specialty Care in Rural Alaska : Integrating Mixed Methods Data to Contextualize Trial Outcomes Type de document : Article Auteurs : Samantha K. Robler ; Meade Inglis-Jenson ; Joseph J. Gallo ; Paul Ivanoff ; Stephanie Ryan ; Philip Hofstetter ; Suzan D. Emmett Année de publication : 2023 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépistage auditif de l'enfant ; Recherche participative basée sur la communauté ; Santé publique ; Télémédecine
Autres descripteurs
Methode qualitative ; Observation conjointeRésumé : Objectives: To understand factors associated with outcomes in a cluster-randomized controlled trial that evaluated a telemedicine specialty referral intervention for school hearing screenings in 15 rural Alaskan communities.
Design: Hearing Norton Sound was a mixed methods cluster-randomized controlled trial that compared a telemedicine specialty referral pathway (intervention) to a standard primary care referral pathway (control) for school hearing screenings. As a mixed methods trial, both quantitative and qualitative data were collected, analyzed, and integrated. Main trial results are published elsewhere, but integration of community-specific quantitative outcomes and qualitative results have not yet been reported. The constant comparative method was used to analyze qualitative data from semistructured interviews with six stakeholder groups across all 15 communities. Descriptive statistics were used to describe community-specific proportions of follow-up in both trial years. Qualitative and quantitative results were integrated to reveal relationships between contextual factors and follow-up outcomes across communities.
Results: The Hearing Norton Sound trial enrolled 1481 children from October 2017 to March 2019, with a total of 790 children requiring referral. Of the children who referred in the telemedicine specialty referral pathway communities (intervention), 68.5% received follow-up (268/391), compared to 32.1% (128/399) in primary care referral communities (control)(previously reported). When broken down by community, the mean proportion receiving follow-up was 75.26% (SD 22.5) and 37.9% (SD 11.4) for the telemedicine specialty referral communities and primary care referral communities, respectively. For qualitative data collection, semistructured interviews were conducted with 101 individuals between December 2018 and August 2019. Six stakeholder groups participated: elders (n = 14), parents (n = 25), children (n = 11), teachers/school staff (n = 18), principals (n = 6), and healthcare providers/clinic staff (n = 27). Six overall factors related to the outcomes of the telemedicine specialty referral pathway emerged during analysis: clinic capacity, personnel ownership and engagement, scheduling, telemedicine equipment/processes, communication, and awareness of the need for follow-up. We integrated these factors with the community-specific follow-up percentages and found associations for four of the six qualitative factors: clinic capacity, personnel ownership and engagement, communication, and awareness. An association was not seen for scheduling and telemedicine equipment/processes, which had variable relationships with the follow-up outcome.
Conclusions: The Hearing Norton Sound trial demonstrated that a telemedicine specialty referral pathway can close the gap on children lost to follow up after school hearing screening. As a whole, the intervention profoundly increased the proportion of children receiving follow-up, but there was variability in outcomes within and between communities. To understand this variability, we analyzed community-specific intervention outcomes alongside community member feedback on factors related to the intervention. We identified four key factors that contributed to the success of the intervention. Attention to these factors will be essential to successful adaptation and implementation of this telemedicine specialty referral intervention and other similar interventions in future work in rural Alaska and beyond.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=310218
in Ear and hearing > Vol. 44, n°5 (September- October 2023)[article]
Titre : Absorbance Measurements From Normal-hearing Ears in the National Health and Nutrition Examination Survey, 2015-2016 and 2017-2020 Type de document : Article Auteurs : Jiayi Sun ; Nicholas J. Horton ; Susan E Voss Année de publication : 2023 Article en page(s) : p. 1282-1288 Note générale : DOI: 10.1097/AUD.0000000000001358 Langues : Anglais (eng) Descripteurs : HE Vinci
Absorbance acoustique ; Santé publique ; Tests d'impédance acoustique ; Wideband absorbance (WBA)Résumé : Objective: To summarize absorbance and impedance angles from normal-hearing ears within the 2015-2016 and 2017-2020 US National Health and Nutrition Examination Surveys (NHANES).
Design: Two publicly available NHANES datasets were analyzed. Ears meeting criteria for normal hearing and valid absorbance and impedance angle measurements were identified. Measurements were summarized via descriptive statistics within categories of age cohort, race/ethnicity cohort, sex (male, female), and ear (left, right).
Results: A total of 7029 ears from 4150 subjects, ages 6 to 80 years, met inclusion criteria. Differences between subgroups within all categories (age, race/ethnicity, sex, and ear) were fractions of the sample SDs. The largest differences occurred between age cohorts younger than 20 years.
Conclusions: The NHANES absorbance and impedance angle measurements are consistent with published literature. These results demonstrate that trained professionals, using the Titan instrument in a community setting inclusive of all demographics, produce comparable measurements to those in laboratory settings.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=310219
in Ear and hearing > Vol. 44, n°5 (September- October 2023) . - p. 1282-1288[article]
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Titre : Sex and Race Representation in Temporal Bone Histopathology Studies in the United States: A Systematic Review Type de document : Article Auteurs : Pavan Krishnan ; Amanda Lauer ; Brian Ward ; Stella M. Seal ; Carrie L. Nieman ; Nicholas S. Andresen Année de publication : 2023 Article en page(s) : p. 661-669 Note générale : DOI: 10.1097/AUD.0000000000001340 Langues : Anglais (eng) Descripteurs : HE Vinci
Anatomopathologie ; Identité de genre ; Os temporal ; RacesRésumé : Objectives: The author's objective was to evaluate sex and race representation in temporal bone histopathology studies.
Design: PubMed, Embase, Cochrane, Web of Science, and Scopus were searched for studies written in English examining temporal bone histopathology specimens from U.S.-based institutions from January 1, 1947, to September 1, 2021. Two authors then performed "snowballing" by reviewing references from the initial search and included the studies that fulfilled the inclusion criteria. For each study, the following information was collected: publication details, study design, funding, institution from where temporal bone specimens were procured, number of study specimens, and donor demographical information.
Results: The authors found that out of 300 studies, 166 (55%) report sex while only 15 (5%) reported race information. Over the past 70 years, the ratio of studies reporting sex to those that do not has increased from 1.00 to 2.19 and the number of female temporal bone histopathology subjects relative to male has increased from 0.67 to 0.75. Over 90% of studies that do report this information feature participant racial compositions that do not reflect the diversity of the U.S. population.
Conclusions: Studies of temporal bone histopathology often do not report participant sex or race. The reporting of participant sex and the inclusion of specimens from female donors have both increased over time. However, temporal bone histopathology study cohorts are not representative of the racial diversity of the U.S. population. The otolaryngology community must strive to build temporal bone histopathology libraries that are representative of the diverse U.S. population.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=308819
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 661-669[article]
Titre : Efficacy of Tailor-Made Notched Music Training Versus Tinnitus Retraining Therapy in Adults With Chronic Subjective Tinnitus: A Randomized Controlled Clinical Trial Type de document : Article Auteurs : Zhaopeng Tong ; Wenting Deng ; Xiayin Huang ; Hanwen Dong ; Jiahong Li ; Fei Zhao ; Guisheng Chen ; Xueqing Zhou ; Hongyu Li ; Liping Lan ; Hemei Huang ; Yu-Chen Chen ; Yiqing Zheng ; Yuexin Cai Année de publication : 2023 Article en page(s) : p. 670-681 Note générale : DOI: 10.1097/AUD.0000000000001318 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphènes subjectifs ; Education musicale ; Inventaire du handicap acouphénique (THI) ; TINNITUS RETRAINING THERAPY (TRT)
Autres descripteurs
Therapie sonoreRésumé : Objectives: Chronic subjective tinnitus can have a serious effect on daily life, even causing serious psychological disorders. Currently there are no specific effective solutions or cures. Tailor-made notched music training (TMNMT) is a recently proposed sound therapy that has simpler processes and a higher compliance rate than tinnitus retraining therapy (TRT), a widely used treatment for chronic subjective tinnitus. This study explores the therapeutic effect of TMNMT in comparison to TRT to highlight its clinical value.
Design: The study was a randomized controlled, single-blinded clinical trial. One hundred twenty eligible participants were randomly assigned to receive TMNMT (n = 60) or TRT (n = 60) for 3 mo with concurrent follow-up. It should be noted that the duration of sound treatment in TRT was modified to 2 hr per day for better feasibility in practice. The primary outcome was mean change in tinnitus handicap inventory (THI) measured at baseline (T0), 1 mo (T1) and 3 mo (T2) after intervention. Change in visual analog scale (VAS) was measured as a secondary outcome. A comparison of therapeutic effectiveness between TMNMT and TRT was evaluated by repeated measure analysis of variance.
Results: One hundred and twelve (93%) of participants took part in the study, of which 64 were men and 48 women. Mean (SD) age was 42.80 (12.91) years. Fifty-eight were allocated to receive TMNMT and 54 to receive TRT. The between-group difference in primary outcome was -6.90 points (95% confidence interval [CI], -13.53 to -0.27) at T1 and -6.17 points (95% CI, -13.04 to 0.71) at T2. These results closely reached to clinical significance of tinnitus-related effective relief. For the secondary outcome, the mean value in the TMNMT group was 0.83 points (95% CI, 0.12 to 1.54), significantly lower than the mean value of the TRT group. The differences in THI and VAS between the two groups were statistically significant after intervention. Further analysis showed that age and baseline THI and VAS scores were associated with change in THI and VAS scores after interventions.
Conclusions: Both TMNMT and TRT were able to alleviate chronic subjective tinnitus effectively after a 3 month intervention. When the two forms of therapy were compared TMNMT appeared to be more effective and consequently potentially superior to TRT for reducing tinnitus loudness and functional and emotional disturbance associated with chronic subjective 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=308820
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 670-681[article]
Titre : Benefits of Text Supplementation on Sentence Recognition and Subjective Ratings With and Without Facial Cues for Listeners With Normal Hearing Type de document : Article Auteurs : Ling Zhong ; Todd A. Ricketts ; Richard A. Roberts ; Erin M. Picou Année de publication : 2023 Article en page(s) : p. 682-696 Note générale : DOI: 10.1097/AUD.0000000000001316 Langues : Anglais (eng) Descripteurs : HE Vinci
Bruit de fond ; Expression faciale ; Muscles de la face ; Reconnaissance de la parole
Autres descripteurs
Audiometrie subjective ; Interference auditivo visuelleRésumé : Objectives: Recognizing speech through telecommunication can be challenging in unfavorable listening conditions. Text supplementation or provision of facial cues can facilitate speech recognition under some circumstances. However, our understanding of the combined benefit of text and facial cues in telecommunication is limited. The purpose of this study was to investigate the potential benefit of text supplementation for sentence recognition scores and subjective ratings of spoken speech with and without facial cues available.
Design: Twenty adult females (M = 24 years, range 21 to 29 years) with normal hearing performed a sentence recognition task and also completed a subjective rating questionnaire in 24 conditions. The conditions varied by integrity of the available facial cues (clear facial cues, slight distortion facial cues, great distortion facial cues, no facial cues), signal-to-noise ratio (quiet, +1 dB, -3 dB), and text availability (with text, without text). When present, the text was an 86 to 88% accurate transcription of the auditory signal presented at a 500 ms delay relative to the auditory signal.
Results: The benefits of text supplementation were largest when facial cues were not available and when the signal-to-noise ratio was unfavorable. Although no recognition score benefit was present in quiet, recognition benefit was significant in all levels of background noise for all levels of facial cue integrity. Moreover, participant subjective ratings of text benefit were robust and present even in the absence of recognition benefit. Consistent with previous literature, facial cues were beneficial for sentence recognition scores in the most unfavorable signal-to-noise ratio, even when greatly distorted. It is interesting that, although all levels of facial cues were beneficial for recognition scores, participants rated a significant benefit only with clear facial cues.
Conclusions: The benefit of text for auditory-only and auditory-visual speech recognition is evident in recognition scores and subjective ratings; the benefit is larger and more robust for subjective ratings than for scores. Therefore, text supplementation might provide benefit that extends beyond speech recognition scores. Combined, these findings support the use of text supplementation in telecommunication, even when facial cues are concurrently present, such as during teleconferencing or watching television.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=308821
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 682-696[article]
Titre : Accelerated Cognitive Decline Associated With Hearing Loss and Bilateral Vestibulopathy: Insights From a Prospective Cross-Sectional Study Using the Repeatable Battery for the Assessment of Neuropsychological Status Adjusted for the Hearing Impaired in the DFNA9 Population Type de document : Article Auteurs : Hannel Gommeren ; Joyce Bosmans ; Julie Moyaert ; Griet Mertens ; Patrick Cras ; Sebastiaan Engelborghs ; Angélique Van Ombergen ; Annick Gilles ; Erik Fransen ; Raymond van de Berg ; Sébastien Janssens de Varebeke ; Vincent Van Rompaey Année de publication : 2023 Article en page(s) : p. 697-709 Note générale : DOI: 10.1097/AUD.0000000000001315 Langues : Anglais (eng) Descripteurs : HE Vinci
DeaFNess Autosomal Dominant 9 (DFNA9) ; Déficience auditive ; Déficit cognitif ; Maladies vestibulairesRésumé : Background: DeaFNess Autosomal dominant 9 (DFNA9) is a hereditary disorder known to affect both hearing and vestibular function in its carriers. Its phenotype is characterized by progressive sensorineural hearing loss (SNHL) and vestibular dysfunction evolving towards bilateral vestibulopathy (BV) by the 3rd to 5th life decade. Recent studies have identified the impact of hearing loss and vestibular dysfunction on cognitive functioning.
Objective: The main objective of this study was to investigate how the cognitive functioning of carriers of the p.Pro51Ser variant in the COCH gene is affected by the disease and compare these results with a matched healthy control group.
Study design: Forty-six carriers of the pathogenic p.Pro51Ser variant in the COCH gene were included in this study, of which 38 met the Barany Society criteria and were thus diagnosed with BV. All subjects were between the age of 22 and 72 years old. Each control was individually matched based on age, gender, and education level. A cognitive, vestibular, and hearing assessment was performed in all subjects. All participants completed the Repeatable Battery for the Assessment of Neuropsychological Status, adjusted for the Hearing Impaired (RBANS-H), a cognitive test battery that includes subtests probing Immediate and Delayed Memory, Visuospatial/Constructional, Language, and Attention.
Results: Overall, the DFNA9 patients demonstrated significantly lower scores on the Immediate Memory subscale and lower Total Scale scores than their healthy matched controls. The total sample was divided into two groups: age =55 years old. The DFNA9 group aged >=55 years old obtained significantly lower scores on the Attention subscale and lower Total Scale scores than their matched controls. Cognition of DFNA9 patients aged
Conclusion: This cross-sectional study found that DFNA9 patients demonstrated cognitive deficits in comparison with their healthy matched controls. The DFNA9 group aged >= 55 years old obtained significantly lower scores on the Total Scale and Attention subscale. This finding; however, was not observed for the age group younger than 55 years old. Further research is needed on the individual trajectory of SNHL and vestibular function, and how hearing rehabilitation affects cognitive functioning.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=308822
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 697-709[article]
Titre : Electrocochleographic Patterns Predicting Increased Impedances and Hearing Loss after Cochlear Implantation Type de document : Article Auteurs : Christofer Bester ; Adrian Dalbert ; Aaron Collins ; Tayla Razmovski ; Jean-Marc Gerard ; Stephen O'Leary Année de publication : 2023 Article en page(s) : p. 710-720 Note générale : DOI: 10.1097/AUD.0000000000001319 Langues : Anglais (eng) Descripteurs : HE Vinci
Electrocochléographie ; Impédancemétrie ; Implants cochléairesRésumé : Objectives: Different patterns of electrocochleographic responses along the electrode array after insertion of the cochlear implant electrode array have been described. However, the implications of these patterns remain unclear. Therefore, the aim of the study was to correlate different peri- and postoperative electrocochleographic patterns with four-point impedance measurements and preservation of residual hearing.
Design: Thirty-nine subjects with residual low-frequency hearing which were implanted with a slim-straight electrode array could prospectively be included. Intracochlear electrocochleographic recordings and four-point impedance measurements along the 22 electrodes of the array (EL, most apical EL22) were conducted immediately after complete insertion and 3 months after surgery. Hearing preservation was assessed after 3 months.
Results: In perioperative electrocochleographic recordings, 22 subjects (56%) showed the largest amplitude around the tip of the electrode array (apical-peak, AP, EL20 or EL22), whereas 17 subjects (44%) exhibited a maximum amplitude in more basal regions (mid-peak, MP, EL18 or lower). At 3 months, in six subjects with an AP pattern perioperatively, the location of the largest electrocochleographic response had shifted basally (apical-to-mid-peak, AP-MP). Latency was analyzed along the electrode array when this could be discerned. This was the case in 68 peri- and postoperative recordings (87% of all recordings, n = 78). The latency increased with increasing insertion depth in AP recordings (n = 38, median of EL with maximum latency shift = EL21). In MP recordings (n = 30), the maximum latency shift was detectable more basally (median EL12, p 0.999). The amplitudes of perioperative AP recordings showed a correlation with preoperative hearing thresholds (r2=0.351, p = 0.004). No such correlation was detectable in MP recordings (r2 = 0.033, p = 0.484). Audiograms were available at both time points in 97% (n = 38) of all subjects. The mean postoperative hearing loss in the AP group was 13 dB (n = 16, SD = 9). A significantly larger hearing loss was detectable in the MP and AP-MP groups with 28 (n = 17, SD = 10) and 35 dB (n = 6, SD = 13), respectively (AP versus MP p = 0.002, AP versus AP-MP p = 0.002, MP versus AP-MP p = 0.926).
Conclusion: MP and AP-MP response patterns of the electrocochleographic responses along the electrode array after cochlear implantation are correlated with higher four-point impedances and poorer postoperative hearing compared to AP response patterns. The higher impedances suggest that MP and AP-MP patterns are associated with increased intracochlear fibrosis.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=308823
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 710-720[article]
Titre : Conductive Hearing Loss Estimated From Wideband Acoustic Immittance Measurements in Ears With Otitis Media With Effusion Type de document : Article Auteurs : Gabrielle R. Merchant ; Stephen T. Neely Année de publication : 2023 Article en page(s) : p.721-731 Note générale : DOI: 10.1097/AUD.0000000000001317 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Immitance acoustique
HE Vinci
Conduction osseuse ; Oreille moyenne ; Otite moyenneRésumé : Objectives: Previous work has shown that wideband acoustic immittance (WAI) is sensitive to the volume of effusion present in ears with otitis media with effusion (OME). Prior work also demonstrates that the volume of the effusion appears to drive, or at least play a significant role in, how much conductive hearing loss (CHL) a child has due to a given episode of OME. Given this association, the goal of this work was to determine how well CHL could be estimated directly from WAI in ears with OME.
Design: Sixty-three ears from a previously published study on OME (ages 9 months to 11 years, 2 months) were grouped based on effusion volume (full, partial, or clear) determined during tympanostomy tube placement surgery and compared with age-matched normal control ears. Audiometric thresholds were obtained for a subset of the 34 ears distributed across the four groups. An electrical-analog model of ear-canal acoustics and middle-ear mechanics was fit to the measured WAI from individual ears. Initial estimates of CHL were derived from either (1) average absorbance or (2) the model component thought to represent damping in the ossicular chain.
Results: The analog model produced good fits for all effusion-volume groups. The two initial CHL estimates were both well correlated (87% and 81%) with the pure-tone average hearing thresholds used to define the CHL. However, in roughly a third of the ears (11/34), the estimate based on damping was too large by nearly a factor of two. This observation motivated improved CHL estimates.
Conclusions: Our CHL estimation method can estimate behavioral audiometric thresholds (CHL) within a margin of error that is small enough to be clinically meaningful. The importance of this finding is increased by the challenges associated with behavioral audiometric testing in pediatric populations, where OME is the most common. In addition, the discovery of two clusters in the damping-related CHL estimate suggests the possible existence of two distinctly different types of ears: pressure detectors and power detectors.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=309004
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p.721-731[article]
Titre : The Cross-Sectional Association Between Tinnitus and Actigraphy-Estimated Sleep in a Population-Based Cohort of Middle-Aged and Elderly Persons Type de document : Article Auteurs : Maud de Feijter ; Berthe C. Oosterloo ; André Goedegebure ; Annemarie Luik Année de publication : 2023 Article en page(s) : p. 732-739 Note générale : DOI: 10.1097/AUD.0000000000001320 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Actigraphie ; Activité ; Qualité du sommeil ; Sujet âgéRésumé : Objectives: Tinnitus is a common and burdensome disease, often accompanied by complaints of poor sleep. However, associations of tinnitus with objective estimates of sleep remain unclear, particularly in the general population. We assessed these associations in a population-based cohort of middle-aged and elderly persons.
Design: This study included 1456 participants (mean age: 65.0 +/- 7.1 years, 52% women) from the population-based Rotterdam Study. Tinnitus was self-reported and in those who reported tinnitus daily, symptom severity was assessed with the Tinnitus Handicap Inventory. We used actigraphy to estimate sleep and 24-hour activity rhythms objectively and sleep diaries to assess self-reported sleep. We estimated the difference in sleep and 24-hour activity rhythms first between those with and those without tinnitus and secondly with tinnitus severity.
Results: Tinnitus, reported by 341 (23%) participants, and tinnitus severity, assessed in 194 participants with daily tinnitus, were not associated with actigraphy-estimated sleep or 24-hour activity rhythms, but were associated with a longer self-reported sleep onset latency (adjusted differencetinnitus = 2.36, 95% confidence interval [CI] = 0.95-3.78, adjusted differencetinnitus severity = 0.27, 95% CI = 0.013-0.54). After stratification for hearing loss, tinnitus was associated with longer self-reported sleep onset latency (adjusted difference = 2.26, 95% CI = 0.98-3.53) and less stable 24-hour activity rhythms (adjusted difference = -0.02, 95% CI = -0.04 to -0.00) in those with hearing loss. In those without hearing loss, tinnitus was associated with more stable rhythms (adjusted difference = 0.03, 95% CI = 0.01-0.05).
Conclusions: Having tinnitus is associated with a longer self-reported sleep onset latency, but not with objective estimates of sleep, suggesting that the subjective experience of sleep may be particularly disturbed in those with tinnitus. In addition, hearing loss may modify the association of tinnitus and 24-hour activity rhythms.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=309021
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 732-739[article]
Titre : Automated Adaptive Wideband Acoustic Stapedius Reflex Thresholds in Adults With Normal Hearing and Sensorineural Hearing Loss Type de document : Article Auteurs : M. Patrick Feeney ; Kim S. Schairer ; Daniel B. Putterman ; Angela C. Garinis ; Jay J. Vachhani ; Douglas H. Keefe ; Dennis F. Fitzpatrick ; Elizabeth R. Kolberg Année de publication : 2023 Article en page(s) : p. 740-750 Note générale : DOI: 10.1097/AUD.0000000000001321 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Immitance acoustique ; Reflexe de l'oreille moyenne
HE Vinci
Réflexe stapédien ; Surdité neurosensorielle (SNHL)Résumé : Objectives: This study compared the measurement of the acoustic stapedius reflex threshold (ART) obtained using a traditional method with that obtained using an automated adaptive wideband (AAW) method. Participants included three groups of adults with normal hearing (NH), mild sensorineural hearing loss (SNHL), or moderate SNHL. The purpose of the study was to compare ARTs for the three groups and to determine which method had the best performance in detecting SNHL.
Design: Ipsilateral and contralateral ARTs were obtained using 0.5, 1, and 2 kHz tonal activators, and broadband noise (BBN) activators on a traditional admittance system (Clinical) at tympanometric peak pressures (TPP) and on an experimental wideband system using an AAW method at both ambient pressure and TPP. ART data previously reported for 39 NH adults with a mean age of 47.7 years were compared with data for 25 participants with mild SNHL with a mean age of 63.8 years, and 20 participants with moderate SNHL with a mean age of 65.7 years. Differences in ARTs between the normal-hearing and SNHL groups for the three methods were examined using a General Linear Model Repeated-Measures test. A receiver operating characteristic curve (ROC) analysis was also used to determine the ability of an ART test to detect SNHL.
Results: For the 0.5 kHz activator condition, there were no significant group mean differences in ART between NH and SNHL groups for either ipsilateral or contralateral activator presentation modes for the Clinical or AAW methods. There were significant group mean differences for the 1 and 2 kHz tonal activators and BBN activator for both ipsilateral and contralateral modes with greater differences in ART between groups for the AAW method than the Clinical method. In these conditions, the mean ART was lower for the AAW tests relative to the Clinical test. The greatest difference between groups was for the ipsilateral AAW tests for the comparison of NH with moderate SNHL for the BBN activator. This difference was approximately 20 dB for the AAW tests and 8 dB for the Clinical test. The ROC analysis showed that the area under the ROC curve (AUC) increased with the frequency of the activator stimulus and with the degree of hearing loss and was maximal for the BBN activator for both the AAW and Clinical methods for both ipsilateral and contralateral presentations.
Conclusions: For ipsilateral and contralateral ART tests for activator frequencies above 0.5 kHz and BBN, listeners with SNHL generally had elevated ARTs compared with those with NH. The AAW method resulted in greater differences between SNHL groups and NH than the Clinical method. The AUC for detecting SNHL also increased with activator frequency and degree of hearing loss and was greatest for the BBN activator for the AAW method in both the ambient and TPP conditions. The results are encouraging for the use of an AAW ART method for the assessment of individuals with SNHL.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=309030
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 740-750[article]
Titre : Sex-Specific Interactions Between Hearing and Memory in Older Adults With Mild Cognitive Impairment: Findings From the COMPASS-ND Study Type de document : Article Auteurs : Faisal Al-Yawer ; M. Kathleen Pichora-Fuller ; Walter Wittich ; Paul Mick ; Nathalie Giroud ; Sana Rehan ; Natalie A. Phillips Année de publication : 2023 Article en page(s) : p. 751-767 Note générale : DOI: 10.1097/AUD.0000000000001322 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Difference de genre
HE Vinci
Audition dans le bruit ; Déficit cognitif ; Évaluation cognitive de Montréal (MoCA) ; PERTE AUDITIVE DE PERCEPTIONRésumé : Objectives: Hearing loss (HL) in older adults is associated with a decline in performance on cognitive tasks and the risk of developing dementia. However, very few studies have investigated sex-related effects on these associations. A previous study of cognitively healthy older adults showed an association between HL and lower cognitive performance in females only. In the present study, we examined the effects of sex and hearing on cognition in individuals with mild cognitive impairment (MCI). We predicted that females with HL would be more likely to show poorer performance on the cognitive measures compared to females with normal hearing (NH), while cognitive performance in males would not depend on hearing. We further predicted that these auditory-cognitive associations would not depend on test modality, and would thus be observed in females for both auditory and visual tests.
Design: Participants were 101 older adults with amnestic MCI (M = 71 years, 45% females) in the Canadian Consortium on Neurodegeneration in Aging (CCNA) COMPASS-ND study. Performance on the Montreal Cognitive Assessment (MoCA), Rey Auditory Verbal Learning (RAVLT), and Brief Visuospatial Memory Test-Revised (BVMT-R) was analyzed to investigate sex-related differences and/or hearing-related differences. Participants were categorized as having NH or HL using two different measures: pure-tone hearing screening results (normal based on a pure-tone threshold
Results: Males and female groups did not differ in age, years of education, or other relevant covariates. Yet, females with better hearing on either pure-tone or speech-in-noise measures outperformed their worse hearing counterparts on the MoCA total score. Additionally, females with better hearing were more likely to recall several words on the MoCA delayed recall trial relative to those with worse hearing. Females with NH showed significant correlations between CDTT SRTs and both MoCA and RAVLT scores, while no correlations were observed in males. In contrast, males but not females showed an effect of hearing group on BVMT-R test status.
Conclusions: There were sex-specific differences in auditory-cognitive associations in individuals with MCI. These associations were mostly observed in females and on auditory tests. Potential mechanisms and implications are discussed.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=309031
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 751-767[article]
Titre : The Effects of Tinnitus and Tinnitus Annoyance on Need for Recovery After Work: Results of the Netherlands Longitudinal Study on Hearing Type de document : Article Auteurs : Iris A. Simons ; Thade P.M. Goderie ; Birgit I. Lissenberg-Witte ; Niek J. Versfeld ; Sophia E. Kramer ; Marieke F. van Wier Année de publication : 2023 Article en page(s) : p. 768-775 Note générale : DOI: 10.1097/AUD.0000000000001323 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Compréhension dans le bruit ; Fatigue ; Récupération après le travail ; Santé au travailRésumé : Objectives: The first aim of this study was to examine the relationship between having tinnitus and the need for recovery after work (NFR). The second aim was to investigate whether the level of tinnitus annoyance is associated with NFR.
Design: Data from the 5- and 10-year follow-up measurement rounds of the Netherlands Longitudinal Study on Hearing (NL-SH) were used in a cross-sectional analyses. The NL-SH is a web-based prospective cohort study and includes participants aged 18 to 70 years at baseline. For this study, we included only participants who worked at least 12 hours/week and were under the age of 65 years. Participants completed questionnaires on demographic, socioeconomic, psychosocial, hearing-related, and work-related characteristics. In addition, participants answered questions about hearing ability and tinnitus and performed an online digit-triplet speech recognition in noise test to measure the speech reception threshold (SRT) in noise. Participants were asked if (1) they suffer from tinnitus and (2) to rate tinnitus annoyance on a 0-100 numeric rating scale. A linear mixed model was used (1) to estimate the overall (i.e., cross-sectional) association between having tinnitus and NFR and (2) to estimate the overall association between the level of tinnitus annoyance and NFR. The models were checked for effect modification and confounding of factors known to be associated with either tinnitus or NFR and available in the NL-SH.
Results: The study sample comprised 770 unique participants in total; 686 and 335 participants at 5- and 10-year follow-up, respectively. Distress, somatization, and self-reported hearing disability appeared to be confounding factors in the analysis of having tinnitus and NFR. After adjusting for these factors, participants with tinnitus had a 2.5% higher NFR (95% confidence interval: -0.9 to 5.9; p = 0.15). In the analysis of tinnitus annoyance and NFR, SRT was an effect modifier. Distress, somatization, depression, and self-reported hearing disability were confounders. After adjustment for effect modification and confounding, tinnitus annoyance was not significantly associated with NFR (p = 0.79 for tinnitus annoyance).
Conclusions: This study showed that having tinnitus was not associated with a higher NFR. Also, higher levels of tinnitus annoyance were not associated with a higher NFR. NFR was associated with the psychological factors distress, somatization, and depression, which are known to be intricately related to tinnitus. A longitudinal study design is recommended as it can assess the sequence of events, which might help disentangle the association between tinnitus, NFR, and psychological factors.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=309037
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 768-775[article]
Titre : The Use of Heart Rate Responses Extracted From Functional Near-Infrared Spectroscopy Data as a Measure of Speech Discrimination Ability in Sleeping Infants Type de document : Article Auteurs : Oon Wah Lee ; Darren Mao ; Borislav Savkovic ; Julia Wunderlich ; Namita Nicholls ; Emily Jeffreys ; Michael Eager ; Mikhail Korneev ; Colette McKay Année de publication : 2023 Article en page(s) : p. 776-786 Note générale : DOI: 10.1097/AUD.0000000000001325 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse spectrale ; Audiologie pédiatrique ; Discrimination auditive ; Habituation ; Rythme cardiaqueRésumé : Objectives: Cardiac responses (e.g., heart rate changes) due to an autonomous response to sensory stimuli have been reported in several studies. This study investigated whether heart rate information extracted from functional near-infrared spectroscopy (fNIRS) data can be used to assess the discrimination of speech sounds in sleeping infants. This study also investigated the adaptation of the heart rate response over multiple, sequential stimulus presentations.
Design: fNIRS data were recorded from 23 infants with no known hearing loss, aged 2 to 10 months. Speech syllables were presented using a habituation/dishabituation test paradigm: the infant's heart rate response was first habituated by repeating blocks of one speech sound; then, the heart rate response was dishabituated with the contrasting (novel) speech sound. This stimulus presentation sequence was repeated for as long as the infants were asleep.
Results: The group-level average heart rate response to the novel stimulus was greater than that to the habituated first sound, indicating that sleeping infants were able to discriminate the speech sound contrast. A significant adaptation of the heart rate responses was seen over the session duration.
Conclusion: The dishabituation response could be a valuable marker for speech discrimination, especially when used in conjunction with the fNIRS hemodynamic response.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=309045
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 776-786[article]
Titre : Hearing Thresholds, Speech Recognition, and Audibility as Indicators for Modifying Intervention in Children With Hearing Aids Type de document : Article Auteurs : Kathryn B. Wiseman ; Ryan W. McCreery ; Elizabeth A. Walker Année de publication : 2023 Article en page(s) : p. 787-802 Note générale : DOI: 10.1097/AUD.0000000000001328 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Audibilite ; Index d'intelligibilite de la parole (SII)
HE Vinci
Implants cochléaires ; Reconnaissance de la parole ; Son purRésumé : Objectives: The purpose of this study was to determine if traditional audiologic measures (e.g., pure-tone average, speech recognition) and audibility-based measures predict risk for spoken language delay in children who are hard of hearing (CHH) who use hearing aids (HAs). Audibility-based measures included the Speech Intelligibility Index (SII), HA use, and auditory dosage, a measure of auditory access that weighs each child's unaided and aided audibility by the average hours of HA use per day. The authors also sought to estimate values of these measures at which CHH would be at greater risk for delayed outcomes compared with a group of children with typical hearing (CTH) matched for age and socioeconomic status, potentially signaling a need to make changes to a child's hearing technology or intervention plan.
Design: The authors compared spoken language outcomes of 182 CHH and 78 CTH and evaluated relationships between language and audiologic measures (e.g., aided SII) in CHH using generalized additive models. They used these models to identify values associated with falling below CTH (by > 1.5 SDs from the mean) on language assessments, putting CHH at risk for language delay.
Results: Risk for language delay was associated with aided speech recognition in noise performance ( Conclusions: Results support using aided SII, aided speech recognition in noise measures, and auditory dosage as tools to facilitate clinical decision-making, such as deciding whether changes to a child's hearing technology are warranted. Values identified in this article can complement other metrics (e.g., unaided hearing thresholds, aided speech recognition testing, language assessment) when considering changes to intervention, such as adding language supports, making HA adjustments, or referring for cochlear implant candidacy 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=309048
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 787-802[article]
Titre : Plasticity Changes in Central Auditory Systems of School-Age Children Following a Brief Training With a Remote Microphone System Type de document : Article Auteurs : Vicente Aleixandre Benites-Zapata ; Alexandra P. Key ; Micah M. Murray ; Chrysa Retsa ; Todd A. Ricketts ; Anne Marie Tharpe Année de publication : 2023 Article en page(s) : p. 803-815 Note générale : DOI: 10.1097/AUD.0000000000001329 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiologie pédiatrique ; Electroencéphalographie (EEG) ; Microphone à distance sans fil (RM)
Autres descripteurs
Plasticite auditiveRésumé : Objectives: The objective of this study was to investigate whether a brief speech-in-noise training with a remote microphone (RM) system (favorable listening condition) would contribute to enhanced post-training plasticity changes in the auditory system of school-age children.
Design: Before training, event-related potentials (ERPs) were recorded from 49 typically developing children, who actively identified two syllables in quiet and in noise (+5 dB signal-to-noise ratio [SNR]). During training, children completed the same syllable identification task as in the pre-training noise condition, but received feedback on their performance. Following random assignment, half of the sample used an RM system during training (experimental group), while the other half did not (control group). That is, during training[low single comma quotation mark] children in the experimental group listened to a more favorable speech signal (+15 dB SNR) than children from the control group (+5 dB SNR). ERPs were collected after training at +5 dB SNR to evaluate the effects of training with and without the RM system. Electrical neuroimaging analyses quantified the effects of training in each group on ERP global field power (GFP) and topography, indexing response strength and network changes, respectively. Behavioral speech-perception-in-noise skills of children were also evaluated and compared before and after training. We hypothesized that training with the RM system (experimental group) would lead to greater enhancement of GFP and greater topographical changes post-training than training without the RM system (control group). We also expected greater behavioral improvement on the speech-perception-in-noise task when training with than without the RM system.
Results: GFP was enhanced after training only in the experimental group. These effects were observed on early time-windows corresponding to traditional P1-N1 (100 to 200 msec) and P2-N2 (200 to 400 msec) ERP components. No training effects were observed on response topography. Finally, both groups increased their speech-perception-in-noise skills post-training.
Conclusions: Enhanced GFP after training with the RM system indicates plasticity changes in the neural representation of sound resulting from listening to an enriched auditory signal. Further investigation of longer training or auditory experiences with favorable listening conditions is needed to determine if that results in long-term speech-perception-in-noise benefits.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=309051
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 803-815[article]
Titre : What Are Parents' Experiences With Their Child's Hearing Aid Use in the First 5 Years? Type de document : Article Auteurs : Lisa Nailand ; Natalie Munro ; Alison Purcell Année de publication : 2023 Article en page(s) : p. 816-828 Note générale : DOI: 10.1097/AUD.0000000000001332 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Audiologie pédiatrique ; Enfant déficient auditif ; Vécu des parentsRésumé : Objectives: Parents are required to make informed choices for their children regarding the use of hearing amplification after hearing loss has been diagnosed. If parents choose a listening and spoken language approach for their child where the development of age appropriate spoken language is the parents' goal, then the early fitting and frequent use of hearing aids is crucial. Within the framework of family centered care, parents have the ultimate responsibility for supporting their child's hearing aid use. However, few studies have focused on parents' insights regarding the aspects that shape hearing aid use in the early years. Thus the aim of this study was to explore parents' firsthand experiences with their child's hearing aid use in the first 5 years. Understanding parents' insights will help improve service provision to optimize outcomes for children with hearing loss.
Design: The study utilized a prospective qualitative design to explore parents' firsthand experiences with their child's hearing aid use. Purposive sampling was used to recruit 12 parents who participated in semi-structured interviews. Parents' responses were analyzed using thematic analysis.
Results: Three overarching themes were conceptualized, namely: (a) towards hearing aids - journey into the wilderness; (b) adjusting to hearing aids - it's the journey, not the destination; and (c) support for my child's hearing aid use - it's not where you are going, it's who you have beside you. Each theme was further divided into categories and subcategories.
Conclusions: This study identified that parents have much to contribute to service providers' understanding regarding the aspects that shape consistent hearing aid use in young children. Parents shared many insights such as the emotionally daunting nature of the first few months post hearing loss confirmation, the influence of family support, and the importance of building connections and understanding about hearing loss and hearing aid use within their social networks. Based on these insights, the authors provide recommendations for clinical best practice that draw upon key principles of family centered care. They consist of practical suggestions including strategic support to overcome less optimal hearing aid use and ways to facilitate parent support within their familial and communal networks.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=309054
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 816-828[article]
Titre : Speech-Encoding Deficits in Neonates Born Large-for-Gestational Age as Revealed With the Envelope Frequency-Following Response Type de document : Article Auteurs : Teresa Ribas-Prats ; Sonia Arenillas-Alcón ; Miriam Perez-Cruz ; Jordi Costa-Faidella ; M Dolores Gómez-Roig ; Carles Escera Année de publication : 2023 Article en page(s) : p. 829-841 Note générale : DOI: 10.1097/AUD.0000000000001330 Langues : Anglais (eng) Descripteurs : HE Vinci
Macrosomie foetale ; Nouveau-né ; Potentiels évoqués auditifs du tronc cérébral (ABR)Résumé : Objectives: The present envelope frequency-following response (FFRENV) study aimed at characterizing the neural encoding of the fundamental frequency of speech sounds in neonates born at the higher end of the birth weight continuum (>90th percentile), known as large-for-gestational age (LGA).
Design: Twenty-five LGA newborns were recruited from the maternity unit of Sant Joan de Deu Barcelona Children's Hospital and paired by age and sex with 25 babies born adequate-for-gestational age (AGA), all from healthy mothers and normal pregnancies. FFRENVs were elicited to the/da/ syllable and recorded while the baby was sleeping in its cradle after a successful universal hearing screening. Neural encoding of the stimulus' envelope of the fundamental frequency (F0ENV) was characterized through the FFRENV spectral amplitude. Relationships between electrophysiological parameters and maternal/neonatal variables that may condition neonatal neurodevelopment were assessed, including pregestational body mass index (BMI), maternal gestational weight gain and neonatal BMI.
Results: LGA newborns showed smaller spectral amplitudes at the F0ENV compared to the AGA group. Significant negative correlations were found between neonatal BMI and the spectral amplitude at the F0ENV.
Conclusions: Our results indicate that in spite of having a healthy pregnancy, LGA neonates' central auditory system is impaired in encoding a fundamental aspect of the speech sounds, namely their fundamental frequency. The negative correlation between the neonates' BMI and FFRENV indicates that this impaired encoding is independent of the pregnant woman BMI and weight gain during pregnancy, supporting the role of the neonatal BMI. We suggest that the higher adipose tissue observed in the LGA group may impair, via proinflammatory products, the fine-grained central auditory system microstructure required for the neural encoding of the fundamental frequency of speech 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=309063
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 829-841[article]
Titre : A Study of Event-Related Potentials During Monaural and Bilateral Hearing in Single-Sided Deaf Cochlear Implant Users Type de document : Article Auteurs : Marcus Voola ; An T. Nguyen ; Andre Wedekind ; Welber Marinovic ; Gunesh Rajan ; Dayse Tavora-Vieira Année de publication : 2023 Article en page(s) : p. 842-853 Note générale : DOI: 10.1097/AUD.0000000000001326 Langues : Anglais (eng) Descripteurs : HE Vinci
Implants cochléaires ; Perte auditive unilatérale (USNHL) ; Potentiel évoqué auditif (PEA)Résumé : Objectives: Single-sided deafness (SSD) is characterized by a profoundly deaf ear and normal hearing in the contralateral ear. A cochlear implant (CI) is the only method to restore functional hearing in a profoundly deaf ear. In a previous study, we identified that the cortical processing of a CI signal differs from the normal-hearing ear (NHE) when directly compared using an auditory oddball paradigm consisting of pure tones. However, exactly how the brain integrates the electrical and acoustic signal is not well investigated. This study aims to understand how the provision of the CI in combination with the NHE may improve SSD CI users' ability to discriminate and evaluate auditory stimuli.
Design: Electroencephalography from 10 SSD-CI participants (4 participated in the previous pure-tone study) were recorded during a semantic acoustic oddball task, where they were required to discriminate between odd and even numbers. Stimuli were presented in four hearing conditions: directly through the CI, directly to the NHE, or in free field with the CI switched on and off. We examined task-performance (response time and accuracy) and measured N1, P2, N2N4, and P3b event-related brain potentials (ERPs) linked to the detection, discrimination, and evaluation of task relevant stimuli. Sound localization and speech in noise comprehension was also examined.
Results: In direct presentation, task performance was superior during NHE compared with CI (shorter and less varied reaction times [~720 versus ~842 msec], higher target accuracy [~93 versus ~70%]) and early neural responses (N1 and P2) were enhanced for NHE suggesting greater signal saliency. However, the size of N2N4 and P3b target-standard effects did not differ significantly between NHE and CI. In free field, target accuracy was similarly high with the CI (FF-On) and without the CI (FF-Off) (~95%), with some evidence of CI interference during FF-On (more variable and slightly but significantly delayed reaction times [~737 versus ~709 msec]). Early neural responses and late effects were also greater during FF-On. Performance on sound localization and speech in noise comprehension (SCINNHE configuration only) was significantly greater during FF-On.
Conclusions: Both behavioral and neural responses in the semantic oddball task were sensitive to CI in both direct and free-field presentations. Direct conditions revealed that participants could perform the task with the CI alone, although performance was suboptimal and early neural responses were reduced when compared with the NHE. For free-field, the addition of the CI was associated with enhanced early and late neural responses, but this did not result in improved task performance. Enhanced neural responses show that the additional input from the CI is modulating relevant perceptual and cognitive processes, but the benefit of binaural hearing on behavior may not be realized in simple oddball tasks which can be adequately performed with the NHE. Future studies interested in binaural hearing should examine performance under noisy conditions and/or use spatial cues to allow headroom for the measurement of binaural benefit.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=309116
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 842-853[article]
Titre : Effect of Real-Ear Adjusted Stimuli on Vestibular Evoked Myogenic Potential Variability in Children and Young Adults Type de document : Article Auteurs : Erin E. Hernon ; Jessie N. Patterson ; Dennis F. Fitzpatrick ; Kristen L. Janky Année de publication : 2023 Article en page(s) : p. 854-864 Note générale : DOI: 10.1097/AUD.0000000000001333 Langues : Anglais (eng) Descripteurs : HE Vinci
Exposition au bruit ; Potentiels évoqués vestibulaires myogéniques (cVEMP) (mVEMP) (oVEMP) ; Real ear to coupler difference (RECD)Résumé : Objectives: There is large variability in cervical and ocular vestibular evoked myogenic potential (c- and oVEMP) amplitudes. One potential source of variability is differences in ear canal shape and size. Real ear-to-coupler difference (RECD) values are used to measure the acoustic environment of an individual's ear canal. RECD may be a useful measure to calibrate air conducted VEMP stimuli, which are elicited at high intensities and may put patients at risk of unsafe sound exposure. A recommendation for avoiding unsafe exposure is to use a 125 dB SPL stimulus for individuals with an equivalent ear canal volume (ECV) >= 0.9 mL and a 120 dB SPL stimulus for individuals with a smaller ECV. The purpose of this project was to determine if using a stimulus calibrated in the ear using RECD values significantly reduces intra-subject and inter-subject VEMP amplitude variability. We hypothesized that using a RECD-calibrated stimulus would significantly reduce inter-subject amplitude variability but not significantly reduce intra-subject variability. We further hypothesized that an RECD-adjusted VEMP stimulus would better protect against delivering unsafe sound exposure compared to the method of using ECV alone.
Design: Eleven children (4 to 9 years), 10 adolescents (10 to 18 years), and 10 young adults (20 to 40 years) with normal hearing, tympanometry, vestibular and neurological function participated. On all subjects, RECD was measured twice per ear to account for test-retest reliability. cVEMP and oVEMP were then recorded bilaterally with a 500 Hz tone burst at a traditional and an adjusted VEMP intensity level. The traditional intensity level was 125 dB SPL for individuals with >= 0.9 mL ECV and 120 dB SPL for individuals with
Results: Young children had significantly smaller ECVs compared to adolescents and young adults. Young children had larger RECDs; however, this was not significant in post hoc analyses. The method of calibration had no significant effect on intra-subject variability for cVEMP [F(1, 27)= 0.996, p = 0.327] or oVEMP [F(1, 25)= 1.679, p = 0.206]. The method of calibration also had no significant effect on inter-subject amplitude variability for cVEMP [F(1, 120)= 0.721, p = 0.397] or oVEMP [F(1, 120)= 0.447, p = 0.505]. Both methods of calibration adequately protected against unsafe exposure levels. However, there were subjects with ECVs >= 0.9 mL who approached unsafe exposure levels from the ECV-calibrated stimulus, suggesting there may be rare cases in which a 125 dB SPL stimulus is unsafe, even for patients with larger ECVs.
Conclusions: The calibration method made no significant difference in intra- or inter-subject variability, indicating that the acoustic environment of the outer ear is not significantly contributing to VEMP amplitude variability. The RECD-adjusted stimulus is effective in protecting against unsafe exposure levels for two trials of both c- and oVEMPs. There may be instances where more than two trials of each test are required, which increases the effective stimulation level. Clinicians should be cautious when delivering VEMPs and not unnecessarily expose patients to unsafe levels of sound.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=309117
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 854-864[article]
Titre : Effectiveness of Kurtosis-Adjusted Cumulative Noise Exposure in Assessing Occupational Hearing Loss Associated With Complex Noise Type de document : Article Auteurs : Jiarui Xin ; Zhihao Shi ; Peiyi Qian ; Shuangyan Liu ; Yinzhu Hao ; Xiangjing Gao ; Lifang Zhou ; Lei Yang ; Meibian Zhang Année de publication : 2023 Article en page(s) : p. 865-876 Note générale : DOI: 10.1097/AUD.0000000000001327 Langues : Anglais (eng) Descripteurs : HE Vinci
Bruit au travail ; Exposition au bruit ; Kurtosis ; Surdité due au bruitRésumé : Objectives: Occupational noise-induced hearing loss (NIHL) is one of the most prevalent occupational diseases worldwide. Few studies have been reported on applying kurtosis-adjusted noise energy (e.g., kurtosis-adjusted cumulative noise exposure, CNE-K) as a joint indicator for assessing NIHL. This study aimed to analyze the effectiveness of CNE-K in assessing occupational hearing loss associated with complex noise in typical manufacturing industries.
Design: A cross-sectional survey of 1404 Chinese manufacturing workers from typical manufacturing industries was conducted. General demographic characteristics, noise exposure data, and noise-induced permanent threshold shifts (NIPTS) at 3, 4, and 6 kHz (NIPTS346) were collected and analyzed. The role of kurtosis in high-frequency noise-induced hearing loss (HFNIHL) was also analyzed. The degree of overlap of the two logistic curves (i.e., between complex noise CNE-K and HFNIHL%, and between Gaussian noise CNE and HFNIHL%) was used to evaluate the effectiveness of CNE-K, using a stratified analysis based on age, sex, industry, or job type.
Results: The binary logistic regression analysis showed that in addition to age, sex, exposure duration, and Eight-hour Continuous Equivalent A-weighted Sound Pressure Level (LAeq,8h), kurtosis was a key factor influencing HFNIHL% in workers (odds ratio = 1.18, p
Conclusions: Kurtosis, as an indirect metric of noise temporal structure, was an important risk factor for occupational NIHL. Kurtosis-adjusted CNE metric could be more effective than CNE alone in assessing occupational hearing loss risk associated with complex noise.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=309141
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 865-876[article]
Titre : Changing the Paradigm for School Hearing Screening Globally: Evaluation of Screening Protocols From Two Randomized Trials in Rural Alaska Type de document : Article Auteurs : Samantha K. Robler ; Alyssa Platt ; Cole D. Jenson ; Meade S. Inglis ; Philip Hofstetter ; Alexandra Ross ; Nae-Yuh Wang ; Joseph J. Gallo ; Suzan D. Emmett ; Joseph R. Egger ; Alain Labrique Année de publication : 2023 Article en page(s) : p. Note générale : DOI: 10.1097/AUD.0000000000001336 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiologie pédiatrique ; Dépistage auditif de l'enfant ; Emissions oto-acoustiques à produit de distorsion (DPOAE) ; Otite moyenne ; Outil de dépistage ; Son pur ; Tympanométrie
Autres descripteurs
Infection de l'oreilleRésumé : Objectives: Diagnostic accuracy was evaluated for various screening tools, including mobile health (mHealth) pure-tone screening, tympanometry, distortion product otoacoustic emissions (DPOAE), and inclusion of high frequencies to determine the most accurate screening protocol for identifying children with hearing loss in rural Alaska where the prevalence of middle ear disease is high.
Design: Hearing screening data were collected as part of two cluster randomized trials conducted in 15 communities in rural northwest Alaska. All children enrolled in school from preschool to 12th grade were eligible. Analysis was limited to data collected 2018 to 2019 (n = 1449), when both trials were running and measurement of high frequencies were included in the protocols. Analyses included estimates of diagnostic accuracy for each screening tool, as well as exploring performance by age and grade. Multiple imputation was used to assess diagnostic accuracy in younger children, where missing data were more prevalent due to requirements for conditioned responses. The audiometric reference standard included otoscopy, tympanometry, and high frequencies to ensure detection of infection-related and noise-induced hearing loss.
Results: Both the mHealth pure-tone screen and DPOAE screen performed better when tympanometry was added to the protocol (increase in sensitivity of 19.9%, 95% Confidence Interval (CI): 15.9 to 24.1 for mHealth screen, 17.9%, 95% CI: 14.0 to 21.8 for high-frequency mHealth screen, and 10.4%, 95% CI: 7.5 to 13.9 for DPOAE). The addition of 6 kHz to the mHealth pure-tone screen provided an 8.7 percentage point improvement in sensitivity (95% CI: 6.5 to 11.3). Completeness of data for both the reference standard and the mHealth screening tool differed substantially by age, due to difficulty with behavioral testing in young children. By age 7, children were able to complete behavioral testing, and data indicated that high-frequency mHealth pure-tone screen with tympanometry was the superior tool for children 7 years and older. For children 3 to 6 years of age, DPOAE plus tympanometry performed the best, both for complete data and multiply imputed data, which better approximates accuracy for children with missing data.
Conclusions: This study directly evaluated pure-tone, DPOAE, and tympanometry tools as part of school hearing screening in rural Alaskan children (3 to 18+ years). Results from this study indicate that tympanometry is a key component in the hearing screening protocol, particularly in environments with higher prevalence of infection-related hearing loss. DPOAE is the preferred hearing screening tool when evaluating children younger than 7 years of age (below 2nd grade in the United States) due to the frequency of missing data with behavioral testing in this age group. For children 7 years and older, the addition of high frequencies to pure-tone screening increased the accuracy of screening, likely due to improved identification of hearing loss from noise exposure. The lack of a consistent reference standard in the literature makes comparing across studies challenging. In our study with a reference standard inclusive of otoscopy, tympanometry, and high frequencies, less than ideal sensitivities were found even for the most sensitive screening protocols, suggesting more investigation is necessary to ensure screening programs are appropriately identifying noise- and infection-related hearing loss in rural, low-resource settings.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=309157
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p.[article]
Titre : Comparison of Intratympanic Steroid and Hyperbaric Oxygen Salvage Therapy Hearing Outcomes in Idiopathic Sudden Sensorineural Hearing Loss: A Retrospective Study Type de document : Article Auteurs : Jakov Ajduk ; Mirta Pecek ; Iva Kelava ; Roko Zaja ; Mihael Ries ; Andro Kosec Année de publication : 2023 Article en page(s) : p. 894-899 Note générale : DOI: 10.1097/AUD.0000000000001338 Langues : Anglais (eng) Descripteurs : HE Vinci
Corticostérone ; Hormones corticosurrénaliennes ; Oxygenotherapie hyperbare ; Perte auditive soudaine (SSNHL) ; Thérapie de rattrapageRésumé : Objectives: Systemic steroids are the most common first-line therapy in sudden sensorineural hearing loss (SSNHL), with significant improvement in hearing outcomes in over 60% of patients. It is unknown why 40% of patients do not respond to systemic steroid therapy. Salvage treatment includes intratympanic steroids (ITS) and hyperbaric oxygenation (HBO) therapy, with inconsistent results reported. This study aimed to compare the results of ITS and HBO therapy in patients with SSNHL that previously failed systemic steroid therapy.
Design: This is a comparative retrospective nonrandomized interventional cohort study, enrolling 126 patients with SSNHL. Out of these, 35 patients received HBO therapy, 43 patients received ITS, and 48 patients did not receive any second-line therapy (control group). Pure-tone audiograms were performed before and after the salvage therapy in the IT and HBO groups and at the same time interval in the control group. Study variables included age, time until therapy initiation, tinnitus status, and hearing outcomes, with a cutoff criteria of cumulative >30 dB improvement on all frequencies indicating recovery.
Results: ITS and HBO therapy were associated with statistically significant hearing recovery at all frequencies compared to systemic steroids. The results show an average hearing improvement of 13.6 dB overall frequencies (250 to 8000 Hz) after ITS therapy and 7.4 dB in HBO therapy in comparison to the control group. Presence of significant hearing improvement positively correlated with age, ITS therapy, and HBO therapy. Presence of tinnitus before therapy was negatively correlated with hearing improvement. Patients with tinnitus present at the start of therapy improve 4.67 dB less on average compared to those without tinnitus. ITS therapy significantly reduced tinnitus compared to the other two treatment options. Patients with tinnitus present before therapy significantly improve hearing at low frequencies, compared to the control group.
Conclusions: ITS and HBO therapy show superior hearing results compared to observation alone after failed oral steroid therapy for SSNHL. ITS shows an additional positive impact on tinnitus reduction and shows superior hearing outcomes after salvage therapy.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=309164
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 894-899[article]
Titre : Short Implicit Voice Training Affects Listening Effort During a Voice Cue Sensitivity Task With Vocoder-Degraded Speech Type de document : Article Auteurs : Ada Bicer ; Thomas Koelewijn ; Deniz Baskent Année de publication : 2023 Article en page(s) : p. 900-916 Note générale : DOI: 10.1097/AUD.0000000000001335 Langues : Anglais (eng) Descripteurs : HE Vinci
Corde vocale ; Effort d'écoute ; HAUTEUR TONALE ; Vocodeur
Autres descripteurs
Frequence fondamentale (FO) ; Perception de la voixRésumé : Objectives: Understanding speech in real life can be challenging and effortful, such as in multiple-talker listening conditions. Fundamental frequency (fo) and vocal-tract length (vtl) voice cues can help listeners segregate between talkers, enhancing speech perception in adverse listening conditions. Previous research showed lower sensitivity to fo and vtl voice cues when speech signal was degraded, such as in cochlear implant hearing and vocoder-listening compared to normal hearing, likely contributing to difficulties in understanding speech in adverse listening. Nevertheless, when multiple talkers are present, familiarity with a talker's voice, via training or exposure, could provide a speech intelligibility benefit. In this study, the objective was to assess how an implicit short-term voice training could affect perceptual discrimination of voice cues (fo+vtl), measured in sensitivity and listening effort, with or without vocoder degradations.
Design: Voice training was provided via listening to a recording of a book segment for approximately 30 min, and answering text-related questions, to ensure engagement. Just-noticeable differences (JNDs) for fo+vtl were measured with an odd-one-out task implemented as a 3-alternative forced-choice adaptive paradigm, while simultaneously collecting pupil data. The reference voice either belonged to the trained voice or an untrained voice. Effects of voice training (trained and untrained voice), vocoding (non-vocoded and vocoded), and item variability (fixed or variable consonant-vowel triplets presented across three items) on voice cue sensitivity (fo+vtl JNDs) and listening effort (pupillometry measurements) were analyzed.
Results: Results showed that voice training did not have a significant effect on voice cue discrimination. As expected, fo+vtl JNDs were significantly larger for vocoded conditions than for non-vocoded conditions and with variable item presentations than fixed item presentations. Generalized additive mixed models analysis of pupil dilation over the time course of stimulus presentation showed that pupil dilation was significantly larger during fo+vtl discrimination while listening to untrained voices compared to trained voices, but only for vocoder-degraded speech. Peak pupil dilation was significantly larger for vocoded conditions compared to non-vocoded conditions and variable items increased the pupil baseline relative to fixed items, which could suggest a higher anticipated task difficulty.
Conclusions: In this study, even though short voice training did not lead to improved sensitivity to small fo+vtl voice cue differences at the discrimination threshold level, voice training still resulted in reduced listening effort for discrimination among vocoded voice cues.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=309171
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 900-916[article]
Titre : Entropy as a Measure of Auditory Environment Diversity: An Ecological Momentary Assessment (EMA) Approach Type de document : Article Auteurs : Yu-Hsiang Wu ; Elizabeth Stangl ; Camille C. Dunn ; Jacob J. Oleson Année de publication : 2023 Article en page(s) : p. 917-923 Note générale : DOI: 10.1097/AUD.0000000000001334 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Entropie ; Évaluation écologique instantanée (EMA) ; Implants cochléairesRésumé : Objectives: To determine the validity and usefulness of entropy computed using ecological momentary assessment (EMA) data as a measure of auditory environment diversity.
Design: We conducted two secondary analyses on existing EMA datasets. The first determined the construct validity of auditory environment entropy by examining the effect of COVID-19 on entropy. To demonstrate entropy's usefulness, the second examined if entropy could predict the benefit of hearing aid (HA) noise reduction features.
Results: Consistent with the known effect of COVID-19 on social lifestyle, COVID-19 significantly reduced auditory environment diversity, supporting entropy's construct validity. HA users with higher entropy reported poorer outcomes and perceived more benefit from HA features, supporting the feasibility of using entropy to predict communication performance and feature benefit.
Conclusions: Entropy derived from EMA data is a valid and useful auditory environment diversity measure. This measure could allow researchers to better understand the communication needs of people 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=309173
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 917-923[article]
Titre : The Clinical Evaluation of a Modified Fmp in Infant Auditory Brainstem Response Tests Type de document : Article Auteurs : Guy Lightfoot ; Constantina Georga ; Inga Ferm ; Rachel Beeby Année de publication : 2023 Article en page(s) : p. 924-929 Note générale : DOI: 10.1097/AUD.0000000000001331 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiométrie objective ; Potentiels évoqués auditifs du tronc cérébral (ABR) ; Sensibilité auditive
Autres descripteurs
Modele statistiqueRésumé : Objective: The performance of a modified calculation of F statistic using multiple points (Fmp) in auditory brainstem response (ABR) tests in infants was evaluated.
Design: Using UK national guidelines, the ABR threshold was established on 50 infant ears at 4 kHz and 41 infant ears at 1 kHz. A specificity-based Fmp criterion for response presence was established from the distribution of no-response values. This criterion was then applied to determine the sensitivity of Fmp in detecting responses.
Results: A 97.5% true negative rate in no-response waveforms corresponded to an Fmp of 2.2. This criterion detected 85% of 4 kHz and 68% of 1 kHz responses at 10 dB above the ABR threshold but only 51% of 4 kHz and 32% of 1 kHz responses at the ABR threshold.
Conclusions: Fmp has reasonable clinical utility at stimulus levels above the ABR threshold but is not an adequate replacement for strictly applied conventional waveform interpretation at the ABR threshold. A proposal is offered that should improve Fmp 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=309177
in Ear and hearing > Vol. 44, n°4 (July-August 2023) . - p. 924-929[article]
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Titre : Cochlear Implantation in Children with Enlarged Vestibular Aqueduct: A Systematic Review of Surgical Implications and Outcomes : A Systematic Review of Surgical Implications and Outcomes Type de document : Article Auteurs : Marie-Louise Uhre Hansen ; Eva Rye Rasmunssen ; Per Caye-Thomasen ; Kristianna Mey Année de publication : 2023 Article en page(s) : p. 440-447 Note générale : 10.1097/AUD.0000000000001309 Langues : Anglais (eng) Descripteurs : HE Vinci
Complications postopératoires ; Implants cochléaires ; Système vestibulaire
Autres descripteurs
Syndrome de PendredMots-clés : Enlarged vestibular aqueduct Résumé : Objectives: This study investigated age at implantation, improvement in hearing and speech perception outcomes, as well as surgical complications in pediatric cochlear implant recipients with Pendred Syndrome (PS) or non-syndromic enlarged vestibular aqueduct (NSEVA).
Design: A systematic review of the literature between 1984 and 2021 was performed. Two independent reviewers performed abstract and full-text screening using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. The inclusion criteria were: English language, cochlear implant, age at implantation available, age
Results: In total, 198 studies were identified and screened, and 55 studies were included for analysis. Audiological outcomes were available in 46 studies, and the four-frequency pure-tone audiogram average improved by 60 to 78 dB HL due to cochlear implantation. Auditory performance and speech intelligibility scores increased by 44%. The overall average implantation age was 60 months. The implantation age was 21 months lower in the studies where individuals were implanted after the year 2000 compared with those implanted before the year 2000. Perilymph gusher/oozing was the most common surgical incident reported, occurring in 187 of 1572 implantations.
Conclusions: In children with PS/NSEVA, cochlear implantation improves pure-tone average by 60 to 78 dB HL and capacity of auditory performance/speech intelligibility by 44%. The implantation age for these children has decreased during the last two decades but is still somewhat higher than reported for unselected pediatric cochlear implantation. Perilymph gusher/oozing is the most common surgical complication.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=306192
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 440-447[article]
Titre : Barriers to and Facilitators of Early Hearing Detection and Intervention in the United States: A Systematic Review Type de document : Article Auteurs : Ursula M. Findlen ; Carrie A. Davenport ; Alison Gehred ; Rachael Frush Holt ; Lisa Vaughn ; Derek M. Houston ; Lisa L. Hunter Année de publication : 2023 Article en page(s) : p. 448-459 Langues : Anglais (eng) Descripteurs : HE Vinci
Déterminants sociaux de la santé ; Intervention précoceRésumé : Objectives: Early hearing detection and intervention (EHDI) is guided by the 1-3-6 approach: screening by one month, diagnosis by 3 mo, and early intervention (EI) enrollment by 6 mo. Although screening rates remain high, successful diagnosis and EI-enrollment lag in comparison. The aim of this systematic review is to critically examine and synthesize the barriers to and facilitators of EHDI that exist for families, as they navigate the journey of congenital hearing loss diagnosis and management in the United States. Understanding barriers across each and all stages is necessary for EHDI stakeholders to develop and test novel approaches which will effectively reduce barriers to early hearing healthcare.
Design: A systematic literature search was completed in May and August 2021 for empirical articles focusing on screening, diagnosis, and EI of children with hearing loss. Two independent reviewers completed title and abstract screening, full-text review, data extraction, and quality assessments with a third independent reviewer establishing consensus at each stage. Data synthesis was completed using the Framework Analysis approach to categorize articles into EHDI journey timepoints and individual/family-level factors versus system-level factors.
Results: Sixty-two studies were included in the narrative synthesis. Results revealed that both individual/family-level (e.g., economic stability, medical status of the infant including middle ear involvement) and system-level barriers (e.g., system-service capacity, provider knowledge, and program quality) hinder timely diagnosis and EI for congenital hearing loss. Specific social determinants of health were noted as barriers to effective EHDI; however, system-level facilitators such as care coordination, colocation of services, and family support programs have been shown to mitigate the negative impact of those sociodemographic factors.
Conclusions: Many barriers exist for families to obtain appropriate and timely EHDI for their children, but system-level changes could facilitate the process and contribute to long-term outcomes improvement. Limitations of this study include limited generalizability due to the heterogeneity of EHDI programs and an inability to ascertain factor interactions.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=306429
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 448-459[article]
Titre : A Scoping Review and Field Guide of Theoretical Approaches and Recommendations to Studying the Decision to Adopt Hearing Aids Type de document : Article Auteurs : Maria Iankilevitch ; Gurjit Singh ; Frank A. Russo Année de publication : 2023 Article en page(s) : p. 460-476 Langues : Anglais (eng) Descripteurs : HE Vinci
Demande d'aide auditive ; Prise de décision ; Techniques d'aide à la décisionRésumé : Objectives: Given the low rates of hearing aid adoption among individuals with hearing loss, it is imperative to better understand the decision-making processes leading to greater hearing aid uptake. A careful analysis of the existing literature on theoretical approaches to studying these processes is needed to help researchers frame hypotheses and methodology in studies on audiology. Therefore, we conducted a scoping review with two aims. First, we examine theories that have been used to study research on hearing aid adoption. Second, we propose additional theories from the behavioral sciences that have not yet been used to examine hearing aid uptake but that can inform future research.
Design: We identified peer-reviewed publications whose research was driven by one or more theoretical approaches by searching through PubMed, ProQuest PsycINFO, CINHAL Plus, Web of Science, Scopus, and OVID Medline/Embase/PsycINFO. The publications were examined by two researchers for eligibility.
Results: Twenty-three papers were included in the analysis. The most common theoretical approaches studied include the Health Belief Model, the Transtheoretical Model of Behavior Change, Self-Determination Theory, and the COM-B Model. Seven other theoretical frameworks based on cognitive psychology and behavioral economics have also appeared in the literature. In addition, we propose considering nudge theory, framing effect, prospect theory, social learning theory, social identity theory, dual process theories, and affective-based theories of decision making when studying hearing aid adoption.
Conclusions: We conclude that, although a number of theories have been considered in research on hearing aid uptake, there are considerable methodological limitations to their use. Furthermore, the field can benefit greatly from the inclusion of novel theoretical approaches drawn from outside of audiology.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=306434
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 460-476[article]
Titre : Comparing the Outcomes of a Personalized Versus Nonpersonalized Home-Based Auditory Training Program for Cochlear Implant Users Type de document : Article Auteurs : Sara Magits ; Ellen Boon ; Linus De Meyere ; Ann Dierckx ; Ellen Vermaete ; Tom Francart ; Nicolas Verhaert ; Jan Wouters ; Astrid van Wieringen Année de publication : 2023 Article en page(s) : p.477-493 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Rehabilitation audiologique
HE Vinci
Compréhension dans le bruit ; Entrainement auditif ; Implants cochléairesRésumé : Objectives: Audiological rehabilitation includes sensory management, auditory training (AT), and counseling and can alleviate the negative consequences associated with (untreated) hearing impairment. AT aims at improving auditory skills through structured analytical (bottom-up) or synthetic (top-down) listening exercises. The evidence for AT to improve auditory outcomes of postlingually deafened adults with a cochlear implant (CI) remains a point of debate due to the relatively limited number of studies and methodological shortcomings. There is a general agreement that more rigorous scientific study designs are needed to determine the effectiveness, generalization, and consolidation of AT for CI users. The present study aimed to investigate the effectiveness of a personalized AT program compared to a nonpersonalized Active Control program with adult CI users in a stratified randomized controlled clinical trial.
Design: Off-task outcomes were sentence understanding in noise, executive functioning, and health-related quality of life. Participants were tested before and after 16 weeks of training and after a further 8 months without training. Participant expectations of the training program were assessed before the start of training.
Results: The personalized and nonpersonalized AT programs yielded similar results. Significant on-task improvements were observed. Moreover, AT generalized to improved speech understanding in noise for both programs. Half of the CI users reached a clinically relevant improvement in speech understanding in noise of at least 2 dB SNR post-training. These improvements were maintained 8 months after completion of the training. In addition, a significant improvement in quality of life was observed for participants in both treatment groups. Adherence to the training programs was high, and both programs were considered user-friendly.
Conclusions: Training in both treatments yielded similar results. For half of the CI users, AT transferred to better performance with generalization of learning for speech understanding in noise and quality of life. Our study supports the previous findings that AT can be beneficial for some CI usersDisponible 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=306440
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p.477-493[article]
Titre : Prospective Comparison Between Manual and Computer-Assisted (FOX) Cochlear Implant Fitting in Newly Implanted Patients Type de document : Article Auteurs : Justine Wathour ; Paul J. Govaerts ; Lucie Derue ; Suzanne Vanderbemden ; Hélène Huaux ; Emilie Lacroix ; Naima Deggouj Année de publication : 2023 Article en page(s) : p. 494-505 Langues : Anglais (eng) Descripteurs : HE Vinci
Implants cochléaires ; Intelligence artificielle (IA) ; Réglage d'appareil auditifRésumé : Objective: A prospective, longitudinal, randomized controlled trial with an original crossover design for 1 year was conducted to compare manual fitting to artificial intelligence-based fitting in newly implanted patients.
Design: Twenty-four patients who received their first cochlear implant (CI) were randomly assigned to the manual or Fitting to Outcome eXpert (FOX) arm; they followed the corresponding fitting procedures for 1 year. After 1 year, each patient was switched to another arm. The number of fittings, auditory outcomes (pure-tone thresholds, loudness scaling curves, spectral discrimination scores, bisyllabic word recognition in quiet and noise, and speech tracking), fitting session questionnaire, and CI parameters (T level, C level, Threshold Sound Pressure Level (T-SPL), Comfortable Sound Pressure Level (C-SPL), and loudness growth value) were compared between the two groups. Differences between the two groups were analyzed using the Mann-Whitney test, and Holm corrections were applied for multiple statistical tests. At the end of the crossover session, patients were offered the choice to continue with their old or new map.
Results: As early as 3 mo postactivation, the FOX group showed less variability and significantly better speech intelligibility in quiet conditions at 40 and 55 dB SPL and noise (p Conclusion: Although the study size remains relatively small, the AI-FOX approach was equivalent to or even outperformed the manual approach in hearing performance, comfort, and resources. Furthermore, FOX is a tool capable of continuous improvement by comparing its predictions with observed results and is continuously learning from clinicians' practice, which is why this technology promises major advances in the future.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=306444
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 494-505[article]
Titre : Prevalence of Polypharmacy in Patients With Vestibular and Balance Complaints Type de document : Article Auteurs : Seth S. Jeong ; Tiffany Chen, T ; Tatianna A. Timor ; Adrienne L. Busch ; Ted A. Meyer ; Shaun A. Nguyen ; Habib G. Rizk Année de publication : 2023 Article en page(s) : p. 506-517 Note générale : 10.1097/AUD.0000000000001292 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiométrie ; Polypharmacie ; VertigeRésumé : Objectives: To determine the prevalence of polypharmacy in patients presenting with dizziness to a tertiary neurotology clinic and analyze the association between polypharmacy and clinical characteristics.
Design: Retrospective, cross-sectional review. Demographics, symptoms, diagnoses, medications, audiometry, dizziness handicap index (DHI) scores, and cognitive failure questionnaire (CFQ) scores were extracted from charts of patients seen as new patients from September 1, 2019, to March 31, 2020, with a primary complaint of dizziness.
Results: A total of 382 patients were included. More than two-thirds of the patients (n = 265, 69.4%) met criteria for polypharmacy (>=5 medications), of which most (n = 249, 94.0%) were prescribed a potentially ototoxic drug. Approximately 10% of patients were taking five or more ototoxic medications (oto-polypharmacy). Polypharmacy was correlated to age and was more common for patients with diabetes, hypertension, other cardiovascular comorbidities, and depression (odds ratio [OR], 3.73-6.67; p Conclusions: The prevalence of polypharmacy in patients with vestibular disorders is high. Some of the medications that patients are on are also potentially ototoxic at variable degrees. Polypharmacy is more common when lightheadedness is one of the dizziness descriptors and seems to be associated with worse scores on patient-reported outcome measures (DHI, CFQ). Medication reconciliation and multidisciplinary involvement could help to better address polypharmacy in this patient population. However, further investigation is needed to elucidate polypharmacy's role in symptom presentation, vestibular testing results, and therapeutic strategies.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=306511
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 506-517[article]
Titre : Evaluation of the Benefits of Bilateral Fitting in Bone-Anchored Hearing System Users: Spatial Resolution and Memory for Speech Type de document : Article Auteurs : William Brassington ; Rosalyn Parker ; Federica Bianchi Année de publication : 2023 Article en page(s) : p. 530-543 Note générale : DOI: 10.1097/AUD.0000000000001297 Langues : Anglais (eng) Descripteurs : HE Vinci
Acuité temporelle auditive ; Appareillage bilatéral ; Conduction osseuse ; Mémoire auditiveRésumé : Design: This is a prospective, single-center, comparative, single-blinded study where the listeners served as their own control. Twenty-four experienced bone-anchored users with a bilateral conductive or mixed hearing loss participated in the study. After fitting the listeners unilaterally and bilaterally with BAHS sound processor(s) (Ponto 3 SuperPower), spatial resolution was estimated by measuring the minimum audible angle (MAA) to achieve an 80% correct response via a two-alternative-forced choice task (right-left discrimination of noise bursts) in two conditions: both sound processors active (bilateral condition) and only one sound processor active (unilateral condition). In addition, a memory recall test, the Sentence-final Word Identification and Recall (SWIR) test was performed with five lists of seven sentences for each of the two conditions (unilateral and bilateral). Self-reported performance in everyday life with the listener's own sound processors was also evaluated via a questionnaire (the abbreviated version of the Speech, Spatial and Qualities of Hearing scale).
Results: The MAA to discriminate noise bursts improved significantly from 75.04[degrees] in the unilateral condition to 3.61[degrees] in the bilateral condition (p
Conclusions: These results showed a large benefit in spatial resolution for users with symmetric BC thresholds when being fitted with two BAHS, although their self-reported performance with bilateral BAHS in everyday life was rather low. In addition, there was no overall benefit of bilateral fitting on memory for speech, despite observing a benefit in one out of five repetitions of the SWIR test. Performance in the SWIR test was correlated with the users' self-reported performance in everyday life, such that users with higher recall ability reported to achieve better performance in real life. These findings highlight the advantages of bilateral fitting on spatial resolution, although bilaterally fitted BAHS users continue to experience some difficulties in their daily lives, especially when locating sounds, judging distance and movement. More research is needed to support a higher penetration of bilateral BAHS treatment for bilateral conductive and mixed hearing losses.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=306557
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 530-543[article]
Titre : Inter-Subject Variability in the Dependence of Medial-Olivocochlear Reflex Strength on Noise Bandwidth Type de document : Article Auteurs : Donguk Lee ; James D. Lewis Année de publication : 2023 Article en page(s) : p. 544-547 Note générale : DOI: 10.1097/AUD.0000000000001302 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Bande passante ; Systeme efferent olivocochleaire
HE Vinci
Emissions otoacoustiques évoquées (OEA)(OAE)Résumé : Objectives: The objective of the study was to quantify inter-subject variability in the dependence of the medial-olivocochlear reflex (MOCR) on noise bandwidth. Of specific interest was whether inter-subject variability in MOCR dependence on bandwidth explained variability in the MOCR response elicited by wideband noise.
Design: Thirty-two young adults with normal hearing participated in the study. Click-evoked otoacoustic emissions were measured in the ipsilateral ear with and without noise presented in the contralateral ear. Presentation of contralateral noise served to activate the MOCR. The MOCR was activated using five different noise stimuli with bandwidths ranging from 1- to 5-octaves wide (center frequency of 2 kHz; bandwidth incremented in 1-octave steps). Noise spectral levels (19.6 dB SPL/Hz) were held constant across all bandwidths. MOCR metrics included the normalized-percent change in the otoacoustic emission (OAE), the MOCR-induced OAE magnitude shift, and the MOCR-induced OAE phase shift. Linear mixed-effect models were fit to model the dependence of MOCR-induced OAE magnitude and phase changes on noise bandwidth. The use of a mixed-effect modeling approach allowed for the estimation of subject-specific model parameters that capture on- and off-frequency contributions to the MOCR effects. Regression analysis was performed to evaluate the predictive capacity of subject-specific model parameters on the MOCR response elicited by wideband noise.
Results: All OAE-based MOCR metrics increased as the noise bandwidth increased from 1- to 5-octaves wide. The dependence of MOCR-induced OAE magnitude and phase shifts on activator bandwidth was well approximated using a linear model with intercept and slope terms. On average, MOCR-induced magnitude and phase shifts increased at a rate of 0.3 dB/octave and 0.01 cycles/octave, respectively, as bandwidth extended beyond the predicted region of OAE generation. A statistically significant random effect of subject was found for both the intercept and slope parameter of each model. Subject-specific slope estimates were statistically significant predictors of a repeated measure of the wideband MOCR response. A higher slope was predictive of larger wideband MOCR effects.
Conclusions: MOCR-induced changes to the OAE are greatest when the MOCR is elicited using wideband noise. Variability in the process of spectral integration within the MOCR pathway appears to explain, in part, inter-subject variability in OAE-based estimates of the MOCR response elicited by wideband noise.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=306662
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 544-547[article]
Titre : Long-Term Auditory and Speech Outcomes of Cochlear Implantation in Children With Cochlear Nerve Aplasia Type de document : Article Auteurs : Xiuhua Chao ; Jianfen Luo ; Ruijie Wang ; Fangxia Hu ; Haibo Wang ; Zhaomin Fan ; Lei Xu Année de publication : 2023 Article en page(s) : p. 558-565 Note générale : DOI: 10.1097/AUD.0000000000001299 Langues : Anglais (eng) Descripteurs : HE Vinci
Aplasie ; Implants cochléaires
Autres descripteurs
Deficience auditive cochleaireRésumé : Objectives: In this study, we aimed to (1) review the long-term outcomes of cochlear implantation in children with cochlear nerve aplasia and (2) compare the development of their auditory and speech abilities to children with normal-sized cochlear nerves.
Design: This is a retrospective case-control study. Patients who underwent unilateral cochlear implant (CI) surgery in a tertiary referral center from September 2012 to December 2018 were reviewed. The study group included 55 children with cochlear nerve aplasia diagnosed using preoperative images. The control group included 35 children with normal-sized cochlear nerves. The control group did not differ from the study group in terms of age at implantation, pre-implantation auditory and speech abilities, or the electrode array type. Cochlear implantation outcomes were assessed using a test battery, including the Categories of Auditory Performance (CAP) score, the Speech Intelligibility Rating (SIR) score, behavioral audiometry, and closed- or open-set speech recognition tests. The development of auditory and speech abilities was compared between the two groups using Generalized Linear Mixed-effect Models.
Results: The mean duration of CI usage was 4.5 years (SD = 1.5, range = 2.0 to 9.5) in the study group. The CAP scores, SIR scores, and aided hearing thresholds improved significantly post-implantation in the study group, but were significantly poorer than those in the control group. Generalized Linear Mixed-effect Models showed that the development of CAP and SIR scores was significantly slower in the study group than in the control group. Overall, 27 (49%) children with cochlear nerve aplasia had some degree of open-set speech perception skills, but the monosyllabic and bisyllabic word recognition rates were significantly lower than those in the control group.
Conclusion: For children with cochlear nerve aplasia, auditory perception and speech intelligibility continued to improve in the long-term follow-up, but this progress was significantly slower than in children with normal-sized cochlear nerves. Most children with cochlear nerve aplasia could obtain the ability of common phrase perception and understanding simple spoken language with consistent CI usage and auditory rehabilitation.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=306664
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 558-565[article]
Titre : Slim Modiolar Electrode Placement in Candidates for Electroacoustic Stimulation Type de document : Article Auteurs : Emily Kay-Rivest ; Arianna Winchester ; Sean O. McMenomey ; Daniel Jethanamest ; J. Thomas Jr. Roland ; David R. Friedmann Année de publication : 2023 Article en page(s) : p. 566-571 Note générale : DOI: 10.1097/AUD.0000000000001304 Langues : Anglais (eng) Descripteurs : HE Vinci
Electrodes ; Implants cochléaires ; Préservation de l'audition ; Stimulation acoustiqueRésumé : Objectives: To determine rates of hearing preservation and performance in patients who met candidacy for electroacoustic stimulation (EAS) and were implanted with a slim modiolar electrode (CI532 or CI632).
Design: Adult patients meeting Food and Drug Administration criteria for electroacoustic stimulation (preoperative low-frequency pure-tone average [LFPTA] less than 60 dB at 125, 250, and 500 Hz and monosyllabic word scores between 10% and 60% in the ear to be implanted), who received a slim modiolar electrode were included. Main outcome measures included rates of hearing preservation, defined as a LFPTA
Results: Forty-six patients met inclusion criteria during a 4-year period. Mean (standard deviation) preoperative LFPTA was 34.5 (13.0) dB, and 71.7% had preserved hearing at initial activation. The mean LFPTA shift in patients who preserved hearing at initial activation was 19.7 (14.6) dB, compared with 62.6 (17.7) dB in patients who did not preserve hearing as per our definition. Perioperative steroid use was not different in patients with and without preserved hearing (X2 (1, N = 46) = 0.19, p = .67, V = 0.06). One year after surgery, 57% of patients had a decline in LFPTA >80 dB and were no longer considered candidates for EAS, with 34.7% still retaining low-frequency thresholds Conclusion: The present study demonstrated favorable early rates of hearing preservation with a slim modiolar array. Performance was not significantly different in individuals with and without preserved low-frequency acoustic hearing, independent of EAS use. Compared with reports of short electrode use, the loss of residual hearing in patients implanted with this array did not impact 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=306665
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 566-571[article]
Titre : Exploring the Stories of Parents' Experiences With Infant Hearing-Loss Screening and Diagnosis in the United States Type de document : Article Auteurs : Tanner L. Robinson ; Emma B. Bowman ; Brittan A. Barker Année de publication : 2023 Article en page(s) : p. 518-529 Note générale : DOI: 10.1097/AUD.0000000000001294 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiologie pédiatrique ; Dépistage auditif du nouveau-né ; Dépistage précoce ; NarrationRésumé : Objectives: For the past 20 years, birthing hospitals in the United States have required newborns to undergo a hearing-loss screening before leaving the hospital. Since the initial newborn hearing screening mandates, there has been much outcome research documenting the successes and barriers of the programs. However, we know little about the experiences of their parents during the time between screening and diagnosis. We propose that elucidating the parents' experiences with newborn hearing-loss screening and diagnosis-via their own stories-is a first step toward understanding their varied experiences and has the potential to ultimately improve hearing healthcare for both children and their families. Thus, to better understand the early hearing screening and detection experience from hearing parents' perspectives, we asked the following research question: what are parents' experiences with their newborns' hearing-loss screening and diagnosis in the United States?
Design: The present study employed a prospective, cross-sectional qualitative design. Specifically, we gathered stories from 13 hearing parents who each have a child born in the United States and diagnosed with hearing loss no later than 14 mo of age between the years of 2016 and 2020. We used thematic analysis to uncover common themes across parent narratives. Saturation was reached at interview no. 4; thus no further sampling was needed.
Findings: Two major themes emerged from the data: (1) hearing healthcare experiences and (2) parents' early experiences during the period between their child's newborn hearing-loss screening and diagnosis. Subthemes were also uncovered. Three emergent subthemes related to health-care experiences included: (1) downplayed newborn hearing screening referrals, (2) clinician-centered care, and (3) medical expenses and health coverage. The three subthemes of the second theme were as follows: (1) parent-to-parent support, (2) "mom guilt," and (3) a new reality.
Conclusion: The present study's narrative accounts from parents about their infants' early hearing detection experiences revealed several, different subthemes that emerged from the same, mandated newborn experience in US families. These findings highlight important moments throughout the hearing-loss screening and detection process, which could benefit from more effective, family-centered hearing healthcare. This knowledge also facilitates the field's move toward improved education of future and current providers and regarding family-centered approach, which could address concerns and expectations of new parents at the very start of their newborns' hearing-loss journeys.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=306787
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 518-529[article]
Titre : Audiological and Demographic Factors that Impact the Precision of Speech Categorization in Cochlear Implant Users Type de document : Article Auteurs : Sarah Colby ; Michael Seedorff ; Bob McMurray Année de publication : 2023 Article en page(s) : p. 572-587 Note générale : DOI: 10.1097/AUD.0000000000001307 Langues : Anglais (eng) Descripteurs : HE Vinci
Implants cochléaires ; Inhibition acoustique résiduelle (ARI) ; PHONETIQUE ACOUSTIQUERésumé : Objectives: The ability to adapt to subtle variations in acoustic input is a necessary skill for successful speech perception. Cochlear implant (CI) users tend to show speech perception benefits from the maintenance of their residual acoustic hearing. However, previous studies often compare CI users in different listening conditions within-subjects (i.e., in their typical Acoustic + Electric configuration compared with Acoustic-only or Electric-only configurations) and comparisons among different groups of CI users do not always reflect an Acoustic + Electric benefit. Existing work suggests that CI users with residual acoustic hearing perform similarly to Electric-only listeners on phonetic voicing contrasts and unexpectedly poorer with fricative contrasts which have little energy in the range of the Acoustic + Electric listeners' acoustic hearing. To further investigate how residual acoustic hearing impacts sensitivity to phonetic ambiguity, we examined whether device configuration, age, and device experience influenced phonetic categorization in a large individual differences study.
Design: CI users with various device configurations (Electric-only N = 41; Acoustic + Electric N = 95) categorized tokens from five /b-p/ and five /s-[Latin small letter esh]/ minimal pair continua (e.g., bet-pet; sock-shock). We investigated age, device experience, and when applicable, residual acoustic hearing (pure tone hearing thresholds) as predictors of categorization. We also examined the relationship between phonetic categorization and clinical outcomes (CNC, AzBio) in a subset of our sample.
Results: Acoustic + Electric CI users were better able to categorize along the voicing contrast (steeper categorization slope) compared with Electric-only users, but there was no group-level difference for fricatives. There were differences within the subgroups for fricatives: bilateral users showed better categorization than unilateral users and bimodal users had better categorization than hybrid users. Age was a significant factor for voicing, while device experience was significant for fricatives. Critically, within the Acoustic + Electric group, hybrid CI users had shallower slopes than bimodal CI users.
Conclusions: Our findings suggest residual acoustic hearing is beneficial for categorizing stop voicing, but not frication. Age impacts the categorization of voicing, while device experience matters for fricatives. For CI users with ipsilateral residual acoustic hearing, those with better hearing thresholds may be over-relying on their acoustic hearing rather than extracting as much information as possible from their CI, and thus have shallower fricative categorization.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=306798
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 572-587[article]
Titre : Effect of Hearing Device Use on Speech-in-Noise Performance in Children with Severe-to-Profound Unilateral Hearing Loss Type de document : Article Auteurs : Amanda M. Griffin ; Ava Atri ; Greg R. Licameli ; Derek J. Stiles Année de publication : 2023 Article en page(s) : p. 588-602 Note générale : DOI: 10.1097/AUD.0000000000001310 Langues : Anglais (eng) Descripteurs : HE Vinci
Compréhension dans le bruit ; Contralateral routing of signals (CROS) ; Ecouteur déporté ; Perte auditive unilatérale (USNHL) ; Prothèse auditive à ancrage osseux (BAHA) ; Rapport signal-bruit (SNRs) (RSB)Résumé : Objectives: Limited evidence exists for the use of rerouting devices in children with severe-to-profound unilateral sensorineural hearing loss. Many laboratory studies to date have evaluated hearing-in-noise performance in specific target-masker spatial configurations within a small group of participants and with only a subset of available hearing devices. In the present study, the efficacy of all major types of nonsurgical devices was evaluated within a larger group of pediatric subjects on a challenging speech-in-noise recognition task.
Design: Children (7-18 years) with unaided severe-to-profound unilateral hearing loss (UHL[low single comma quotation mark] n = 36) or bilateral normal hearing (NH, n = 36) participated in the present study. The signal-to-noise ratio (SNR) required for 50% speech understanding (SNR-50) was measured using BKB sentences in the presence of proprietary restaurant noise (R-SPACE BSIN-R) in the R-SPACE Sound System. Subjects listened under 2 target/masker spatial configurations. The target signal was directed toward subjects' NH or hearing-impaired ear (45[masculine ordinal indicator] azimuth), while the interfering restaurant noise masker was presented from the remaining 7 loudspeakers encircling the subject, spaced every 45[masculine ordinal indicator]. Head position was fixed during testing. The presentation level of target sentences and masking noise varied over time to estimate the SNR-50 (dB). The following devices were tested in all participants with severe-to-profound UHL: air conduction (AC) contralateral routing of signal (CROS), bone conduction (BC) CROS fitted on a headband with and without the use of remote microphone (RM), and an ear-level RM hearing assistance technology (HAT) system.
Results: As a group, participants with severe-to-profound UHL performed best when the target signal was directed toward their NH ear. Across listening conditions, there was an average 8.5 dB improvement in SNR-50 by simply orienting the NH ear toward the target signal. When unaided, participants with severe-to-profound UHL performed as well as participants with NH when the target signal was directed toward the NH ear. Performance was negatively affected by AC CROS when the target signal was directed toward the NH ear, whereas no statistically significant change in performance was observed when using BC CROS. When the target signal was directed toward participants' hearing-impaired ear, all tested devices improved SNR-50 compared with the unaided condition, with small improvements (1-2 dB) observed with CROS devices and the largest improvement (9 dB) gained with the personal ear-level RM HAT system. No added benefit nor decrement was observed when RM was added to BC CROS using a 50/50 mixing ratio when the target was directed toward the impaired ear.
Conclusions: In a challenging listening environment with diffuse restaurant noise, SNR-50 was most improved in the study sample when using a personal ear-level RM HAT system. Although tested rerouting devices offered measurable improvement in performance (1-2 dB in SNR-50) when the target was directed to the impaired ear, benefit may be offset by a detriment in performance in the opposing condition. Findings continue to support use of RM HAT for children with severe-to-profound UHL in adverse listening environments, when there is one primary talker of interest, to ensure advantageous SNRs.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=306806
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 588-602[article]
Titre : Auditory Environments and Hearing Aid Feature Activation Among Younger and Older Listeners in an Urban and Rural Area Type de document : Article Auteurs : Erik Jorgensen ; Jingjing Xu ; Octav Chipara ; Jacob J. Oleson ; Jason Gasler ; Yu-Hsiang Wu Année de publication : 2023 Article en page(s) : p. 603-618 Note générale : DOI: 10.1097/AUD.0000000000001308 Langues : Anglais (eng) Descripteurs : HE Vinci
Adulte implanté ; Age d'implantation ; Aides auditives ; Environnement sensorielRésumé : Objectives: The purpose of this study was to investigate differences in auditory environments and hearing aid feature activation between younger listeners with normal hearing and older listeners with hearing loss in an urban and rural location. We hypothesized that (1) urban dwellers and younger listeners would encounter more diverse and demanding auditory environments than rural dwellers and older listeners, respectively; (2) the advanced hearing aid features (noise reduction and directional microphone) of urban dwellers and younger listeners would be activated more frequently than rural dwellers and older listeners, respectively.
Design: The design of this study was cross-sectional with repeated measures. A total of 12 older adults with hearing loss (OHL-U) and 11 younger adults with normal hearing (YNH-U) were recruited from an urban area (Berkeley, California) and 13 older adults with hearing loss (OHL-R) and 10 YNH-U were recruited from a rural area (Iowa City, Iowa). Participants wore hearing aids that recorded data about their listening environments and completed ecological momentary assessments for 1 week.
Results: The YNH-U group experienced higher sound pressure levels and hearing aid features were activated more frequently than in the OHL groups. The OHL-R group experienced significantly less diverse sound pressure levels than the YNH-U group. The YNH-R group had sound levels between the YNH-U group and the OHL groups but without significant differences from any other group. The YNH groups showed a greater likelihood of hearing aid feature activation than the OHL-R group.
Conclusions: Demographics affect auditory environments and the activation of hearing aid features. Younger urban dwellers have the most diverse or demanding auditory environments and hearing aid feature activation, and older, rural dwellers with hearing loss have the least diverse or demanding auditory environments and hearing aid feature activation. Future studies of real-world auditory environments and audiology intervention effectiveness should consider location in recruitment and interpretation of results.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=306808
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 603-618[article]
Titre : Associations Between Physical Activity, Tinnitus, and Tinnitus Severity Type de document : Article Auteurs : Shanwen Chen ; Xue Yang ; Yuan Jiang ; Feihu Wu ; Yifan Li ; Jianxin Qiu ; Busheng Tong ; Yehai Liu Année de publication : 2023 Article en page(s) : p. 619-626 Note générale : DOI: 10.1097/AUD.0000000000001306 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Épidémiologie ; Exercice physique ; NHANES (USA)Résumé : To examine the associations between physical activity and tinnitus development and physical activity and tinnitus severity in a large representative sample of US adults.
Design: Data were obtained from 3826 eligible participants (20 to 69 years) in the National Health and Nutrition Examination Survey between 2015 and 2016. Physical activity was assessed using a Global Physical Activity Questionnaire. We used multivariable logistic regression to test the associations of physical activity (without physical activity, with physical activity) and amount of physical activity (min/week, in quartiles) with tinnitus symptoms. Adults with depressive symptoms were excluded, and the models were controlled for relevant sociodemographic, lifestyle, and health-related covariates. A restricted cubic spline was used to explore the dose-response relationship between the amount of physical activity and tinnitus.
Results: Overall, 12.8% of the population who engaged in physical activity reported tinnitus, compared with 18.5% of the population who did not (p = 0.005). Subgroup analysis based on the amount of physical activity showed that participants who performed physical activity (150 to 300, 310 to 540, and 550 to 4800 min/week) had lower risks of tinnitus than those with no physical activity (odds ratio = 0.72, 0.56, and 0.62, respectively), after adjusting for covariates. However, no correlation was observed between physical activity and tinnitus severity in the present study. The dose-response analysis showed a nonlinear relationship (P for nonlinearity = 0.04) between the amount of physical activity and the risk of tinnitus.
Conclusions: Physical activity may be associated with a reduced risk of tinnitus. Further research using a longitudinal design is required to confirm these findings and clarify the direction of causation.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=306811
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 619-626[article]
Titre : SpeedCAP: An Efficient Method for Estimating Neural Activation Patterns Using Electrically Evoked Compound Action-Potentials in Cochlear Implant Users Type de document : Article Auteurs : Charlotte Garcia ; John Deeks ; Tobias Goehring ; Daniele Borsetto ; Manohar L. Bance ; Robert P. Carlyon Année de publication : 2023 Article en page(s) : p. 627-640 Note générale : DOI: 10.1097/AUD.0000000000001305 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Potentiels évoqués a action composée (eCAP)
HE Vinci
Activité neuronale ; Implants cochléairesRésumé : Objectives: Electrically evoked compound action-potentials (ECAPs) can be recorded using the electrodes in a cochlear implant (CI) and represent the synchronous responses of the electrically stimulated auditory nerve. ECAPs can be obtained using a forward-masking method that measures the neural response to a probe and masker electrode separately and in combination. The panoramic ECAP (PECAP) analyses measured ECAPs obtained using multiple combinations of masker and probe electrodes and uses a nonlinear optimization algorithm to estimate current spread from each electrode and neural health along the cochlea. However, the measurement of ECAPs from multiple combinations of electrodes is too time consuming for use in clinics. Here, we propose and evaluate SpeedCAP, a speedy method for obtaining the PECAP measurements that minimizes recording time by exploiting redundancies between multiple ECAP measures.
Design: In the first study, 11 users of Cochlear Ltd. CIs took part. ECAPs were recorded using the forward-masking artifact-cancelation technique at the most comfortable loudness level (MCL) for every combination of masker and probe electrodes for all active electrodes in the users' MAPs, as per the standard PECAP recording paradigm. The same current levels and recording parameters were then used to collect ECAPs in the same users with the SpeedCAP method. The ECAP amplitudes were then compared between the two conditions, as were the corresponding estimates of neural health and current spread calculated using the PECAP method previously described by Garcia et al. The second study measured SpeedCAP intraoperatively in 8 CI patients and with all maskers and probes presented at the same current level to assess feasibility. ECAPs for the subset of conditions where the masker and probe were presented on the same electrode were compared with those obtained using the slower approach leveraged by the standard clinical software.
Results: Data collection time was reduced from [almost equal to]45 to [almost equal to]8 minutes. There were no significant differences between normalized root mean squared error (RMSE) repeatability metrics for post-operative PECAP and SpeedCAP data, nor for the RMSEs calculated between PECAP and SpeedCAP data. The comparison achieved 80% power to detect effect sizes down to 8.2% RMSE. When between-participant differences were removed, both the neural-health (r = 0.73) and current-spread (r = 0.65) estimates were significantly correlated (p Conclusions: The improved efficiency of SpeedCAP provides time savings facilitating multi-electrode ECAP recordings in routine clinical practice. SpeedCAP data collection is sufficiently quick to record intraoperatively, and adds no more than 8.2% error to the ECAP amplitudes. Such measurements could thereafter be submitted to models such as PECAP to provide patient-specific patterns of neural activation to inform programming of clinical MAPs and identify causes of poor performance at the electrode-nerve interface of CI users. The speed and accuracy of these measurements also opens up a wide range of additional research questions to be addressed.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=306873
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 627-640[article]
Titre : Probability Distributions for Associations Between Cognitive Screening and Pure-tone Thresholds in Older Adults Type de document : Article Auteurs : Jacqueline M. Eberhard ; Lois J. Matthews ; Kenneth Vaden ; Judy R. Dubno ; Mark A. Eckert Année de publication : 2023 Article en page(s) : p. 641-654 Note générale : DOI: 10.1097/AUD.0000000000001313 Langues : Anglais (eng) Descripteurs : HE Vinci
Déficience auditive liée à l'âge (ARHL) ; Perte d'audition ; Presbyacousie ; Seuil auditifRésumé : Objectives: Lower general cognitive function is frequently reported in older adults with elevated pure-tone thresholds. Here, we examined reason(s) for this association, including whether this relationship is dependent on the frequency range or extent of hearing loss and cognitive screening performance.
Design: Linear regression was used to examine associations between better-ear pure-tone thresholds and Mini-Mental Status Exam (MMSE) performance in a cross-sectional sample of relatively healthy older adults (N = 508; 68% women, 60-89+ years; M age = 72). Quantile regression was also used to identify the ranges of 0.5 and 4.0 kHz thresholds and MMSE scores where these variables exhibited significant associations.
Results: MMSE scores and pure-tone thresholds exhibited small but significant associations, particularly for better-ear 0.5 kHz thresholds. This hearing threshold and cognitive screening association was present among participants with better hearing, including the oldest older adults. There was limited evidence for mediating health condition effects on this association. An item analysis of the MMSE revealed that the MMSE and pure-tone threshold associations were largely due to the delayed recall item of the MMSE.
Conclusions: Together, the small effect results are consistent with the extant literature and suggest that there are multiple reasons for modest pure-tone threshold and cognitive screening performance associations.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url= https://ovidsp.ovid.com/ovidweb.cgi?T= [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=306876
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 641-654[article]
Titre : Performance of an Automated Detection Algorithm to Assess Objective Pulsatile Tinnitus Type de document : Article Auteurs : Sander W.J. Ubbink ; J. Marc C. van Dijk ; Rutger Hofman ; Pim van Dijk Année de publication : 2023 Article en page(s) : p. 655-660 Note générale : DOI: 10.1097/AUD.0000000000001301 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphènes objectifs ; Algorithmique ; Hypertonie ; PoulsRésumé : In this paper we describe an automated detection algorithm that objectively detects pulsatile tinnitus (PT) and investigate its performance.
Design: Sound measurements were made with a sensitive microphone placed in the outer ear canal in 36 PT-patients referred to our tertiary clinic, along with a registration of the heart rate. A novel algorithm expressed the coherence between the recorded sound and heart rate as a pulsatility index. This index was determined for 6 octave bands of the recorded sound. We assessed the performance of the detection algorithm by comparing it with the judgement of 3 blinded observers.
Results: The algorithm showed good agreement compared with the majority judgement of the blinded observers (ROC AUC 0.83). Interobserver reliability for detecting PT in sound recordings by the three blinded observers was substantial (Fleiss's [kappa]=0.64).
Conclusions: The algorithm may be a reliable alternative to subjective assessments of in-canal sound measurements in PT-patients, thus providing clinicians with an objective measure to differentiate between subjective and objective pulsatile 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=306878
in Ear and hearing > Vol. 44, n°3 (May-June 2023) . - p. 655-660[article]
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Titre : Health State Utility Values Associated with Cochlear Implants in Adults : A Systematic Review and Network Meta-Analysis Type de document : Article Auteurs : Peter Dixon ; Justin Shapiro ; George A. Tomlinson ; Justin Cottrell ; Justin T. Lui ; Lindsey Falk ; Joseph M. Chen Année de publication : 2023 Article en page(s) : p. 244-253 Note générale : DOI: 10.1097/AUD.0000000000001287 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse coût-bénéfice ; Implants cochléairesRésumé : Objectives: The cost-effectiveness of bilateral cochlear implants in adults remains uncertain despite established clinical benefits. In cost-effectiveness studies, benefit is often measured by change in health state utility value (HSUV), a single number summary of health-related quality of life anchored at 0 (state of being dead) and 1 (perfect health). Small differences in bilateral cochlear implant HSUV change conclusions of published models, and invalid estimates can therefore mislead policy and funding decisions. As such, we aimed to review and synthesize published HSUV estimates associated with cochlear implants.
Design: We included observational or experimental studies reporting HSUV for adult patients (age >=18 years) with at least moderate-profound sensorineural hearing loss in both ears who received unilateral or bilateral cochlear implants. We searched MEDLINE, EMBASE, PsycINFO, and Cochrane Library databases up to May 1, 2021. Study and participant characteristics and HSUV outcomes were extracted. Narrative synthesis is reported for all studies. A Bayesian network meta-analysis was conducted to generate pooled estimates for the mean difference in HSUV for three comparisons: (1) unilateral cochlear implant versus preimplant, (2) bilateral cochlear implants versus preimplant, (3) bilateral versus unilateral cochlear implants. Our principal measure was pooled mean difference in HSUV.
Results: Thirty-six studies reporting unique patient cohorts were identified. Health Utilities Index, 3 (HUI-3) was the most common HSUV elicitation method. HSUV from 19 preimplant mean estimates (1402 patients), 19 unilateral cochlear implant mean estimates (1701 patients), and 5 bilateral cochlear implants mean estimates (83 patients) were pooled to estimate mean differences in HUI-3 HSUV by network meta-analysis. Compared with preimplant, a unilateral cochlear implant was associated with a mean change in HSUV of +0.17 (95% credible interval [CrI] +0.12 to +0.23) and bilateral cochlear implants were associated with a mean change of +0.25 (95% CrI +0.12 to +0.37). No significant difference in HSUV was detected for bilateral compared with unilateral cochlear implants (+0.08 [95% CrI -0.06 to +0.21]). Overall study quality was moderate.
Conclusions: The findings of this review and network meta-analysis comprise the best-available resource for parameterization of cost-utility models of cochlear implantation in adults and highlight the need to critically evaluate the validity of available HSUV instruments for bilateral cochlear implant populations.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=304770
in Ear and hearing > Vol. 44, n°2 (Mars Avril 2023) . - p. 244-253[article]
Titre : Simultaneous Bilateral Cochlear Implantation in Very Young Children Improves Adaptability and Social Skills : A Prospective Cohort Study Type de document : Article Auteurs : Ying Chen ; Yun Li ; Huan Jia ; Wenxi Gu ; Zhaoyan Wang ; Zhihua Zhang ; Minbo Xue ; Jingjie Li ; Wentao Shi ; Linlin Jiang ; Lu Yang ; Olivier Sterkers ; Hao Wu Année de publication : 2023 Article en page(s) : p. 254-263 Note générale : DOI: 10.1097/AUD.0000000000001276 Langues : Anglais (eng) Descripteurs : HE Vinci
Développement du nourrisson ; Implant cochléaire bilatéral ; NourrissonRésumé : Objectives: To investigate the value of using the Gesell Development Diagnosis Scale (GDDS) to predict developmental outcomes in very young children who undergo simultaneous bilateral cochlear implantation.
Design: In this prospective cohort study, a repeated-measures investigation was conducted in a tertiary referral hospital. A total of 62 children receiving simultaneous bilateral cochlear implantations were enrolled from April 2017 to August 2018. They were divided into 2 groups depending on the operative age: "Infants" group (6 to 12 months, N = 38) or "Children" group (12 to 36 months, N = 24). Data on the surgical outcomes, auditory development, speech production, and developmental indicators were collected until 2 years after the initial fitting. The primary outcome measure was the GDDS, a neuropsychological development examination. Secondary outcomes included the following: complication rate, aided pure-tone average, Infant-Toddler Meaningful Auditory Integration Scale, Categories of Auditory Performance-II, Meaningful Use of Speech Scale, Speech Intelligibility Rating, and the LittlEARS Auditory Questionnaire.
Results: The mean ages at implantation in infants and children groups were 9.2 +/- 1.17 and 16.6 +/- 3.60 months, respectively. Significant differences were found in the social skills (p = 0.001) and adaptability (p = 0.031) domains of GDDS. The younger the age of bilateral cochlear implants surgery, the higher developmental quotient of language, social skills, and adaptability the child could achieve after 2 years. The complication rates in the infants and children groups were 0% versus 2.1% (p = 0.57). There was no surgical complication in the infants group. In the children group, 1 case with enlarged vestibular aqueduct and Mondini malformation had a receiver-implant misplacement on the right side (2%, 1/48). In the two groups, auditory performance and speech production had improved similarly. In the infants group, social skills developmental quotient at baseline had a significant positive relationship with Meaningful Use of Speech Scale after 2 years.
Conclusions: Simultaneous bilateral cochlear implantation in younger children improves adaptability and social skills. GDDS is a sensitive tool of evaluating short-term effect of bilateral cochlear implants in neuropsychological development and constitutes a reliable predictor of speech production for the very younger pediatric cochlear implant 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=304773
in Ear and hearing > Vol. 44, n°2 (Mars Avril 2023) . - p. 254-263[article]
Titre : Longitudinal Development of Verbal and Nonverbal Intelligence After Cochlear Implantation According to Wechsler Tests in German-speaking Children: A Preliminary Study Type de document : Article Auteurs : Peipei Fei ; Wafaa Shehata-Dieter ; Lynn Huestegge ; Rudolf Hagen ; Heike Kuhn Année de publication : 2023 Article en page(s) : p. 264-275 Note générale : DOI: 10.1097/AUD.0000000000001278 Langues : Anglais (eng) Descripteurs : HE Vinci
Développement cognitif ; Implants cochléaires ; Wechsler intelligence scale for children (WISC) ; Wechsler Preschool and Primary Scale of Intelligence (WPPSI)
Autres descripteurs
Deficience auditive bilaterale ; Intelligence verbale ; Raisonnement verbalRésumé : Objectives: Intelligence as a construct of cognitive abilities is the basis of knowledge and skill acquisition and the main predictor of academic achievement. As a broad construct, it is usually divided into subdomains, such as nonverbal and verbal intelligence. Verbal intelligence is one domain of intelligence but is not synonymous with specific linguistic abilities like grammar proficiency. We aim to address the general expectation that early cochlear implantation enables children who are hard of hearing to develop comprehensively, including with respect to verbal intelligence. The primary purpose of this study is to trace the longitudinal development of verbal and nonverbal intelligence in children with cochlear implants (CIs).
Design: Sixteen children with congenital hearing loss who received unilateral or bilateral implants and completed at least two intelligence assessments around the age of school entrance were included in the study. The first assessment was performed around 3 years after CI fitting (chronological age range: 3.93 to 7.03 years). The second assessment was performed approximately 2 years after the first assessment. To analyze verbal and nonverbal IQ in conjunction and across children at different ages, we used corresponding standardized and normalized tests from the same test family (Wechsler Preschool and Primary Scale of Intelligence and/or Wechsler Intelligence Scale for Children).
Results: Regarding longitudinal development, both verbal and nonverbal IQ increased, but verbal IQ increased more substantially over time. At the time of the second measurement, verbal and nonverbal IQ were on a comparable level. Nevertheless, we also observed strong inter-individual differences. The duration between both assessments was significantly associated with verbal IQ at the second measurement time point and thus with verbal IQ gain over time. Education mode (regular vs. special kindergarten/school) was significantly correlated with nonverbal IQ at the second assessment time point.
Conclusions: The results, despite the small sample size, clearly suggest that children with CIs can achieve intellectual abilities comparable to those of their normal-hearing peers by around the third year after initial CI fitting, and they continue to improve over the following 2 years. We recommend further research focusing on verbal IQ assessed around the age of school entrance to be used as a predictor for further development and for the establishment of an individual educational program.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=304776
in Ear and hearing > Vol. 44, n°2 (Mars Avril 2023) . - p. 264-275[article]
Titre : Speech Perception Performance in Cochlear Implant Recipients Correlates to the Number and Synchrony of Excited Auditory Nerve Fibers Derived From Electrically Evoked Compound Action Potentials Type de document : Article Auteurs : Yu Dong ; Jeroen J. Briaire ; Christiaan H. Stronks ; Johan H.M. Frijns Année de publication : 2023 Article en page(s) : p. 276-286 Note générale : DOI: 10.1097/AUD.0000000000001279 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Potentiels évoqués a action composée (eCAP)
HE Vinci
dys-synchronie auditive ; Implants cochléaires ; Perception de la parole ; Surdité neurosensorielle (SNHL)Résumé : Objectives: Many studies have assessed the performance of individuals with cochlear implants (CIs) with electrically evoked compound action potentials (eCAPs). These eCAP-based studies have focused on the amplitude information of the response, without considering the temporal firing properties of the excited auditory nerve fibers (ANFs), such as neural latency and synchrony. These temporal features have been associated with neural health in animal studies and, consequently, could be of importance to clinical CI outcomes. With a deconvolution method, combined with a unitary response, the eCAP can be mathematically unraveled into the compound discharge latency distribution (CDLD). The CDLD reflects both the number and the temporal firing properties of excited ANFs. The present study aimed to determine to what extent the CDLD derived from intraoperatively recorded eCAPs is related to speech perception in individuals with CIs.
Design: This retrospective study acquired data on monosyllabic word recognition scores and intraoperative eCAP amplitude growth functions from 124 adult patients with postlingual deafness that received the Advanced Bionics HiRes 90K device. The CDLD was determined for each recorded eCAP waveform by deconvolution. Each of the two Gaussian components of the CDLD was described by three parameters: the amplitude, the firing latency (the average latency of each component of the CDLD), and the variance of the CDLD components (an indication of the synchronicity of excited ANFs). Apart from these six CDLD parameters, the area under the CDLD curve (AUCD) and the slope of the AUCD growth function were determined as well. The AUCD was indicative of the total number of excited ANFs over time. The slope of the AUCD growth function indicated the increases in the number of excited ANFs with stimulus level. Associations between speech perception and each of these eight CDLD-related parameters were investigated with linear mixed modeling.
Results: In individuals with CIs, larger amplitudes of the two CDLD components, greater AUCD, and steeper slopes of the AUCD growth function were all significantly associated with better speech perception. In addition, a smaller latency variance in the early CDLD component, but not in the late, was significantly associated with better speech recognition scores. Speech recognition was not significantly dependent on CDLD latencies. The AUCD and the slope of the AUCD growth function provided a similar explanation of the variance in speech perception (R2) as the eCAP amplitude, the slope of the amplitude growth function, the amplitude, and variance of the first CDLD component.
Conclusion: The results demonstrate that both the number and the neural synchrony of excited ANFs, as revealed by CDLDs, are indicative of postimplantation speech perception in individuals with a CI. Because the CDLD-based parameters yielded a higher significance than the eCAP amplitude or the AGF slope, the authors conclude that CDLDs can serve as a clinical predictor of the survival of ANFs and that they have predictive value for postoperative speech perception performance. Thus, it would be worthwhile to incorporate the CDLD into eCAP measures in future clinical applications.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=304779
in Ear and hearing > Vol. 44, n°2 (Mars Avril 2023) . - p. 276-286[article]
Titre : Descriptions of Hearing Loss Severity Differentially Influence Parental Concern about the Impact of Childhood Hearing Loss Type de document : Article Auteurs : Caitlin Sapp ; Ryan W. McCreery ; Lenore Holte ; Jacob J. Oleson ; Elizabeth A. Walker Année de publication : 2023 Article en page(s) : p. 287-299 Note générale : DOI: 10.1097/AUD.0000000000001280 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Audibilite ; Index d'intelligibilite de la parole (SII)
HE Vinci
Audiologie pédiatrique ; Simulation acoustiqueRésumé : Purpose: The purpose of this study was to measure how parent concern about childhood hearing loss varies under different description conditions: classification-based, audibility-based, and simulation-based descriptions.
Method: We randomly allocated study participants (n = 143) to complete an online survey about expected child difficulties with listening situations with hearing loss. Our participants were parents of children with typical hearing in the 0- to 12-month age range. Participants were exposed to one type of description (classification-based, audibility-based, or simulation-based) and one level of hearing loss (slight, mild, and moderate or their audibility and simulation equivalents), producing nine total groups. Participants rated the level of expected difficulty their child would experience performing age-appropriate listening tasks with the given hearing loss. They also selected what they perceived as the most appropriate intervention from a list of increasingly intense options.
Results: Our findings revealed that audibility-based descriptions elicited significantly higher levels of parent concerns about hearing loss than classification-based strategies, but that simulation-based descriptions elicited the highest levels of concern. Those assigned to simulation-based and audibility-based groups also judged relatively more intense intervention options as appropriate compared to those assigned to classification-based groups.
Conclusions: This study expands our knowledge base about descriptive factors that impact levels of parent concern about hearing loss after diagnosis. This has potentially cascading effects on later intervention actions such as fitting hearing technology. It also provides a foundation for developing and testing clinical applications of audibility-based counseling strategies.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=304780
in Ear and hearing > Vol. 44, n°2 (Mars Avril 2023) . - p. 287-299[article]
Titre : Relationship Between Tinnitus and Hearing Outcomes Among US Military Personnel After Blast Injury Type de document : Article Auteurs : Emily Myers ; Antony R. Joseph ; Amber L. Dougherty ; Mary C. Clouser ; Andrew J. MacGregor Année de publication : 2023 Article en page(s) : p. 300-305 Note générale : DOI: 10.1097/AUD.0000000000001285 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Bilan auditif ; Explosion ; Surdité due au bruitRésumé : Objectives: To examine the association between tinnitus and hearing outcomes among US military personnel after blast injury, including any hearing loss, low-frequency hearing loss, high-frequency hearing loss, early warning shift, and significant threshold shift.
Design: In this retrospective study, the Blast-Related Auditory Injury Database was queried for male military service members who had audiometric data 2 years before and after blast injury between 2004 and 2012 with no history of hearing loss or tinnitus before injury (n = 1693). Tinnitus was defined by diagnostic codes in electronic health records. Multivariable logistic regression examined the association between tinnitus and hearing outcomes, while adjusting for covariates.
Results: Overall, 14.2% (n = 241) of the study sample was diagnosed with tinnitus within 2 years after blast injury. The proportions of all examined hearing outcomes were higher among service members with tinnitus than those without (p Conclusions: The findings of this study demonstrate that tinnitus diagnosed within 2 years after blast injury is associated with the examined hearing outcomes in US military personnel. Service members with blast injury who subsequently experience tinnitus should receive routine audiometric hearing conservation testing and be carefully examined for poor hearing outcomes by an audiologist.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=304885
in Ear and hearing > Vol. 44, n°2 (Mars Avril 2023) . - p. 300-305[article]
Titre : Dynamic Current Focusing Compared to Monopolar Stimulation in a Take-Home Trial of Cochlear Implant Users Type de document : Article Auteurs : Nicolaas R. A. van Groesen ; Jeroen J. Briaire ; Monique A. de Jong ; Johan H.M. Frijns Année de publication : 2023 Article en page(s) : p. 306-317 Note générale : DOI: 10.1097/AUD.0000000000001282 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Focalisation
HE Vinci
Implants cochléaires ; Test de perception de la paroleRésumé : Objectives: This study compared the performance of a dynamic partial tripolar cochlear implant speech encoding strategy termed dynamic current focusing (DCF) to monopolar stimulation (MP) using spectro-temporal, temporal, and speech-in-noise recognition testing.
Design: DCF is a strategy that utilizes tripolar or high partial tripolar stimulation at threshold level and increases loudness by slowly widening current spread towards most comfortable level. Thirteen cochlear implant users were fitted with DCF and a non-steered MP matched on pulse rate, pulse width, and active electrodes. Nine participants completed the single-blinded within-subject crossover trial. Repeated testing consisted of four sessions. Strategies were allocated in a DCF-MP-DCF-MP or MP-DCF-MP-DCF design. Three-week adaptation periods ended with a test session in which speech-in-noise recognition (matrix speech-in-noise sentence test), spectro-temporal ripple tests (SMRT and STRIPES) and a temporal amplitude modulation detection test were conducted. All participants recorded their subjective experiences with both strategies using the Speech, Spatial and Qualities of Hearing Scale questionnaire.
Results: Participants' SMRT thresholds improved 0.40 ripples per octave (p = 0.02, Bonferroni-corrected: p = 0.1) with DCF over MP at 65 dB SPL. No significant differences between the strategies were found on speech-in-noise recognition at conversational (65 dB SPL) and soft (45 dB SPL) loudness levels, temporal testing, STRIPES, or the SMRT at 45 dB SPL. After Bonferroni correction, a learning effect remained on the matrix speech-in-noise sentence test at both loudness levels (65 dB SPL: p = 0.01; 45 dB SPL: p = 0.02). There was no difference in learning effects over time between DCF and MP. Similarly, no significant differences were found in subjective experience on the Speech, Spatial and Qualities of Hearing Scale questionnaire. DCF reduced average battery life by 48% (5.1 hours) (p Conclusions: DCF may improve spectral resolution over MP at comfortable loudness (65 dB SPL) in cochlear implant users. However, the evidence collected in this study was weak and the significant result disappeared after Bonferroni correction. Also, not all spectral tests revealed this improvement. As expected, battery life was reduced for DCF. Although the current study is limited by its small sample size, considering previous studies, DCF does not consistently improve speech recognition in noise over MP strategies.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=304887
in Ear and hearing > Vol. 44, n°2 (Mars Avril 2023) . - p. 306-317[article]
Titre : Differential Effects of Binaural Pitch Fusion Range on the Benefits of Voice Gender Differences in a "Cocktail Party" Environment for Bimodal and Bilateral Cochlear Implant Users Type de document : Article Auteurs : Yonghee Oh ; Nirmal Kumar Srinivasan ; Curtis L. Hartling ; Frederick Gallun ; Lina A. Reiss Année de publication : 2023 Article en page(s) : p. 318-329 Note générale : DOI: 10.1097/AUD.0000000000001283 Langues : Anglais (eng) Descripteurs : HE Vinci
Implants cochléaires ; Intégration binaurale ; Masquage perceptif ; Pitch shiftRésumé : Objectives: Some cochlear implant (CI) users are fitted with a CI in each ear ("bilateral"), while others have a CI in one ear and a hearing aid in the other ("bimodal"). Presently, evaluation of the benefits of bilateral or bimodal CI fitting does not take into account the integration of frequency information across the ears. This study tests the hypothesis that CI listeners, especially bimodal CI users, with a more precise integration of frequency information across ears ("sharp binaural pitch fusion") will derive greater benefit from voice gender differences in a multi-talker listening environment.
Design: Twelve bimodal CI users and twelve bilateral CI users participated. First, binaural pitch fusion ranges were measured using the simultaneous, dichotic presentation of reference and comparison stimuli (electric pulse trains for CI ears and acoustic tones for HA ears) in opposite ears, with reference stimuli fixed and comparison stimuli varied in frequency/electrode to find the range perceived as a single sound. Direct electrical stimulation was used in implanted ears through the research interface, which allowed selective stimulation of one electrode at a time, and acoustic stimulation was used in the non-implanted ears through the headphone. Second, speech-on-speech masking performance was measured to estimate masking release by voice gender difference between target and maskers (VGRM). The VGRM was calculated as the difference in speech recognition thresholds of target sounds in the presence of same-gender or different-gender maskers.
Results: Voice gender differences between target and masker talkers improved speech recognition performance for the bimodal CI group, but not the bilateral CI group. The bimodal CI users who benefited the most from voice gender differences were those who had the narrowest range of acoustic frequencies that fused into a single sound with stimulation from a single electrode from the CI in the opposite ear. There was no similar voice gender difference benefit of narrow binaural fusion range for the bilateral CI users.
Conclusions: The findings suggest that broad binaural fusion reduces the acoustical information available for differentiating individual talkers in bimodal CI users, but not for bilateral CI users. In addition, for bimodal CI users with narrow binaural fusion who benefit from voice gender differences, bilateral implantation could lead to a loss of that benefit and impair their ability to selectively attend to one talker in the presence of multiple competing talkers. The results suggest that binaural pitch fusion, along with an assessment of residual hearing and other factors, could be important for assessing bimodal and bilateral 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=304901
in Ear and hearing > Vol. 44, n°2 (Mars Avril 2023) . - p. 318-329[article]
Titre : Direct Costs Attributable to Hearing Loss in China: Based on an Econometric Model Type de document : Article Auteurs : Xin Ye ; Ping He Année de publication : 2023 Article en page(s) : p. 330-337 Note générale : DOI: 10.1097/AUD.0000000000001284 Langues : Anglais (eng) Descripteurs : HE Vinci
Coût de l'aide auditive ; Déficience auditive ; Évaluation économiqueRésumé : Objectives: To our knowledge, hearing loss has been proved by a few studies from developed countries to bring a high economic burden of disease, but there is no relevant cost estimate in China. The purpose of our study was to measure the direct costs attributable to hearing loss among middle-aged and older people aged 45 and above in China in 2011, 2013, and 2015.
Design: On the basis of data from the China Health and Retirement Longitudinal Study and the China Statistical Yearbook, an econometric model was used to obtain the hearing-attributable fraction, and then the direct costs attributable to hearing loss of middle-aged and older people aged 45 and above in China in 2011, 2013, and 2015 were calculated.
Results: In 2011, 2013, and 2015, the direct costs attributable to hearing loss of middle-aged and older people aged 45 and above in China were $50.699 billion, $81.783 billion, and $106.777 billion, accounting for 3.43, 4.54, and 5.54% of the overall healthcare costs in the same year, respectively. Among the direct costs attributable to hearing loss, direct outpatient costs accounted for 75.75 to 81.13%, and direct inpatient costs accounted for 18.87 to 24.25%.
Conclusions: The direct costs attributable to hearing loss for Chinese adults aged 45 and above have placed a heavy burden on Chinese society. The government should give priority and take effective measures to the prevention and treatment of 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=304911
in Ear and hearing > Vol. 44, n°2 (Mars Avril 2023) . - p. 330-337[article]
Titre : Delayed Lexical Access and Cascading Effects on Spreading Semantic Activation During Spoken Word Recognition in Children With Hearing Aids and Cochlear Implants: Evidence From Eye-Tracking Type de document : Article Auteurs : Kelsey E. Klein ; Elizabeth A. Walker ; Bob McMurray Année de publication : 2023 Article en page(s) : p. 338-357 Note générale : DOI: 10.1097/AUD.0000000000001286 Langues : Anglais (eng) Descripteurs : HE Vinci
Activation lexicale ; Aides auditives ; Enfant (6-12 ans) ; Implants cochléaires ; Mouvement oculaire ; Reconnaissance auditive du motRésumé : Objective: The objective of this study was to characterize the dynamics of real-time lexical access, including lexical competition among phonologically similar words, and spreading semantic activation in school-age children with hearing aids (HAs) and children with cochlear implants (CIs). We hypothesized that developing spoken language via degraded auditory input would lead children with HAs or CIs to adapt their approach to spoken word recognition, especially by slowing down lexical access.
Design: Participants were children ages 9- to 12-years old with normal hearing (NH), HAs, or CIs. Participants completed a Visual World Paradigm task in which they heard a spoken word and selected the matching picture from four options. Competitor items were either phonologically similar, semantically similar, or unrelated to the target word. As the target word unfolded, children's fixations to the target word, cohort competitor, rhyme competitor, semantically related item, and unrelated item were recorded as indices of ongoing lexical access and spreading semantic activation.
Results: Children with HAs and children with CIs showed slower fixations to the target, reduced fixations to the cohort competitor, and increased fixations to the rhyme competitor, relative to children with NH. This wait-and-see profile was more pronounced in the children with CIs than the children with HAs. Children with HAs and children with CIs also showed delayed fixations to the semantically related item, although this delay was attributable to their delay in activating words in general, not to a distinct semantic source.
Conclusions: Children with HAs and children with CIs showed qualitatively similar patterns of real-time spoken word recognition. Findings suggest that developing spoken language via degraded auditory input causes long-term cognitive adaptations to how listeners recognize spoken words, regardless of the type of hearing device used. Delayed lexical access directly led to delays in spreading semantic activation in children with HAs and CIs. This delay in semantic processing may impact these children's ability to understand connected speech in everyday 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=304913
in Ear and hearing > Vol. 44, n°2 (Mars Avril 2023) . - p. 338-357[article]
Titre : Monitoring Cochlear Health With Intracochlear Electrocochleography During Cochlear Implantation: Findings From an International Clinical Investigation Type de document : Article Auteurs : Stephen O'Leary ; Emmanuel A. M. Mylanus ; Frédéric Venail ; Thomas Lenarz ; Bruce J. Gantz ; Federico Di Lella ; J. Thomas Jr. Roland ; et al. Année de publication : 2023 Article en page(s) : p. 358-370 Note générale : DOI: 10.1097/AUD.0000000000001288 Langues : Anglais (eng) Descripteurs : HE Vinci
Electrocochléographie ; Implants cochléaires ; Inhibition acoustique résiduelle (ARI)Résumé : Objectives: Electrocochleography (ECochG) is emerging as a tool for monitoring cochlear function during cochlear implant (CI) surgery. ECochG may be recorded directly from electrodes on the implant array intraoperatively. For low-frequency stimulation, its amplitude tends to rise or may plateau as the electrode is inserted. The aim of this study was to explore whether compromise of the ECochG signal, defined as a fall in its amplitude of 30% or more during insertion, whether transient or permanent, is associated with poorer postoperative acoustic hearing, and to examine how preoperative hearing levels may influence the ability to record ECochG. The specific hypotheses tested were threefold: (a) deterioration in the pure-tone average of low-frequency hearing at the first postoperative follow-up interval (follow-up visit 1 [FUV1], 4 to 6 weeks) will be associated with compromise of the cochlear microphonic (CM) amplitude during electrode insertion (primary hypothesis); (b) an association is observed at the second postoperative follow-up interval (FUV2, 3 months) (secondary hypothesis 1); and (c) the CM response will be recorded earlier during electrode array insertion when the preoperative high-frequency hearing is better (secondary hypothesis 2).
Design: International, multi-site prospective, observational, between groups design, targeting 41 adult participants in each of two groups, (compromised CM versus preserved CM). Adult CI candidates who were scheduled to receive a Cochlear Nucleus CI with a Slim Straight or a Slim Modiolar electrode array and had a preoperative audiometric low-frequency average thresholds of
Results: From a total of 78 enrolled individuals (80 ears), 77 participants (79 ears) underwent surgery. Due to protocol deviations, 18 ears (23%) were excluded. Of the 61 ears with ECochG responses, amplitudes were 1 [micro]V in 43 ears (55%) were stable throughout implantation for 8 ears and compromised in 35 ears. For the primary endpoint at FUV1, 7/41 ears (17%) with preserved CM had a median hearing loss of 12.6 dB versus 34/41 ears (83%) with compromised CM and a median hearing loss of 26.9 dB (p 1 [micro]V) during implantation was dependent on preoperative, low-frequency thresholds, particularly at the stimulus frequency (0.5 kHz). High-frequency, preoperative thresholds were also associated with a measurable CM > 1 [micro]V during surgery.
Conclusions: Our data shows that CM drops occurring during electrode insertion were correlated with significantly poorer hearing preservation postoperatively compared to CMs that remained stable throughout the electrode insertion. The practicality of measuring ECochG in a large cohort is discussed, regarding the suggested optimal preoperative low-frequency hearing levels (1 [micro]V.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=304914
in Ear and hearing > Vol. 44, n°2 (Mars Avril 2023) . - p. 358-370[article]
Titre : Relationships Between the Auditory Nerve Sensitivity to Amplitude Modulation, Perceptual Amplitude Modulation Rate Discrimination Sensitivity, and Speech Perception Performance in Postlingually Deafened Adult Cochlear Implant Users Type de document : Article Auteurs : Shuman He ; Jeffrey Skidmore ; Brandon Koch ; Monita Chatterjee ; Brittney Carter ; Yi Yuan Année de publication : 2023 Article en page(s) : p. 371-384 Note générale : DOI: 10.1097/AUD.0000000000001289 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Modulation d'amplitude ; Potentiels évoqués a action composée (eCAP)
HE Vinci
Nerf vestibulocochléaire ; Perception de la paroleRésumé : Objective: This study assessed the relationships between the salience of amplitude modulation (AM) cues encoded at the auditory nerve (AN), perceptual sensitivity to changes in AM rate (i.e., AM rate discrimination threshold, AMRDT), and speech perception scores in postlingually deafened adult cochlear implant (CI) users.
Design: Study participants were 18 postlingually deafened adults with Cochlear Nucleus devices, including five bilaterally implanted patients. For each of 23 implanted ears, neural encoding of AM cues at 20 Hz at the AN was evaluated at seven electrode locations across the electrode array using electrophysiological measures of the electrically evoked compound action potential (eCAP). The salience of AM neural encoding was quantified by the Modulated Response Amplitude Ratio (MRAR). Psychophysical measures of AMRDT for 20 Hz modulation were evaluated in 16 ears using a three-alternative, forced-choice procedure, targeting 79.4% correct on the psychometric function. AMRDT was measured at up to five electrode locations for each test ear, including the electrode pair that showed the largest difference in the MRAR. Consonant-Nucleus-Consonant (CNC) word scores presented in quiet and in speech-shaped noise at a signal to noise ratio (SNR) of +10 dB were measured in all 23 implanted ears. Simulation tests were used to assess the variations in correlation results when using the MRAR and AMRDT measured at only one electrode location in each participant to correlate with CNC word scores. Linear Mixed Models (LMMs) were used to evaluate the relationship between MRARs/AMRDTs measured at individual electrode locations and CNC word scores. Spearman Rank correlation tests were used to evaluate the strength of association between CNC word scores measured in quiet and in noise with (1) the variances in MRARs and AMRDTs, and (2) the averaged MRAR or AMRDT across multiple electrodes tested for each participant.
Results: There was no association between the MRAR and AMRDT. Using the MRAR and AMRDT measured at only one, randomly selected electrode location to assess their associations with CNC word scores could lead to opposite conclusions. Both the results of LMMs and Spearman Rank correlation tests showed that CNC word scores measured in quiet or at 10 dB SNR were not significantly correlated with the MRAR or AMRDT. In addition, the results of Spearman Rank correlation tests showed that the variances in MRARs and AMRDTs were not significantly correlated with CNC word scores measured in quiet or in noise.
Conclusions: The difference in AN sensitivity to AM cues is not the primary factor accounting for the variation in AMRDTs measured at different stimulation sites within individual CI users. The AN sensitivity to AM per se may not be a crucial factor for CNC word perception in quiet or at 10 dB SNR in postlingually deafened adult CI users. Using electrophysiological or psychophysical results measured at only one electrode location to correlate with speech perception scores in CI users can lead to inaccurate, if not wrong, conclusions.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=304915
in Ear and hearing > Vol. 44, n°2 (Mars Avril 2023) . - p. 371-384[article]
Titre : Vestibular Infant Screening-Flanders: What is the Most Appropriate Vestibular Screening Tool in Hearing-Impaired Children? Type de document : Article Auteurs : Sarie Martens ; Leen Maes ; Cleo Dhondt ; Saartje Vanaudenaerde ; Marieke Sucaet ; Els De Leenheer ; Helen Van Hoecke ; Ruth Van Hecke ; Lotte Rombaut ; Ingeborg Dhooge Année de publication : 2023 Article en page(s) : p. 385-398 Note générale : DOI: 10.1097/AUD.0000000000001290 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant déficient auditif ; Potentiels évoqués vestibulaires myogéniques (cVEMP) (mVEMP) (oVEMP) ; Test d'impulsion rotatoire de la tête (vHIT) ; VestibulométrieRésumé : Objectives: As children with sensorineural hearing loss have an increased risk for vestibular impairment, the Vestibular Infant Screening-Flanders project implemented a vestibular screening by means of cervical vestibular evoked myogenic potentials (cVEMP) at the age of 6 months for each child with hearing loss in Flanders (Belgium). Given that vestibular deficits can affect the child's development, this vestibular screening should allow early detection and intervention. However, less is currently known about which screening tool would be the most ideal and how vestibular impairment can evolve. Therefore, this study aimed to determine the most appropriate tool to screen for vestibular deficits, to assess the necessity of vestibular follow-up, and to set clinical guidelines for vestibular screening in children with hearing loss.
Design: In total, 71 children with congenital or early-onset sensorineural hearing loss were enrolled (mean age at first appointment = 6.7 months). Follow-up was provided at 6 months, 1, 2, and 3 years of age. Below three years of age, the video Head Impulse Test (vHIT) of the horizontal semicircular canals (SCC), the cVEMP, and the rotatory test at 0.16, 0.04, and 0.01 Hz were applied. At 3 years of age, the vHIT of the vertical SCC and ocular vestibular evoked myogenic potentials (oVEMP) were added. To evaluate early motor development, the Alberta Infant Motor Scale (AIMS) results at 6 months and 1-year old were included.
Results: At 6 months of age, the highest success rate was obtained with the cVEMP (90.0%) compared to the vHIT (70.0%) and the rotatory test (34.3-72.9%). Overall, vestibular deficits were found in 20.0% of the children, consisting of 13.9% with both SCC and otolith deficits (bilateral: 9.3%, unilateral: 4.6%), and 6.1% with unilateral isolated SCC (4.6%) or otolith (1.5%) deficits. Thus, vestibular deficits would not have been detected in 4.6% of the children by only using the cVEMP, whereas 1.5% would have been missed when only using the vHIT. Although vestibular deficits were more frequently found in severe to profound hearing loss (28.6%), characteristics of vestibular function were highly dependent on the underlying etiology. The AIMS results showed significantly weaker early motor development in children with bilateral vestibular deficits (p = 0.001), but could not differentiate children with bilateral normal vestibular function from those with unilateral vestibular deficits (p > 0.05). Progressive or delayed-onset vestibular dysfunction was only found in a few cases (age range: 12-36 months), in which the hearing loss was mainly caused by congenital cytomegalovirus (cCMV).
Conclusions: The cVEMP is the most feasible screening tool to assess vestibular function in 6-months-old children with hearing loss. Although the majority of children with vestibular deficits are detected with the cVEMP, the vHIT seems even more sensitive as isolated SCC deficits are associated with specific etiologies of hearing loss. As a result, the cVEMP is an appropriate vestibular screening tool, which is advised at least in severe to profound hearing loss, but certain etiologies require the addition of the vHIT (i.e., cCMV, meningitis, cochleovestibular anomalies with or without syndromic 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=304955
in Ear and hearing > Vol. 44, n°2 (Mars Avril 2023) . - p. 385-398[article]
Titre : Left Lateralization of the Cortical Auditory-Evoked Potential Reflects Aided Processing and Speech-in-Noise Performance of Older Listeners With a Hearing Loss Type de document : Article Auteurs : Christopher Slugocki ; Francis Kuk ; Petri Korhonen Année de publication : 2023 Article en page(s) : p. 399-410 Note générale : DOI: 10.1097/AUD.0000000000001293 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Audition dans le bruit ; Perte auditive asymétrique ; Potentiel évoqué auditif (PEA)Résumé : Objectives: We analyzed the lateralization of the cortical auditory-evoked potential recorded previously from aided hearing-impaired listeners as part of a study on noise-mitigating hearing aid technologies. Specifically, we asked whether the degree of leftward lateralization in the magnitudes and latencies of these components was reduced by noise and, conversely, enhanced/restored by hearing aid technology. We further explored if individual differences in lateralization could predict speech-in-noise abilities in listeners when tested in the aided mode.
Design: The study followed a double-blind within-subjects design. Nineteen older adults (8 females; mean age = 73.6 years, range = 56 to 86 years) with moderate to severe hearing loss participated. The cortical auditory-evoked potential was measured over 400 presentations of a synthetic /da/ stimulus which was delivered binaurally in a simulated aided mode using shielded ear-insert transducers. Sequences of the /da/ syllable were presented from the front at 75 dB SPL-C with continuous speech-shaped noise presented from the back at signal-to-noise ratios of 0, 5, and 10 dB. Four hearing aid conditions were tested: (1) omnidirectional microphone (OM) with noise reduction (NR) disabled, (2) OM with NR enabled, (3) directional microphone (DM) with NR disabled, and (4) DM with NR enabled. Lateralization of the P1 component and N1P2 complex was quantified across electrodes spanning the mid-coronal plane. Subsequently, listener speech-in-noise performance was assessed using the Repeat-Recall Test at the same signal-to-noise ratios and hearing aid conditions used to measure cortical activity.
Results: As expected, both the P1 component and the N1P2 complex were of greater magnitude in electrodes over the left compared to the right hemisphere. In addition, N1 and P2 peaks tended to occur earlier over the left hemisphere, although the effect was mediated by an interaction of signal-to-noise ratio and hearing aid technology. At a group level, degrees of lateralization for the P1 component and the N1P2 complex were enhanced in the DM relative to the OM mode. Moreover, linear mixed-effects models suggested that the degree of leftward lateralization in the N1P2 complex, but not the P1 component, accounted for a significant portion of variability in speech-in-noise performance that was not related to age, hearing loss, hearing aid processing, or signal-to-noise ratio.
Conclusions: A robust leftward lateralization of cortical potentials was observed in older listeners when tested in the aided mode. Moreover, the degree of lateralization was enhanced by hearing aid technologies that improve the signal-to-noise ratio for speech. Accounting for the effects of signal-to-noise ratio, hearing aid technology, semantic context, and audiometric thresholds, individual differences in left-lateralized speech-evoked cortical activity were found to predict listeners' speech-in-noise abilities. Quantifying cortical auditory-evoked potential component lateralization may then be useful for profiling listeners' likelihood of communication success following clinical amplification.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=304956
in Ear and hearing > Vol. 44, n°2 (Mars Avril 2023) . - p. 399-410[article]
Titre : Cochlear Implants or Hearing Aids: Speech Perception, Language, and Executive Function Outcomes Type de document : Article Auteurs : Merle Sanne Boerrigter ; Anneke Vermeulen ; Michel Ruben Bernard ; Hans van Dijk ; Henri A. Marres ; Emmanuel A. M. Mylanus ; Margreet Langereis Année de publication : 2023 Article en page(s) : p. 411-422 Note générale : DOI: 10.1097/AUD.0000000000001300 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Fonctions exécutives ; Implants cochléaires
Autres descripteurs
Critere d'implantationRésumé : Objectives: We aimed to determine whether children with severe hearing loss (HL) who use hearing aids (HAs) may experience added value in the perception of speech, language development, and executive function (EF) compared to children who are hard of hearing (HH) or children who are deaf and who use cochlear implants (CIs) and would benefit from CIs over HAs. The results contribute to the ongoing debate concerning CI criteria. We addressed the following research question to achieve this aim: Do children who are HH or deaf with CIs perform better than children with severe HL with HAs with respect to auditory speech perception, and receptive vocabulary and/or EF?
Design: We compared two groups of children with severe HL, profound HL or deafness, with CIs or HAs, matched for gender, test age (range, 8 to 15 years), socioeconomic status, and nonverbal intelligence quotient. Forty-three children had CIs (pure-tone average at 2000 and 4000 Hz >85 dB HL), and 27 children had HAs (mean pure-tone average: 69 dB HL). We measured speech perception at the conversational level (65 dB SPL) and the soft speech perception level (45 dB SPL). We established receptive vocabulary using the Peabody Picture Vocabulary Test-III-NL. We tested EF using the Delis Kaplan Executive Function System battery and the Dutch Rey Auditory Verbal Learning Test. We employed the Mann-Whitney U test to compare data between the CI and HA groups. We used Chi-square goodness of fit tests to contrast the CI and HA group distributions with the norm data of children who are typically developing (TD). We harnessed Kendall's Tau-b to investigate relationships between the study variables.
Results: Both groups of children, with CIs and Has, obtained ceiling scores for perception of speech on a conversational level. However, the HA group exhibited significantly lower perception on a soft speech level scores (68 %) than the CI group (87%). No difference was present between the receptive vocabulary distributions of the CI and HA groups. The median receptive vocabulary standard scores for both groups were well within the normal range (CI group: 93; HA group: 96). In addition, we did not find any difference in EF between the CI and HA groups. For planning and verbal memory, the distributions of observed scores for children with CIs were different from the expected distributions of children who are TD. In both groups, a large proportion of children obtained below-average scores for planning (CI: 44%; HA: 33%) and for long-term verbal memory (CI: 44%; HA: 35%). In the HA group, perception at a soft speech level was associated with receptive vocabulary and planning. In the CI group, we did not find any associations.
Conclusions: Both groups of children with severe and profound HL with HAs exhibit less favorable auditory perception on the soft speech level, but not at a conversational level, compared to children who are HH or deaf with CIs. Both groups, children with CIs and HAs, only exhibit more problems in planning and verbal memory than the norm groups of children who are TD. The results indicate that to obtain age-appropriate levels of receptive vocabulary and EF, the perception at the soft speech level is a necessary but not sufficient prerequisite.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=304957
in Ear and hearing > Vol. 44, n°2 (Mars Avril 2023) . - p. 411-422[article]
Titre : Pediatric Vestibular Assessment: Clinical Framework Type de document : Article Auteurs : Sarie Martens ; Ingeborg Dhooge ; Cleo Dhondt ; Saartje Vanaudenaerde ; Marieke Sucaet ; Lotte Rombaut ; Leen Maes Année de publication : 2023 Article en page(s) : p. 423-436 Note générale : 10.1097/AUD.0000000000001303 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiologie pédiatrique ; Fonction vestibulaire ; Potentiels évoqués vestibulaires myogéniques (cVEMP) (mVEMP) (oVEMP) ; Test d'impulsion rotatoire de la tête (vHIT)Résumé : Objectives: Although vestibular deficits can have severe repercussions on the early motor development in children, vestibular assessment in young children has not yet been routinely integrated in clinical practice and clear diagnostic criteria to detect early vestibular deficits are lacking. In young children, specific adjustments of the test protocol are needed, and normative data are age-dependent as the vestibular pathways mature through childhood. Therefore, this study aims to demonstrate the feasibility of an extensive age-dependent vestibular test battery, to provide pediatric normative data with the concurrent age trends, and to offer a clinical framework for pediatric vestibular testing.
Design: This normative study included 133 healthy children below the age of 4 years (mean: 22 mo, standard deviation: 12.3 mo, range: 5-47 mo) without history of hearing loss or vestibular symptoms. Children were divided into four age categories: 38 children younger than 1 year old, 37 one-year olds, 33 two-year olds, and 25 three-year olds. Children younger than 3 years of age were examined with the video Head Impulse Test (vHIT) of the horizontal semicircular canals, cervical vestibular evoked myogenic potentials (cVEMP) with bone conduction stimuli, and the rotatory test at 0.16, 0.04, and 0.01 Hz. In 3-year old children, the vHIT of the vertical semicircular canals and ocular vestibular evoked myogenic potentials (oVEMP) using a minishaker were added to the protocol.
Results: The horizontal vHIT appeared to be the most feasible test across age categories, except for children younger than 1-year old in which the success rate was the highest for the cVEMP. Success rates of the rotatory test varied the most across age categories. Age trends were found for the vHIT as the mean vestibulo-ocular reflex (VOR) gain increased significantly with age (r = 0.446, p 0.01), except for the phase at 0.01 Hz (r = 0.578, p Conclusions. In this large cohort of typically developing children below the age of 4 years, the vHIT and cVEMP were the most feasible vestibular tests. Moreover, the age-dependent normative vestibular data could specify age trends in this group of young children. Finally, based on the current results and clinical experience of more than ten years at the Ghent University Hospital (Belgium), a clinical framework to diagnose early vestibular deficits in young patients is proposed.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=305300
in Ear and hearing > Vol. 44, n°2 (Mars Avril 2023) . - p. 423-436[article]
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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 ; M. 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]