Speech Recognition and Subjective Hearing Abilities for Electric-Acoustic Stimulation Users With Unilateral Hearing Loss

被引:2
作者
Dillon, Margaret T. [1 ]
Buss, Emily [1 ]
Thompson, Nicholas J. [1 ]
Richter, Margaret E. [1 ]
Davis, Amanda G. [1 ]
Overton, Andrea B. [2 ]
Rooth, Meredith A. [1 ]
Canfarotta, Michael W. [1 ]
Selleck, A. Morgan [1 ]
Dedmon, Matthew M. [1 ]
Brown, Kevin D. [1 ]
机构
[1] Univ North Carolina Chapel Hill, Dept Otolaryngol Head & Neck Surg, Chapel Hill, NC USA
[2] UNC Hlth, Dept Audiol, Chapel Hill, NC USA
关键词
Asymmetric hearing loss; Binaural hearing; Cochlear implant; Cochlear implantation; Indications; Quality of life; Single-sided deafness; Speech in noise; SINGLE-SIDED DEAFNESS; COCHLEAR IMPLANTATION; AID SETTINGS; OUTCOMES; MASKING; PERCEPTION; TINNITUS; ADULTS;
D O I
10.1097/MAO.0000000000004281
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective Some cochlear implant (CI) recipients with unilateral hearing loss (UHL) have functional acoustic hearing in the implanted ear, warranting the fitting of an ipsilateral electric-acoustic stimulation (EAS) device. The present study assessed speech recognition and subjective hearing abilities over time for EAS users with UHL. Study Design Prospective, repeated-measures. Setting Tertiary referral center. Patients Adult CI recipients with normal-to-moderate low-frequency acoustic thresholds in the implanted ear and a contralateral pure-tone average (0.5, 1, and 2 kHz) <= 25 dB HL. Main Outcome Measures Participants were evaluated preoperatively and at 1, 3, and 6 months post-activation. Speech recognition for the affected ear was evaluated with CNC words in quiet. Masked speech recognition in the bilateral condition was evaluated with AzBio sentences in a 10-talker masker (0 dB SNR) for three spatial configurations: target from the front and masker either colocated with the target or presented 90 degrees toward the affected or contralateral ear. Responses to the Speech, Spatial, and Qualities of Hearing Scale subscales were used to assess subjective hearing abilities. Results Participants experienced significant improvements in CNC scores (F-(3,F-13) = 14.90, p < 0.001), and masked speech recognition in the colocated (F-(3,F-11) = 3.79, p = 0.043) and masker toward the contralateral ear (F-(3,F-11) = 4.75, p = 0.023) configurations. They also reported significantly better abilities on the Speech Hearing (F-(3,F-13) = 5.19, p = 0.014) and Spatial Hearing (F-(3,F-13) = 10.22, p = 0.001) subscales. ConclusionsAdults with UHL and functional acoustic hearing in the implanted ear experience significant improvements in speech recognition and subjective hearing abilities within the initial months of EAS use as compared with preoperative performance and perceptions.
引用
收藏
页码:1006 / 1011
页数:6
相关论文
共 50 条
[41]   Hearing Preservation Outcomes After Cochlear Implantation Depending on the Angle of Insertion: Indication for Electric or Electric-Acoustic Stimulation [J].
Helbig, Silke ;
Adel, Youssef ;
Leinung, Martin ;
Stoever, Timo ;
Baumann, Uwe ;
Weissgerber, Tobias .
OTOLOGY & NEUROTOLOGY, 2018, 39 (07) :834-841
[42]   Subjective Fatigue in Children With Unaided and Aided Unilateral Hearing Loss [J].
Bakkum, Kim H. E. ;
Teunissen, Emma M. ;
Janssen, Arno M. ;
Lieu, Judith E. C. ;
Hol, Myrthe K. S. .
LARYNGOSCOPE, 2023, 133 (01) :189-198
[43]   Speech Perception in Bilateral Hearing Aid Users With Different Grades of Asymmetric Hearing Loss [J].
Hoppe, Ulrich ;
Hast, Anne ;
Hocke, Thomas .
FRONTIERS IN NEUROSCIENCE, 2022, 15
[44]   Differences in Hearing Devices and Speech Therapy Utilization Between Children With Permanent Unilateral Versus Bilateral Hearing Loss [J].
Brodie, Kara D. ;
Florentine, Michelle M. ;
Taketa, Emily ;
Ho, Melissa ;
Chan, Dylan K. .
EAR AND HEARING, 2024, 45 (03) :563-571
[45]   Hearing rehabilitation for unilateral deafness using a cochlear implant: the influence of the subjective duration of deafness on speech intelligibility [J].
Rader, Tobias ;
Waleka, Oliver Julian ;
Strieth, Sebastian ;
Eichhorn, Klaus Wolfgang Georg ;
Bohnert, Andrea ;
Koutsimpelas, Dimitrios ;
Matthias, Christoph ;
Ernst, Benjamin Philipp .
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2023, 280 (02) :651-659
[46]   Combined Electric and Acoustic Stimulation (EAS) in Children: Investigating Benefit Afforded by Bilateral Versus Unilateral Acoustic Hearing [J].
Roberts, Jillian B. ;
Stecker, G. Christopher ;
Holder, Jourdan T. ;
Gifford, Rene H. .
OTOLOGY & NEUROTOLOGY, 2021, 42 (07) :E836-E843
[47]   Estimating Real-World Performance of Percutaneously Coupled Bone-Conduction Device Users With Severe-to-Profound Unilateral Hearing Loss [J].
Elkins, Elizabeth ;
Harvey, Anne ;
Hillyer, Jake ;
Hazlewood, Chantel ;
Watson, Stacey ;
Parbery-Clark, Alexandra .
AMERICAN JOURNAL OF AUDIOLOGY, 2020, 29 (02) :170-187
[48]   Hearing preservation in children with electric-acoustic stimulation after cochlear implantationOutcome after electrode insertion with minimal insertion trauma [J].
T. Rader ;
A. Bohnert ;
C. Matthias ;
D. Koutsimpelas ;
M-A. Kainz ;
S. Strieth .
HNO, 2018, 66 :56-62
[49]   Effects of Age and Hearing Loss on the Recognition of Emotions in Speech [J].
Christensen, Julie A. ;
Sis, Jenni ;
Kulkarni, Aditya M. ;
Chatterjee, Monita .
EAR AND HEARING, 2019, 40 (05) :1069-1083
[50]   The effect of cross-over frequency on binaural hearing performance of adults using electric-acoustic stimulation [J].
Incerti, Paola, V ;
Ching, Teresa Yc ;
Cowan, Robert .
COCHLEAR IMPLANTS INTERNATIONAL, 2019, 20 (04) :190-206