M Marx, S Taoui, I Mosnier, F Venail, M Mondain, A Uziel, D Bakhos, E Lescanne, Y NGuyen, D Bernardeschi, O Sterkers, B Godey, G Creff, S Schmerber, N-X Bonne, C Vincent, B Fraysse, O Deguine, B Lepage
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引用次数: 0
Abstract
Objectives: To estimate the proportion of subjects with single-sided or asymmetric profound hearing loss who achieve normal binaural performance, and to identify their specific demographic and audiological characteristics.
Material and methods: A French nationwide multicenter cross-sectional study included 155 subjects with single-sided or asymmetric profound hearing loss between 2014 and 2018. Speech-in-noise reception was assessed on the FraMatrix test in diotic, dichotic and reverse dichotic conditions to determine the signal-to-noise ratio allowing 50% correct reception. Sound localization was evaluated using a 180° 7-speaker horizontal array around the subject, to measure the root mean square error. The article was written following STROBE guidelines.
Results: Nineteen of the 155 subjects with single-sided (n=104) or asymmetric profound hearing loss (n=51) achieved normal scores for diotic speech reception in noise (i.e., critical signal-to-noise ratio better than -4.8dB), and 9 subjects (7.1%) had normal sound localization (i.e.,<30° error). In the 44 subjects (28.4%) with normal or near-normal diotic signal-to-noise ratio (better than -3dB), had significantly better hearing thresholds in the better ear, and notably for high frequencies between 2 and 4kHz.
Conclusion: In this cross-sectional study, 7.1% to almost 30% of subjects with single-sided or asymmetric profound hearing loss showed normal or near-normal binaural performance. Their main distinguishing audiological feature was better hearing thresholds in the better ear, which suggests compensatory strategies based on monaural spectral cues.
期刊介绍:
European Annals of Oto-rhino-laryngology, Head and Neck diseases heir of one of the oldest otorhinolaryngology journals in Europe is the official organ of the French Society of Otorhinolaryngology (SFORL) and the the International Francophone Society of Otorhinolaryngology (SIFORL). Today six annual issues provide original peer reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches and review articles giving most up-to-date insights in all areas of otology, laryngology rhinology, head and neck surgery. The European Annals also publish the SFORL guidelines and recommendations.The journal is a unique two-armed publication: the European Annals (ANORL) is an English language well referenced online journal (e-only) whereas the Annales Françaises d’ORL (AFORL), mail-order paper and online edition in French language are aimed at the French-speaking community. French language teams must submit their articles in French to the AFORL site.
Federating journal in its field, the European Annals has an Editorial board of experts with international reputation that allow to make an important contribution to communication on new research data and clinical practice by publishing high-quality articles.