Audiology Research最新文献

{"title":"Nystagmus and Vertigo During Aural Toilet Using Microsuction.","authors":"Chang-Hee Kim, Minho Jang, Taehee Kim, JiAh Kim, ChanEui Hong, Dong-Han Lee, Jung Eun Shin","doi":"10.3390/audiolres15020033","DOIUrl":"10.3390/audiolres15020033","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Aural toilet using microsuction is a common procedure in ENT clinics, and vertigo is a frequent complaint during this procedure. This study aimed to investigate the characteristics and incidence of microsuction-induced nystagmus and vertigo based on the appearance of the tympanic membrane (TM). <b>Methods</b>: In 85 patients with various TM appearances, microsuction-induced vertigo and nystagmus were assessed. <b>Results</b>: Microsuction elicited nystagmus in 95% (81 of 85) of patients and vertigo in 36% (31 of 85). The nystagmus direction was towards the ipsilateral ear in a bowing position and towards the contralateral ear in a leaning position. The proportion of patients who complained of rotatory vertigo was significantly higher in those with TM perforation, open cavity mastoidectomy, and adhesive otitis media (74%, 26 of 35) compared to those without TM perforation (10%, 5 of 50) (<i>p</i> < 0.001, X² test). <b>Conclusions</b>: Aural toilet using microsuction commonly induces vertigo due to convection in the lateral semicircular canal endolymph caused by the cooling effect. While microsuction-induced nystagmus was observed in most patients, the incidence of vertigo varied depending on the TM condition. Clinicians should closely monitor patients for vertigo during the procedure, and methods to prevent microsuction-induced vertigo should be explored.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"15 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defining Potential Pathomechanisms Behind an Impaired Canal Function at the Video-Head Impulse Test in Canal Dehiscence. Reply to Ionescu et al. Comment on \"Castellucci et al. Impaired Vestibulo-Ocular Reflex on Video Head Impulse Test in Superior Canal Dehiscence: \"Spontaneous Plugging\" or Endolymphatic Flow Dissipation? <i>Audiol. Res.</i> 2023, <i>13</i>, 802-820\".","authors":"Pasquale Malara, Salvatore Martellucci, Andrea Castellucci","doi":"10.3390/audiolres15020032","DOIUrl":"10.3390/audiolres15020032","url":null,"abstract":"<p><p>We read with great interest the comment on our articles of Dr [...].</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"15 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of Carotid and Vertebral Doppler Ultrasonography and Brain MRI Abnormalities on Hearing Levels, Tinnitus Intensities and Frequencies.","authors":"András Molnár, Viktória Molnár, Panayiota Mavrogeni, Stefani Maihoub","doi":"10.3390/audiolres15020029","DOIUrl":"10.3390/audiolres15020029","url":null,"abstract":"<p><p><b>Objectives</b>: This study aimed to analyse the potential influence of abnormalities detected through carotid-vertebral ultrasonography and brain MRI on pure-tone averages (PTAs) and the frequency and intensity of tinnitus. <b>Methods</b>: 423 participants with subjective tinnitus were enrolled in this investigation. All patients underwent carotid- vertebral ultrasonography, brain MRI, and pure-tone audiometry, including tinnitus matching. <b>Results</b>: The median values for tinnitus onset indicated chronic tinnitus in most cases. Regarding tinnitus location, left-sided symptoms (32%) and bilateral symptoms (44%) were the most prevalent. In analysing the effects of abnormalities detected by carotid-vertebral ultrasonography on PTAs, a statistically significant difference was found between the groups (<i>p</i> = 0.0037). Specifically, individuals with intimal hyperplasia had significantly higher PTAs (<i>p</i> = 0.02), as did those with carotid artery plaques (<i>p</i> = 0.005). However, no significant differences in PTAs were noted in relation to carotid artery stenosis (<i>p</i> = 0.07). Similar trends emerged regarding tinnitus intensity (<i>p</i> = 0.013), with significantly higher values observed in the presence of any carotid-vertebral ultrasonography abnormalities. In contrast, tinnitus frequencies were not significantly affected (<i>p</i> = 0.401). Regarding brain MRI findings, Fazekas scores of 2 (<i>p</i> = 0.02) and 3 (<i>p</i> = 0.0052) significantly influenced PTAs. For tinnitus intensity, Fazekas scores of 2 (<i>p</i> = 0.0027) and 3 (<i>p</i> = 0.0005), and the presence of acoustic neuromas <i>(p</i> = 0.019), significantly impacted the intensity values. However, tinnitus frequencies were not significantly (<i>p</i> = 0.36) influenced by brain MRI abnormalities. <b>Conclusions</b>: The findings of this study show that carotid-vertebral ultrasonography and brain MRI abnormalities significantly influence PTAs and tinnitus intensities.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"15 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation, Cross-Cultural Adaptation, and Psychometric Properties of the Persian Version of the Measure of Audiologic Rehabilitation Self-Efficacy for Hearing Aids (P-MARS-HA).","authors":"Abdolhakim Jorbonyan, Yadollah Abolfathi Momtaz, Mahshid Foroughan, Saeideh Mehrkian","doi":"10.3390/audiolres15020031","DOIUrl":"10.3390/audiolres15020031","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to translate, cross-culturally adapt, and evaluate the psychometric properties of the Persian version of the Measure of Audiologic Rehabilitation Self-Efficacy for Hearing Aids (MARS-HA) in elderly Iranian adults.</p><p><strong>Methods and materials: </strong>This cross-sectional study was conducted in Tehran, 2021. Following translation and cross-cultural adaptation, the face validity, content validity, and reliability of the questionnaire were assessed. The Satisfaction with Amplification in Daily Life (SADL) questionnaire was used to assess concurrent validity. Study participants included 300 hearing-aid users aged 60 years and older who completed the research instruments. Data were analyzed using Confirmatory Factor Analysis (CFA), Cronbach's alpha coefficient, Pearson correlation coefficient, independent <i>t</i>-tests, and analysis of variance (ANOVA) in SPSS and AMOS version 24. The significance level was set at <i>p</i> ≤ 0.05 for all tests.</p><p><strong>Results: </strong>The mean (SD) age of the participants was 71.38 (8.05) years. The face and content validity of the questionnaire were confirmed by ten experts (CVI > 0.91). The CFA supported the four-factor structure of the questionnaire, and the goodness-of-fit indices indicated that the final model had a good fit. The Cronbach's alpha for the total questionnaire was 0.93, and for the subscales, it ranged between 0.83 and 0.93. The Pearson's correlation analysis results showed a positive and significant correlation between MARS-HA and SADL scores (<i>r</i> = 0.61, <i>p</i> < 0.05), supporting criterion validity.</p><p><strong>Conclusions: </strong>The P-MARS-HA questionnaire demonstrates good validity and reliability and can be used as an appropriate tool for assessing self-efficacy in hearing-aid use among elderly Iranian adults.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"15 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family-Centred Early Hearing Detection and Intervention in the African Context: Relevance and Responsiveness to African Culture.","authors":"Katijah Khoza-Shangase","doi":"10.3390/audiolres15020030","DOIUrl":"10.3390/audiolres15020030","url":null,"abstract":"<p><p>Family-centred early hearing detection and intervention (FC-EHDI) is an established framework globally recognized for its emphasis on family involvement in supporting children who are deaf and hard of hearing (DHH). In the African context, unique sociocultural and systemic challenges necessitate tailored approaches to ensure effective implementation. This narrative review explores the relevance of FC-EHDI in Africa, highlights barriers to its implementation, and offers recommendations for creating sustainable and culturally aligned interventions. A narrative review methodology synthesizing evidence from African countries to examine the intersection of FC-EHDI with cultural practices, systemic barriers, and opportunities for innovation was adopted. Databases including PubMed, Scopus, Web of Science, and Google Scholar were searched for peer-reviewed journal articles, books, and reports published between 2000 and 2024. Keywords included \"family-centred care\", \"EHDI\", \"Africa\", \"cultural responsiveness\", and \"early hearing detection and intervention\". Studies were included if they addressed EHDI in African contexts, explored family-centred approaches, or provided barriers and recommendations specific to the region. Thematic analysis was employed to synthesize findings into barriers, evidence, and strategies for FC-EHDI implementation. Data were extracted and analysed thematically to identify patterns and gaps in knowledge. Key challenges identified include resource limitations, economic constraints, linguistic and cultural diversity, and fragmented healthcare systems. Evidence highlights the effectiveness of community-based care, linguistic inclusivity, and culturally tailored interventions in enhancing family engagement and programme outcomes. Recommendations focus on leveraging technology, interdisciplinary collaboration, and policy advocacy. FC-EHDI offers a transformative approach to addressing DHH African children by integrating family involvement, cultural responsiveness, and systemic innovations. Future efforts should emphasize technology, scalable models, and family empowerment to create sustainable and equitable services.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"15 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vestibular Paroxysmia with Neurovascular Cross Compression and Antiepileptic Drugs: A Systematic Review and Discussion of Physiopathology.","authors":"Pierre Reynard, Hung Thai-Van, Alexandra Neagu, Eugen Constant Ionescu","doi":"10.3390/audiolres15020028","DOIUrl":"10.3390/audiolres15020028","url":null,"abstract":"<p><p>Vestibular paroxysmia (VP) is a disabling medical condition characterized by a high recurrence rate of vertigo. VP is classically associated with the presence of contact between a vascular structure and the cochleovestibular nerve, a neurovascular cross compression (NVCC). Antiepileptic drugs are the first-line treatment for disabling symptoms. We conducted a systematic review to evaluate their efficacy in patients with VP, and whose imaging shows NVCC. All published studies in PubMed databases until October 2024 were included. A total of seven studies were selected. Carbamazepine and oxcarbazepine are by far the most widely used drugs, but there is still a lack of data showing the efficacy of antiepileptic drugs in a large sample of patients. This suggests that a future randomized controlled trial with a satisfactory sample size of VP patients with NVCC and comparing several drugs with neuroprotective properties is needed. Further, as imaging in some of the patients with obvious clinical signs does not always support this diagnosis, we discussed VP physiopathology and the different types of VP published in the literature, including those with no radiological support for NVCC.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"15 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communication Outcomes of Children with Hearing Loss: A Comparison of Two Early Intervention Approaches.","authors":"Aisha Casoojee, Katijah Khoza-Shangase, Amisha Kanji","doi":"10.3390/audiolres15020027","DOIUrl":"10.3390/audiolres15020027","url":null,"abstract":"<p><strong>Background: </strong>Early intervention approaches play a critical role in shaping the communication outcomes of children with hearing loss, influencing their language development and overall learning trajectory.</p><p><strong>Objectives: </strong>The main objective of this study was to compare the communication outcomes of children with hearing loss who received Listening and Spoken Language-South Africa (LSL-SA) with those who received Traditional Speech-Language Therapy (TSLT).</p><p><strong>Methods: </strong>A retrospective record review was conducted to gather data on communication outcomes from participants' speech-language therapy records. Communication outcomes were measured using standardized assessments evaluating speech intelligibility, expressive vocabulary, receptive language, expressive language, audition, and cognitive-linguistic skills. The data were analyzed using quantitative statistics. Key statistical methods included measures to determine associations, identify statistical significance, determine outcomes, and compare differences between the two groups.</p><p><strong>Results: </strong>The study found that children in the LSL-SA group had statistically significant better communication outcomes, with 63% achieving age-appropriate speech intelligibility compared to 45% in the TSLT group (<i>p</i> = 0.046). Similar trends were observed for expressive vocabulary (LSL-SA: 58% vs. TSLT: 39%, <i>p</i> = 0.048) and receptive language (LSL-SA: 60% vs. TSLT: 39%, <i>p</i> = 0.043). Additionally, 66% of children in the LSL-SA group were recommended for mainstream schooling, compared to 39% in the TSLT group (<i>p</i> = 0.0023). These findings highlight the importance of early amplification and structured intervention in improving communication outcomes. The results also emphasize the importance of Early Hearing Detection and Intervention (EHDI) in decreasing the odds of delay in communication outcomes, irrespective of the type of communication approach, although a higher proportion of children in the LSL-SA approach group achieved age-appropriate communication outcomes than those in the TSLT group.</p><p><strong>Conclusions: </strong>This study highlights that communication intervention approaches aligned with the LSL-SA practice promote better communication development and enhance spoken language outcomes in children with hearing loss, facilitating successful transitions to mainstream schooling. Contribution: This study provides contextually relevant evidence for implementing an LSL-SA intervention approach for children with hearing loss. The implications of these findings for clinical practice and future research are discussed in detail.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"15 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epley's Influence on Horizontal Canal BPPV Variants.","authors":"Olivia Kalmanson, Carol Foster","doi":"10.3390/audiolres15020025","DOIUrl":"10.3390/audiolres15020025","url":null,"abstract":"<p><p>Dr. Epley has been instrumental in defining the mechanisms and treatment of BPPV variants, including those of the horizontal canals. Cupulolithiasis is a horizontal canal BPPV variant usually defined as direction-changing apogeotropic nystagmus. In recent years, the favored cupulolithiasis mechanism of otoconia adhering persistently to the cupula has been called into question. Epley was the first to propose mechanistic theories which better match the most recent evidence. From the beginning, he has demonstrated mastery over the semicircular canal pathology and otoconial mechanics.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"15 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Music-Related Quality of Life Measure (MuRQoL): A Scoping Review of Its Validation and Application.","authors":"Giorgos Dritsakis, Andrea Frosolini, Cynthia Lam","doi":"10.3390/audiolres15020026","DOIUrl":"10.3390/audiolres15020026","url":null,"abstract":"<p><strong>Background: </strong>The Music-Related Quality of Life (MuRQoL) was launched in 2017 as a valid psychometric measure of Cochlear Implant (CI) users' music experience and its impact on Quality of Life (QoL). This scoping review aimed to explore the implementation and effectiveness of the instrument since its introduction.</p><p><strong>Methods: </strong>PubMed and Google Scholar databases were searched for publications written in English reporting a translation, validation or application of the MuRQoL.</p><p><strong>Results: </strong>Eleven publications were found, including three validated versions and eight studies that applied the MuRQoL in Italy, Turkey, Spain and the US in research and clinical settings for various purposes. The review showcases the reliability, validity and potential clinical utility of the tool underscoring its growing adoption and integration with other assessment tools. Based on the findings, we make recommendations and provide a roadmap for optimizing the use of MuRQoL globally, including naming and terminology conventions. Anecdotal evidence, such as forthcoming or non-English publications offer further insights into the tool's future potential.</p><p><strong>Conclusions: </strong>The MuRQoL is currently available in four languages and applicable across diverse cultural contexts, populations and settings. It is a versatile, patient-centered tool providing a deep understanding of CI users' music experiences. As research and validation efforts continue, the instrument has the potential to set a benchmark for assessing the broader impacts of CIs beyond speech perception, emphasizing the significance of music in enriching the lives of individuals with Hearing Loss (HL).</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"15 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel Trans-Impedance Matrix (TIM) Abnormality Pattern in Cochlear Implants.","authors":"Erica Pizzol, Sara Ghiselli, Patrizia Frontera, Daria Salsi, Domenico Cuda","doi":"10.3390/audiolres15020024","DOIUrl":"10.3390/audiolres15020024","url":null,"abstract":"<p><p>In our clinical setting, we have identified a novel pattern of Trans-Impedance Matrix (TIM) measurement that we call 'scatter', a measure characterised by a loss of definition in the heat and line maps. <b>Objective:</b> the aim of this study was to describe the basic characteristics of the anomaly pattern. The secondary purpose is to evaluate correlations between the \"scatter\" pattern and normal TIM by considering different parameters. <b>Methods:</b> the experimental sample, therefore, consisted of 565 patients (81.1% of people with a checked TIM at follow-up; M: 279, F: 286 and mean age: 27 years (sd 26). The scatter pattern was found in 55 devices (9.7%). We classified this pattern as severe (20 devices) or mild (35 devices) according to the visual extent of the abnormality. We considered the visual extension of the pattern, device lifetime, type of internal part of the CI, and auditory performance (speech audiometry in quiet at 65 dB and in noise-Ita Matrix Sentence Test). We also analysed two quantitive parameters: Shannon entropy and exponential decay. <b>Results:</b> a difference was found in these two quantitative parameters between the severe scatter, mild scatter, and normal TIM groups (<i>p</i>-value < 0.0001). The severe scatter group seems to be related to the type of device (CI24RE and CI512) and long device life (average 133 months); it did not show differences in audiology performances compared to the other groups. <b>Conclusions:</b> this result gives a numerical validation to the more subjective visual inspection approach. The scatter pattern is a novel, previously undescribed abnormality of TIM. It can vary from moderate to severe. A numerical basis to validate the inspection approach is described here.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"15 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}