Audiology Research最新文献

{"title":"Mood and Cognitive Disorders Following Hearing Loss: Impact of Hearing Aid Timing.","authors":"Giuseppe Alberti, Sabrina Loteta, Daniele Portelli, Cosimo Galletti, Francesco Galletti, Bruno Galletti, Mario Lentini, Salvatore Ronsivalle, Salvatore Maira, Jérôme René Lechien, Stephane Gargula, Antonino Maniaci","doi":"10.3390/audiolres16020032","DOIUrl":"10.3390/audiolres16020032","url":null,"abstract":"<p><p><b>Background:</b> Hearing loss is one of the most common yet often overlooked sensory deficits worldwide, with consequences extending well beyond auditory function. Mounting evidence highlights the complex interrelationships among hearing loss, cognitive decline, and psychosocial well-being. Neural mechanisms underlying this association include increased cognitive load, cortical reorganisation, and social isolation, which mediate the impact of auditory deprivation on the brain and mental health. Furthermore, hearing impairment is consistently associated with a higher risk of depression and anxiety, particularly when the duration of untreated deafness is prolonged. <b>Methods:</b> This narrative review summarises recent longitudinal and neuroimaging studies investigating the effects of hearing loss and the timing of intervention with hearing aids. The review focuses on evidence addressing cognitive, psychological, and neural outcomes in relation to early versus delayed amplification. <b>Results:</b> Across multiple studies, early adoption of hearing aids within a limited timeframe after diagnosis is linked to better cognitive performance, lower depressive symptom scores, and more preserved neural network integrity. Experimental evidence supports the existence of sensitive periods for auditory intervention, during which brain plasticity allows for optimal reorganisation and recovery of function. Conversely, delayed amplification may lead to irreversible cortical changes and persistent psychosocial distress. Despite this, several barriers-healthcare accessibility, patient attitudes, and economic constraints-continue to delay timely intervention. <b>Conclusions:</b> Early identification and management of hearing loss are critical to preserve cognitive and emotional health. An integrated approach addressing both hearing and cognitive well-being, supported by patient education and personalised care strategies, may maximise the benefits of amplification and improve overall quality of life.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13010665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505195","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":"Correction: Ivanov et al. Early Speech Development in Romanian Children with Cochlear Implants Assessed Using the LittlEARS^® Early Speech Production Questionnaire (LEESPQ). <i>Audiol. Res.</i> 2025, <i>15</i>, 172.","authors":"Alina Catalina Ivanov, Luminita Radulescu, Cristian Neagos, Sebastian Cozma, Corina Butnaru, Raluca Olariu, Petronela Moraru, Violeta Necula, Cristian Martu","doi":"10.3390/audiolres16020030","DOIUrl":"10.3390/audiolres16020030","url":null,"abstract":"<p><p>In the published paper [...].</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13010752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505094","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":"Evaluating the Relationship Between Electrical Dynamic Range and Speech Perception Outcomes in Experienced Post-Lingually Deaf Adult Cochlear Implant Users: A Bicentric Study.","authors":"Pietro Salvago, Davide Vaccaro, Fulvio Plescia, Francesca Di Marco, Sabrina Loteta, Daniele Portelli, Giuseppe Alberti, Francesco Dispenza, Francesco Freni, Pasquale Riccardi, Francesco Martines","doi":"10.3390/audiolres16020031","DOIUrl":"10.3390/audiolres16020031","url":null,"abstract":"<p><strong>Objectives: </strong>To analyze speech perception outcomes of a cohort of experienced adult cochlear implant (CI) users to explore whether there is a correlation with electrical dynamic range (EDR) parameters, and to describe speech intelligibility curve morphology according to the degree of CI performance.</p><p><strong>Methods: </strong>A bicentric retrospective observational study. Data were extracted from a cochlear implantation database from a total of 36 CI users implanted with Advanced Bionics devices.</p><p><strong>Results: </strong>Mean age at implantation was 56.61 years. In the majority of cases, hearing loss onset was more than 15 years before implantation (80.55%), and only 11.11% of cases preserved residual hearing. This resulted in a significant relationship between speech therapy and better speech recognition (<i>p</i> = 0.044). At the same time, no correlation was found between age, duration of deafness before implantation, and maximum speech perception achieved (<i>p</i> > 0.05). Mean speech audiometry curves displayed a roll-over phenomenon in poor performers and a plateau effect in average performers. In contrast, the mean curve of high performers exhibited a steeper morphology (<i>p</i> < 0.0001). Speech recognition threshold (SRT) and word recognition score (WRS) were predictors of speech audiogram curves (<i>p</i> = 0.006). No direct correlation was found between the mean T-level, M-level, dynamic range, and maximum recognition score, even after clustering electrodes by position along the cochlea (<i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>EDR parameters did not emerge as independent predictors of speech recognition outcomes within this specific cohort. Speech therapy and rehabilitative efforts showed a significant relationship with improved performance, and speech audiogram curve morphology may offer a more specific clinical tool for assessing global CI performance. Further prospective studies with larger, more homogenous populations are required to validate these findings.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13010614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505037","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":"Artificial Intelligence and Machine Learning in Audiology and Hearing Disorders: A Scoping Review with Bibliometric and Thematic Mapping (1995-2025).","authors":"Ceren Aksoy Koçak","doi":"10.3390/audiolres16020029","DOIUrl":"10.3390/audiolres16020029","url":null,"abstract":"<p><p><b>Background and Objectives:</b> Artificial intelligence (AI) and machine learning (ML) are increasingly integrated into audiology, supporting diagnosis, screening, rehabilitation, and digital health. Despite rapid growth, the literature remains methodologically and clinically heterogeneous, limiting a consolidated view of research trajectories and translational readiness. This scoping review examined the evolution of AI and ML applications in audiology and hearing disorders, focusing on thematic development, research productivity, collaboration patterns, and clinical orientation. <b>Methods:</b> A scoping review was conducted using the Web of Science Core Collection (Science Citation Index Expanded). Original and review articles published between 1995 and 2025 were included. Bibliometric and thematic mapping were applied to analyze publication trends, citation patterns, keyword evolution, and collaboration networks. A structured translational categorization assessed clinical domains and validation maturity. Findings reflect the Web of Science-indexed segment of the literature. <b>Results:</b> A total of 127 publications were analyzed. Research output increased markedly after 2020, with an estimated doubling time of approximately 2.1 years. China, the United States, and South Korea contributed the highest publication volumes, although citation impact did not consistently parallel productivity. Thematic analyses revealed a shift toward AI-driven methodological frameworks, particularly in machine learning, deep learning, and cochlear implant-related applications. Most studies remain at proof-of-concept or internally validated stages, with limited external validation. Emerging areas include tele-audiology and personalized hearing aid optimization. <b>Conclusions:</b> AI and ML research in audiology is increasingly application-oriented; however, broader external validation and prospective implementation are required to support routine clinical integration.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13010648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504921","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":"Comparing Slim Straight and Slim Perimodiolar Electrode Arrays for Cochlear Implantation: Hearing Results and Risks-A Systematic Review (2015-2025).","authors":"Chul Ho Jang, Do Yeon Kim","doi":"10.3390/audiolres16010028","DOIUrl":"10.3390/audiolres16010028","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Cochlear implant (CI) electrode array design plays a critical role in determining intracochlear position, hearing outcomes, and insertion-related risks. Straight (lateral wall) and perimodiolar electrode arrays are the two principal designs used in modern cochlear implantation, yet their comparative benefits and risks remain debated. We aim to systematically review and compare hearing outcomes and surgical risks associated with straight versus perimodiolar electrode arrays in cochlear implantation. <b>Methods</b>: A systematic literature search of PubMed, Embase, Scopus, and the Cochrane Library was conducted for studies published between 2015 and 2025. Comparative clinical studies reporting speech perception outcomes, residual hearing preservation, or electrode-related complications were included. Study selection followed PRISMA 2020 guidelines. <b>Results</b>: A total of 32 studies were included. Speech perception outcomes were generally comparable between straight and perimodiolar arrays. However, straight electrode arrays demonstrated significantly lower rates of scalar translocation and tip fold-over and superior residual hearing preservation in most comparative cohorts. Perimodiolar arrays showed potential advantages in electrophysiological efficiency but were associated with a higher risk of intracochlear trauma when malposition occurred. <b>Conclusions</b>: Contemporary evidence suggests that straight (lateral wall) electrode arrays offer a more favorable safety profile with equivalent functional hearing outcomes compared to perimodiolar arrays. Electrode positioning within the scala tympani appears to be a stronger determinant of outcome than electrode design alone.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12937878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291414","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 Effect of Age on Sentence Recognition in Noise with Different Noises Across the Adult Lifespan.","authors":"Ritik Roushan, Mohan Kumar Kalaiah, Usha Shastri, Kaushlendra Kumar, Gagan Bajaj, Megha M Nayak","doi":"10.3390/audiolres16010025","DOIUrl":"10.3390/audiolres16010025","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The present study examined the effect of age on sentence recognition in noise in different noise conditions among adults with normal hearing sensitivity throughout the adult lifespan. <b>Methods</b>: A total of 113 adults aged between 21 and 65 years participated in the study; based on age, they were categorized into five groups. The sentence recognition was assessed in five noise conditions: speech-shaped noise (SSN), amplitude-modulated speech-shaped noise (AM-SSN), two-male-talker babble (2MB), four-male-talker babble (4MB), and four-female-talker babble (4FB). The sentences were presented at a signal-to-noise ratio of -5 dB in all noise conditions. <b>Results</b>: The sentence recognition scores declined with increasing age in all noise conditions. In addition, age had a differential effect on the sentence recognition scores in the AM-SSN and 2MB conditions compared with the SSN, 4MB, and 4FB conditions. In the AM-SSN and 2MB conditions, the scores were significantly different in the fourth decade compared with young adults. In other noises, the scores were significantly different after 30 years compared with younger adults. Further, across noise conditions, greater scores were obtained in the AM-SSN and 2MB conditions, and the lowest scores were obtained in the 4FB condition. Partial Spearman correlations revealed a moderate-to-strong negative correlation between age and sentence recognition scores across noise conditions. <b>Conclusions</b>: The findings of the present study showed that sentence recognition is negatively affected by age. In addition, age has a differential effect on sentence recognition in different noises.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12921949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259392","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 Effect of Modulation Enhancement Scheme on Speech Recognition in Spatial Noise Among Young Adults with Normal Hearing.","authors":"Vibha Kanagokar, M A Yashu, Jayashree S Bhat, Arivudai Nambi Pitchaimuthu","doi":"10.3390/audiolres16010026","DOIUrl":"10.3390/audiolres16010026","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Speech understanding in noise relies on both temporal fine structure (TFS) and temporal envelope (ENV) cues. While TFS primarily conveys interaural time differences (ITDs) at low frequencies, ENV cues can also support ITD processing, especially when TFS is unavailable or degraded. Expanding the ENV by increasing modulation depth has been proposed to improve speech perception, but its effects on spatial release from masking (SRM) and binaural temporal processing in normal-hearing listeners remain unclear. The goal of this study was to evaluate the effect of ENV enhancement on SRM in young adults with normal hearing and its influence on ITD sensitivity and interaural coherence (IC). <b>Method</b>: Thirty normal-hearing native Kannada speakers (19-34 years) participated. Speech stimuli consisted of Kannada sentences embedded in four-talker babble at -5, 0, and +5 dB signal to noise ratio (SNR). Target and masker were spatialized using head-related transfer functions at 0°, 15°, and 37.5° azimuths. Stimuli were presented with and without ENV enhancement (compression-expansion algorithm). Speech recognition scores were analyzed using generalized linear mixed models, and SRM was calculated as performance differences between co-located and spatially separated conditions. Cross-correlation analyses were performed to estimate ITDs and IC across SNRs. <b>Result</b>: ENV enhancement yielded significantly higher SRM values across all SNRs and spatial separations. Benefits were greatest at lower SNRs and wider target-masker separations. Cross-correlation analysis showed enhanced IC and more reliable ITD estimates under the expanded condition, particularly at moderate SNRs. <b>Conclusions</b>: Temporal ENV enhancement strengthens spatial unmasking and binaural timing cues in normal-hearing adults, especially under adverse listening conditions. These findings highlight its potential application in auditory rehabilitation and hearing technologies where ENV cues are critical.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12921754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259364","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":"Patient's Satisfaction with Hearing Aids: The Italian Version of the International Outcome Inventory for Hearing Aids (IOI-HA-It).","authors":"Virginia Dallari, Enrico Apa, Silvia Palma, Chiara Gherpelli, Alberto Pisetta, Luca Sacchetto, Daniele Monzani","doi":"10.3390/audiolres16010027","DOIUrl":"10.3390/audiolres16010027","url":null,"abstract":"<p><p><b>Background</b>: Hearing aid (HA) outcome is a multidimensional construct that requires not only the analysis of auditory function improvement, but also a subjective evaluation of benefits from HAs. Indeed, subjective satisfaction of patients with HAs is not entirely predictable from audiometric outcomes such as real ear gain or functional gain. In light of this possible discrepancy the 1990 Consensus Statement for \"Recommended Components of a Hearing Aid Selection Procedure for Adults\" suggested that verification of hearing aids benefit also incorporate the subjective satisfaction with amplification. <b>Objectives</b>: The aim of this study was to test the validity and reliability of the Italian version of International Outcome Inventory for Hearing Aids (IOI-HA-It). <b>Methods</b>: Ninety-eight outpatients were randomly recruited to participate in this study. They all made regular use of HAs and were supplied with three different self-administered questionnaires. The International Outcome Inventory for Hearing Aids (IOI-HA), the Hearing Handicap Inventory for Adults (HHIA) or for elderly (HHIE) and the Italian translation of the MOS 36-Item Short Form Health Survey (SF-36). The epidemiological features and results were analyzed as descriptive statistics. Continuous variables were expressed as means with standard deviations (SDs). Reliability of the Italian version was assessed by the following two parameters: internal and test-retest consistencies. Internal consistency reliability was measured by Cronbach's alpha coefficient. <b>Results and Conclusions</b>: This study evidenced that the IOI-HA-It is proved to offer adequate subjective outcome measures to better appreciate the integral evaluation of a patient's rehabilitative experience. Furthermore, since it is a very brief questionnaire with low demand on time and cost involved in its compilation, it should be recommended in clinical practice.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12921933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259322","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":"Self-Perceived Hearing Handicap and Audiometric Severity in Age-Related Hearing Loss: Associations with Age and Sex.","authors":"Luka Bonetti","doi":"10.3390/audiolres16010024","DOIUrl":"10.3390/audiolres16010024","url":null,"abstract":"<p><p><b>Background/Objective</b>: Self-perceived hearing handicap (SPHH) reflects functional consequences of hearing loss beyond audiometric measures. Clarifying its relationship with audiometric severity and demographic factors is important for understanding age-related hearing loss (ARHL). This study examined associations between SPHH, audiometric measures, age, and sex in individuals with ARHL. <b>Methods</b>: A total of 145 adults (50 men, 95 women) aged 60-89 years (mean 71.65 ± 7.19 years) participated. Hearing status was defined using better-ear pure-tone average thresholds at 0.5, 1, 2, and 4 kHz (BE PTA-4), with ≥20 dB HL as the cutoff and World Health Organization (WHO)-defined severity categories. SPHH was assessed using the Croatian Hearing Handicap Inventory for the Elderly-Screening version (HHIE-S-CRO). HHIE-S-CRO total and subscale scores were examined across BE PTA-4 values and hearing loss categories. Associations were analyzed using correlation and linear regression adjusted for age and sex; group differences were tested using the Kruskal-Wallis test, and ordinal logistic regression assessed monotonic trends across ordered severity categories. <b>Results</b>: HHIE-S-CRO total and subscale scores increased with worsening BE PTA-4 and across hearing loss categories, with substantial overlap. Strong correlations were observed between HHIE-S-CRO scores and audiometric measures. In linear regression, BE PTA-4 was independently associated with HHIE-S-CRO total, emotional, and social/situational scores, whereas age and sex were not. Kruskal-Wallis tests showed significant differences across hearing loss categories. Ordinal logistic regression anchored to WHO severity categories demonstrated graded associations for HHIE-S-CRO total and emotional scores, while the social/situational subscale showed greater dispersion and overlap despite a statistically significant association. <b>Conclusions</b>: SPHH in ARHL shows a strong association with audiometric severity, with particularly robust correspondence for overall and emotional domains, underscoring the complementary role of patient-reported outcome measures alongside audiometric assessment.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259335","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 Bascule/Pendular Maneuver: A Novel Repositioning Strategy for the Apogeotropic Variant of Posterior Canal BPPV.","authors":"Giacinto Asprella-Libonati, Fernanda Asprella-Libonati, Giuseppe Lapacciana, Camilla Gallipoli, Giuseppe Gagliardi, Anna Guida, Giada Cavallaro","doi":"10.3390/audiolres16010023","DOIUrl":"10.3390/audiolres16010023","url":null,"abstract":"<p><strong>Background: </strong>Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder and most frequently involves the posterior semicircular canal (PSC). Atypical apogeotropic variants of PSC-BPPV may present with pure down-beating positional nystagmus, mimicking contralateral anterior semicircular canal involvement and resulting in diagnostic and therapeutic uncertainty.</p><p><strong>Objective: </strong>To assess the effectiveness of the Bascule/Pendular maneuver in managing patients with pure down-beating positional nystagmus and suspected apogeotropic PSC-BPPV.</p><p><strong>Methods: </strong>A total of 178 patients presenting with pure down-beating positional nystagmus without a torsional component were evaluated using a standardized diagnostic protocol under video-Frenzel goggle monitoring. All patients underwent the Bascule/Pendular maneuver, a modification of the classical Semont maneuver designed to mobilize otoconial debris along the vertical canal planes (Left Anterior-Right Posterior and Right Anterior-Left Posterior), regardless of precise lateralization. Conversion of nystagmus from the apogeotropic to the geotropic variant was considered the primary outcome.</p><p><strong>Results: </strong>The maneuver was well tolerated, with no procedural interruptions or complications. Immediate conversion to the geotropic variant was achieved in 86 patients (48.3%) after a single maneuver. In the remaining patients, successful conversion was obtained after additional maneuvers, most commonly following a second application on the contralateral plane. Once geotropization was achieved, all patients were successfully treated using a standard posterior canal repositioning maneuver.</p><p><strong>Conclusions: </strong>The Bascule/Pendular maneuver is a practical and effective approach for patients presenting with pure down-beating positional nystagmus and suspected apogeotropic PSC-BPPV. By facilitating conversion to the geotropic form, it allows prompt treatment with conventional repositioning maneuvers and may represent a useful first-line strategy in atypical BPPV presentations.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12921978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259410","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}