Journal of the American Academy of Audiology最新文献

{"title":"Validation of the Effectiveness of Three-Step Hand Rub Hearing Screening.","authors":"Hsin-Chen Ting, Yung-Yao Huang, Pei-Hsuan Ho, Hsun-Tien Tsai, Chia-Huei Chu, Pey-Yu Chen, Hung-Ching Lin","doi":"10.3766/jaaa.240094","DOIUrl":"https://doi.org/10.3766/jaaa.240094","url":null,"abstract":"<p><p><b>Background:</b> Hearing loss is an important public health concern worldwide, especially because of the global trend of aging populations. Therefore, simple, effective, and efficient methods of hearing screening within communities are needed.<b>Purpose:</b> To develop and validate the effectiveness of a novel three-step hand rub hearing screening (3SHRHS) method to efficiently detect and categorize hearing loss severity.<b>Research Design:</b> This was a prospective study.<b>Study Sample:</b> The recruited participants were 470 adults (940 ears).<b>Data Collection and Analysis:</b> The 3SHRHS test involved the following three sequential steps: palm rub at 2 cm; finger rub at 2 cm; and finger rub at 70 cm. Pure-tone audiometry served as the reference standard for hearing loss classification.<b>Results:</b> The 3SHRHS method demonstrated high sensitivity and specificity for detecting different levels of hearing loss severity. In both quiet and noisy environments, step 1 demonstrated strong evidence of detecting levels more than 55 dB hearing level (HL), whereas step 2 showed moderate evidence of detecting levels exceeding 40 dB HL. However, step 3 exhibited weak evidence of detecting levels greater than 25 dB HL, specifically in quiet environments; therefore, it was considered unreliable for such detections in noisy environments.<b>Conclusion:</b> The 3SHRHS is a rapid and accessible method of detecting and categorizing hearing loss severity. This approach may improve the accessibility of hearing screenings and facilitate early interventions for individuals with hearing loss.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Survey of Physical Therapists' Views on and Referral Processes for Objective Vestibular Testing.","authors":"Mikayla L Massa, Evalena Behr, Julie A Honaker","doi":"10.3766/jaaa.240119","DOIUrl":"https://doi.org/10.3766/jaaa.240119","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Background:&lt;/b&gt; Referral pathways for the &#8220;dizzy&#8221; patient are complex and vary depending on presenting symptoms. There are currently no guidelines for referring a patient with vestibular symptoms from physical therapy to vestibular audiology for formal vestibular testing.&lt;b&gt;Purpose:&lt;/b&gt; The purpose of this study was to survey physical therapists (PTs) to (1) provide insight into the referral process between the PT and the vestibular audiologist, (2) identify trends among PTs regarding their familiarity with objective vestibular testing, and (3) assess how formal vestibular testing can help provide a targeted treatment plan.&lt;b&gt;Research Design:&lt;/b&gt; A mixed-methods approach was used to evaluate responses to an electronically sent survey to PTs of six different associations.&lt;b&gt;Study Sample:&lt;/b&gt; There were 109 responses received, with 75 vestibular rehabilitation&#8211;certified respondents.&lt;b&gt;Data Collection and Analysis:&lt;/b&gt; The collected data were analyzed using descriptive statistics and qualitative analysis to derive themes from open-ended responses.&lt;b&gt;Results:&lt;/b&gt; Primary triggers necessitating referral for further medical consultation and objective vestibular testing included (1) central indications, (2) no improvement in symptoms after the treatment period, (3) inconsistencies on physical therapy evaluation, and (4) a history of vestibulotoxic medications. Of the respondents, 35 percent (38/109) reported performing three to five physical therapy sessions before referral. The videonystagmography and Video Head Impulse Test were the most useful vestibular tests, 84 percent (91/109) and 69 percent (75/109), respectively. Most PTs (95/109 [87.2 percent]) were familiar with formal vestibular testing, and 74 of 109 (67.9 percent) felt comfortable interpreting the vestibular test results. About 72 of 109 (66.1 percent) PTs use vestibular tests to guide their treatment plan, and 64 of 109 (58.7 percent) PTs use the results when treatment plans have been unsuccessful. Interestingly, only 21 percent (23/109) stated that treatment plans differ after an individual received vestibular testing.&lt;b&gt;Conclusions:&lt;/b&gt; The results demonstrate PTs&#8217; awareness and understanding of vestibular testing, but barriers to collaborative care include a lack of clear referral guidelines (i.e., number of treatment sessions before referral). Further support is needed to help navigate the care of patients with dizziness, including better access to formal vestibular testing.&lt;b&gt;Clinical Relevance Statement:&lt;/b&gt; The work of this study highlights the need for better access to vestibular audiologists, increased communication between providers, and more multidisciplinary clinics for patients with vestibular symptoms. In addition, it encourages value of the vestibular test battery from the opinion of PTs who specialize in vestibular rehabilitation. Future work from this study may focus on creating a specific guideline criterion for the vestibular PTs and ves","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital Therapeutics in Tinnitus Care: A Feasibility Study of the Oto Smartphone Application.","authors":"Boaz Mui, Jameel Muzaffar, Jinsong Chen, Niranjan Bidargaddi, Giriraj Singh Shekhawat","doi":"10.3766/jaaa.240054","DOIUrl":"https://doi.org/10.3766/jaaa.240054","url":null,"abstract":"<p><p><b>Background:</b> Tinnitus is a prevalent condition affecting approximately 14.4 percent of the global adult population. With growing mobile phone ownership and usage globally, the utilization of smartphone applications (apps) as tinnitus interventions has garnered research and clinical interest. Despite the abundant number of commercially available tinnitus smartphone apps, a majority of them lack validation of their effectiveness.<b>Purpose:</b> The goal of this study was to investigate the feasibility of using a smartphone app (Oto) in tinnitus management as determined by trial acceptability, deliverability, and effectiveness.<b>Research Design:</b> A two-arm controlled trial design was adopted.<b>Study Sample:</b> Sixty-two adults with chronic tinnitus were randomized to either the Oto user group or nonuser (control) group.<b>Intervention:</b> The multimodal Oto smartphone app, which combines patient education, cognitive behavioral therapy, relaxation, mindfulness, and sound therapy, was used by the Oto user group for 3 months.<b>Data Collection and Analysis:</b> Participants completed the Tinnitus Functional Index (TFI) at baseline, 1 month, and 3 months. The Oto user group rated Oto's ease of use and their satisfaction on a 5-point Likert scale and answered open-ended questions on user experience at 3 months. One-way repeated-measures analysis of variance was performed with Bonferroni correction.<b>Results:</b> Overall retention rate (defined as completion of trial at 3 months) was 87 percent. Among Oto users, 16 percent had a clinically meaningful reduction (≥13 points) in the TFI score from baseline to 3 months, whereas 7 percent of nonusers met the same criterion. The Oto user group showed no significant difference in TFI scores between baseline, 1 month, and 3 months, whereas the nonuser group showed a significant increase in the overall TFI scores from baseline to 1 and 3 months (<i>F</i>[2, 56] = 7.78, p = 0.001). Oto users found Oto easy to use and appreciated app features such as diversely themed therapy sessions and sound library. Suggestions including adjusting the duration of therapy sessions and a more structured habituation program were also noted for improving Oto.<b>Conclusions:</b> Use of Oto in managing tinnitus was demonstrated to be deliverable and feasible with a high retention rate. A large-scale randomized controlled trial is currently underway to further evaluate Oto's effectiveness and app usability.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Impact of Misophonia Through the Lens of the World Health Organization's International Classification of Functioning, Disability and Health Framework.","authors":"Prashanth Prabhu, Sajana Aryal, Aparna Rajan, Nisha Kavassery Venkateswaran","doi":"10.3766/jaaa.240071","DOIUrl":"https://doi.org/10.3766/jaaa.240071","url":null,"abstract":"<p><p><b>Background:</b> Misophonia is characterized by reduced tolerance to specific sound stimuli known as triggers. The reactions can be emotional, behavioral or physiological. In response to triggers, a person with misophonia might express irritation, anger, or disgust by being verbally or physically aggressive. This ultimately affects their quality of life.<b>Purpose:</b> The present study aimed to determine the impact of misophonia on everyday life using the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework.<b>Research Design:</b> The study used a cross-sectional survey design and collected data through a qualitative resurvey search method.<b>Study Sample:</b> The study sample included 51 individuals with misophonia aged 18 to 30 years. The sample was recruited through the administration of the Revised Amsterdam Misophonia Scale.<b>Data Collection and Analysis:</b> The data were collected using two open-ended questions, the Problem Question (PQ) and the Life Effects Question (LEQ). The responses were linked to categories within ICF using a simple content analysis approach. The Wilcoxon signed-rank test was conducted to check for the significant difference between the number of responses.<b>Results:</b> Among 294 responses, 222 were related to PQ, and 72 were associated with LEQ. Participation in activities was most affected by misophonia, followed by impairments in body function. The most frequently affected functions were focusing attention from activity limitations and participation restrictions, followed by appropriateness of emotion from impairments of body function.<b>Conclusions:</b> The findings indicate that misophonia most significantly affects the domain of Activities and Participation, with subsequent impacts on Body Functions and Environmental Factors. This underscores the heterogeneous and multifaceted nature of misophonia's effects, demonstrating the effectiveness of open-ended questions in capturing the varied impacts on affected individuals.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Link Between Clinical Hearing Loss and Perceptions of Stress and Anxiety.","authors":"Aaron Michael Roman, Elizabeth Sedunov","doi":"10.3766/jaaa.240129","DOIUrl":"https://doi.org/10.3766/jaaa.240129","url":null,"abstract":"<p><p><b>Purpose:</b> Current literature is conflicting and unclear when comparing perceived stress and anxiety with hearing loss. This study assesses the relationship of standard audiometric measurements to perceived stress, anxiety, and hearing impairment.<b>Research Design:</b> All participants were seen for a comprehensive audiological evaluation. Participants' best pure tone average (PTA) and high-frequency pure tone average (HF-PTA) were calculated from measured behavioral thresholds to pure tones of 500-8000 Hz. Word recognition scores (WRS) were obtained for each ear. Participants completed the Reduced Hearing Handicap Index Screening (RHHI-S), Perceived Stress Scale (PSS), and Generalized Anxiety Disorder - 7 item (GAD-7) questionnaires.<b>Study Sample:</b> Sixty-two participants seen for audiological evaluations participated in this study. The mean age of participant was 62.6 (±16.8) years.<b>Data Collection and Analysis:</b> Participants were grouped into age categories and analyses of variance were used to determine whether a significant difference existed among the questionnaires across the four age groups. Pearson's <i>r</i> correlation coefficients were used to determine a relationship between all measurements, and <i>t</i> tests were used to determine whether a difference in questionnaire score existed between previous hearing aid users and non-hearing aid users. Hierarchical regression analyses were applied to determine whether perceived stress or perceived hearing loss has a significant predictor in audiometric testing.<b>Results:</b> RHHI scores were significantly higher in those with hearing loss and the participant group containing those with hearing loss that wore hearing aids compared to those who did not. Additionally, GAD-7 scores significantly predicted PSS scores. All other comparisons were nonsignificant.<b>Conclusions:</b> The results from this study suggest that insights into stress and anxiety may be beneficial for counseling, but they do not seem to be related to severity of hearing impairment or speech in quiet performance.<b>Clinical Relevance Statement:</b> Questionnaires can provide significant insight into the perceptions of patients seeking clinical care. The findings from this study find that the RHHI-S significantly correlates with common behavioral measurements of hearing. Questionnaires that reflect on anxiety and perceived stress levels have no correlation to these measurements.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vestibular Rehabilitation of Patient with Hypertrophic Olivary Degeneration: A Case Report.","authors":"Miaomiao Yin, Liling Cui, Yue Zhang","doi":"10.1055/a-2320-5600","DOIUrl":"10.1055/a-2320-5600","url":null,"abstract":"<p><p><b>Background:</b> Hypertrophic olivary degeneration (HOD) is a rare disorder that typically develops in the weeks to months after a structural brainstem or cerebellar lesion in the Guillain-Mollaret triangle. Clinically, patients with HOD present with palatal myoclonus and nystagmus, which are difficult to treat and rarely resolve.<b>Purpose:</b> The purpose of this case report is to present the results of vestibular and balance assessments of a patient with bilateral HOD before and after vestibular rehabilitation.<b>Study Sample:</b> This case report describes a 43-year-old trucker who presented with dizziness, blurred vision, and balance problems for more than 10&#8201;months, accompanied by new-onset tremors and ataxia for more than 6&#8201;months. The patient&#8217;s characteristic clinical manifestations were palatal myoclonus and nystagmus. Magnetic resonance imaging showed bilateral HOD after an acute pontine hemorrhage. Comprehensive vestibular and balance assessments were performed.<b>Results:</b> Vestibular and balance assessments demonstrated nystagmus, impaired vestibulo-ocular reflex, optokinetic reflex, and balance function. After 4&#8201;months of VR, the patient&#8217;s eye symptoms and balance function were improved.<b>Conclusions:</b> The case presented in this report highlights the rare clinical manifestations of HOD after pontine hemorrhage. Vestibular rehabilitation training may be beneficial for the recovery of patients with HOD.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"American Academy of Audiology Clinical Consensus Statement: Assessment of Vestibular Function in the Pediatric Population.","authors":"Violette Lavender, Kristen Janky, Katheryn Bachmann, Melissa Caine, Micheal Castiglione, Guangwei Zhou","doi":"10.3766/jaaa.24250301","DOIUrl":"10.3766/jaaa.24250301","url":null,"abstract":"<p><p>Vestibular function testing is recommended in children who report dizziness and in children with imbalance or delays in gross motor milestones related to sensorineural hearing loss. This clinical consensus statement developed by the American Academy of Audiology serves as a guide for assessing vestibular function in the pediatric population and allows for expected variations in practice and available equipment. It focuses on the pediatric approach to test administration and interpretation, offers protocols and tips for testing, and provides additional information on individual tests of vestibular function. Basic, practical knowledge of vestibular testing is required to incorporate the guidance provided in this consensus statement. Children have activities of daily living that are different from those of adults, so the overall goal of assessment and intervention should be to arrive at the best recommendations to help children meet their vestibular goals without hindrance to educational, social, and developmental outcomes. As this area of pediatric vestibular testing develops, more normative data and test techniques will be included, and this guidance will continue to evolve.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Age on Psychoacoustic Abilities in Musicians and Nonmusicians.","authors":"Kruthika Shankar, Ajith Kumar Uppunda","doi":"10.3766/jaaa.240040","DOIUrl":"10.3766/jaaa.240040","url":null,"abstract":"<p><p><b>Background:</b> Studies on psychoacoustic tests have demonstrated that musicians have superior perceptual abilities compared with nonmusicians in a specific, narrow age range. Whether this advantage is consistent across different age ranges is unclear. The extent to which these benefits will offset the detrimental effects of aging is unexplored.<b>Purpose:</b> There is a strong need to study whether music training can help reduce the impact of degenerative aging effects on perceptual tasks. Hence we investigated how music training impacts psychoacoustic abilities across a continuum of age groups.<b>Research Design:</b> A cross-sectional descriptive mixed design was used for the study since both between- and within-group designs were employed.<b>Study Sample:</b> The study included 150 subjects, 75 musicians and 75 nonmusicians, in a continuum of age range. There were 15 musicians and 15 nonmusicians in each age group (10&#8211;19.11, 20&#8211;29.11, 30&#8211;39.11, 40&#8211;49.11, and 50&#8211;59.11 years). Musicians were trained in Carnatic classical music for at least 5 years.<b>Data Collection and Analysis:</b> MATLAB software was used to administer the maximum likelihood procedure&#8211;based psychoacoustic tests. Thresholds were established for the pitch discrimination test (PDT), duration discrimination test (DDT), and gap detection test (GDT). The response criterion was the threshold corresponding to the psychometric function&#8217;s 79.4 percentage point.<b>Results:</b> All three measures followed a Gaussian distribution (p &#62; 0.05). Results of two-way analysis of variance indicated a significant musicianship effect on all three auditory perceptual tests (p &#60; 0.001). A significant age effect was noted in PDT and GDT (p &#60; 0.001). Interaction effects were present on all tests (p &#60; 0.01). The main effects of musicianship, age, and their interaction showed a &#8220;high&#8221; effect size on PDT, whereas for DDT and GDT, their effect sizes were &#8220;low to high&#8221;. Post hoc analysis indicated that age effects were evident only in nonmusicians on PDT and DDT. GDT showed an earlier age effect in nonmusicians than in musicians.<b>Conclusions:</b> Music training can significantly minimize the negative impacts of aging. Continued musical training improves auditory perceptual abilities to counteract the effects of aging and perhaps aids in better speech perception.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Falling Mechanics Are Altered After Vestibular Schwannoma Surgery-A Case Report.","authors":"Linda J D'Silva, Abbas Tabatabaei, James Fang, Lingjun Chen, Courtney Goetz, Neil B Alexander, Devin L McCaslin, Jacob J Sosnoff","doi":"10.3766/jaaa.240104","DOIUrl":"10.3766/jaaa.240104","url":null,"abstract":"<p><p><b>Background:</b> We describe the falling mechanics in a 75-year-old patient diagnosed with a left vestibular schwannoma. The patient completed an experimentally designed fall paradigm before and after vestibular schwannoma treatment.<b>Purpose:</b> This case describes the change in neck muscle activation, vestibular function, and falling mechanics before and after left gamma stereotactic surgery.<b>Research Design:</b> This is a case study.<b>Data Collection and Analysis:</b> This patient completed two falls in three directions (backward, left, and right) before and after treatment. Motion capture and video review assessed kinematic data of falls and head impact. Neck muscle activation was collected from bilateral upper trapezius (UT) and sternocleidomastoid (SCM) muscles. Vestibular function was assessed by vestibular evoked myogenic potential (VEMP) and the video head impulse test.<b>Results:</b> The participant had a minor head impact before and after treatment with falls to the right. Head acceleration during falls was higher posttreatment in backward and left falls. Reduction in bilateral SCM and right UT activation but increased activation of the left UT was noted after treatment, regardless of fall direction. The left cervical VEMP that was present before treatment was absent after treatment, and the video head impulse test gain was greater than 0.8 in all directions except for the left posterior canal (0.63 before treatment), which decreased to 0.47 after treatment.<b>Conclusions:</b> The number or severity of head impacts did not increase despite reduced vestibular function, indicating that the participant used a different neuromuscular strategy to avoid head impact.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Vitro Fertilization and Hearing Impairment in Twins: A Comprehensive Analysis of Perinatal Factors.","authors":"Mingming Guo, Hanyao Liu, Seni Liao, Jinxia Huang, Ziruo Tan, Peixi Mo, Shunlin Ouyang, Huasong Zhang, Yanhong Chen","doi":"10.1055/a-2370-2695","DOIUrl":"10.1055/a-2370-2695","url":null,"abstract":"<p><p><b>Objective:</b> This study investigated the potential correlation between in vitro fertilization (IVF) and hearing impairment in twins compared to naturally conceived twins.<b>Methods:</b> We analyzed data from 2,416 twin infants born between 2019 and 2021, including pregnancy conditions and complications of mothers, the birth conditions of newborns, perinatal diseases, initial hearing screening results, and subsequent follow-up conditions.<b>Results:</b> Our findings reveal that the incidence of hearing impairment in IVF-conceived twins is comparable to that in naturally conceived twins. Significant differences in low birth weight, preterm birth, respiratory distress syndrome, and hyperbilirubinemia were observed between infants who passed and those referred for hearing screening (p &#60; 0.05). The IVF group exhibited a lower incidence of low birth weight (p &#60; 0.05) and older maternal age (p &#60; 0.05) and had higher rates of placental abnormalities and placental abruption (p &#60; 0.05). Notably, these distinctions did not translate into a significant impact on hearing impairment. Regardless of the method of conception, the following key factors contributing to hearing impairment in twins were identified: low birth weight, preterm birth, respiratory distress syndrome, and hyperbilirubinemia.<b>Conclusions:</b> IVF technology does not exert specific effects on hearing impairment in twins; perinatal complications are the primary influencing factors.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}