Journal of the American Academy of Audiology最新文献

{"title":"Letter to the Editor: Misophonia: A Need for Audiological Diagnostic Guidelines.","authors":"Julia Campbell","doi":"10.1055/a-2125-7645","DOIUrl":"10.1055/a-2125-7645","url":null,"abstract":"","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":"176-180"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11586086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9764362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between Location of Focal Traumatic Brain Injury and Canal Involved in Benign Paroxysmal Positional Vertigo.","authors":"Regan G Harrell, Chelsea J Manetta, Susan L Whitney","doi":"10.1055/s-0044-1790261","DOIUrl":"10.1055/s-0044-1790261","url":null,"abstract":"<p><strong>Introduction: </strong> Benign paroxysmal positional vertigo (BPPV) has a prevalence of 58% in a traumatic brain injury (TBI) population. Research on idiopathic BPPV has demonstrated a higher prevalence of right-sided canal involvement. While many studies have investigated the epidemiology of canal involvement in BPPV in both idiopathic and traumatic BPPV (BPPV associated with a fall), there has been no assessment of trauma location as a predictor of the location of BPPV.</p><p><strong>Objectives: </strong> The aim of this study was to assess the relationship between the location of a focal TBI and canal involvement in BPPV.</p><p><strong>Methods: </strong> Patients who were admitted to an inpatient rehabilitation unit with a diagnosis of TBI were screened for BPPV. The primary outcome of this study was the side of the TBI, the BPPV type (posterior, horizontal, or anterior canal), and the side of the BPPV (right, left, or bilateral).</p><p><strong>Results: </strong> There were 42 people who had BPPV. Twenty-one had right-sided canal involvement, 14 had left-sided involvement, and 7 had bilateral involvement. Sixteen had right-side tissue involvement, 13 had left-side involvement, and 13 had bilateral involvement. There was no significant correlation between variables (χ²= 1.70, <i>p</i> = 0.80).</p><p><strong>Conclusion: </strong> All patients with a TBI should have all canals assessed for BPPV as there is no relationship between the side of focal damage and canal involvement.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":"127-131"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376257","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":"Defining Hearing Loss Severity Based on Pure-Tone Audiometry and Self-Reported Perceived Hearing Difficulty: National Health and Nutrition Examination Survey.","authors":"Joseph Alexander de Gruy, Samuel Hopper, William Kelly, Ryan Witcher, Thanh-Huyen Vu, Christopher Spankovich","doi":"10.1055/a-2095-7002","DOIUrl":"10.1055/a-2095-7002","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt; There is a well-known metric to describe average/normal vision, 20/20, but the same agreed-upon standard does not exist for hearing. The pure-tone average has been advocated for such a metric.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt; We aimed to use a data-driven approach to inform a universal metric for hearing status based on pure-tone audiometry and perceived hearing difficulty (PHD).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research design: &lt;/strong&gt; This is a cross-sectional national representative survey of the civilian noninstitutionalized population in the United States.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study sample: &lt;/strong&gt; Data from the 2011-2012 and 2015-2016 cycles of the National Health and Nutrition Examination Survey (NHANES) were used in our analysis. Of 9,444 participants aged 20 to 69 years from the 2011-2012 and 2015-2016 cycles, we excluded those with missing self-reported hearing difficulty (&lt;i&gt;n&lt;/i&gt; = 8) and pure-tone audiometry data (&lt;i&gt;n&lt;/i&gt; = 1,361). The main analysis sample, therefore, included 8,075 participants. We completed a subanalysis limited to participants with \"normal\" hearing based on the World Health Organization (WHO) standard (pure-tone average, PTA of 500, 1000, 2000, 4000 Hz &lt; 20 dBHL).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Analysis: &lt;/strong&gt; Descriptive analyses to calculate means and proportions were used to describe characteristics of the analysis sample across PHD levels relative to PTA. Four PTAs were compared, low frequency (LF-PTA, 500, 1,000, 2,000 Hz), four-frequency PTA (PTA4, 500, 1,000, 2,000, 4,000 Hz), high frequency (HF-PTA, 4,000, 6,000, 8,000 Hz), and all frequency (AF-PTA, 500, 1,000, 2,000, 4,000, 6,000, 8,000 Hz). Differences between groups were tested using Rao-Scott χ&lt;sup&gt;2&lt;/sup&gt; tests for categorical variables and F tests for continuous variables. Logistic regression was used to plot receiver operating characteristic curves with PHD as a function of PTA. The sensitivity and specificity for each PTA and PHD were also calculated.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt; We found that 19.61% of adults aged 20 to 69 years reported PHD, with only 1.41% reporting greater than moderate PHD. The prevalence of reported PHD increased with higher decibel hearing levels (dBHL) categories reaching statistical significance (&lt;i&gt;p&lt;/i&gt; &lt; 0.05 with Bonferroni correction) at 6 to 10 dBHL for PTAs limited to lower frequencies (LF-PTA and PTA4) and 16 to 20 dBHL when limited to higher frequencies (HF-PTA). The prevalence of greater than moderate PHD reached statistical significance at 21 to 30 dBHL when limited to lower frequencies (LF-PTA) and 41 to 55 dBHL when limited to higher frequencies (HF-PTA). Forty percent of the sample had high-frequency loss with \"normal\" low-frequency hearing, representing nearly 70% of hearing loss configurations. The diagnostic accuracy of the PTAs for reported PHD was poor to sufficient (&lt;0.70); however, the HF-PTA had the highest sensitivity (0.81).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt; We provide four basic recommendatio","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":"100-113"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9481392","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":"The Effect of COVID-19 on the Efferent Auditory System in Adults.","authors":"Bahtiyar Çelikgün, Esra Sarlık, Fatma Yurdakul Çınar","doi":"10.1055/a-2111-5540","DOIUrl":"10.1055/a-2111-5540","url":null,"abstract":"<p><strong>Background: </strong> This study evaluated the effects of coronavirus disease 2019 (COVID-19) on the cochlea and auditory efferent system with transient evoked otoacoustic emissions (TEOAE) and contralateral suppression (CS).</p><p><strong>Objective: </strong> We aimed to evaluate the pre- and post-COVID-19 TEOAE and CS results in the same participants to reveal the effect of COVID-19 on the efferent auditory system.</p><p><strong>Study design: </strong> The CS measurement was performed twice for each participant before a diagnosis of COVID-19 and after treatment for COVID-19 as a within-subjects study design. All participants exhibited hearing thresholds below 25 dB HL at all frequencies and all participants demonstrated bilateral Type A tympanograms. The tests were performed in the linear mode using a double probe on the Otodynamics ILO292-II device. The CS of the otoacoustic emissions was measured at 65 dB peSPL TEOAE stimulus and 65 dB SPL broadband noise. All parameters including reproducibility, noise, and stability were considered during the measurements.</p><p><strong>Study samples: </strong> The study included 11 patients (eight females and three males) aged between 20 and 35 years (mean age, 26 ± 3.66).</p><p><strong>Data collection and analysis: </strong> Wilcoxon signed rank test and Spearman's correlation test were used for statistical analysis using the Statistical Package for the Social Sciences version 23.0.</p><p><strong>Results: </strong> The Wilcoxon signed rank test showed that there was no significant difference between the pre-and post-COVID-19 TEOAE CS results in all tested frequencies and measurement parameters, 1000 to 4000 Hz, <i>Z</i> = -0.356, -0.089, -0.533, -0.533, -1.156, and <i>p</i> < 0.05. Although not statistically significant, the CS results obtained post-COVID-19 at all frequencies, except 4000 Hz, were lower than those before COVID-19. According to the overall TEOAE results after COVID-19, a statistically significant decrease was observed at 3000 Hz (<i>Z</i> = -2.847, <i>p</i> < 0.01) and 4000 Hz (<i>Z</i> = -2.401, <i>p</i> < 0.05) compared with the premeasurement.</p><p><strong>Conclusion: </strong> The study findings show that severe acute respiratory syndrome coronavirus 2 can affect the cochlea and the auditory efferent system in adults. Post-COVID-19 audiological evaluation can also be considered part of a general medical examination.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":"121-126"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9647224","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":"Exploding Head Syndrome among Patients Seeking Help for Tinnitus and/or Hyperacusis at an Audiology Department in the UK: A Preliminary Study.","authors":"Hashir Aazh, Jennifer Stevens, Laure Jacquemin","doi":"10.1055/a-2084-4808","DOIUrl":"10.1055/a-2084-4808","url":null,"abstract":"<p><strong>Background: </strong> Exploding head syndrome (EHS) is characterized by hearing a sudden loud noise or experiencing a sense of explosion in head during the transition of sleep-wake or wake-sleep. The experience of EHS shares similarities with tinnitus, where an individual perceives a sound without any external sound source. To the authors' knowledge, the possible relationship between EHS and tinnitus has not been explored.</p><p><strong>Purpose: </strong> Preliminary assessment of prevalence of EHS and its related factors among patients seeking help for tinnitus and/or hyperacusis.</p><p><strong>Research design: </strong> Retrospective cross-sectional study.</p><p><strong>Study sample: </strong> A total of 148 consecutive patients who sought help for tinnitus and/or hyperacusis at an audiology clinic in the United Kingdom.</p><p><strong>Data collection and analysis: </strong> The data regarding demographics, medical history, audiological measures, and self-report questionnaires were collected retrospectively from the patients' records. Audiological measures comprised of pure-tone audiometry and uncomfortable loudness levels. The self-report questionnaires which were administered as a part of standard care comprised of the Tinnitus Handicap Inventory, numeric rating scale of tinnitus loudness, annoyance, and effect on life, hyperacusis questionnaire, Insomnia Severity Index, Generalized Anxiety Disorder scale 7, and Patient Health Questionnaire (PHQ-9). To establish presence of EHS, participants were asked \"Do you ever hear a sudden, loud noise, or feel a sense of explosion in your head at night?\"</p><p><strong>Results: </strong> EHS was reported by 8.1% of patients with tinnitus and/or hyperacusis (12 out of 148). The patients with and without EHS were compared, but no significant relationships were found, between the presence of EHS and age, gender, tinnitus/hyperacusis distress, symptoms of anxiety or depression, sleep difficulties, or audiological measures.</p><p><strong>Conclusion: </strong> The prevalence of EHS in a tinnitus and hyperacusis population is similar to that in the general population. While there does not seem to be any association with sleep or mental factors, this might be due to the limited variability in our clinical sample (i.e., most patients exhibited high level of distress regardless of EHS). Replication of the results in a larger sample with more variety of symptom severity is warranted.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":"93-99"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9400659","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":"Increased Perception of Head Tilt to Galvanic Vestibular Stimulation Correlates to Motion Sickness Susceptibility in Vestibular Migraine.","authors":"Mitesh Patel","doi":"10.1055/s-0044-1790263","DOIUrl":"10.1055/s-0044-1790263","url":null,"abstract":"<p><strong>Background: </strong> Vestibular migraine is associated with vertigo, persistent swaying, tilting, and disorientation, which suggests a heightened sensitivity of the neural mechanisms subserving spatial orientation. Whether a heightened sense of motion to vestibular stimulation in vestibular migraine is associated with sensitivity to visual motion (visual dependency) or physical motion (motion sickness susceptibility) is unclear.</p><p><strong>Purpose: </strong> The aim of this study was to explore whether a heightened sense of self-motion sensitivity in vestibular migraine is associated with visual dependency or motion sickness susceptibility.</p><p><strong>Study design: </strong> This is a prospective cross-over study.</p><p><strong>Study sample: </strong> Fifteen participants with vestibular migraine and 20 healthy controls (all right handed) were included in this study.</p><p><strong>Data collection and analysis: </strong> In the main experiment, participants were asked to align a rod to the perceived head position. Head tilt was generated by DC galvanic vestibular stimulation at 1 mA to produce head tilts to the right (left anodal/right cathodal stimulation, LA/RC) or left (right anodal/left cathodal, RA/LC). The perception of head tilt was measured in a dark room using laptop software that allowed participants to turn an illuminated rod to any angle about the midpoint. Participants were instructed to align the rod to the perceived head position before and during galvanic stimulation and the line angle was saved. Head position was objectively monitored with an ultrasound motion system. After completing the perceptual test, visual dependency was measured with a static and rotating background and the Motion Sickness Susceptibility Questionnaire (MSSQ) was completed.</p><p><strong>Results: </strong> In an upright head position, without stimulation, the perceived head position was 1.1 degrees in controls and -0.69 degrees in vestibular migraine participants with no significant difference between groups. During galvanic vestibular stimulation, participants with vestibular migraine had an increased perception of head tilt compared with controls (RA/LC: controls -4.7 degrees and vestibular migraine -9.29, <i>p</i> = 0.002; and LA/RC: controls 6.5 degrees and vestibular migraine 11.12 degrees, <i>p</i> = 0.017), although the size of head movement was similar between groups. The average perception of head tilt correlated to the MSSQ score, but not to the degree of visual dependency in a static or moving background.</p><p><strong>Conclusion: </strong> A heightened sensitivity of the vestibular system to vestibular stimulation in vestibular migraine is consistent with reports of self-motion sensitivity in vestibular migraine.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":"114-120"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367165","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":"JAAA CEU Program.","authors":"","doi":"10.1055/s-0044-1796615","DOIUrl":"https://doi.org/10.1055/s-0044-1796615","url":null,"abstract":"","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"34 5-06","pages":"132-133"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631480","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":"Corrigendum: The Effect of COVID-19 on the Efferent Auditory System in Adults.","authors":"Bahtiyar Çelikgün, Esra Sarlık, Fatma Yurdakul Çınar","doi":"10.1055/s-0044-1795141","DOIUrl":"https://doi.org/10.1055/s-0044-1795141","url":null,"abstract":"","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"34 5-06","pages":"e1"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631479","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":"Clinical Findings in a Pati ent with Large B-Cell Lymphoma andNeuroniti s: A Case Study.","authors":"Kaylee J Smith, Kristen Angster, Taylor Arbogast, Atif Cheema","doi":"10.1055/s-0043-1774389","DOIUrl":"https://doi.org/10.1055/s-0043-1774389","url":null,"abstract":"<p><strong>Background: </strong> Given the multifaceted nature of the balance system, an interdisciplinary approach to patient care is imperative. For surgical patients with complex medical histories, comprehensive vestibular evaluations provide information on baseline vestibular function and identify possible surgical risks and outcomes. This case study follows a patient diagnosed with probable right vestibular neuronitis immediately preceding surgical resection of a left brainstem lesion, later diagnosed as a B cell lymphoma (BCL) and provides details regarding pre- and postsurgical outcomes.</p><p><strong>Purpose: </strong> This case study expands on the importance of the inclusion of vestibular audiologists on the interdisciplinary team for related surgical procedures to provide insight into possible surgical risks and subsequent effects on patients' postsurgical quality of life.</p><p><strong>Research design: </strong> Case report.</p><p><strong>Study sample: </strong> A 68-year-old female patient evaluated within the Henry Ford Health System for management of diffuse large BCL.</p><p><strong>Data collection: </strong> Standard neuro-otology, neuro-surgical, audiological, and vestibular evaluations were conducted to evaluate the patient's complex symptomology.</p><p><strong>Results: </strong> This case report outlines a patient hospitalized for a left brainstem mass, later diagnosed as an aggressive form of lymphoma, with a concurrent episode of vestibular neuronitis on the contralesional side. Functional outcomes are discussed following surgical intervention to remove the mass. Postsurgical vestibular testing revealed a bilateral vestibular hypofunction.</p><p><strong>Conclusions: </strong> Vestibular audiology plays an essential role in the multidisciplinary team for complex dizzy patients with related surgical procedures, as this subset of the field can offer critical insight into postsurgical recommendations and patient expectations.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"34 3-04","pages":"70-76"},"PeriodicalIF":1.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523516","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":"JAAA CEU Program.","authors":"","doi":"10.1055/s-0044-1793857","DOIUrl":"https://doi.org/10.1055/s-0044-1793857","url":null,"abstract":"","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"34 3-04","pages":"90-92"},"PeriodicalIF":1.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523517","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}