Ear and Hearing最新文献

{"title":"Music Perception in Older Adults With Hearing Loss: Protective Effect of Musical Experience.","authors":"Alexis Whittom, Loonan Chauvette, Alex Bégin, Isabelle Blanchette, Pascale Tremblay, Andréanne Sharp","doi":"10.1097/AUD.0000000000001615","DOIUrl":"https://doi.org/10.1097/AUD.0000000000001615","url":null,"abstract":"<p><strong>Objectives: </strong>The goal of this project was to investigate the impact of musical experience, hearing loss, and age on music perception in older adults. The authors hypothesized that older adults with a varying degree of musical experience would perform better at music perception tasks than their counterparts without musical experience while controlling for age and hearing loss.</p><p><strong>Design: </strong>This study used a descriptive correlational cross-sectional design. Seventy-seven older adults aged 60 to 90 years were recruited and divided into two groups based on their lifetime musical experience: the group without musical experience (n = 39) and the M group (with musical experience; n = 38). Participants in the M group had either played an instrument for 5 years or more and/or taken at least 1 year of music lessons. Following a hearing screening and a musical experience questionnaire, participants completed two music perception tasks: (1) a short version of the Montreal Battery Evaluation of Amusia (MBEA) measuring melodic (scale and contour) and rhythm perception, and (2) an instrument discrimination task measuring timbre perception.</p><p><strong>Results: </strong>Results revealed that participants of the M group had a significantly higher accuracy in both tasks compared with the group without musical experience while controlling for age and hearing loss. Moreover, a significant interaction was found between group effect and hearing loss for the MBEA, suggesting that musical experience moderates the impact of hearing loss on melodic and rhythm perception abilities. Finally, the amount of musical experience was the most important positive predictor for MBEA accuracy in the M group.</p><p><strong>Conclusions: </strong>These results suggest that despite age-related hearing loss, older adults with musical experience still benefit from their experience-driven enhancement in melodic, rhythm, and timbre perception. Findings from this study support the notion that music training is beneficial for music perception abilities, providing protection against the impact of presbycusis.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Communication Outcomes With Over-the-Counter Hearing Aids.","authors":"Grace Szatkowski, Pamela Elizabeth Souza","doi":"10.1097/AUD.0000000000001608","DOIUrl":"https://doi.org/10.1097/AUD.0000000000001608","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;Over-the-counter (OTC) hearing aids are a treatment option for adults with mild-to-moderate hearing loss. Previous investigations demonstrated the benefits of OTC hearing aids, primarily self-fit OTCs (i.e., self-adjustable with a smartphone or tablet), on self-reported hearing aid benefit and speech recognition using standardized measures. However, less is known regarding whether OTC hearing aids effectively improve aspects of everyday communication, particularly with preprogrammed OTCs (i.e., OTCs with manufacturer-defined programs). The goal of this study was to evaluate the benefits of preprogrammed OTC hearing aids for two important aspects of communication: (1) conversation efficiency, or the time taken during conversations with a familiar communication partner (e.g., one's spouse) and (2) auditory recall following speech recognition, a critical aspect of participation during conversations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;This study used a within-subject design with thirty adults with mild-to-moderate hearing loss and their familiar communication partners. Participants were fitted with preprogrammed OTC hearing aids using the default program with the best match to target for each listener. The primary outcome measures were conversation efficiency and auditory recall. Speech recognition-in-noise served as a secondary measure. Conversation efficiency was evaluated using the DiapixUK task, a \"spot-the-difference\" conversation task in quiet, and measured as the sum of time taken to correctly identify differences between two similar pictures. Within-subject comparisons were made for hearing aid condition (without and with OTC hearing aids in the default setting). Auditory recall was assessed with the Repeat and Recall Test following speech recognition-in-noise with low- and high-context sentence presentations at 5- and 10-dB signal to noise ratios. In addition to the mentioned hearing aid conditions, an additional comparison was made with the OTC hearing aid noise-reduction program. Linear mixed-effects models were used to evaluate the effect of OTC hearing aid use on primary measures of efficiency and recall. Friedman signed-rank test was used to evaluate speech recognition scores.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;We did not find a significant improvement in conversation efficiency with OTC hearing aid use compared with the unaided condition. For auditory recall, we observed the poorest median recall scores with the default program and the best median scores with the noise-reduction program, although neither observation was statistically significant. Sentence recognition scores were near ceiling in the unaided condition and were poorest with use of the OTC hearing aids in the default program across most signal to noise ratio and context test conditions. Our findings did not show improvements in communication outcomes with OTC hearing aid use. Small to medium effect sizes for our data may be indicative of the limita","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Noise Exposure on Peripheral Auditory Function, Binaural Envelope Coding, and Speech Perception in Student Musicians With Normal Hearing.","authors":"Chhayakanta Patro, Aviya Singer, Angela Monfiletto, Katherine Peitsch, William J Bologna","doi":"10.1097/AUD.0000000000001609","DOIUrl":"https://doi.org/10.1097/AUD.0000000000001609","url":null,"abstract":"<p><strong>Objectives: </strong>Musicians face an increased risk of hearing loss due to prolonged and repetitive exposure to high-noise levels. Detecting early signs of hearing loss, which are subtle and often elusive to traditional clinical tests like pure-tone audiometry, is essential. The objective of this study was to investigate the impact of noise exposure on the electrophysiological and perceptual aspects of subclinical hearing damage in young musicians with normal audiometric thresholds.</p><p><strong>Design: </strong>The study included 33 musicians and 33 nonmusicians, all aged between 21 and 35 years, with normal audiometric thresholds. Participants underwent a comprehensive test battery, which encompassed standard and extended high-frequency (EHF) pure-tone audiometry (0.25 to 16 kHz), a Noise Exposure Structured Interview, auditory brainstem responses (ABRs) to clicks at various presentation rates and levels, thresholds for detecting interaural envelope time difference, and a spatial release from masking (SRM) paradigm in which the target speech was presented in the presence of either colocated or spatially separated time-reversed two-talker babble.</p><p><strong>Results: </strong>The results indicated the musician group reported greater lifetime noise exposure than the nonmusician group, but the Noise Exposure Structured Interview scores were neither correlated with the ABR results nor with the speech perception outcomes. The ABR analyses indicated diminished level-dependent growth and increased rate-dependent decline in wave I amplitudes among musicians compared with nonmusicians. The student musicians exhibited better binaural envelope processing skills than nonmusicians, emphasizing their perceptual advantages in auditory processing associated with musicianship. Speech perception results indicated no significant differences in SRM between student musicians and nonmusicians. However, in both groups, individuals with poorer EHF hearing exhibited reduced SRM compared with those with normal EHF hearing, underscoring the importance of assessing and addressing EHF hearing.</p><p><strong>Conclusions: </strong>Student musicians exhibit peripheral neural deficits; however, no clear relation was found between these neural deficits and their perceptual skills. Notably, reduced EHF thresholds were clearly related to reduced SRM, which poses a challenge for speech perception in complex multi-talker environments, affecting both musicians and nonmusicians alike.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Audiology Through a Psychologically Informed Practice Lens.","authors":"Emma C Laird, Christina A Bryant, Caitlin M Barr, Rebecca J Bennett","doi":"10.1097/AUD.0000000000001603","DOIUrl":"https://doi.org/10.1097/AUD.0000000000001603","url":null,"abstract":"<p><p>Psychologically informed practice is a structural framework originating in physiotherapy, that aids clinicians to identify, consider, and address the psychological factors related to chronic conditions and their management. Hearing loss is a chronic condition associated with a variety of psychosocial impacts, and psychological factors are known to heavily influence the engagement, adherence, and success of hearing rehabilitation. This framework could provide a structured method to manage these factors by using evidence-based psychological theory and applications. This article presents an argument for psychologically informed practice to be used within hearing healthcare, proposes how this framework could be adapted to meet the unique needs of audiology, and considers the pathways and barriers to implementation.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic Electro-Acoustic Stimulation May Interfere With Electric Threshold Recovery After Cochlear Implantation in the Aged Guinea Pig.","authors":"Lina A J Reiss, Melissa B Lawrence, Irina A Omelchenko, Wenxuan He, Jonathon R Kirk","doi":"10.1097/AUD.0000000000001545","DOIUrl":"10.1097/AUD.0000000000001545","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;Electro-acoustic stimulation (EAS) combines electric stimulation via a cochlear implant (CI) with residual low-frequency acoustic hearing, with benefits for music appreciation and speech perception in noise. However, many EAS CI users lose residual acoustic hearing, reducing this benefit. The main objectives of this study were to determine whether chronic EAS leads to more hearing loss compared with CI surgery alone in an aged guinea pig model, and to assess the relationship of any hearing loss to histology measures. Conversely, it is also important to understand factors impacting efficacy of electric stimulation. If one contributor to CI-induced hearing loss is damage to the auditory nerve, both acoustic and electric thresholds will be affected. Excitotoxicity from EAS may also affect electric thresholds, while electric stimulation is osteogenic and may increase electrode impedances. Hence, secondary objectives were to assess how electric thresholds are related to the amount of residual hearing loss after CI surgery, and how EAS affects electric thresholds and impedances over time.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;Two groups of guinea pigs, aged 9 to 21 months, were implanted with a CI in the left ear. Preoperatively, the animals had a range of hearing losses, as expected for an aged cohort. At 4 weeks after surgery, the EAS group (n = 5) received chronic EAS for 8 hours a day, 5 days a week, for 20 weeks via a tether system that allowed for free movement during stimulation. The nonstimulated group (NS; n = 6) received no EAS over the same timeframe. Auditory brainstem responses (ABRs) and electrically evoked ABRs (EABRs) were recorded at 3 to 4 week intervals to assess changes in acoustic and electric thresholds over time. At 24 weeks after surgery, cochlear tissue was harvested for histological evaluation, only analyzing animals without electrode extrusions (n = 4 per ear).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Cochlear implantation led to an immediate worsening of ABR thresholds peaking between 3 and 5 weeks after surgery and then recovering and stabilizing by 5 and 8 weeks. Significantly greater ABR threshold shifts were seen in the implanted ears compared with contralateral, non-implanted control ears after surgery. After EAS and termination, no significant additional ABR threshold shifts were seen in the EAS group compared with the NS group. A surprising finding was that NS animals had significantly greater recovery in EABR thresholds over time, with decreases (improvements) of -51.8 ± 33.0 and -39.0 ± 37.3 c.u. at 12 and 24 weeks, respectively, compared with EAS animals with EABR threshold increases (worsening) of +1.0 ± 25.6 and 12.8 ± 44.3 c.u. at 12 and 24 weeks. Impedance changes over time did not differ significantly between groups. After exclusion of cases with electrode extrusion or significant trauma, no significant correlations were seen between ABR and EABR thresholds, or between ABR thresholds with histo","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":"1554-1567"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Optimal Speech-to-Background Ratio for Balancing Speech Recognition With Environmental Sound Recognition.","authors":"Eric M Johnson, Eric W Healy","doi":"10.1097/AUD.0000000000001532","DOIUrl":"10.1097/AUD.0000000000001532","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;This study aimed to determine the speech-to-background ratios (SBRs) at which normal-hearing (NH) and hearing-impaired (HI) listeners can recognize both speech and environmental sounds when the two types of signals are mixed. Also examined were the effect of individual sounds on speech recognition and environmental sound recognition (ESR), and the impact of divided versus selective attention on these tasks.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;In Experiment 1 (divided attention), 11 NH and 10 HI listeners heard sentences mixed with environmental sounds at various SBRs and performed speech recognition and ESR tasks concurrently in each trial. In Experiment 2 (selective attention), 20 NH listeners performed these tasks in separate trials. Psychometric functions were generated for each task, listener group, and environmental sound. The range over which speech recognition and ESR were both high was determined, as was the optimal SBR for balancing recognition with ESR, defined as the point of intersection between each pair of normalized psychometric functions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The NH listeners achieved greater than 95% accuracy on concurrent speech recognition and ESR over an SBR range of approximately 20 dB or greater. The optimal SBR for maximizing both speech recognition and ESR for NH listeners was approximately +12 dB. For the HI listeners, the range over which 95% performance was observed on both tasks was far smaller (span of 1 dB), with an optimal value of +5 dB. Acoustic analyses indicated that the speech and environmental sound stimuli were similarly audible, regardless of the hearing status of the listener, but that the speech fluctuated more than the environmental sounds. Divided versus selective attention conditions produced differences in performance that were statistically significant yet only modest in magnitude. In all conditions and for both listener groups, recognition was higher for environmental sounds than for speech when presented at equal intensities (i.e., 0 dB SBR), indicating that the environmental sounds were more effective maskers of speech than the converse. Each of the 25 environmental sounds used in this study (with one exception) had a span of SBRs over which speech recognition and ESR were both higher than 95%. These ranges tended to overlap substantially.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;A range of SBRs exists over which speech and environmental sounds can be simultaneously recognized with high accuracy by NH and HI listeners, but this range is larger for NH listeners. The single optimal SBR for jointly maximizing speech recognition and ESR also differs between NH and HI listeners. The greater masking effectiveness of the environmental sounds relative to the speech may be related to the lower degree of fluctuation present in the environmental sounds as well as possibly task differences between speech recognition and ESR (open versus closed set). The observed differences bet","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":"1444-1460"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subjective Speech Intelligibility Drives Noise-Tolerance Domain Use During the Tracking of Noise-Tolerance Test.","authors":"Francis Kuk, Christopher Slugocki, Petri Korhonen","doi":"10.1097/AUD.0000000000001536","DOIUrl":"10.1097/AUD.0000000000001536","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;Recently, the Noise-Tolerance Domains Test (NTDT) was applied to study the noise-tolerance domains used by young normal-hearing (NH) listeners during noise acceptance decisions. In this study, we examined how subjective speech intelligibility may drive noise acceptance decisions by applying the NTDT on NH and hearing-impaired (HI) listeners at the signal to noise ratios (SNRs) around the Tracking of Noise-Tolerance (TNT) thresholds.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;A single-blind, within-subjects design with 22 NH and 17 HI older adults was followed. Listeners completed the TNT to determine the average noise acceptance threshold (TNT Ave ). Then, listeners completed the NTDT at the SNRs of 0, ±3 dB (re: TNT Ave ) to estimate the weighted noise-tolerance domain ratings (WNTDRs) for each domain criterion. Listeners also completed the Objective and Subjective Intelligibility Difference (OSID) Test to establish the individual intelligibility performance-intensity (P-I) functions of the TNT materials. All test measures were conducted at 75 and 82 dB SPL speech input levels. NH and HI listeners were tested in the unaided mode. The HI listeners were also tested using a study hearing aid. The WNTDRs were plotted against subjective speech intelligibilities extrapolated from individual P-I of the OSID at the SNRs corresponding to NTDT test conditions. Listeners were grouped according to their most heavily weighed domain and a regression analysis was performed against listener demographics as well as TNT and OSID performances to determine which variable(s) affected listener grouping.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Three linear mixed effects (LMEs) models were used to examine whether WNTDRs changed with subjective speech intelligibility. All three LMEs found significant fixed effects of domain criteria, subjective intelligibility, and speech input level on WNTDRs. In general, heavier weights were assigned to speech interference and loudness domains at poorer intelligibility levels (&lt;50%) with reversals to distraction and annoyance at higher intelligibility levels (&gt;80%). The comparison between NH and HI-unaided showed that NH listeners assigned greater weights to loudness than the HI-unaided listeners. The comparison between NH and HI-aided groups showed similar weights between groups. The comparison between HI-unaided and HI-aided found that HI listeners assigned lower weights to speech interference and greater weights to loudness when tested in aided compared with unaided modes. In all comparisons, loudness was weighed heavier at the 82 dB SPL input level than at the 75 dB SPL input level with greater weights to annoyance in the NH versus HI-unaided comparison and lower weights to distraction in the HI-aided versus HI-unaided comparison. A generalized linear model determined that listener grouping was best accounted for by subjective speech intelligibility estimated at TNT Ave .&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The domain ","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":"1484-1495"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"International Consensus Statements on Intraoperative Testing for Cochlear Implantation Surgery.","authors":"Farid Alzhrani, Isra Aljazeeri, Yassin Abdelsamad, Abdulrahman Alsanosi, Ana H Kim, Angel Ramos-Macias, Angel Ramos-de-Miguel, Anja Kurz, Artur Lorens, Bruce Gantz, Craig A Buchman, Dayse Távora-Vieira, Georg Sprinzl, Griet Mertens, James E Saunders, Julie Kosaner, Laila M Telmesani, Luis Lassaletta, Manohar Bance, Medhat Yousef, Meredith A Holcomb, Oliver Adunka, Per Cayé- Thomasen, Piotr H Skarzynski, Ranjith Rajeswaran, Robert J Briggs, Seung-Ha Oh, Stefan Plontke, Stephen J O'Leary, Sumit Agrawal, Tatsuya Yamasoba, Thomas Lenarz, Thomas Wesarg, Walter Kutz, Patrick Connolly, Ilona Anderson, Abdulrahman Hagr","doi":"10.1097/AUD.0000000000001526","DOIUrl":"10.1097/AUD.0000000000001526","url":null,"abstract":"<p><strong>Objectives: </strong>A wide variety of intraoperative tests are available in cochlear implantation. However, no consensus exists on which tests constitute the minimum necessary battery. We assembled an international panel of clinical experts to develop, refine, and vote upon a set of core consensus statements.</p><p><strong>Design: </strong>A literature review was used to identify intraoperative tests currently used in the field and draft a set of provisional statements. For statement evaluation and refinement, we used a modified Delphi consensus panel structure. Multiple interactive rounds of voting, evaluation, and feedback were conducted to achieve convergence.</p><p><strong>Results: </strong>Twenty-nine provisional statements were included in the original draft. In the first voting round, consensus was reached on 15 statements. Of the 14 statements that did not reach consensus, 12 were revised based on feedback provided by the expert practitioners, and 2 were eliminated. In the second voting round, 10 of the 12 revised statements reached a consensus. The two statements which did not achieve consensus were further revised and subjected to a third voting round. However, both statements failed to achieve consensus in the third round. In addition, during the final revision, one more statement was decided to be deleted due to overlap with another modified statement.</p><p><strong>Conclusions: </strong>A final core set of 24 consensus statements was generated, covering wide areas of intraoperative testing during CI surgery. These statements may provide utility as evidence-based guidelines to improve quality and achieve uniformity of surgical practice.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":"1418-1426"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-Term Outcomes of Cochlear Implantation in Usher Syndrome.","authors":"Mirthe L A Fehrmann, Cris P Lanting, Lonneke Haer-Wigman, Helger G Yntema, Emmanuel A M Mylanus, Wendy J Huinck, Ronald J E Pennings","doi":"10.1097/AUD.0000000000001544","DOIUrl":"10.1097/AUD.0000000000001544","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;Usher syndrome (USH), characterized by bilateral sensorineural hearing loss (SNHL) and retinitis pigmentosa (RP), prompts increased reliance on hearing due to progressive visual deterioration. It can be categorized into three subtypes: USH type 1 (USH1), characterized by severe to profound congenital SNHL, childhood-onset RP, and vestibular areflexia; USH type 2 (USH2), presenting with moderate to severe progressive SNHL and RP onset in the second decade, with or without vestibular dysfunction; and USH type 3 (USH3), featuring variable progressive SNHL beginning in childhood, variable RP onset, and diverse vestibular function. Previous studies evaluating cochlear implant (CI) outcomes in individuals with USH used varying or short follow-up durations, while others did not evaluate outcomes for each subtype separately. This study evaluates long-term CI performance in subjects with USH, at both short-term and long-term, considering each subtype separately.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;This retrospective, observational cohort study identified 36 CI recipients (53 ears) who were categorized into four different groups: early-implanted USH1 (first CI at ≤7 years of age), late-implanted USH1 (first CI at ≥8 years of age), USH2 and USH3. Phoneme scores at 65 dB SPL with CI were evaluated at 1 year, ≥2 years (mid-term), and ≥5 years postimplantation (long-term). Each subtype was analyzed separately due to the significant variability in phenotype observed among the three subtypes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Early-implanted USH1-subjects (N = 23 ears) achieved excellent long-term phoneme scores (100% [interquartile ranges {IQR} = 95 to 100]), with younger age at implantation significantly correlating with better CI outcomes. Simultaneously implanted subjects had significantly better outcomes than sequentially implanted subjects ( p = 0.028). Late-implanted USH1 subjects (N = 3 ears) used CI solely for sound detection and showed a mean phoneme discrimination score of 12% (IQR = 0 to 12), while still expressing satisfaction with ambient sound detection. In the USH2 group (N = 23 ears), a long-term mean phoneme score of 85% (IQR = 81 to 95) was found. Better outcomes were associated with younger age at implantation and higher preimplantation speech perception scores. USH3-subjects (N = 7 ears) achieved a mean postimplantation phoneme score of 71% (IQR = 45 to 91).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This study is currently one of the largest and most comprehensive studies evaluating CI outcomes in individuals with USH, demonstrating that overall, individuals with USH benefit from CI at both short- and long-term follow-up. Due to the considerable variability in phenotype observed among the three subtypes, each subtype was analyzed separately, resulting in smaller sample sizes. For USH1 subjects, optimal CI outcomes are expected with early simultaneous bilateral implantation. Late implantation in USH1 provides signaling func","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":"1542-1553"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Scoping Review and Meta-Analysis of the Relations Between Cognition and Cochlear Implant Outcomes and the Effect of Quiet Versus Noise Testing Conditions.","authors":"Andrew E Amini, James G Naples, Luis Cortina, Tiffany Hwa, Mary Morcos, Irina Castellanos, Aaron C Moberly","doi":"10.1097/AUD.0000000000001527","DOIUrl":"10.1097/AUD.0000000000001527","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;Evidence continues to emerge of associations between cochlear implant (CI) outcomes and cognitive functions in postlingually deafened adults. While there are multiple factors that appear to affect these associations, the impact of speech recognition background testing conditions (i.e., in quiet versus noise) has not been systematically explored. The two aims of this study were to (1) identify associations between speech recognition following cochlear implantation and performance on cognitive tasks, and to (2) investigate the impact of speech testing in quiet versus noise on these associations. Ultimately, we want to understand the conditions that impact this complex relationship between CI outcomes and cognition.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;A scoping review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was performed on published literature evaluating the relation between outcomes of cochlear implantation and cognition. The current review evaluates 39 papers that reported associations between over 30 cognitive assessments and speech recognition tests in adult patients with CIs. Six cognitive domains were evaluated: Global Cognition, Inhibition-Concentration, Memory and Learning, Controlled Fluency, Verbal Fluency, and Visuospatial Organization. Meta-analysis was conducted on three cognitive assessments among 12 studies to evaluate relations with speech recognition outcomes. Subgroup analyses were performed to identify whether speech recognition testing in quiet versus in background noise impacted its association with cognitive performance.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Significant associations between cognition and speech recognition in a background of quiet or noise were found in 69% of studies. Tests of Global Cognition and Inhibition-Concentration skills resulted in the highest overall frequency of significant associations with speech recognition (45% and 57%, respectively). Despite the modest proportion of significant associations reported, pooling effect sizes across samples through meta-analysis revealed a moderate positive correlation between tests of Global Cognition ( r = +0.37, p &lt; 0.01) as well as Verbal Fluency ( r = +0.44, p &lt; 0.01) and postoperative speech recognition skills. Tests of Memory and Learning are most frequently utilized in the setting of CI (in 26 of 39 included studies), yet meta-analysis revealed nonsignificant associations with speech recognition performance in a background of quiet ( r = +0.30, p = 0.18), and noise ( r = -0.06, p = 0.78).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Background conditions of speech recognition testing may influence the relation between speech recognition outcomes and cognition. The magnitude of this effect of testing conditions on this relationship appears to vary depending on the cognitive construct being assessed. Overall, Global Cognition and Inhibition-Concentration skills are potentially useful in explaining sp","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":"1339-1352"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}