Ear and Hearing最新文献

{"title":"Improving the Predictive Strength of Better-Ear Four-Frequency Pure-Tone Average With the Addition of the Tinnitus and Hearing Survey-Hearing Subscale.","authors":"Gregory M Ellis, Rebecca Bieber, Alyssa Davidson, LaGuinn Sherlock, Michele Spencer, Douglas Brungart","doi":"10.1097/AUD.0000000000001633","DOIUrl":"10.1097/AUD.0000000000001633","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this project was to quantify the relative efficacy of a four-frequency pure-tone average in the better ear (PTA4), the Hearing subscale of the Tinnitus and Hearing Survey (THS-H), and a combination of the two in predicting speech-in-noise performance, hearing aid recommendation, and hearing aid use among United States service members (SMs).</p><p><strong>Design: </strong>A two-analysis retrospective study was performed. The first analysis examined the degree to which better-ear PTA4 alone, THS-H alone, and better-ear PTA4 in conjunction with THS-H predicted performance on a speech-in-noise test, the modified rhyme test. Three binomial mixed-effects models were fitted using better-ear PTA4 alone, THS-H alone, and both measures as primary predictors of interest. Age and sex were included as covariates in all models. The models were compared to one another using Chi-square goodness-of-fit tests and the best-fitting model was examined. Data from 5988 SMs were analyzed in the first analysis. The second analysis examined the degree to which better-ear PTA4 alone, THS-H alone, and better-ear PTA4 in conjunction with THS-H predicted two hearing aid-related outcomes: recommendation for hearing aids by a clinician and hearing aid use. Three receiver operating characteristic curves were fit for each question for better-ear PTA4 alone, THS-H alone, and better-ear PTA4 + THS-H. The area under the curve was bootstrapped to generate confidence intervals to compare the three measures. Data from 8001 SMs were analyzed in the second analysis.</p><p><strong>Results: </strong>In the first analysis, all three models explained more variance than chance; however, the better-ear PTA4 + THS-H model was a significantly better fit than either the better-ear PTA4 alone or the THS-H alone models. Significant main effects of better-ear PTA4 and THS-H indicated that proportion correct decreased as better-ear PTA4 and THS-H increased. A significant interaction was observed such that proportion correct decreased more rapidly if both better-ear PTA4 and THS-H were increasing in tandem. In the second analysis, better-ear PTA4 + THS-H showed good predictive discrimination of a prior hearing aid recommendation. For predicting hearing aid use, better-ear PTA4 was the only predictor with an area under the curve bootstrapped confidence interval that overlapped 0.50, indicating better-ear PTA4 alone is a chance predictor for hearing aid use. Both THS-H alone and better-ear PTA4 + THS-H predicted hearing aid use better than chance, but had poor discrimination overall.</p><p><strong>Conclusions: </strong>Adding the THS-H to the better-ear PTA4 improves predictions of speech intelligibility in noise, has good predictive strength for hearing aid recommendations, and predicts hearing aid use better than chance. This study provides evidence for using surveys in conjunction with objective data when evaluating hearing ability and recommending int","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":"909-921"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069877","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":"Rapid Increases in Children's Spontaneous and Responsive Speech Vocalizations Following Cochlear Implantation: Implications for Spoken Language Development.","authors":"Margaret Cychosz, Chiara Scarpelli, Jihyun Stephans, Ana Marija Sola, Kayla Kolhede, Rebecca Ramirez, Erin Christianson, Vincci Chan, Dylan K Chan","doi":"10.1097/AUD.0000000000001646","DOIUrl":"10.1097/AUD.0000000000001646","url":null,"abstract":"<p><strong>Objectives: </strong>Cochlear implants are the most effective means to provide access to spoken language models for children with severe to profound deafness. In typical development, spoken language emerges gradually as children vocally explore and interact with caregivers. But it is unclear how early vocal activity unfolds after children gain access to auditory signals, and thus spoken language, via cochlear implants, and how this early vocal exploration predicts children's spoken language development. This longitudinal study investigated how two formative aspects of early language-child speech productivity and caregiver-child vocal interactions-develop following cochlear implantation, and how these aspects impact children's spoken language outcomes.</p><p><strong>Design: </strong>Data were collected via small wearable recorders that measured caregiver-child communication in the home pre- and for up to 3 years post-implantation (N = 25 children, average = 167 hours/child, 4,180 total hours of observation over an average of 11 unique days/child). Spoken language outcomes were measured using the Preschool Language Scales-5. Growth trajectories were compared with a normative sample of children with typical hearing (N = 329).</p><p><strong>Results: </strong>Even before implantation, all children vocalized and vocally interacted with caregivers. Following implantation, child speech productivity ( β = 9.67, p < 0.001) and caregiver-child vocal interactions ( β = 12.65, p < 0.001) increased significantly faster for children with implants than younger, hearing age-matched typical hearing controls, with the fastest growth occurring in the time following implant activation. There were significant, positive effects of caregiver-child interaction on children's receptive, but not expressive, spoken language outcomes.</p><p><strong>Conclusions: </strong>Overall, children who receive cochlear implants experience robust growth in speech production and vocal interaction-crucial components underlying spoken language-and they follow a similar, albeit faster, developmental timeline as children with typical hearing. Regular vocal interaction with caregivers in the first 1 to 2 years post-implantation reliably predicts children's comprehension of spoken language above and beyond known predictors such as age at implantation.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":"1029-1043"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042110","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":"Relationship Between Auditory Distraction and Emotional Dimensionality for Non-Speech Sounds.","authors":"Shae D Morgan, Erin M Picou, Elizabeth D Young, Samantha J Gustafson","doi":"10.1097/AUD.0000000000001643","DOIUrl":"10.1097/AUD.0000000000001643","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;If task-irrelevant sounds are present when someone is actively listening to speech, the irrelevant sounds can cause distraction, reducing word recognition performance and increasing listening effort. In some previous investigations into auditory distraction, the task-irrelevant stimuli were non-speech sounds (e.g., laughter, animal sounds, music), which are known to elicit a variety of emotional responses. Variations in the emotional response to a task-irrelevant sound could influence the distraction effect. The goal of this study was to examine the relationship between the arousal (exciting versus calming) or valence (positive versus negative) of task-irrelevant auditory stimuli and auditory distraction. Using non-speech sounds that have been used previously in a distraction task, we sought to determine whether stimulus characteristics of arousal or valence affected word recognition or verbal response times (which serve as a measure of behavioral listening effort). We anticipated that the perceived arousal and valence of task-irrelevant stimuli would be related to distraction from target stimuli.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;In an online listening task, 19 young adult listeners rated the valence and arousal of non-speech sounds, which previously served as task-irrelevant stimuli in studies of auditory distraction. Word recognition and verbal response time data from these previous studies were reanalyzed using the present data to evaluate the effect of valence or arousal stimulus category on the distraction effect in quiet and in noise. In addition, correlation analyses were conducted between ratings of valence, ratings of arousal, word recognition performance, and verbal response times.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The presence of task-irrelevant stimuli affected word recognition performance. This effect was observed generally in quiet and for stimuli rated as exciting (in noise) or calming (in quiet). The presence of task-irrelevant stimuli also affected reaction times. Background noise increased verbal response times by approximately 35 msec. In addition, all task-irrelevant stimuli, regardless of valence or arousal category, increased verbal response times by more than 200 msec relative to the condition with no task-irrelevant stimuli. Valenced stimuli caused the largest distraction effect on response times; there was no difference in the distraction effect on verbal response times based on the stimulus arousal category. Correlation analyses between valence ratings and dependent variables (word recognition and reaction time) revealed that, in quiet, there was a weak, but statistically significant, relationship between valence ratings (absolute deviation from neutral) and word recognition scores; the more valenced a stimulus, the more distracting it was in terms of word recognition performance. This significant relationship between valence and word recognition was not evident when participants completed the","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":"983-996"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506156","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":"Investigations on Directional Hearing With One-Sided Fitting of an Active Middle Ear Implant or Bone Conduction Hearing Implant.","authors":"Christoph Müller, Hannes Seidler, Janina Kuch, Anna Tsypina, Thomas Zahnert, Susen Lailach","doi":"10.1097/AUD.0000000000001650","DOIUrl":"10.1097/AUD.0000000000001650","url":null,"abstract":"<p><strong>Objective: </strong>In patients with conductive or combined unilateral hearing loss, implantable hearing systems can be a treatment option. Due to the overlapping indications of hearing implants, a systematic evaluation of audiologic differences in terms of speech intelligibility and binaural hearing abilities is necessary. Because of the unilateral cochlear stimulation in patients implanted with an active middle ear implant, we expect superior binaural hearing performance compared with patients implanted with a bone-conducting implant that causes bilateral cochlear stimulation. This study focuses especially on comparing directional hearing abilities between the aforementioned groups of implantable hearing aid users.</p><p><strong>Methods: </strong>In 13 patients unilaterally fitted with Vibrant Soundbridge (VSB) and 8 patients fitted with Bonebridge (BB) (both implants manufactured by MED-EL, Austria) (implantation at least 6 months ago, contralateral ear with at most mild hearing loss [pure tone average across 4 frequencies <30 dB]), sound localization ability, speech intelligibility (Freiburger monosyllabic word test and Oldenburgsentencetest), audiometric threshold-based measurements and patient-reported outcome measures (International Outcome Inventory for Hearing Aids and Speech, Spatial and Qualities of Hearing Scale 12) have been examined.</p><p><strong>Results: </strong>The groups did not differ significantly ( p > 0.05) in terms of patient age (VSB: 44.6 ± 14.4 years [SD]; BB: 44.5 ± 17.3 years), pure tone average across 4 frequencies of bone conduction (VSB: 26.4 ± 6.9 dB; BB: 23.3 ± 6.7 dB), speech intelligibility (VSB: 80.0% ± 16.7%; BB: 69.4% ± 13.2% [Freiburger]) and Oldenburgsentencetest (VSB -8.9 ± 2.6 dB; BB: -7.2 ± 4.4 dB). Implantation was 4.2 ± 2.7 years (VSB) and 7.5 ± 3.5 years (BB) ( p < 0.05). Sound tended to be localized more frequently (56% ± 16%) within the reference range in the VSB group than in the BB group (49% ± 12.9%) ( p > 0.05). The VSB group tended to show a smaller lateral deviation of sound detection from the actual sound presentation direction, especially with frontal sound presentation, compared with the BB group. Lateral sound presentations above 60° were increasingly perceived in the direction contralateral to the sound source in both groups ( p > 0.05). Subjective hearing disabilities were scored significantly lower in the VSB group compared with the BB group.</p><p><strong>Conclusion: </strong>When comparing the sound localization ability between BB and VSB users, the study displayed a trend toward better results with the VSB. Further measurement data of patient cohorts with larger group sizes have to be collected for a final judgment on the clinical significance of these differences.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":"1095-1110"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665411","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":"Vocal Emotion Recognition in School-Age Children With Hearing Aids.","authors":"Laura Rachman, Gizem Babaoğlu, Başak Özkişi Yazgan, Pinar Ertürk, Etienne Gaudrain, Leanne Nagels, Stefan Launer, Peter Derleth, Gurjit Singh, Frédérick Uhlemayr, Monita Chatterjee, Esra Yücel, Gonca Sennaroğlu, Deniz Başkent","doi":"10.1097/AUD.0000000000001645","DOIUrl":"10.1097/AUD.0000000000001645","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;In individuals with normal hearing, vocal emotion recognition continues to develop over many years during childhood. In children with hearing loss, vocal emotion recognition may be affected by combined effects from loss of audibility due to elevated thresholds, suprathreshold distortions from hearing loss, and the compensatory features of hearing aids. These effects could be acute, affecting the perceived signal quality, or accumulated over time, affecting emotion recognition development. This study investigates if, and to what degree, children with hearing aids have difficulties in perceiving vocal emotions, beyond what would be expected from age-typical levels.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;We used a vocal emotion recognition test with non-language-specific pseudospeech audio sentences expressed in three basic emotions: happy, sad, and angry, along with a child-friendly gamified test interface. The test group consisted of 55 school-age children (5.4 to 17.8 years) with bilateral hearing aids, all with sensorineural hearing loss with no further exclusion based on hearing loss degree or configuration. For characterization of complete developmental trajectories, the control group with normal audiometric thresholds consisted of 86 age-matched children (6.0 to 17.1 years), and 68 relatively young adults (19.1 to 35.0 years).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Vocal emotion recognition of the control group with normal-hearing children and adults improved across age and reached a plateau around age 20. Although vocal emotion recognition in children with hearing aids also improved with age, it seemed to lag compared with the control group of children with normal hearing. A group comparison showed a significant difference from around age 8 years. Individual data indicated that a number of hearing-aided children, even with severe degrees of hearing loss, performed at age-expected levels, while some others scored lower than age-expected levels, even at chance levels. The recognition scores of hearing-aided children were not predicted by unaided or aided hearing thresholds, nor by previously measured voice cue discrimination sensitivity, for example, related to mean pitch or vocal tract length perception.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;In line with previous literature, even in normal hearing, vocal emotion recognition develops over many years toward adulthood, likely due to interactions with linguistic and cognitive development. Given the long development period, any potential difficulties for vocal emotion recognition in children with hearing loss can only be identified with respect to what would be realistic based on their age. With such a comparison, we were able to show that, as a group, children with hearing aids also develop in vocal emotion recognition, however, seemingly at a slower pace. Individual data indicated a number of the hearing-aided children showed age-expected vocal emotion recognition. Hence, even tho","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":"1069-1084"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671881","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":"Understanding the Process of Integration in Binaural Cochlear Implant Configurations.","authors":"John B Muegge, Bob McMurray","doi":"10.1097/AUD.0000000000001629","DOIUrl":"10.1097/AUD.0000000000001629","url":null,"abstract":"<p><strong>Objectives: </strong>Cochlear implant (CI) users with access to hearing in both ears (binaural configurations) tend to perform better in speech perception tasks than users with a single-hearing ear alone. This benefit derives from several sources, but one central contributor may be that binaural hearing allows listeners to integrate content across ears. A substantial literature demonstrates that binaural integration differs between CI users and normal hearing controls. However, there are still questions about the underlying process of this integration. Here, we test both normal-hearing listeners and CI users to examine this process.</p><p><strong>Design: </strong>Twenty-three CI users (7 bimodal, 7 bilateral, and 9 single sided deafness CI users) and 28 age-matched normal-hearing listeners completed a dichotic listening task, in which first and second formants from one of four vowels were played to each ear in various configurations: with both formants heard diotically, with one formant heard diotically, or with one formant heard in one ear and the second formant heard in the other (dichotically). Each formant heard alone should provide minimal information for identifying the vowel. Thus, listeners must successfully integrate information from both ears if they are to show good performance in the dichotic condition.</p><p><strong>Results: </strong>Normal-hearing listeners showed no noticeable difference in performance when formants were heard diotically or dichotically. CI users showed significantly reduced performance in the dichotic condition relative to when formants were heard diotically. A deeper examination of individual participants suggests that CI users show important variation in their integration process.</p><p><strong>Conclusions: </strong>Using a dichotic listening task we provide evidence that while normal-hearing listeners successfully integrate content dichotically, CI users show remarkable differences in how they approach integration. This opens further questions regarding the circumstances in which listeners display different integration profiles and has implications for understanding variation in real-world performance outcomes.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":"880-898"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525337","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":"Hyperacusis and Tinnitus in Vestibular Migraine Patients.","authors":"Elisheba Haro-Hernandez, Patricia Perez-Carpena, Federica Di Berardino, Jose Antonio Lopez-Escamez","doi":"10.1097/AUD.0000000000001632","DOIUrl":"10.1097/AUD.0000000000001632","url":null,"abstract":"<p><strong>Objectives: </strong>To estimate the prevalence of tinnitus and hyperacusis in patients with vestibular migraine (VM), and to define the association with hearing loss, anxiety, and depression.</p><p><strong>Design: </strong>A cross-sectional, multicenter study including 51 adult patients with definite or probable VM, defined according to the Barany Society diagnostic criteria. Audiological examinations were performed by pure tones extended to high frequencies to assess hearing thresholds. Psychoacoustic (pitch, masking level, and residual inhibition) and psychometric assessment of tinnitus was performed in all patients that reported tinnitus with the following questionnaires: Tinnitus Handicap Inventory (THI), Hypersensitivity to Sound Questionnaire and Hospital Anxiety Depression Scale. Correlation and regression analyses were used to assess the relationship between THI scores hyperacusis, anxiety, and depression in patients with VM.</p><p><strong>Results: </strong>Forty-five of 50 VM patients (90%) were females; 38 out of 50 (75%) patients reported tinnitus. In our series, the most common frequency (pitch) for tinnitus was 8000 Hz. Tinnitus was not associated with hearing loss in patients with VM and the hearing thresholds were similar in VM patients with or without tinnitus. Hyperacusis was reported in 35 (60%) individuals, and in patients with tinnitus, the THI scores were associated with higher scores in Hypersensitivity to Sound Questionnaire, and anxiety and depression subscales of Hospital Anxiety Depression Scale. There were differences in the distribution of hearing loss in patients with hyperacusis, however both groups did not exceed the normal hearing threshold (17.18 ± 13.43 patients with hyperacusis and 11.66 ± 5.41, p = 0.023 in patients without hyperacusis).</p><p><strong>Conclusions: </strong>Tinnitus is a common symptom in patients with VM and it is not related to hearing loss in the standard audiogram. Hyperacusis was associated with tinnitus, anxiety, and depression, but it was not associated with hearing thresholds.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":"899-908"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958988","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":"Wideband Middle-Ear Measures in Aminoglycoside-Exposed Adults with Cystic Fibrosis.","authors":"Hunter R Stuehm, Lisa L Hunter, Douglas H Keefe, M Patrick Feeney, Daniel B Putterman, Angela C Garinis","doi":"10.1097/AUD.0000000000001693","DOIUrl":"https://doi.org/10.1097/AUD.0000000000001693","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;Cystic fibrosis (CF) affects sinus and lung function, yet little is known about middle-ear function in relation to disease severity. Wideband (WB) absorbance measures are a more sensitive and specific metric of middle-ear function than traditional, single-frequency tympanometry. WB tympanometric measures were used to study middle-ear function in normal-hearing persons with CF and varying degrees of exposure to intravenous aminoglycoside (IV-AG) antibiotics as a proxy for disease severity compared with age-matched persons without CF.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Middle-ear function was assessed in normal-hearing adult participants with (N = 57) and without CF (N = 29). Four groups were examined: (1) CF with a history of greater than 40 doses of IV-AGs (CF high IV-AG), (2) CF with fewer than 40 doses of IV-AGs (CF low IV-AG), (3) CF with no previous IV-AG exposures (CF no IV-AG), and (4) Healthy controls without CF or history of IV-AG exposure (non-CF). Clinical tests included pure-tone air (250 to 8000 Hz) and bone conduction audiometry (250 to 4000 Hz) and 226 Hz tympanometry. Experimental WB downswept tympanometry was also conducted for 250 to 8000 Hz. Hearing thresholds, air-bone gaps, and 226 Hz static acoustic admittance were compared between groups. WB tympanometric absorbance and peak-to-tail differences were compared between groups at half-octave frequencies, as was the tympanometric width (TW) of the low-frequency averaged absorbance tympanogram (from 380 to 2000 Hz) around its tympanometric peak pressure.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Air conduction thresholds were elevated for patients with CF for 250 to 2000 Hz compared with control participants. Broader absorbance TW was found for the CF participants relative to the non-CF control participants (p &lt; 0.05). Specifically, non-CF controls demonstrated smaller TW compared with the CF no IV-AG (p = 0.015), CF low IV-AG (p = 0.011), and CF high IV-AG (p &lt; 0.001) groups. WB peak-to-tail differences further revealed statistically significant group mean differences between the CF no IV-AG and CF high IV-AG groups from 500 to 1000 Hz (p &lt; 0.05) and non-CF controls and CF high IV-AG group at 2000 and 5660 Hz (p &lt; 0.05). There were no statistically significant differences at the p &lt; 0.05 level for mean static acoustic admittance (Ytm) obtained from the 226 Hz tympanogram between non-CF controls and the three CF IV-AG exposure groups (p = 0.076).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Novel findings from this investigation revealed that participants with CF regardless of AG dosing had greater WB TW compared with non-CF controls. Greater WB TW along with poorer (elevated) low-frequency audiometric thresholds and lower absorbance peak-to-tail differences compared with non-CF controls suggest increased middle-ear stiffness in individuals with CF. These differences are subtle as reflected in the higher air conduction thresholds at low frequencies, despite absent air-bo","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531202","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":"Sleep Deprivation Does Not Affect Vestibulo-Ocular Reflex Gain but Deteriorates Vestibular Adaptation Ability?","authors":"Hadas Ben-Rubi Shimron, Yoav Gimmon","doi":"10.1097/AUD.0000000000001685","DOIUrl":"https://doi.org/10.1097/AUD.0000000000001685","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the effect of acute sleep deprivation on the physiologic, adaptive, and behavioral properties of vestibulo-ocular reflex (VOR) compared with a full night's sleep.</p><p><strong>Design: </strong>Seventeen volunteers (age range 32 to 42 years, 7 females) were recruited into this crossover study and evaluated for 2 nights, first after normal sleep, and then after 24 hours of sleep deprivation. Tests included physiological VOR assessments by means of the Video Head Impulse Test in four random conditions consisting of far and near targets and performed with active (self-induced) and passive head movements. The adaptation ratio was calculated as the amount of change between VOR gains in near- and far-target conditions (near-VOR gain/far-VOR gain × 100). Behavioral VOR was evaluated by a computerized dynamic visual acuity test.</p><p><strong>Results: </strong>Fourteen participants completed the protocol (age range 34 to 42 years, 5 females). The VOR gain did not change following sleep deprivation for the passive head rotations or any of the tested conditions (paired t test >0.05). The VOR gain increased significantly in the middle of the night during the sleep deprivation: far-target-passive impulse (analysis of variance [ANOVA] F = 8.67, p = 0.001, 9 p.m. to 2 a.m.p = 0.001 post hoc); near-target active-impulse (ANOVA F = 4.66, p = 0.019, 2 a.m. to 6 a.m.p = 0.021 post hoc). The magnitude of VOR gain adaptation significantly reduced 7.1% after sleep deprivation for active head rotation (repeated measure ANOVA F = 5.212, p = 0.013). Measures of the behavioral VOR (difference between static and dynamic visual acuity) was not different between conditions (Wilcoxon signed-rank test, p value >0.05).</p><p><strong>Conclusion: </strong>Sleep deprivation reduced adaptative capacity of the VOR gain without affecting the physiologic or behavioral function of the VOR. The increase in VOR gain during the night might be explained by circadian rhythm involvement.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531201","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":"What Does Culturally Responsive Hearing Care Look Like? The Views of Service Users, Clinicians, and Researchers.","authors":"Mansoureh Nickbakht, Mehwish Nisar, Cailyn Furze, Nerina Scarinci, John Newall, Louise Hickson, Barbra Timmer, Christopher J Armitage, Piers Dawes","doi":"10.1097/AUD.0000000000001686","DOIUrl":"10.1097/AUD.0000000000001686","url":null,"abstract":"<p><strong>Objectives: </strong>To identify the most important culturally responsive behaviors of hearing care professionals (HCPs) from the perspectives of ethnic communities, HCPs and research experts in culturally responsive hearing healthcare.</p><p><strong>Design: </strong>This study used mixed methods, including qualitative interviews and a two-round electronic Delphi (eDelphi) study. Interviews were conducted with 46 community members with hearing loss and their family members. An international panel of 45 HCPs and researchers with expertise in working with people from ethnic communities participated in the eDelphi study (n = 45 in round 1; n = 40 in round 2).</p><p><strong>Results: </strong>Interviews with community members with hearing loss and their family members identified several desirable behaviors, forming a comprehensive list for the international eDelphi study. The eDelphi panel selected the 10 most important behaviors, identifying that HCPs should: ask about the need for interpreters and information in other languages, ask about client's hearing and appointment expectations, ask if client prefers including a family member, take time to explain options' benefits and limitations, encourage client to ask when they do not understand, ask about preference for male/female clinician, check client's understanding of instructions, inform client about local resources, talk about hearing devices/strategies, and ask client about questions/concerns before leaving clinic.</p><p><strong>Conclusions: </strong>Culturally responsive hearing care and client satisfaction could be improved by facilitating the HCP behaviors identified in this study. The culturally appropriate behaviors that were identified were not specific to hearing care and may be relevant in other areas of health and social care.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369611","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}