Ear and Hearing最新文献

{"title":"Effect of Speech Material and Scoring Method on Psychometric Curves for Cochlear Implant Users and Typical Hearing Listeners.","authors":"Hendrik Christiaan Stronks, Robin van Deurzen, Paula Louisa Jansen, Jeroen Johannes Briaire, Johan Hubertus Maria Frijns","doi":"10.1097/AUD.0000000000001672","DOIUrl":"10.1097/AUD.0000000000001672","url":null,"abstract":"<p><strong>Objectives: </strong>Cochlear implants (CIs) are the primary treatment for severe-to-profound hearing loss. For CI users, speech intelligibility (SI) is often excellent in quiet yet degrades dramatically in background noise. Scientific and clinical testing of the effects of noise on SI is routinely performed with speech-in-noise tests. The sensitivity of these tests to signal to noise ratio depends on the slope of their psychometric curve. This slope is not always known for CI users, and direct comparisons between typical hearing (TH) listeners and CI users are lacking.</p><p><strong>Design: </strong>We present a comparative study of a digit test (DIN), a Matrix sentence test, and an everyday sentence test (LIST) for a group of CI users and TH listeners, with use of word (digit) and sentence (triplet) scoring in the free field. We report descriptive statistics and effect size measures of the psychometric slope and the speech reception threshold (SRT) for each speech test.</p><p><strong>Results: </strong>For CI users, the slopes of the psychometric curve were significantly shallower and SRTs significantly higher than those of TH listeners. The shallowest slope was seen with the Matrix test. However, the small variances of the slope and the SRT resulted in effect size estimates that fell between those of the other two tests. The DIN test was associated with steeply sloped psychometric curves with low variance. The scoring method did not substantially affect slopes and SRTs for the DIN test and LIST sentences, but word scoring resulted in shallow slopes and substantially worse SRTs for CI users.</p><p><strong>Conclusions: </strong>The DIN test stood out in this study as an attractive speech-in-noise test for CI users, with steep slopes and low variance in slopes and SRTs among participants. Digit and keyword scoring appear to be viable options for the DIN test and LIST sentences, respectively, potentially increasing the number of available test items. For the Matrix test, sentence scoring yielded shallow slopes and deteriorated SI, especially for the CI group. We recommend word scoring for the Dutch-Flemish Matrix test.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":"1329-1341"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12352559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043143","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":"Health Service Use in Children With Mild Bilateral and Unilateral Hearing Loss.","authors":"Elizabeth M Fitzpatrick, Eunjung Na, Marie Pigeon, Janet Olds, Lamia Hayawi, Nick Barrowman, Bahar Rafinejad-Farahani, Doug Coyle, Isabelle Gaboury, Andrée Durieux-Smith, Flora Nassrallah, JoAnne Whittingham","doi":"10.1097/AUD.0000000000001661","DOIUrl":"10.1097/AUD.0000000000001661","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;The number of children identified early with mild bilateral and unilateral hearing loss (MUHL) has increased over the past 3 decades due to population-based newborn hearing screening initiatives. Early identification involves additional hearing-related services for these children in the early years. Despite the growing number of children, little information exists regarding their use of health care services. We examined overall health care utilization for this population of children with hearing loss in a Canadian pediatric center as well as the factors associated with audiology and early intervention service utilization.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;As part of a longitudinal MUHL research program, we examined health care utilization in a population-based cohort of 182 children with MUHL who were identified in one Canadian pediatric center from 2014 to 2018 and followed up to 6 years. Audiologic characteristics were collected prospectively, and health care utilization data were collected retrospectively through administrative databases. Descriptive statistics were used to summarize health care encounters. We used negative binomial regression models to examine the relationship between several clinical factors including age of diagnosis, degree, and laterality (unilateral/mild bilateral) of hearing loss, use of hearing technology, developmental concerns, and services used in audiology and early intervention.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The 182 children were diagnosed at a median age of 4.1 months (interquartile range: 1.9, 55.7) and mean follow-up time was 48.6 (SD: 20.0) months. A total of 9867 hospital encounters were recorded in the medical chart including 2247 audiology, 3429 early intervention, and 701 Ear Nose and Throat service encounters. For audiology services, health care utilization (rate of visits per month of follow-up) was related to whether hearing loss was mild bilateral or unilateral, use of hearing aid(s), progressive hearing loss, developmental concerns, and age of diagnosis. Children with mild bilateral hearing loss had 68% more visits compared with children with unilateral hearing loss. Children with hearing aid(s) had 86%more visits than those without amplification. During the study period, 68.1% of children had at least one early intervention visit. In multivariable regression, after controlling for time followed, earlier age at diagnosis, bilateral hearing loss, use of hearing aid(s), progressive hearing loss, more severe hearing loss, and developmental concerns were all significantly associated with more early intervention service utilization.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Our findings provide a comprehensive profile of hearing-related services provided to a population-based cohort of early-identified children with MUHL. Children with mild bilateral loss required more audiology services than those with unilateral hearing loss. Two-thirds of the children with MUHL utilized some ear","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":"1235-1246"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046747","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":"Speech Understanding in Noise Under Different Attentional Demands in Children With Typical Hearing and Cochlear Implants.","authors":"Lyan Porto, Jan Wouters, Astrid van Wieringen","doi":"10.1097/AUD.0000000000001680","DOIUrl":"10.1097/AUD.0000000000001680","url":null,"abstract":"<p><strong>Objectives: </strong>Complex listening environments are common in the everyday life of both adults and children and often require listeners must monitor possible speakers and switch or maintain attention as the situation requires. The aim of the present study was to investigate the effects of these attention dynamics on speech perception in adults, children with typical hearing (TH) and children with cochlear implants (CIs).</p><p><strong>Design: </strong>Twenty-seven adults with TH (mean age 20.8 years), 24 children with TH (mean age 10.6 years), and 8 children with CIs (mean age 10.1 years) were tested on a speech understanding in noise task using AVATAR, a realistic audiovisual paradigm. Participants were asked to repeat the sentence as closely as possible. In one task, participants performed an adaptive speech-in-noise task to determine speech reception thresholds for sentences recorded by a male and a female speaker. In the second task, both male and female speakers could speak simultaneously in controlled conditions that required participants to either switch attention from one to another or maintain attention on the first. Eye-tracking data were collected concomitantly with both listening tasks, providing pupillometry and gaze behavior data. Participants also completed cognitive tests assessing memory, attention, processing speed, and language ability.</p><p><strong>Results: </strong>Listening data showed that all groups had more difficulty switching attention from a distractor to a target than maintaining attention on a target and ignoring an incoming distractor. In the single-talker task, adults performed better than children, and children with TH performed better than children with CIs. In addition, pupillometry data showed that children with CIs exerted more listening effort in the single-talker task. Gaze data suggest that listeners fixate longer on target under more challenging conditions, but if demands on attention become too great, eye movements increase. Cognitive tests supported previous evidence that children with CIs' difficulties in speech understanding in noise are related to difficulties in sustaining attention.</p><p><strong>Conclusions: </strong>Switching attention is more challenging than sustaining attention in listening situations children face every day, including CI users. Furthermore, children with CIs appear to exert effort beyond what is captured by listening tasks and struggle with maintaining attention over longer periods than typically hearing peers, highlighting the need to consider the characteristics of learning environments of children with CIs even if hearing thresholds are in typical range.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":"1385-1399"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250890","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":"Machine-Learning Models With Multiple Imputation With Sequential Nearest Neighbors Imputation for Predicting the Prognosis of Idiopathic Sudden Sensorineural Hearing Loss Patients.","authors":"Yabin Jin, Meige Li, Minghong Li, Hao Fan, Haiyan Gong, Wencong Chen, Minghao Zhang, Youjun Yu, Wei Luo, Xiaotong Zhang","doi":"10.1097/AUD.0000000000001711","DOIUrl":"https://doi.org/10.1097/AUD.0000000000001711","url":null,"abstract":"<p><strong>Objectives: </strong>The prognosis of idiopathic sudden sensorineural hearing loss (ISSNHL) is heterogeneous. The study aimed to investigate the prognostic factors of ISSNHL and develop machine-learning models with multiple imputation to predict the prognosis of ISSNHL.</p><p><strong>Design: </strong>A retrospective study was undertaken on a cohort of 600 patients with ISSNHL who underwent standardized treatment protocols. Clinical features, blood tests, concurrent symptoms, body measures, and audiometric features were collected. Missing values were imputed by multiple imputation with the sequential nearest neighbors algorithm. Six classifiers and four classification tasks were explored. Model performance was evaluated by accuracy and area under the receiver operating characteristic curve. Furthermore, a feature importance analysis was conducted to enhance model interpretability and streamline complexity.</p><p><strong>Results: </strong>Statistically significant differences were observed across prognosis groups in terms of age, sex, days from onset to treatment, mean hearing threshold, vertigo, ear blockage, hearing curve types, loudness recruitment, auditory brainstem response, World Health Organization classification, distortion product evoked otoacoustic emission response, fibrinogen, cholesterol, tinnitus, hypertension, diabetes, and history of hearing loss. Notably, three machine-learning classifiers demonstrated robust performance across all classification tasks. The feature importance analysis illuminated the most pivotal prognostic factors for each classification model. In addition, the area under the receiver operating characteristic curve remained stable even after excluding the 14 to 24 least influential features from the random forest classifiers, facilitating the clinical practice of these models.</p><p><strong>Conclusions: </strong>In addition to several factors (age, time from onset to treatment, vertigo, white blood cells, platelets, and fibrinogen) that have been previously reported, this study identified some novel clinical parameters as significant contributors to ISSNHL prognosis prediction, including distortion product evoked otoacoustic emission response, auditory brainstem response wave V interaural latency difference, mean hearing threshold of the contralateral ear, and body mass index. We strongly encourage further validation and expansion of our study's results by healthcare researchers, aiming to expedite their clinical application and improve patient outcomes.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979482","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":"Meta-Analyses of Auditory Evoked Potentials as Alzheimer Biomarkers.","authors":"Arash Bayat, Golshan Mirmomeni, Steven Aiken, Zahra Jafari","doi":"10.1097/AUD.0000000000001718","DOIUrl":"https://doi.org/10.1097/AUD.0000000000001718","url":null,"abstract":"<p><strong>Objectives: </strong>Alterations in auditory evoked potential (AEP) parameters have been associated with sensory memory deficits and may serve as biomarkers for cognitive decline. This systematic review and meta-analysis aimed to evaluate the effectiveness of AEPs in the early detection of Alzheimer disease (AD).</p><p><strong>Design: </strong>The systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. A comprehensive search was performed across five electronic databases (EMBASE, Scopus, Cochrane Library, Web of Science, PubMed, and CINAHL) from their inception until August 2024, without restrictions on date or language. The methodological quality of evidence was assessed using the Crew Critical Appraisal Tool. Data were extracted on the latency and amplitude of five AEP components, including auditory P50 gating, mismatch negativity, and late-latency responses (N100, N200, P300), comparing patients with AD to age-matched control peers.</p><p><strong>Results: </strong>Out of 437 publications, 54 articles were selected for review, with most rated as having high methodological quality. The analysis revealed a significantly larger P50 gating amplitude (p < 0.001) in patients with AD. Furthermore, patients with AD demonstrated significantly prolonged latencies and reduced amplitudes for N100, N200, and P300 components (p ≤ 0.001) compared with controls. Among all AEPs, P300 latency exhibited the largest effect size. Funnel plot analysis and Egger's regression test showed no evidence of publication bias.</p><p><strong>Conclusions: </strong>Our findings support the clinical utility of AEPs in early AD detection, with the P300 response identified as the most accurate electrophysiological measure for distinguishing patients with AD from the control group. These results highlight the value of incorporating AEPs into clinical assessment protocols to enhance early-stage AD diagnosis and monitoring, thereby facilitating timely interventions and the development of personalized treatment strategies.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979507","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":"Guest Editorial on Accessible and Affordable Hearing Care for Adults: Progress Made and a Continued Call.","authors":"Kelly A King, Sumitrajit Dhar, Jaclyn Schurman, Carrie L Nieman","doi":"10.1097/AUD.0000000000001717","DOIUrl":"10.1097/AUD.0000000000001717","url":null,"abstract":"","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884321","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":"Vestibular Loss and Cerebellar Ataxia: A Practical Approach.","authors":"Lucia Joffily, Syuzanna Simonyan, Paola Giunti, Alexander Andrea Tarnutzer, Nehzat Koohi, Diego Kaski","doi":"10.1097/AUD.0000000000001708","DOIUrl":"https://doi.org/10.1097/AUD.0000000000001708","url":null,"abstract":"<p><p>Cerebellar ataxia has been the remit of neurology but increased awareness of genetic disorders affecting both cerebellar and vestibular function has led to a rise in their reported prevalence. It is not uncommon for such patients to be seen in otolaryngology clinics. This review explores the underlying etiologies of patients presenting with vestibular loss accompanied by signs of cerebellar ataxia and provides a practical approach to diagnosis. We provide a comprehensive overview of common conditions that can manifest with both vestibular dysfunction and cerebellar ataxia, acutely or chronically, including cerebellar strokes, thiamine deficiency, and neurodegenerative diseases such as spinocerebellar ataxias. The article explores key diagnostic approaches, including clinical examination, neuroimaging, and specialized vestibular testing, to aid in distinguishing these conditions. By focusing on practical aspects of diagnosis, we offer otolaryngology specialists an essential tool for more accurate identification and management of patients, aiming to improve patient care. We emphasize the importance of a systematic, multidisciplinary approach to managing complex vestibular cases.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823273","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":"The Relationship Between Linguistic Input and Communication Outcomes in Children With Unilateral Hearing Loss: The Impact of Device Fitting.","authors":"Kate Favot, Vivienne Marnane, Vicky W Zhang, Raaya Tiko, Vijayalakshmi Easwar","doi":"10.1097/AUD.0000000000001706","DOIUrl":"https://doi.org/10.1097/AUD.0000000000001706","url":null,"abstract":"<p><strong>Objectives: </strong>Although the benefits of hearing devices in children with bilateral hearing loss are well established, evidence in unilateral hearing loss (UHL) remains limited. This study aimed to (i) examine whether device fitting influences the relationship between linguistic input and communication outcomes (language and functional listening) in young children with UHL, and (ii) assess whether consistency of device use affects this relationship.</p><p><strong>Design: </strong>A longitudinal study included 43 device-fitted and 61 non-fitted children with UHL at 12 mo (mean worse-ear hearing level: 80.9 versus 86.7 dB HL), and a subset of 26 and 15, respectively, at 3 yrs. Linguistic input (adult word count [AWC], conversational turn count [CTC]), nonlinguistic input, and child vocalizations were measured using Language ENvironment Analysis. Language was assessed with the Australian English Developmental Vocabulary Inventory at 12 mo, Peabody Picture Vocabulary Test and Preschool Language Scales at 3 yrs, and child vocalization count at both ages. Functional listening was assessed using the Parent Evaluation on Aural/Oral Performance (PEACH) questionnaire. Linear regression examined whether device fitting influenced the associations between linguistic input and communication outcomes. Similar regression analyses were completed in fitted children to assess the influence of consistency of device use on the relationship between linguistic input and communication outcomes.</p><p><strong>Results: </strong>Linguistic and nonlinguistic input did not differ by device status. In cross-sectional analyses, better language abilities were found in children with higher CTC at both 12 mo and 3 yrs. Better functional listening abilities were found in children with higher CTC at 12 mo. A similar but not significant trend existed at 3 yrs. Associations between outcomes (except child vocalization count) and AWC were all nonsignificant. The nature of the association between AWC or CTC and communication outcomes did not vary between the fitted and not-fitted children in any of these analyses. Likewise, consistency of device use did not influence the association between linguistic input and communication outcomes. In longitudinal analyses, CTC increased with age similarly in both groups, however, no associations were evident between early linguistic input and later communication outcomes.</p><p><strong>Conclusion: </strong>Similar to children with bilateral hearing loss, better communication outcomes in children with UHL are associated with increased two-way conversations with caregivers. There was no evidence that device fitting or consistency in device use affected this association. Outcomes underscore the importance of interactive communication between caregivers and children, regardless of fitting status.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796177","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":"Uncovering Phenotypes in Sensorineural Hearing Loss: A Systematic Review of Unsupervised Machine Learning Approaches.","authors":"Lilia Dimitrov, Liam Barrett, Aizaz Chaudhry, Jameel Muzaffar, Watjana Lilaonitkul, Nishchay Mehta","doi":"10.1097/AUD.0000000000001696","DOIUrl":"10.1097/AUD.0000000000001696","url":null,"abstract":"<p><strong>Objectives: </strong>The majority of the 1.5 billion people living with hearing loss are affected by sensorineural hearing loss (SNHL). Reliably categorizing these individuals into distinct subtypes remains a significant challenge, which is a critical step for developing tailored treatment approaches. Unsupervised machine learning, a branch of artificial intelligence (AI), offers a promising solution to this issue. However, no study has yet compared the outcomes of different AI models in this context. The purpose of this review is to synthesize the existing literature on the application of unsupervised machine learning models to hearing health data for identifying subtypes of SNHL.</p><p><strong>Design: </strong>A systematic search was performed of the following databases: MEDLINE, PsycINFO (Ovid version), EMBASE, CINAHL, IEEE, and Scopus as well as a search of grey literature using GitHub and Base, and manual search (Jan 1990-Mar 2024). Studies were included only if they reported on adult patients with SNHL and used an unsupervised machine-learning approach. Quality assessment was performed using the APPRAISE-AI tool. The heterogeneity of studies necessitated a narrative synthesis of the results.</p><p><strong>Results: </strong>Seven studies were included in the analysis. Apart from one case-control study, all were cohort studies. Four different algorithms were used, with no study comparing the performance of more than one algorithm. Across these studies, only 2 distinct numbers of subtypes were identified: 4 and 11. However, the overall quality of the studies was deemed low, thus preventing definitive conclusions regarding model selection and the actual number of subtypes.</p><p><strong>Conclusions: </strong>This systematic review identifies key methodological practices that need to be improved before the potential of unsupervised machine learning models to subtype SNHL can be realized. Future research in this field should justify model selection, ensure reproducibility, use high-quality hearing data, and validate model findings.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12533775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796178","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":"Visual Analog of Temporal Envelope Benefits Speech Processing in Cochlear Implant Users: A Pilot Functional Near-Infrared Spectroscopy Study on the Associations Between Audiovisual Benefit, Listening Environment, and Peripheral Neural Health.","authors":"Zi Gao, Yi Yuan, Christopher R Mueller, Ross A Aiello, Yingying Wang, Shuman He","doi":"10.1097/AUD.0000000000001709","DOIUrl":"https://doi.org/10.1097/AUD.0000000000001709","url":null,"abstract":"<p><strong>Objectives: </strong>This study compared the benefit of visual analog of temporal envelope for speech processing across listening environments in postlingually deafened adult cochlear implant users. Associations between cortical activities and peripheral neural health were explored.</p><p><strong>Design: </strong>Speech perception was measured using Harvard/IEEE sentences in quiet and noise with a visually presented sphere whose size was synchronized with the temporal envelope of the sentences. Cortical activities were recorded concurrently using functional near-infrared spectroscopy. Audiovisual benefit was evaluated using sentence scores, activation additivity, and functional connectivity. Peripheral neural health was measured using electrically evoked compound action potentials.</p><p><strong>Results: </strong>Behavioral results showed the largest audiovisual benefit at a signal-to-noise ratio of +10 dB. The nonsignificant trends of activation additivity agreed with the behavioral results. Correlations between functional near-infrared spectroscopy and electrically evoked compound action potential results are inconclusive and warrant further research.</p><p><strong>Conclusion: </strong>Visual temporal envelope benefits speech perception in moderately noisy environment in cochlear implant users.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762406","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}