Effect of different personal protective equipment on sound discrimination in children using unilateral cochlear implants during the COVID-19 pandemic

The COVID-19 pandemic obliged people to wear personal protective equipment (PPEs), which can harm verbal communication and speech intelligibility. The first aim was to study the impact of wearing PPEs on the voice and speech parameters of phoniatricians during therapy sessions. The second aim was to study the effect of phoniatricians wearing these PPEs on auditory discrimination of the Ling’s six sounds in children using unilateral cochlear implants. The study was a case–control one, done in the phoniatrics outpatient clinics at Beni-Suef University and Cairo University hospitals. Four phoniatricians participated in this study, and the Dr. Speech software analyzed their speech and voice parameters during utterance of the Ling’s six sounds. Each phoniatrician uttered each Ling sound individually four times to assess fundamental frequency and intensity: first time without wearing any mask, second time while wearing a surgical mask, third time while wearing a face shield, and fourth time while wearing an N95 mask. The study also included forty patients using unilateral cochlear implants (group A) and forty children with normal peripheral hearing (group B). The phoniatricians again uttered the Ling’s six sounds to assess auditory discrimination in both groups. This subjective auditory discrimination was also tested in both groups four times: first time without wearing any mask, second time while wearing a surgical mask, third time while wearing a face shield, and fourth time while wearing an N95 mask. The intensity of Ling’s six sounds was significantly lowest in the face shield. Regardless of the PPE type, patients with unilateral cochlear implants showed less consonant discrimination of (mm) sound. Surgical masks and N95 provided the best acoustic performance, while face shields had the worst.