{"title":"轻度不对称听力损失配戴助听器儿童早期听觉发育的纵向研究。","authors":"Xiao-Yun Zhang, Wei-Li Kong, Ning-Ying Song","doi":"10.1177/01455613251345683","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>There have been few studies on slightly-asymmetric sensorineural hearing loss (SASHL), and no study to date has reported on the longitudinal development of early-auditory ability in children with SASHL and wearing hearing aids (HAs). Thus, we explored the developmental trajectory of early-auditory ability of children with SASHL who wear HAs, and compared the differences in different types of SASHL (the mild-moderate, moderate-severe, and severe-profound).</p><p><strong>Methods: </strong>We performed a prospective, longitudinal study of 31 children with SASHL who were followed for 18 months. Their early-prelingual auditory development (EPLAD) was evaluated using the Infant-Toddler: Meaningful Auditory Integration Scale (ITMAIS), before wearing HAs and at the 1st, 3rd, 6th, 12th, and 18th month after implementing HAs. A spline function was implemented to describe the observed EPLAD trajectory. A cubic polynomial regression model was used to predict the change in the ITMAIS score over time, and nonparametric tests or the chi-squared test was used to compare differences between groups.</p><p><strong>Results: </strong>ITMAIS scores were statistically-significantly different between all subsequent follow-ups (<i>P</i> < 0.001). We constructed a highly-accurate predictive score of ITMAIS over time (<i>r</i><sup>2</sup> = 0.99) and show that sound detection was always faster than sound recognition. The EPLAD score of the severe-profound group was always lower than those of the moderate-severe group and the severe-profound group (<i>P</i> < 0.05).</p><p><strong>Conclusions: </strong>The EPLAD trajectory of the SASHL children was steepest during the first month after HA fitting and leveled-off gradually thereafter. The more severe the degree of hearing loss, the slower the EPLAD rate, which emphasizes the importance of early intervention. We recommend further longitudinal studies to elucidate the dynamics of the process and individual differences in early-childhood hearing ability.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251345683"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Longitudinal Study on Early-Auditory Development in Children Who Have Slightly-Asymmetric Hearing Loss and Are Wearing Hearing Aids.\",\"authors\":\"Xiao-Yun Zhang, Wei-Li Kong, Ning-Ying Song\",\"doi\":\"10.1177/01455613251345683\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>There have been few studies on slightly-asymmetric sensorineural hearing loss (SASHL), and no study to date has reported on the longitudinal development of early-auditory ability in children with SASHL and wearing hearing aids (HAs). Thus, we explored the developmental trajectory of early-auditory ability of children with SASHL who wear HAs, and compared the differences in different types of SASHL (the mild-moderate, moderate-severe, and severe-profound).</p><p><strong>Methods: </strong>We performed a prospective, longitudinal study of 31 children with SASHL who were followed for 18 months. Their early-prelingual auditory development (EPLAD) was evaluated using the Infant-Toddler: Meaningful Auditory Integration Scale (ITMAIS), before wearing HAs and at the 1st, 3rd, 6th, 12th, and 18th month after implementing HAs. A spline function was implemented to describe the observed EPLAD trajectory. A cubic polynomial regression model was used to predict the change in the ITMAIS score over time, and nonparametric tests or the chi-squared test was used to compare differences between groups.</p><p><strong>Results: </strong>ITMAIS scores were statistically-significantly different between all subsequent follow-ups (<i>P</i> < 0.001). We constructed a highly-accurate predictive score of ITMAIS over time (<i>r</i><sup>2</sup> = 0.99) and show that sound detection was always faster than sound recognition. The EPLAD score of the severe-profound group was always lower than those of the moderate-severe group and the severe-profound group (<i>P</i> < 0.05).</p><p><strong>Conclusions: </strong>The EPLAD trajectory of the SASHL children was steepest during the first month after HA fitting and leveled-off gradually thereafter. The more severe the degree of hearing loss, the slower the EPLAD rate, which emphasizes the importance of early intervention. We recommend further longitudinal studies to elucidate the dynamics of the process and individual differences in early-childhood hearing ability.</p>\",\"PeriodicalId\":93984,\"journal\":{\"name\":\"Ear, nose, & throat journal\",\"volume\":\" \",\"pages\":\"1455613251345683\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-06-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ear, nose, & throat journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/01455613251345683\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ear, nose, & throat journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/01455613251345683","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Longitudinal Study on Early-Auditory Development in Children Who Have Slightly-Asymmetric Hearing Loss and Are Wearing Hearing Aids.
Objectives: There have been few studies on slightly-asymmetric sensorineural hearing loss (SASHL), and no study to date has reported on the longitudinal development of early-auditory ability in children with SASHL and wearing hearing aids (HAs). Thus, we explored the developmental trajectory of early-auditory ability of children with SASHL who wear HAs, and compared the differences in different types of SASHL (the mild-moderate, moderate-severe, and severe-profound).
Methods: We performed a prospective, longitudinal study of 31 children with SASHL who were followed for 18 months. Their early-prelingual auditory development (EPLAD) was evaluated using the Infant-Toddler: Meaningful Auditory Integration Scale (ITMAIS), before wearing HAs and at the 1st, 3rd, 6th, 12th, and 18th month after implementing HAs. A spline function was implemented to describe the observed EPLAD trajectory. A cubic polynomial regression model was used to predict the change in the ITMAIS score over time, and nonparametric tests or the chi-squared test was used to compare differences between groups.
Results: ITMAIS scores were statistically-significantly different between all subsequent follow-ups (P < 0.001). We constructed a highly-accurate predictive score of ITMAIS over time (r2 = 0.99) and show that sound detection was always faster than sound recognition. The EPLAD score of the severe-profound group was always lower than those of the moderate-severe group and the severe-profound group (P < 0.05).
Conclusions: The EPLAD trajectory of the SASHL children was steepest during the first month after HA fitting and leveled-off gradually thereafter. The more severe the degree of hearing loss, the slower the EPLAD rate, which emphasizes the importance of early intervention. We recommend further longitudinal studies to elucidate the dynamics of the process and individual differences in early-childhood hearing ability.
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