Which Patients With a Unilateral Hearing Aid for Symmetric Sensorineural Hearing Loss Have Auditory Deprivation?
Objectives The aim of study is to find conditions that aggravate auditory deprivation in patients with symmetric hearing loss after unilateral digital, non-linear hearing aid (HA). Methods In the retrospective case-comparison study, we assessed 47 patients with symmetric sensorineural hearing loss (...
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Korean Society of Otorhinolaryngology-Head and Neck Surgery
2020-02-01
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doaj-fc50adbff0ae4db4b03c012a6deab3792020-11-25T02:51:51ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202020-02-01131232810.21053/ceo.2019.00402646Which Patients With a Unilateral Hearing Aid for Symmetric Sensorineural Hearing Loss Have Auditory Deprivation?Hyun Jin Lee0Jeon Mi Lee1Gina Na2Young Min Moon3Chan Lee4Jinsei Jung5 Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea Department of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, KoreaObjectives The aim of study is to find conditions that aggravate auditory deprivation in patients with symmetric hearing loss after unilateral digital, non-linear hearing aid (HA). Methods In the retrospective case-comparison study, we assessed 47 patients with symmetric sensorineural hearing loss (SNHL), wearing unilateral conventional HAs. Audiological outcomes were assessed >1 year after HA fitting (mean duration, 31.0 months). Pure-tone audiometry in HA-aided and HA-unaided conditions was performed over time. Word recognition score (WRS) was evaluated at the most comfortable listening level. Results The initial pure tone average of four frequency thresholds at 500, 1,000, 2,000, and 4,000 Hz (PTA4) did not show a difference of >5 dB HL between HA-aided and HA-unaided ears. WRS progressively decreased for both HA-aided and HA-unaided ears although the extent of decrease was significantly greater for HA-unaided (7.6%) than for HA-aided ears (5.1%, P<0.05). Notably, auditory deprivation in HA-unaided ears was significantly greater in patients with an initial PTA4 ≥53 dB HL (P<0.001). Conclusion Bilateral HAs are strongly recommended, particularly for patients with moderate to severe SNHL to prevent auditory deprivation in the contralateral ear.http://www.e-ceo.org/upload/pdf/ceo-2019-00402.pdfauditory deprivationsensorineural hearing lossunilateral hearing aidspeech intelligibility |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hyun Jin Lee Jeon Mi Lee Gina Na Young Min Moon Chan Lee Jinsei Jung |
spellingShingle |
Hyun Jin Lee Jeon Mi Lee Gina Na Young Min Moon Chan Lee Jinsei Jung Which Patients With a Unilateral Hearing Aid for Symmetric Sensorineural Hearing Loss Have Auditory Deprivation? Clinical and Experimental Otorhinolaryngology auditory deprivation sensorineural hearing loss unilateral hearing aid speech intelligibility |
author_facet |
Hyun Jin Lee Jeon Mi Lee Gina Na Young Min Moon Chan Lee Jinsei Jung |
author_sort |
Hyun Jin Lee |
title |
Which Patients With a Unilateral Hearing Aid for Symmetric Sensorineural Hearing Loss Have Auditory Deprivation? |
title_short |
Which Patients With a Unilateral Hearing Aid for Symmetric Sensorineural Hearing Loss Have Auditory Deprivation? |
title_full |
Which Patients With a Unilateral Hearing Aid for Symmetric Sensorineural Hearing Loss Have Auditory Deprivation? |
title_fullStr |
Which Patients With a Unilateral Hearing Aid for Symmetric Sensorineural Hearing Loss Have Auditory Deprivation? |
title_full_unstemmed |
Which Patients With a Unilateral Hearing Aid for Symmetric Sensorineural Hearing Loss Have Auditory Deprivation? |
title_sort |
which patients with a unilateral hearing aid for symmetric sensorineural hearing loss have auditory deprivation? |
publisher |
Korean Society of Otorhinolaryngology-Head and Neck Surgery |
series |
Clinical and Experimental Otorhinolaryngology |
issn |
1976-8710 2005-0720 |
publishDate |
2020-02-01 |
description |
Objectives The aim of study is to find conditions that aggravate auditory deprivation in patients with symmetric hearing loss after unilateral digital, non-linear hearing aid (HA). Methods In the retrospective case-comparison study, we assessed 47 patients with symmetric sensorineural hearing loss (SNHL), wearing unilateral conventional HAs. Audiological outcomes were assessed >1 year after HA fitting (mean duration, 31.0 months). Pure-tone audiometry in HA-aided and HA-unaided conditions was performed over time. Word recognition score (WRS) was evaluated at the most comfortable listening level. Results The initial pure tone average of four frequency thresholds at 500, 1,000, 2,000, and 4,000 Hz (PTA4) did not show a difference of >5 dB HL between HA-aided and HA-unaided ears. WRS progressively decreased for both HA-aided and HA-unaided ears although the extent of decrease was significantly greater for HA-unaided (7.6%) than for HA-aided ears (5.1%, P<0.05). Notably, auditory deprivation in HA-unaided ears was significantly greater in patients with an initial PTA4 ≥53 dB HL (P<0.001). Conclusion Bilateral HAs are strongly recommended, particularly for patients with moderate to severe SNHL to prevent auditory deprivation in the contralateral ear. |
topic |
auditory deprivation sensorineural hearing loss unilateral hearing aid speech intelligibility |
url |
http://www.e-ceo.org/upload/pdf/ceo-2019-00402.pdf |
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