Department of Otolaryngology, University of Perugia, Perugia, Italy.
Highland Instruments, Cambridge (MA), USA.
J Int Adv Otol. 2020 Aug;16(2):158-164. doi: 10.5152/iao.2020.7941.
To evaluate the effects of an adhesive adapter prosthesis (AAP) on memory function in pediatric subjects with single side hearing loss (SSHL).
Case-control study. 19 pediatric subjects with mild to moderate SSHL treated with AAP and 15 subjects with normal hearing (control group) were included in this study. Working and short-term memory functions were tested in all subjects, in silence and noise conditions. In SSHL subjects, tests were performed before the AAP was applied (T0) and at 1-month (T1) follow-up. The control group was tested once.
AAP significantly improved working memory function in noise as measured at T1 (p<0.01) compared with T0, but T1 scores in children with SSHL remained significantly different from the ones of the control group (p<0.01). AAP also significantly improved short- term memory function test scores at T1 compared with T0 (p<0.01), but despite being in the normal range for the subjects' age, the scores remained significantly different from those of the control group (p<0.01).
In pediatric subjects with mild, moderate, and moderate-severe SSHL, restoration of bilateral hearing through AAP improved short-term memory function and working memory function in noise, as measured at 1 month follow-up; however, AAP did not seem to lead to a full restoration of such functions as measured by a comparison with healthy controls. Further studies with longer follow-ups might help elucidate whether AAP can elicit further improvements in memory functions.
评估黏附式转接器义齿(AAP)对单侧听力损失(SSHL)儿童患者记忆功能的影响。
病例对照研究。纳入 19 例单侧听力损失(轻至中度)并接受 AAP 治疗的儿童患者(病例组)及 15 例听力正常的儿童(对照组)。所有受试者均在安静和噪声环境下接受工作记忆和短期记忆功能测试。在病例组中,在 AAP 应用前(T0)及 1 个月随访时(T1)进行测试。对照组仅进行一次测试。
与 T0 相比,AAP 在 T1 时显著改善了噪声下的工作记忆功能(p<0.01),但病例组的 T1 评分仍明显低于对照组(p<0.01)。AAP 还显著改善了 T1 时的短期记忆功能测试评分(p<0.01),但尽管与受试者年龄的正常范围相符,评分仍明显低于对照组(p<0.01)。
在轻、中、中重度单侧听力损失的儿童患者中,通过 AAP 恢复双侧听力可改善短期记忆功能和噪声下的工作记忆功能,在 1 个月随访时即可观察到;然而,与健康对照组相比,AAP 似乎并未完全恢复这些功能。进一步的长期随访研究可能有助于阐明 AAP 是否可以进一步改善记忆功能。