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非手术式骨传导黏附装置对单侧耳聋成人颞叶加工能力的影响:一项初步研究

The Effect of a Non-Surgical Adhesive Bone Conduction Device on Temporal Processing Performance in Adults with Single Sided Deafness: A Pilot Study.

作者信息

Qi Li, Hui Elizabeth, Nunez Desmond A

机构信息

Neuro-Otology Clinic, Gordon & Leslie Diamond Health Care Centre, Vancouver General Hospital, Vancouver, BC, Canada.

Division of Otolaryngology, Department of Surgery, The University of British Columbia, Vancouver, BC, Canada.

出版信息

J Otolaryngol Head Neck Surg. 2024 Jan-Dec;53:19160216241296136. doi: 10.1177/19160216241296136.

DOI:10.1177/19160216241296136
PMID:39698903
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11656423/
Abstract

BACKGROUND

There is a dearth of information on the effects of bone conductive devices on temporal processing in individuals with single-sided deafness (SSD). This study investigates the effect of an adhesive bone conductive device on temporal processing in adults with SSD.

METHODS

A prospective cohort study of temporal processing in adults with SSD was undertaken. Outcome measures were the pitch pattern test (PPT) and the duration pattern test (DPT) scores, sound field pure tone audiometric (PTA) averaged hearing thresholds, and word recognition scores (WRS). These were measured under 3 conditions: unaided in quiet, unaided in noise, and aided in noise. Eight SSD novice hearing amplification users were recruited.

RESULTS

The adhesive bone conduction device (BCD) resulted in a statistically-significant improvement (Wilcoxon signed ranks test,  = .018) in median [interquartile range (IQR)] PPT score, 65% (IQR = 35.5), and DPT score, 38% (IQR = 42.5) in noise.

CONCLUSIONS

Adults with SSD demonstrated improved temporal processing scores with masking of the normal-hearing ear when using an adhesive BCD placed behind the deafened ear.

摘要

背景

关于骨传导装置对单侧耳聋(SSD)个体时间处理能力影响的信息匮乏。本研究调查了一种粘性骨传导装置对成年SSD患者时间处理能力的影响。

方法

对成年SSD患者的时间处理能力进行了一项前瞻性队列研究。结果测量指标为音调模式测试(PPT)和时长模式测试(DPT)分数、声场纯音听力测定(PTA)平均听阈以及单词识别分数(WRS)。这些指标在三种条件下进行测量:安静环境下未佩戴辅助设备、噪声环境下未佩戴辅助设备以及噪声环境下佩戴辅助设备。招募了8名SSD听力放大新手用户。

结果

粘性骨传导装置(BCD)使噪声环境下的PPT中位数[四分位间距(IQR)]分数显著提高(Wilcoxon符号秩检验,P = 0.018),提高了65%(IQR = 35.5),DPT分数提高了38%(IQR = 42.5)。

结论

成年SSD患者在患耳后方佩戴粘性BCD并对正常听力耳进行掩蔽时,时间处理分数有所提高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac2d/11656423/e7f57113d129/10.1177_19160216241296136-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac2d/11656423/a78e882bf38b/10.1177_19160216241296136-img2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac2d/11656423/e7f57113d129/10.1177_19160216241296136-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac2d/11656423/a78e882bf38b/10.1177_19160216241296136-img2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac2d/11656423/e7f57113d129/10.1177_19160216241296136-fig1.jpg

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J Korean Med Sci. 2022 Jun 13;37(23):e182. doi: 10.3346/jkms.2022.37.e182.
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Long-Term Effects of Hearing Aid Use on Auditory Spectral Discrimination and Temporal Envelope Sensitivity and Speech Perception in Noise.长期使用助听器对听觉频谱辨别和时间包络敏感性以及噪声中言语感知的影响。
J Int Adv Otol. 2022 Jan;18(1):43-50. doi: 10.5152/iao.2022.21228.
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Changes of Temporal Processing and Hearing in Noise after Use of a Monoaural Hearing Aid in Patients with Sensorineural Hearing Loss: A Preliminary Study.
感音神经性听力损失患者使用单耳助听器后颞部听觉处理及噪声环境下听力的变化:一项初步研究
J Audiol Otol. 2021 Jul;25(3):146-151. doi: 10.7874/jao.2021.00038. Epub 2021 Jul 10.
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Effectiveness of the Auditory Temporal Ordering and Resolution Tests to Detect Central Auditory Processing Disorder in Adults With Evidence of Brain Pathology: A Systematic Review and Meta-Analysis.听觉时间排序和分辨测试在检测有脑病理学证据的成人中枢听觉处理障碍中的有效性:一项系统评价和荟萃分析
Front Neurol. 2021 Jun 2;12:656117. doi: 10.3389/fneur.2021.656117. eCollection 2021.
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Hearing with One Ear: Consequences and Treatments for Profound Unilateral Hearing Loss.单耳听力:重度单侧听力损失的后果与治疗方法
J Clin Med. 2020 Apr 3;9(4):1010. doi: 10.3390/jcm9041010.
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