Quality of Life and Auditory Performance in Adults with Asymmetric Hearing Loss

Vannson, Nicolas; James, Christopher J.; Fraysse, Bernard; Strelnikov, Kuzma; Barone, Pascal; Deguine, Olivier; Marx, Mathieu

doi:10.1159/000380746

Cited by 91 publications

(68 citation statements)

References 23 publications

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“…This indicates the responses to the APHAB Background Noise subscale and the SSQ Speech subscale were reflective of performance on a challenging speech in noise behavioral measure. This result is similar to that reported by Vannson et al [2015], which evaluated performance in a cohort of subjects with varying degrees of asymmetric hearing loss.…”

Section: Comparison With Behavioral Measuressupporting

confidence: 90%

Effect of Cochlear Implantation on Quality of Life in Adults with Unilateral Hearing Loss

et al. 2017

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Objective: Patients with moderate-to-profound sensorineural hearing loss in 1 ear and normal hearing in the contralateral ear, known as unilateral hearing loss (UHL) or single-sided deafness (SSD), may experience improved quality of life with the use of a cochlear implant (CI) in the affected ear. Quality of life assessment before and after implantation may reveal changes to aspects of hearing beyond those explicitly evaluated with behavioral measures. Methods: The present report completed 2 experiments investigating quality of life outcomes in CI recipients with UHL. The first experiment assessed quality of life during the 1st year of device use with 3 questionnaires: the Speech, Spatial, and Qualities of Hearing Scale (SSQ), the Abbreviated Profile of Hearing Aid Benefit (APHAB), and the Tinnitus Handicap Inventory. Twenty subjects were evaluated preoperatively and 1, 3, 6, 9, and 12 months post-activation. Quality of life results were compared over the study period using traditional scoring methods and the SSQ pragmatic subscales. Subscales specific to localization and speech perception in noise were compared to behavioral measures at the preoperative and 12-month intervals. The 2nd experiment evaluated quality of life preoperatively and at the 12-month interval for CI recipients with UHL and CI recipients with bilateral hearing loss, including conventional CI users and those listening with electric-acoustic stimulation (EAS). The 3 cohorts differed in CI candidacy criteria, including the amount of residual hearing in the contralateral ear. Results: For subjects with moderate-to-profound UHL, receipt of a CI significantly improved quality of life, with benefits noted as early as 1 month after initial activation. The UHL cohort reported less perceived difficulty at the pre- and postoperative intervals than the conventional CI and EAS cohorts, which may be due to the presence of the normal-hearing ear. Each group experienced a significant benefit in quality of life on the APHAB with CI use. Conclusions: Cochlear implantation in cases of substantial UHL may offer significant improvements in quality of life. Quality of life measures revealed a reduction in perceived tinnitus severity and subjective improvements in speech perception in noise, spatial hearing, and listening effort. While self-report of difficulties were lower for the UHL cohort than the conventional CI and EAS cohorts, subjects in all 3 groups reported an improvement in quality of life with CI use.

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Section: Comparison With Behavioral Measuressupporting

confidence: 90%

Effect of Cochlear Implantation on Quality of Life in Adults with Unilateral Hearing Loss

et al. 2017

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“…However, binaural hearing is less important in understanding in a quiet background 15. In this study, understanding in quiet was the only construct that was not statistically different between patients with symmetrical and asymmetrical hearing loss.…”

Section: Discussionmentioning

confidence: 49%

Validation of the Korean Version of the Spatial Hearing Questionnaire for Assessing the Severity and Symmetry of Hearing Impairment

et al. 2017

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PurposeSpatial hearing refers to the ability to understand speech and identify sounds in various environments. We assessed the validity of the Korean version of the Spatial Hearing Questionnaire (K-SHQ).Materials and MethodsWe performed forward translation of the original English SHQ to Korean and backward translation from the Korean to English. Forty-eight patients who were able to read and understand Korean and received a score of 24 or higher on the Mini-Mental Status Examination were included in the study. Patients underwent pure tone audiometry (PTA) using a standard protocol and completed the K-SHQ. Internal consistency was evaluated using Cronbach's alpha, and factor analysis was performed to prove reliability. Construct validity was tested by comparing K-SHQ scores from patients with normal hearing to those with hearing impairment. Scores were compared between subjects with unilateral or bilateral hearing loss and between symmetrical and asymmetrical hearing impairment.ResultsCronbach's alpha showed good internal consistency (0.982). Two factors were identified by factor analysis: There was a significant difference in K-SHQ scores for patients with normal hearing compared to those with hearing impairment. Patients with asymmetric hearing impairment had higher K-SHQ scores than those with symmetric hearing impairment. This is related to a lower threshold of PTA in the better ear of subjects. The hearing ability of the better ear is correlated with K-SHQ score.ConclusionThe K-SHQ is a reliable and valid tool with which to assess spatial hearing in patients who speak and read Korean. K-SHQ score reflects the severity and symmetry of hearing impairment.

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“…Sensorineural hearing loss (SNHL) has a remarkable cumulative incidence, with a national prevalence of 19% in youth and 80% among octogenarians . This condition may negatively impact quality of life, social functioning, and psychological status . In addition, cases occurring subsequent to an exogenous insult may be irreversible unless the underlying cause is identified rapidly after its presentation .…”

Section: Introductionmentioning

confidence: 99%

“…1,2 This condition may negatively impact quality of life, social functioning, and psychological status. [3][4][5][6] In addition, cases occurring subsequent to an exogenous insult may be irreversible unless the underlying cause is identified rapidly after its presentation. [7][8][9] Recognizing triggers of SNHL can be crucial for initiating timely management, and ototoxic medication exposure is an important etiology for the clinician to identify, particularly because failure to discontinue the inciting agent can lead to further hearing deterioration.…”

Section: Introductionmentioning

confidence: 99%

Macrolide‐associated sensorineural hearing loss: A systematic review

et al. 2017

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Objectives: To investigate the potential association of macrolide antibiotics with sensorineural hearing loss (SNHL) and which agents and dosage may be related. To evaluate whether an optimal treatment exists for reversing SNHL that occurs after macrolide therapy.Study Design: Systematic review of the literature. Methods: Computerized (PubMed, EMBASE, Cochrane Library) and manual searches were performed to identify human studies of all ages (patients) who received macrolides (intervention, with or without control) and documented SNHL (outcome). All study designs were assessed. Extracted data included macrolide regimen details, as well as the timing, severity, and reversibility of SNHL with drug cessation alone or with additional medical intervention. Study designs and the associated risk of bias were assessed.Results: The 44 publications (3 prospective, 41 retrospective) that met these criteria described 78 cases of audiometrically confirmed SNHL. SNHL was associated with oral and intravenous macrolide administration at standard and elevated doses. SNHL was irreversible in six cases, despite macrolide cessation (n 5 5) and oral steroid treatment (n 5 1). Irreversible SNHL was observed following 2 to 3 days of exposure. SNHL was reversible with macrolide cessation alone in 70 cases. In two cases, macrolide cessation coupled with oral steroid administration restored hearing. Reversible cases improved within hours to days. Nine studies also described 42 cases of subjective patient-reported hearing loss. Limitations in the data arose from study design, related comorbidities, and concomitant drug administration.Conclusion: SNHL may follow macrolide exposure, even at standard oral doses. Further research is needed to understand the incidence, prevalence, and biological mechanism of its ototoxicity.

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Quality of Life and Auditory Performance in Adults with Asymmetric Hearing Loss

Cited by 91 publications

References 23 publications

Effect of Cochlear Implantation on Quality of Life in Adults with Unilateral Hearing Loss

Effect of Cochlear Implantation on Quality of Life in Adults with Unilateral Hearing Loss

Validation of the Korean Version of the Spatial Hearing Questionnaire for Assessing the Severity and Symmetry of Hearing Impairment

Macrolide‐associated sensorineural hearing loss: A systematic review

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