Relationship between pure-tone audiogram findings and speech perception among older Japanese persons

Maeda, Yukihide; Takao, Soshi; Sugaya, Akiko; Kataoka, Yuko; Kariya, Shin; Tanaka, Satomi; Nagayasu, Rie; Nakagawa, Atsuko; Nishizaki, Kazunori

doi:10.1080/00016489.2017.1378435

Cited by 17 publications

(11 citation statements)

References 10 publications

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“…However, the variability of speech recognition performance has increased greatly in patients with moderate and severe hearing loss, with the greatest variability occurring when the 4FPTA falls within the range of 60 to 80 dB HL. This trend in tonal mandarian-speaking patients is consistent with those reported by Hoppe et al and Maeda et al [11,12]. As a result, 4FPTA cannot accurately re ect an individual's speech recognition ability.…”

Section: Resultssupporting

confidence: 89%

Speech Recognition In Hearing Aids: Used For Assessing CI Candidacy In Tonal Language Population

Chang¹,

Liu²,

Chen³

et al. 2021

Preprint

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Objective: CI (cochlear implantation) candidacy is somewhat controversial in severe hearing loss among tonal mandarin-speaking patients. To assess the relationship between pure tone audiometry (PTA) and speech recognition score (SRS), with and without hearing aid amplification, among patients who did not meet the NIH criteria of CI candidacy in tonal language mandarian-speaking countries, especially those with severe hearing loss (70 dB HL < 4FPTA(0.5, 1, 2, 4 KHz) ≤ 90 dB HL) Materials and Methods: A total of 414 patients with sensorineural hearing loss with 774 ears were reviewed retrospectively in a tertiary referral center. The Mandarin Monosyllable Recognition Test (MMRT) was used to evaluate the SRS of these ears. Results: 31% (10/32) of the 32 ears with severe hearing loss, 70-90 dB HL, still showed poor speech recognition (SRS<30%) after hearing aid amplification, while 71% (46/65) of the 65 ears with profound hearing loss, > 90 dB HL, showed poor speech recognition with hearing aid amplification. Conclusions: The speech audiometry with Mandarin Monosyllable Recognition Test (MMRT) helped identify those patients whose 4FPTA< 90 dB HL fell outside the CI candidacy criteria of NIH in tonal language mandarin-speaking countries but showed significantly poor (SRS< 30%) speech recognition performance.

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Section: Resultssupporting

confidence: 89%

Speech Recognition In Hearing Aids: Used For Assessing CI Candidacy In Tonal Language Population

Chang¹,

Liu²,

Chen³

et al. 2021

Preprint

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“…The wide use of PTA as a general indicator of hearing loss (e.g., for participant inclusion in audiology studies) can be explained by the simplicity of this measure and the fact that threshold elevation is a robust predictor for unaided speech comprehension in HI people. In correlational studies, audiometric sensitivity typically explains 50-75% of the variance in intelligibility measures across listeners in various tasks 1 (Festen and Plomp, 1983;van Rooij and Plomp, 1990;George et al, 2007;Houtgast and Festen, 2008;Sheft et al, 2012;Humes, 2013;Maeda et al, 2018). For instance, Humes (2007) reports a strong dependency between the (highfrequency) PTA of 24 unaided HI listeners and their wordrecognition scores measured in quiet and against a steady speechshaped noise (both R 2 > 65%).…”

Section: Age-related and Audibility-related Deficits In Presbycusismentioning

confidence: 99%

Contributions of Age-Related and Audibility-Related Deficits to Aided Consonant Identification in Presbycusis: A Causal-Inference Analysis

Varnet

Léger

Boucher

et al. 2021

Front. Aging Neurosci.

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The decline of speech intelligibility in presbycusis can be regarded as resulting from the combined contribution of two main groups of factors: (1) audibility-related factors and (2) age-related factors. In particular, there is now an abundant scientific literature on the crucial role of suprathreshold auditory abilities and cognitive functions, which have been found to decline with age even in the absence of audiometric hearing loss. However, researchers investigating the direct effect of aging in presbycusis have to deal with the methodological issue that age and peripheral hearing loss covary to a large extent. In the present study, we analyzed a dataset of consonant-identification scores measured in quiet and in noise for a large cohort (n = 459, age = 42–92) of hearing-impaired (HI) and normal-hearing (NH) listeners. HI listeners were provided with a frequency-dependent amplification adjusted to their audiometric profile. Their scores in the two conditions were predicted from their pure-tone average (PTA) and age, as well as from their Extended Speech Intelligibility Index (ESII), a measure of the impact of audibility loss on speech intelligibility. We relied on a causal-inference approach combined with Bayesian modeling to disentangle the direct causal effects of age and audibility on intelligibility from the indirect effect of age on hearing loss. The analysis revealed that the direct effect of PTA on HI intelligibility scores was 5 times higher than the effect of age. This overwhelming effect of PTA was not due to a residual audibility loss despite amplification, as confirmed by a ESII-based model. More plausibly, the marginal role of age could be a consequence of the relatively little cognitively-demanding task used in this study. Furthermore, the amount of variance in intelligibility scores was smaller for NH than HI listeners, even after accounting for age and audibility, reflecting the presence of additional suprathreshold deficits in the latter group. Although the non-sense-syllable materials and the particular amplification settings used in this study potentially restrict the generalization of the findings, we think that these promising results call for a wider use of causal-inference analysis in audiology, e.g., as a way to disentangle the influence of the various cognitive factors and suprathreshold deficits associated to presbycusis.

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“…Although the association between speech perception in silence and high-frequency thresholds in pure-tone audiometry has not been reported in cochlear-implanted patients, previous reports showed the association of speech perception in non-implanted patients with hearing loss, especially at high frequencies (15,18). Another study, in non-implanted patients, showed the importance of preservation of the extended high frequencies (>8,000 Hz) and the performance in noise (19).…”

Section: Discussionmentioning

confidence: 94%

“…On the other hand, preservation of low-frequency auditory hearing is associated with better speech perception after cochlear implantation (14). However, in non-implanted patients, a deterioration of the speech perception is associated with an impairment of the mid and high-frequency thresholds (15).…”

Section: Introductionmentioning

confidence: 99%

Restoration of High Frequency Auditory Perception After Robot-Assisted or Manual Cochlear Implantation in Profoundly Deaf Adults Improves Speech Recognition

et al. 2021

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Background and Purpose: Robot-assisted cochlear implantation has recently been implemented in clinical practice; however, its effect on hearing outcomes is unknown. The aim of this preliminary study was to evaluate hearing performance 1 year post-implantation whether the electrode array was inserted manually or assisted by a robot.Methods: Forty-two profoundly deaf adults were implanted either manually (n = 21) or assisted by a robot (RobOtol®, Collin, Bagneux, France) with three different electrode array types. Participants were paired by age, and electrode array type. The scalar position of the electrode array in the cochlea was assessed by 3D reconstruction from the pre- and post-implantation computed tomography. Pure-tone audiometry and speech perception in silence (percentage of disyllabic words at 60 dB) were tested on the implanted ear 1 year post-implantation in free-field conditions. The pure-tone average was calculated at 250–500–750 Hz, 500–1,000–2,000–3,000 Hz, and 3,000–4,000–8,000 Hz for low, mid, and high frequencies, respectively.Results: One year after cochlear implantation, restoration of the high-frequency thresholds was associated with better speech perception in silence, but not with low or mid frequencies (p < 0.0001; Adjusted R2 = 0.64, polynomial non-linear regression). Although array translocation was similar using either technique, the number of translocated electrodes was lower when the electrode arrays had been inserted with the assistance of the robot compared with manual insertion (p = 0.018; Fisher's exact test).Conclusion: The restoration of high-frequency thresholds (3,000–4,000–8,000 Hz) by cochlear implantation was associated with good speech perception in silence. The numbers of translocated electrodes were reduced after a robot-assisted insertion.

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Relationship between pure-tone audiogram findings and speech perception among older Japanese persons

Abstract: The PTT on the pure-tone audiogram (PTA) is a good predictor of SP by speech audiometry among older persons, which could provide clinically important information for hearing aid fitting and cochlear implantation.

Cited by 17 publications

References 10 publications

Speech Recognition In Hearing Aids: Used For Assessing CI Candidacy In Tonal Language Population

Speech Recognition In Hearing Aids: Used For Assessing CI Candidacy In Tonal Language Population

Contributions of Age-Related and Audibility-Related Deficits to Aided Consonant Identification in Presbycusis: A Causal-Inference Analysis

Restoration of High Frequency Auditory Perception After Robot-Assisted or Manual Cochlear Implantation in Profoundly Deaf Adults Improves Speech Recognition

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