Spatial Hearing Disability After Acoustic Neuroma Removal

Douglas, Susan A; Yeung, Phil; Daudia, A.; Gatehouse, Stuart; O’Donoghue, Gerard M.

doi:10.1097/mlg.0b013e3180caa162

Cited by 76 publications

(75 citation statements)

References 15 publications

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“…Based on the SSQ total subscale scores, more than 75% of the AHL population experienced a hearing disability. A review of the literature Douglas et al, 2007] suggests similar results. For the remaining 25% of our AHL cohort, closer approximations to scores achieved for the NHL were observed.…”

Section: Resultssupporting

confidence: 64%

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

et al. 2015

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We evaluated the relationship between binaural hearing deficits and quality of life. The study included 49 adults with asymmetric hearing loss (AHL), and 11 adult normal-hearing listeners (NHL) served as controls. Speech reception thresholds (SRT) were assessed with the French Matrix Test. Quality of life was evaluated with the Speech, Spatial and Qualities of Hearing Scale (SSQ) and the Glasgow Health Status Inventory. Speech recognition in noise was significantly poorer for AHL subjects [-0.12 dB signal-to-noise ratio (SNR) in dichotic (with speech presented to the poorer ear and noise to the better ear), -1.72 dB in diotic and -6.84 dB in reverse-dichotic conditions] compared to NHL (-4.98 dB in diotic and -9.58 dB in dichotic conditions). Scores for quality-of-life questionnaires were significantly below norms. Significant correlations were found between the SRT for the dichotic condition and the SSQ total score (r = -0.38, p = 0.01), and pure-tone average thresholds for both groups.

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Section: Resultssupporting

confidence: 64%

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

et al. 2015

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“…The only subscales that do not indicate a benefit are speech in quiet and identification of sound and objects. Previous investigations have demonstrated the challenges associated with monaural hearing using the SSQ pragmatic subscales [Douglas et al, 2007;Dwyer et al, 2014]. Douglas et al [2007] reported poorer speech perception in multiple speech-stream processing and switching, localization, and listening effort in patients with substantial UHL resulting from acoustic neuroma removal as compared to a NH cohort.…”

Section: Pragmatic Subscalesmentioning

confidence: 99%

“…While audiological assessment of hearing intervention tends to focus on behavioral measures, such as speech perception, these measures do not capture all of the functional benefits that CI recipients experience in real-world listening conditions. For instance, patients with UHL may present with high levels of speech perception in quiet due to the NH ear and yet report poor speech and spatial hearing as compared to their NH peers [Douglas et al, 2007;Wie et al, 2010]. Inclusion of quality of life measures in addition to behavioral measures may provide a more thorough understanding of whether cochlear implantation is an effective treatment option for substantial UHL.…”

Section: Introductionmentioning

confidence: 99%

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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“…Single-sided deafness (SSD) affects the quality of life of patients, since they experience discomfort in difficult situations such as hearing in noise or sound localization [Douglas et al, 2007]. The loss of hearing in one ear suppresses the interaural time and sound level differences that are responsible for localization [Kitterick et al, 2014].…”

Section: Introductionmentioning

confidence: 99%

Audiological Results and Quality of Life of Sophono Alpha 2 Transcutaneous Bone-Anchored Implant Users in Single-Sided Deafness

Bernardeschi

Russo

Nguyen³

et al. 2016

Audiol Neurotol

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Single-sided deafness (SSD) represents one of the most difficult audiological conditions to rehabilitate. The aim of this prospective study was to evaluate the audiological benefits and quality of life of patients affected by SSD who had previously been users of the Alpha 1® when upgrading them to the Sophono Alpha 2® external processor (Boulder, Colo., USA). Nine patients were included in the study. They underwent physical examination, free-field speech audiometry at 40 and 60 dB, a hearing-in-noise test (Hirsch's test and the squelch test), the Glasgow Benefit Inventory (GBI) questionnaire, and a specific questionnaire on patient satisfaction with Alpha 1. Afterwards, the Alpha 2 external processor was delivered to all patients, and the above-mentioned protocol was repeated after 1 month with the Alpha 2. A statistically significant improvement was found in the speech discrimination score at 40 dB and in the squelch test when using the Alpha 2 external processor compared to the Alpha 1. Alpha 2 had a good clinical tolerance and gave similar results in the specific questionnaire and the GBI to Alpha 1. In conclusion, the new Alpha 2 external processor represents a safe and effective device for the rehabilitation of SSD, and there is an audiological benefit to upgrading to the Alpha 2 external processor for patients who had previously been users of the Alpha 1. The improvement in quality of life is similar to that with other bone-anchored hearing devices.

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Spatial Hearing Disability After Acoustic Neuroma Removal

Cited by 76 publications

References 15 publications

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

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

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

Audiological Results and Quality of Life of Sophono Alpha 2 Transcutaneous Bone-Anchored Implant Users in Single-Sided Deafness

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