Tone Decay Reconsidered: Preliminary Results of a Prospective Study in Hearing-Aid Users with Moderate to Severe Hearing Loss
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patient Characteristics
2.2. Audiological Parameters
2.3. Tone Decay Test
2.4. Possible Characteristics of Tone Decay Measurements
3. Results
3.1. Pure-Tone and Speech Audiometry
3.2. Tone Decay
4. Discussion
4.1. Tone Decay and Speech Comprehension
4.2. Application of Tone Decay Assessment in a Changing Patient Population
4.3. Limits of this Study and Feasibility
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Dörfler, C.; Hocke, T.; Hast, A.; Hoppe, U. Speech recognition with hearing aids for 10 standard audiograms: English version. HNO 2020, 68, 93–99. [Google Scholar] [CrossRef]
- Engler, M.; Digeser, F.; Hoppe, U. Effectiveness of hearing aid provision for severe hearing loss. HNO 2022, 70, 520–532. [Google Scholar] [CrossRef] [PubMed]
- McRackan, T.R.; Ahlstrom, J.B.; Clinkscales, W.B.; Meyer, T.A.; Dubno, J.R. Clinical Implications of Word Recognition Differences in Earphone and Aided Conditions. Otol. Neurotol. 2016, 37, 1475–1481. [Google Scholar] [CrossRef]
- McRackan, T.R.; Fabie, J.E.; Burton, J.A.; Munawar, S.; Holcomb, M.A.; Dubno, J.R. Earphone and Aided Word Recognition Differences in Cochlear Implant Candidates. Otol. Neurotol. 2018, 39, e543–e549. [Google Scholar] [CrossRef] [PubMed]
- Franks, Z.G.; Jacob, A. The speech perception gap in cochlear implant patients. Cochlear Implant. Int. 2019, 20, 176–181. [Google Scholar] [CrossRef] [PubMed]
- Carhart, R. Basic principles of speech audiometry. Acta Otolaryngol. 1951, 40, 62–71. [Google Scholar] [CrossRef]
- Plomp, R. Auditory handicap of hearing impairment and the limited benefit of hearing aids. J. Acoust. Soc. Am. 1978, 63, 533–549. [Google Scholar] [CrossRef]
- Carhart, R. Clinical determination of abnormal auditory adaptation. AMA Arch. Otolaryngol. 1957, 65, 32–39. [Google Scholar] [CrossRef]
- Huss, M.; Moore, B.C. Tone decay for hearing-impaired listeners with and without dead regions in the cochlea. J. Acoust. Soc. Am. 2003, 114, 3283–3294. [Google Scholar] [CrossRef]
- Scharf, B. Loudness adaptation. In Hearing Research and Theory; Tobias, J.V., Schubert, E.D., Eds.; Academic Press: New York, NY, USA, 1983; Volume 2, pp. 1–56. [Google Scholar]
- Miśkiewicz, A.; Scharf, B.; Hellman, R.; Meiselman, C. Loudness adaptation at high frequencies. J. Acoust. Soc. Am. 1993, 94, 1281–1286. [Google Scholar] [CrossRef]
- Wynne, D.P.; Zeng, F.G.; Bhatt, S.; Michalewski, H.J.; Dimitrijevic, A.; Starr, A. Loudness adaptation accompanying ribbon synapse and auditory nerve disorders. Brain 2013, 136, 1626–1638. [Google Scholar] [CrossRef] [PubMed]
- Arndt, S.; Laszig, R.; Aschendorff, A.; Hassepass, F.; Beck, R.; Wesarg, T. Cochlear implant treatment of patients with single-sided deafness or asymmetric hearing loss. HNO 2017, 65, 98–108. [Google Scholar] [CrossRef] [PubMed]
- Mrowinski, D.; Scholz, G. Audiometrie Eine Anleitung Für Die Praktische Hörprüfung, 5th ed.; Georg Thieme Verlag: Stuttgart, Germany, 2017; p. 58ff. ISBN 978-3-13-240107-5. [Google Scholar]
- Lehnhardt, E. Adaptation und Hörermüdung. In Praxis der Audiometrie, 8th ed.; Lehnhardt, E., Laszig, R., Eds.; Thieme: Stuttgart, Germany, 2001; p. 153ff. [Google Scholar]
- Hoppe, U.; Hast, A.; Hocke, T. Audiometry-Based Screening Procedure for Cochlear Implant Candidacy. Otol. Neurotol. 2015, 36, 1001–1005. [Google Scholar] [CrossRef] [PubMed]
- Kronlachner, M.; Baumann, U.; Stover, T.; Weissgerber, T. Investigation of the quality of hearing aid provision in seniors considering cognitive functions. Laryngorhinootologie 2018, 97, 852–859. [Google Scholar] [CrossRef]
- Beyer, A.; Rieck, J.H.; Mewes, A.; Dambon, J.A.; Hey, M. Extended preoperative speech audiometric diagnostics for cochlear implant treatment. HNO 2023, 71, 779–786. [Google Scholar] [CrossRef] [PubMed]
- AWMF. Leitlinien: Cochlea-Implantat Versorgung und Zentral-Auditorische Implantate. 2020. Available online: https://www.awmf.org/uploads/tx_szleitlinien/017-071l_S2k_Cochlea-Implantat-Versorgung-zentral-auditorische-Implantate_2020-12.pdf (accessed on 1 June 2023).
- Hoppe, U.; Hocke, T.; Hast, A.; Iro, H. Cochlear Implantation in Candidates With Moderate-to-Severe Hearing Loss and Poor Speech Perception. Laryngoscope 2021, 131, E940–E945. [Google Scholar] [CrossRef]
- Thangavelu, K.; Nitzge, M.; Weiß, R.M.; Mueller-Mazzotta, J.; Stuck, B.A.; Reimann, K. Role of cochlear reserve in adults with cochlear implants following post-lingual hearing loss. Eur. Arch. Otorhinolaryngol. 2022, 280, 1063–1071. [Google Scholar] [CrossRef]
- Rieck, J.H.; Beyer, A.; Mewes, A.; Caliebe, A.; Hey, M. Extended Preoperative Audiometry for Outcome Prediction and Risk Analysis in Patients Receiving Cochlear Implants. J. Clin. Med. 2023, 12, 3262. [Google Scholar] [CrossRef] [PubMed]
- Hoppe, U.; Hast, A.; Hocke, T. Validation of a predictive model for speech discrimination after cochlear impIant provision. HNO 2023, 71, 53–59. [Google Scholar] [CrossRef]
- Zwartenkot, J.W.; Snik, A.D.F.M.; Mylanus, E.A.; Mulder, J.J. Amplification options for patients with mixed hearing loss. Otol. Neurotol. 2014, 35, 221–226. [Google Scholar] [CrossRef]
- Rahne, T.; Plontke, S.K. Device-based treatment of mixed hearing loss: An audiological comparison of current hearing systems. HNO 2016, 64, 91–100. [Google Scholar] [CrossRef] [PubMed]
- Rahne, T. Physical audiological principles of implantable hearing systems: About power transmission, coupling and power output. HNO 2021, 69, 475–482. [Google Scholar] [CrossRef] [PubMed]
- Moberly, A.C.; Bates, C.; Harris, M.S.; Pisoni, D.B. The Enigma of Poor Performance by Adults with Cochlear Implants. Otol. Neurotol. 2016, 37, 1522–1528. [Google Scholar] [CrossRef] [PubMed]
- Goudey, B.; Plant, K.; Kiral, I.; Jimeno-Yepes, A.; Swan, A.; Gambhir, M.; Büchner, A.; Kludt, E.; Eikelboom, R.H.; Sucher, C.; et al. A MultiCenter Analysis of Factors Associated with Hearing Outcome for 2,735 Adults with Cochlear Implants. Trends Hear. 2021, 25, 23312165211037525. [Google Scholar] [CrossRef] [PubMed]
- Lee, E.; Pisa, J.; Hochman, J. Comorbidity associated with worse outcomes in a population of limited cochlear implant performers. Laryngoscope Investig. Otolaryngol. 2023, 8, 230–235. [Google Scholar] [CrossRef] [PubMed]
- Tropitzsch, A.; Schade-Mann, T.; Gamerdinger, P.; Dofek, S.; Schulte, B.; Schulze, M.; Fehr, S.; Biskup, S.; Haack, T.B.; Stöbe, P.; et al. Variability in Cochlear Implantation Outcomes in a Large German Cohort with a Genetic Etiology of Hearing Loss. Ear Hear. 2023, 44, 1464–1484. [Google Scholar] [CrossRef] [PubMed]
- Thomsen, J.; Terkildsen, K. Audiological findings in 125 cases of acoustic neuromas. Acta Otolaryngol. 1975, 80, 353–361. [Google Scholar] [CrossRef]
- Gertner, A.B. Site of lesion testing findings in a routine test battery. Am. J. Otol. 1981, 2, 219–222. [Google Scholar]
- Strasilla, C.; Synchra, V. Imaging-based diagnosis of vestibular schwannoma. HNO 2017, 65, 373–380. [Google Scholar] [CrossRef]
- Hoth, S.; Dziemba, O.C. The Role of Auditory Evoked Potentials in the Context of Cochlear Implant Provision. Otol. Neurotol. 2017, 38, e522–e530. [Google Scholar] [CrossRef]
- Dziemba, O.C.; Hocke, T.; Müller, A. EABR on cochlear implant—Measurements from clinical routine compared to reference values. GMS Z Audiol 2022, 4, Doc05. [Google Scholar] [CrossRef]
- Wable, J.; Frachet, B.; Gallego, S. Tone decay at threshold with auditory electrical stimulation in digisonic cochlear implantees. Audiology 2001, 40, 265–271. [Google Scholar] [CrossRef] [PubMed]
- Wasmann, J.A.; van Eijl, R.H.M.; Versnel, H.; van Zanten, G.A. Assessing auditory nerve condition by tone decay in deaf subjects with a cochlear implant. Int. J. Audiol. 2018, 57, 864–871. [Google Scholar] [CrossRef] [PubMed]
Subjects | Age | Sex | Ear | Ipsilat. 4FPTA [dB HL] | Contralat. 4FPTA [dB HL] | WRSmax [%] | WRS65(HA) [%] | Tone Decay at 1, 1.5, 2, 3, 4 kHz [dB] |
---|---|---|---|---|---|---|---|---|
1 | 51 | f | L | 58.8 | 76.3 | 0 | 0 | 45—n.c.—n.c.—n.c.—n.c. |
2 | 68 | m | L | 68.8 | 60.0 | 55 | 30 | 0—n.c.—0—0—n.c. |
3 | 76 | m | L | 80.0 | 60.0 | 90 | 50 | 0—10—15—n.c.—n.c. |
4 | 63 | m | R | 62.5 | 65.0 | 65 | 35 | 15—n.c.—0—5—10 |
5 | 45 | m | R | 72.5 | 41.3 | 75 | 10 | 0—0—5—10—30 |
6 | 59 | m | R | 71.3 | 102.5 | 0 | 25 | 35—10—0—0—25 |
7 | 51 | f | R | 78.8 | 76.3 | 45 | 40 | 15—n.c.—n.c.—n.c.—n.c. |
8 | 72 | f | R | 58.8 | 63.8 | 75 | 65 | 0—5—20—25—20 |
9 | 70 | f | R | 52.5 | 63.8 | 90 | 65 | 5—5—5—15—15 |
10 | 41 | m | R | 56.3 | 55.0 | 65 | 45 | 0—n.c.—0—n.c.—5 |
10 | 41 | m | L | 57.5 | 56.3 | 85 | 30 | 0—n.c.—0—n.c.—0 |
11 | 38 | f | R | 70.0 | 71.3 | 80 | 65 | 10—0—0—0—10 |
12 | 76 | f | R | 73.8 | 57.5 | 15 | 0 | 5—15—40—n.c.—20 |
13 | 77 | m | R | 78.8 | 51.3 | 75 | 45 | 0—0—10—20—10 |
14 | 78 | f | R | 65.0 | 63.8 | 65 | 5 | 15—n.c.—40—n.c.—45 |
14 | 78 | f | L | 63.8 | 65.0 | 45 | 0 | 10—n.c.—45—n.c.—55 |
15 | 71 | f | L | 72.5 | 120 | 80 | 75 | 5—5—5—15—30 |
16 | 76 | f | R | 76.3 | 63.8 | 70 | 0 | 10—20—25—25—45 |
16 | 76 | f | L | 63.8 | 76.3 | 70 | 15 | 5—15—30—25—10 |
17 | 88 | f | R | 73.8 | 38.8 | 60 | 35 | 10—5—5—15—25 |
18 | 79 | f | R | 66.3 | 62.5 | 65 | 10 | 10—10—20—25—45 |
18 | 79 | f | L | 62.5 | 66.3 | 80 | 25 | 5—10—20—20—20 |
19 | 81 | f | R | 61.3 | 57.5 | 85 | 60 | 5—0—0—0—0 |
19 | 81 | m | L | 57.5 | 61.3 | 75 | 45 | 5—5—5—0—0 |
20 | 75 | m | L | 58.8 | 52.5 | 75 | 70 | 5—5—5—n.c.—n.c. |
21 | 57 | f | L | 72.5 | 83.8 | 60 | 40 | 0—10—10—0—0 |
22 | 78 | m | L | 63.8 | 41.3 | 25 | 35 | 0—0—5—20—45 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Schmidt, F.H.; Hocke, T.; Zhang, L.; Großmann, W.; Mlynski, R. Tone Decay Reconsidered: Preliminary Results of a Prospective Study in Hearing-Aid Users with Moderate to Severe Hearing Loss. J. Clin. Med. 2024, 13, 500. https://doi.org/10.3390/jcm13020500
Schmidt FH, Hocke T, Zhang L, Großmann W, Mlynski R. Tone Decay Reconsidered: Preliminary Results of a Prospective Study in Hearing-Aid Users with Moderate to Severe Hearing Loss. Journal of Clinical Medicine. 2024; 13(2):500. https://doi.org/10.3390/jcm13020500
Chicago/Turabian StyleSchmidt, Florian Herrmann, Thomas Hocke, Lichun Zhang, Wilma Großmann, and Robert Mlynski. 2024. "Tone Decay Reconsidered: Preliminary Results of a Prospective Study in Hearing-Aid Users with Moderate to Severe Hearing Loss" Journal of Clinical Medicine 13, no. 2: 500. https://doi.org/10.3390/jcm13020500