Objective Comparison of Benefits Derived From Contralateral Routing of Signal Hearing Aid and Bone Conduction Device in Noisy Surroundings in Patients With Single-Sided Deafness
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Background and Objectives: Single-sided deafness (SSD) leads to non-participation of the diseased ear in generating adequate auditory input, which results in poor speech discrimination in noisy surroundings. The present study objectively compared the audiological benefits rendered by contralateral routing of signal (CROS) hearing aid and bone conduction device (BCD) in patients with SSD >70 dB HL using the modified hearing in noise test (HINT).Materials and Methods: Patients with SSD >70 dB HL in poor and clinically normal hearing in the better ear were enrolled. Patients aged <18 or >70 years, with a history of neurological insult or ear infection in the last 3 months, mental retardation, psychiatric or developmental disorders, and diabetes were excluded. Modified HINT was performed with the affected ear unaided, aided with CROS hearing aid, and with BCD, generating three groups. Noise signal was presented at a fixed intensity of 65 dB at the neutral position in the center and speech signal was presented to either ear sequentially. The test was repeated with the speech signal fixed at the neutral position and the noise signal presented to either ear.Results: BCD led to a better signal-to-noise ratio (SNR) than CROS hearing aid in all situations except when noise was centralized and speech was presented to the affected ear.Conclusions: A benefit was observed when auditory rehabilitation was used for the affected ear as demonstrated by better SNR scores. The results showed that BCD performed better than CROS hearing aid.
Abstract
Background and Objectives: Single-sided deafness (SSD) leads to non-participation of the diseased ear in generating adequate auditory input, which results in poor speech discrimination in noisy surroundings. The present study objectively compared the audiological benefits rendered by contralateral routing of signal (CROS) hearing aid and bone conduction device (BCD) in patients with SSD >70 dB HL using the modified hearing in noise test (HINT).Materials and Methods: Patients with SSD >70 dB HL in poor and clinically normal hearing in the better ear were enrolled. Patients aged <18 or >70 years, with a history of neurological insult or ear infection in the last 3 months, mental retardation, psychiatric or developmental disorders, and diabetes were excluded. Modified HINT was performed with the affected ear unaided, aided with CROS hearing aid, and with BCD, generating three groups. Noise signal was presented at a fixed intensity of 65 dB at the neutral position in the center and speech signal was presented to either ear sequentially. The test was repeated with the speech signal fixed at the neutral position and the noise signal presented to either ear.Results: BCD led to a better signal-to-noise ratio (SNR) than CROS hearing aid in all situations except when noise was centralized and speech was presented to the affected ear.Conclusions: A benefit was observed when auditory rehabilitation was used for the affected ear as demonstrated by better SNR scores. The results showed that BCD performed better than CROS hearing aid.
참고문헌 (25)
- 곽찬범, "Speech Perception and Gap Detection Performance of Single-Sided Deafness under Noisy Conditions", Journal of Audiology & Otology, 23(4), pp.197~203 (2019), 대한청각학회[DOI]
- Augustine AM, "Assessment of auditory and psychosocial handicap associated with unilateral hearing loss among Indian patients", Indian J Otolaryngol Head Neck Surg, 65, pp.120~125 (2013)
- Mertens G, "Binaural auditory outcomes in patients with postlingual profound unilateral hearing loss : 3 years after cochlear implantation", Audiol Neurootol, 20, pp.67~72 (2015)
- Peters JP, "Review : bone conduction devices and contralateral routing of sound systems in single-sided deafness", Laryngoscope, 125, pp.218~226 (2015)
- Snapp H, "Nonsurgical management of single-sided deafness : contralateral routing of signal", J Neurol Surg B Skull Base, 80, pp.132~138 (2019)
- Hol MK, "Pilot study on the effectiveness of the conventional CROS, the transcranial CROS and the BAHA transcranial CROS in adults with unilateral inner ear deafness", Eur Arch Otorhinolaryngol, 267, pp.889~896 (2010)
- Hol MK, "Boneanchored hearing aids in unilateral inner ear deafness : an evaluation of audiometric and patient outcome measurements", Otol Neurotol, 26, pp.999~1006 (2005)
- Hol MK, "Bone-anchored hearing aids in patients with acquired and congenital unilateral inner ear deafness(Baha CROS) : clinical evaluation of 56cases", Ann Otol Rhinol Laryngol, 119, pp.447~454 (2010)
- Markides A, "The CROS hearing aid system", Br J Audiol, 13, pp.63~72 (1979)
- Kitterick PT, "Hearing instruments for unilateral severe-to-profound sensorineural hearing loss in adults : a systematic review and meta-analysis", Ear Hear, 37, pp.495~507 (2016)
- Lin LM, "Amplification in the rehabilitation of unilateral deafness : speech in noise and directional hearing effects with bone-anchored hearing and contralateral routing of signal amplification", Otol Neurotol, 27, pp.172~182 (2006)
- Baguley DM, "The evidence base for the application of contralateral bone anchored hearing aids in acquired unilateral sensorineural hearing loss in adults", Clin Otolaryngol, 31, pp.6~14 (2006)
- Fogels J, "Single-sided deafness-outcomes of three interventions for profound unilateral sensorineural hearing loss : a randomized clinical trial", Otol Neurotol, 41, pp.736~744 (2020)
- Ryu NG, "Clinical effectiveness of wireless CROS(contralateral routing of offside signals)hearing aids", Eur Arch Otorhinolaryngol, 272, pp.2213~2219 (2015)
- Zeitler DM, "Bone-anchored implantation for single-sided deafness in patients with less than profound hearing loss", Otolaryngol Head Neck Surg, 147, pp.105~111 (2012)
- Yuen HW, "Management of single-sided deafness with the bone-anchored hearing aid", Otolaryngol Head Neck Surg, 141, pp.16~23 (2009)
- Wazen JJ, "Transcranial contralateral cochlear stimulation in unilateral deafness", Otolaryngol Head Neck Surg, 129, pp.248~254 (2003)
- Mondelli MF, "Speech perception in noise in unilateral hearing loss", Braz J Otorhinolaryngol, 82, pp.427~432 (2015)
- Finbow J, "A comparison between wireless CROS and bone-anchored hearing devices for single-sided deafness : a pilot study", Otol Neurotol, 36, pp.819~825 (2015)
- Leterme G, "Contralateral routing of signal hearing aid versus transcutaneous bone conduction in single-sided deafness", Audiol Neurootol, 20, pp.251~260 (2015)
- Snapp HA, "Comparison of speech in noise and localization benefits in unilateral hearing loss subjects using contralateral routing of signal hearing aids or bone anchored implants", Otol Neurotol, 38, pp.11~18 (2017)
- Arndt S, "Comparison of pseudobinaural hearing to real binaural hearing rehabilitation after cochlear implantation in patients with unilateral deafness and tinnitus", Otol Neurotol, 32, pp.39~47 (2011)
- Niparko JK, "Comparison of the bone anchored hearing aid implantable hearing device with contralateral routing of offside signal amplification in the rehabilitation of unilateral deafness", Otol Neurotol, 24, pp.73~78 (2003)
- Bosman AJ, "Boneanchored hearing aids in unilateral inner ear deafness", Acta Otolaryngol, 123, pp.258~260 (2003)
- Harford E, "The clinical application of CROS. A hearing aid for unilateral deafness", Arch Otolaryngol, 83, pp.455~464 (1966)