Comparison of wideband and clinical acoustic reflex thresholds in patients with normal hearing and sensorineural hearing loss

2018 ◽  
Vol 144 (3) ◽  
pp. 1834-1834
Author(s):  
M. P. Feeney ◽  
Kim Schairer ◽  
Douglas H. Keefe ◽  
Denis Fitzpatrick ◽  
Daniel Putterman ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Normal Hearing ◽  
Sensorineural Hearing ◽  
Acoustic Reflex

Prediction of Hearing Levels from Acoustic Reflex Thresholds in Persons with High-Frequency Hearing Losses

1979 ◽  
Vol 22 (4) ◽  
pp. 697-707 ◽  
Author(s):  
Shlomo Silman ◽  
Stanley A. Gelfand
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
High Frequency ◽  
Pure Tone ◽  
Noise Exposure ◽  
Normal Hearing ◽  
Sensorineural Hearing ◽  
Acoustic Reflex ◽  
Bivariate Method ◽  
Patients At Risk

This study examined the precision of the bivariate method in subjects with high-frequency sensorineural hearing loss. The current bivariate data effectively separated normal hearing subjects from those with pure tone averages of ≥32 dB HL, in a manner consistent with the results of Popelka and Trumpf (1976) and Margolis and Fox (1977b). However, for persons with high-frequency losses the prediction of hearing levels from acoustic reflex thresholds (ARTs) appears to be complicated. Moderate hearing losses involving 500, 1000 and 2000 Hz (“speech frequencies”) as well as higher frequencies were identified on the basis of elevated average ARTs for 500, 1000 and 2000 Hz. Normal ears (pure tone averages of ≤30 dB HL) were isolated from others on the basis of position on the bivariate graph. Those with (1) normal hearing in the “speech frequencies” and a high-frequency loss and (2) a mild loss in the “speech frequencies” and a high-frequency loss, could be separated from those with normal hearing by location on the bivariate graph, and from those with moderate (or worse) losses on the basis of average ART for tones. Consideration of these findings is useful in the evaluation of patients at risk for high-frequency loss, such as patients with noise exposure, and is particularly useful in cases of suspected functional impairment within this population. A modification of the bivariate method is suggested which extends its application to patient populations with a large incidence of high frequency sensorineural hearing loss.

scholarly journals Acoustic reflex measurements and the loudness function in sensorineural hearing loss

1980 ◽  
Vol 27 (1) ◽  
Author(s):  
Sheila Uliel
Keyword(s):  
Hearing Loss ◽  
Differential Diagnosis ◽  
Sensorineural Hearing Loss ◽  
Acoustic Impedance ◽  
Pure Tone ◽  
Sensorineural Hearing ◽  
Acoustic Reflex ◽  
Reflex Responses ◽  
Loudness Function ◽  
The Individual

The suprathreshold acoustic reflex responses of forty two ears affected by sensorineural hearing loss of cochlear origin and fifty-eight ears demonstrating normal hearing, were recorded by means of an electro-acoustic impedance meter and attached X-Y recorder. The recordings were done in ascending and descending fashion,  at successively increasing and decreasing 5dB intensity levels from 90-120-90 dB HL respectively, for the individual pure-tone frequencies of 500, 1 000, 2 000 and 4 000 Hz. The contralateral mode of measurement was employed. Analysis of  these recordings indicated that the acoustic reflex  responses could be differentiated into five  characteristic patterns of  growth, which could be depicted upon a continuum of peaked, peaked-rounded, rounded, rounded-flat,  and flat  shapes. The peaked and peaked-rounded patterns were found  to predominate at all four pure-tone frequencies  in the normal ears, while the rounded-fiat  and flat  patterns were found  to predominate only at the higher pure-tone frequencies of 2 000 and 4 000 Hz in the ears affected  by sensorineural hearing loss. This latter relationship was also able to be applied to two disorders of  the loudness functio— loudness recruitment and hyperacusis. It was concluded that the flattened  acoustic reflex  patterns at the higher pure-tone frequencies  constituted a potential diagnostic cue related to the differential  diagnosis of sensorineural hearing loss, and to disorders of  the loudness function.

scholarly journals Effect of sinusoidally amplitude modulated broadband noise stimuli on stream segregation in individuals with sensorineural hearing loss

2020 ◽  
Author(s):  
Jawahar Antony P ◽  
Animesh Barman
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Amplitude Modulation ◽  
Modulation Frequency ◽  
Study Groups ◽  
Normal Hearing ◽  
Broadband Noise ◽  
Sensorineural Hearing ◽  
Stream Segregation ◽  
Temporal Cues

Background and Aim: Auditory stream segre­gation is a phenomenon that splits sounds into different streams. The temporal cues that contri­bute for stream segregation have been previ­ously studied in normal hearing people. In peo­ple with sensorineural hearing loss (SNHL), the cues for temporal envelope coding is not usually affected, while the temporal fine structure cues are affected. These two temporal cues depend on the amplitude modulation frequency. The present study aimed to evaluate the effect of sin­usoidal amplitude modulated (SAM) broadband noises on stream segregation in individuals with SNHL. Methods: Thirty normal hearing subjects and 30 subjects with mild to moderate bilateral SNHL participated in the study. Two experi­ments were performed; in the first experiment, the AB sequence of broadband SAM stimuli was presented, while in the second experiment, only B sequence was presented. A low (16 Hz) and a high (256 kHz) standard modulation fre­quency were used in these experiments. The subjects were asked to find the irregularities in the rhythmic sequence. Results: Both the study groups could identify the irregularities similarly in both the experi­ments. The minimum cumulative delay was sli­ghtly higher in the SNHL group. Conclusion: It is suggested that the temporal cues provided by the broadband SAM noises for low and high standard modulation frequencies were not used for stream segregation by either normal hearing subjects or those with SNHL. Keywords: Stream segregation; sinusoidal amplitude modulation; sensorineural hearing loss

scholarly journals Quality of Life in Children with Sensorineural Hearing Loss

2019 ◽  
Vol 162 (1) ◽  
pp. 129-136 ◽  
Author(s):  
Evette A. Ronner ◽  
Liliya Benchetrit ◽  
Patricia Levesque ◽  
Razan A. Basonbul ◽  
Michael S. Cohen
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Normal Hearing ◽  
Sensorineural Hearing ◽  
Significant Difference ◽  
Pedsql 4.0 ◽  
Hearing Device ◽  
Prospective Longitudinal

Objective To assess quality of life (QOL) in pediatric patients with sensorineural hearing loss (SNHL) with the Pediatric Quality of Life Inventory 4.0 (PedsQL 4.0) and the Hearing Environments and Reflection on Quality of Life 26 (HEAR-QL-26) and HEAR-QL-28 surveys. Study Design Prospective longitudinal study. Setting Tertiary care center. Subjects and Methods Surveys were administered to patients with SNHL (ages 2-18 years) from July 2016 to December 2018 at a multidisciplinary hearing loss clinic. Patients aged >7 years completed the HEAR-QL-26, HEAR-QL-28, and PedsQL 4.0 self-report tool, while parents completed the PedsQL 4.0 parent proxy report for children aged ≤7 years. Previously published data from children with normal hearing were used for controls. The independent t test was used for analysis. Results In our cohort of 100 patients, the mean age was 7.7 years (SD, 4.5): 62 participants had bilateral SNHL; 63 had mild to moderate SNHL; and 37 had severe to profound SNHL. Sixty-eight patients used a hearing device. Mean (SD) total survey scores for the PedsQL 4.0 (ages 2-7 and 8-18 years), HEAR-QL-26 (ages 7-12 years), and HEAR-QL-28 (ages 13-18 years) were 83.9 (14.0), 79.2 (11.1), 81.2 (9.8), and 77.5 (11.3), respectively. Mean QOL scores for patients with SNHL were significantly lower than those for controls on the basis of previously published normative data ( P < .0001). There was no significant difference in QOL between children with unilateral and bilateral SNHL or between children with SNHL who did and did not require a hearing device. Low statistical power due to small subgroup sizes limited our analysis. Conclusion It is feasible to collect QOL data from children with SNHL in a hearing loss clinic. Children with SNHL had significantly lower scores on validated QOL instruments when compared with peers with normal hearing.

Cognition in older adults with severe to profound sensorineural hearing loss compared to peers with normal hearing for age

2019 ◽  
Vol 59 (4) ◽  
pp. 254-262 ◽  
Author(s):  
Maria Huber ◽  
Sebastian Roesch ◽  
Belinda Pletzer ◽  
Julia Lukaschyk ◽  
Anke Lesinski-Schiedat ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Normal Hearing ◽  
Sensorineural Hearing

Perception of dissonance by people with normal hearing and sensorineural hearing loss

2005 ◽  
Vol 118 (2) ◽  
pp. 955-967 ◽  
Author(s):  
Jennifer B. Tufts ◽  
Michelle R. Molis ◽  
Marjorie R. Leek
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Normal Hearing ◽  
Sensorineural Hearing
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