scholarly journals Assessment of the Subjective Benefit of Electric Acoustic Stimulation with the Abbreviated Profile of Hearing Aid Benefit

ORL ◽  
2011 ◽  
Vol 73 (6) ◽  
pp. 321-329 ◽  
Author(s):  
Wolfgang K. Gstoettner ◽  
Paul Van de Heyning ◽  
Alec Fitzgerald O’Connor ◽  
Jan Kiefer ◽  
Constantino Morera ◽  
...  
2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Dayse Távora-Vieira ◽  
Stuart Miller

People with residual hearing in the low frequencies and profound hearing loss in the high frequencies often do not benefit from acoustic amplification. Focus on this group of patients led to the development of the combined electric-acoustic stimulation (EAS) systems which can provide users with greater speech perception than can cochlear implant (CI) alone or acoustic hearing alone. EAS users wear a combined speech processor that incorporates a behind-the-ear audio processor that sits with an ear hook on the user’s pinna and a hearing aid, which sits in the ear canal. However, with the introduction of single-unit processors, which combine the audio processor, coil, control unit, and battery pack into a single device that sits on the implant site, therefore off the ear, simultaneous electric (CI) and acoustic (hearing aid) stimulation is not currently possible with a combined processor. To achieve EAS with a single-unit processor, a CI user must also wear a hearing aid. This study seeks to determine if experienced users of combined EAS speech processors could also benefit from using a combination of a single-unit speech processor that sits off the ear and an in-the-ear hearing aid.


2014 ◽  
Vol 25 (02) ◽  
pp. 133-140 ◽  
Author(s):  
Margaret T. Dillon ◽  
Emily Buss ◽  
Harold C. Pillsbury ◽  
Oliver F. Adunka ◽  
Craig A. Buchman ◽  
...  

Background: Cochlear implant (CI) recipients with postoperative hearing preservation may utilize an ipsilateral bimodal listening condition known as electric-acoustic stimulation (EAS). Studies on EAS have reported significant improvements in speech perception abilities over CI-alone listening conditions. Adjustments to the hearing aid (HA) settings to match prescription targets routinely used in the programming of conventional amplification may provide additional gains in speech perception abilities. Purpose: Investigate the difference in users’ speech perception scores when listening with the recommended HA settings for EAS patients versus HA settings adjusted to match National Acoustic Laboratories’ nonlinear fitting procedure version 1 (NAL-NL1) targets. Research Design: Prospective analysis of the influence of HA settings. Study Sample: Nine EAS recipients with greater than 12 mo of listening experience with the DUET speech processor. Intervention: Subjects were tested in the EAS listening condition with two different HA setting configurations. Speech perception materials included consonant-nucleus-consonant (CNC) words in quiet, AzBio sentences in 10-talker speech babble at a signal-to-noise ratio (SNR) of +10, and the Bamford-Kowal-Bench sentences in noise (BKB-SIN) test. Data Collection and Analysis: The speech perception performance on each test measure was compared between the two HA configurations. Results: Subjects experienced a significant improvement in speech perception abilities with the HA settings adjusted to match NAL-NL1 targets over the recommended HA settings. Conclusions: EAS subjects have been shown to experience improvements in speech perception abilities when listening to ipsilateral combined stimulation. This population’s abilities may be underestimated with current HA settings. Tailoring the HA output to the patient’s individual hearing loss offers improved outcomes on speech perception measures.


2019 ◽  
Vol 28 (2) ◽  
pp. 274-284 ◽  
Author(s):  
Elizabeth Convery ◽  
Gitte Keidser ◽  
Louise Hickson ◽  
Carly Meyer

Purpose Hearing loss self-management refers to the knowledge and skills people use to manage the effects of hearing loss on all aspects of their daily lives. The purpose of this study was to investigate the relationship between self-reported hearing loss self-management and hearing aid benefit and satisfaction. Method Thirty-seven adults with hearing loss, all of whom were current users of bilateral hearing aids, participated in this observational study. The participants completed self-report inventories probing their hearing loss self-management and hearing aid benefit and satisfaction. Correlation analysis was used to investigate the relationship between individual domains of hearing loss self-management and hearing aid benefit and satisfaction. Results Participants who reported better self-management of the effects of their hearing loss on their emotional well-being and social participation were more likely to report less aided listening difficulty in noisy and reverberant environments and greater satisfaction with the effect of their hearing aids on their self-image. Participants who reported better self-management in the areas of adhering to treatment, participating in shared decision making, accessing services and resources, attending appointments, and monitoring for changes in their hearing and functional status were more likely to report greater satisfaction with the sound quality and performance of their hearing aids. Conclusion Study findings highlight the potential for using information about a patient's hearing loss self-management in different domains as part of clinical decision making and management planning.


1971 ◽  
Vol 36 (4) ◽  
pp. 527-537 ◽  
Author(s):  
Norman P. Erber

Two types of special hearing aid have been developed recently to improve the reception of speech by profoundly deaf children. In a different way, each special system provides greater low-frequency acoustic stimulation to deaf ears than does a conventional hearing aid. One of the devices extends the low-frequency limit of amplification; the other shifts high-frequency energy to a lower frequency range. In general, previous evaluations of these special hearing aids have obtained inconsistent or inconclusive results. This paper reviews most of the published research on the use of special hearing aids by deaf children, summarizes several unpublished studies, and suggests a set of guidelines for future evaluations of special and conventional amplification systems.


2005 ◽  
Vol 16 (08) ◽  
pp. 600-613 ◽  
Author(s):  
Jill E. Preminger ◽  
Ryan Carpenter ◽  
Craig H. Ziegler

Using the threshold equalizing noise (TEN) test, 49 subjects with at least two pure-tone thresholds per ear greater than 50 dB HL and none greater than 80 dB HL were evaluated for the presence or absence of dead regions. The purpose of this study was to (1) assess the prevalence of cochlear dead regions in this clinical population, (2) measure whether listeners with dead regions performed differently than listeners without dead regions on a speech intelligibility in noise test, and (3) determine whether cochlear dead regions are associated with reduced subjective hearing aid performance. The results showed that (1) twenty-nine percent of the subjects tested positive for dead regions, (2) listeners with dead regions had poorer sentence understanding in noise than listeners without dead regions and (3) listeners with dead regions perceived poorer subjective hearing aid performance in listening environments with reverberation or background noise as compared to those without dead regions.


1995 ◽  
Vol 4 (3) ◽  
pp. 10-13 ◽  
Author(s):  
Robert G. Paul ◽  
Robyn M. Cox

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