A study on the hearing difficulty and self-recognition of hearing loss in people with moderate hearing loss

Background: In this study, optic coherence tomography (OCT) examination was performed to check whether there was any interaction between ophthalmic axonal structures in unilateral tinnitus patients, and the relationship between optic nerve thickness and cochlear nerve thickness was evaluated. Objective: The aim of the study was to evaluate the relatioship between hearing loss, tinnitus, and nerve thicknesses. Study Design: Prospective study. Setting: Tertiary referral university hospital. Patients: The study included 88 patients with unilateral tinnitus, for which no organic cause could be found in physical examination, psychiatric evaluation, or with imaging methods. Study groups were formed of the tinnitus side and control groups were formed of the healthy side as follows: Group 1 (Non-tinnitus side normal hearing values – n = 30), Group 2 (non-tinnitus side minimal hearing loss – n = 27), Group 3 (non-tinnitus side moderate hearing loss – n = 31), Group 4 (tinnitus side normal hearing values – n = 25), Group 5 (tinnitus side minimal hearing loss – n = 25), and Group 6 (tinnitus side moderate hearing loss – n = 38). Intervention: Retinal nerve fiber layer (RNFL) thickness was evaluated with OCT, and the cochlear nerve cross-sectional area was evaluated with MRI. Main Outcome Measures: RNFL measurements were taken with OCT from the subfoveal area (RNFL-SF) and 1.5 mm temporal to the fovea (RNFL-T µm) and nasal (RNFL-N µm) sectors. On MRI, 3 measurements were taken along the nerve from the cerebellopontine angle as far as the internal auditory canal, and the mean value of these 3 measurements was calculated. Results: When the groups were evaluated in respect of cochlear nerve thickness, a significant difference was seen between Group 1 and both the groups with hearing loss and the tinnitus groups. In the subgroup analysis, a statistically significant difference was determined between Group 1 and Groups 3, 4, 5, and 6 (p = 0.013, p = 0.003, p < 0.001, and p < 0.001, respectively). When the groups were evaluated in respect of the RNFL-SF (µm), RNFL-T (µm), and RNFL-N (µm) values, the differences were determined to be statistically significant (p < 0.001 for all). In the correlation analysis, a negative correlation was determined between hearing loss and cochlear nerve diameter (r: −0.184, p = 0.014), and RNFL-N (r: −0.272, p < 0.001) and between tinnitus and cochlear nerve diameter (r: −0.536, p < 0.001), and RNFL-T (r: −0.222, p < 0.009). Conclusion: The study results clearly showed a relationship between cochlear nerve fiber thickness and hearing loss and the severity of tinnitus in cases with unilateral tinnitus and that there could be neurodegenerative factors in the disease etiology. A similar relationship seen with the RNFL supports the study hypothesis.

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Expressive vocabulary development in children with moderate hearing loss – the impact of auditory variables and early consonant production

Clinical Linguistics & Phonetics ◽

10.1080/02699206.2021.1944321 ◽

2021 ◽

pp. 1-18

Author(s):

Anna Persson ◽

Ulrika Marklund ◽

Anette Lohmander ◽

Traci Flynn

Keyword(s):

Hearing Loss ◽

Vocabulary Development ◽

Expressive Vocabulary ◽

The Impact ◽

Moderate Hearing Loss

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Unilateral cochlear nerve hypoplasia in children with mild to moderate hearing loss

Acta Oto-Laryngologica ◽

10.3109/00016489.2012.696781 ◽

2012 ◽

Vol 132 (11) ◽

pp. 1160-1167 ◽

Cited By ~ 8

Author(s):

Hidenobu Taiji ◽

Noriko Morimoto ◽

Tatsuo Matsunaga

Keyword(s):

Hearing Loss ◽

Cochlear Nerve ◽

Cochlear Nerve Hypoplasia ◽

Moderate Hearing Loss

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GOLDENHAR SYNDROME WITH MODERATE HEARING LOSS: AN FM SYSTEM IN A SCHOOL ENVIRONMENT

International Journal of Pediatric Otorhinolaryngology ◽

10.1016/j.ijporl.2010.07.032 ◽

2011 ◽

Vol 75 (5) ◽

pp. 729

Keyword(s):

Hearing Loss ◽

School Environment ◽

Goldenhar Syndrome ◽

Moderate Hearing Loss

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Impact of hearing loss in the lives of geriatric individuals

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20193082 ◽

2019 ◽

Vol 5 (5) ◽

pp. 1207

Author(s):

Archita Jain ◽

James Thomas

Keyword(s):

Hearing Loss ◽

Old Age ◽

Social Engagement ◽

Interpersonal Relationship ◽

Tertiary Care ◽

Visual Signals ◽

Care Hospital ◽

Geriatric Population ◽

Age Related ◽

Moderate Hearing Loss

Background: Hearing loss in old age is a vexing problem and millions of people worldwide are suffering from it. The aim of this study is to identify the problems which geriatric individuals with hearing loss experience and to help them to overcome their disability and its effects on social engagement and interpersonal relationship.Methods: The study was conducted in a tertiary care hospital and is based on prospective study. The data collection was done in the form of confrontational interview. Results: According to our study individuals suffering from moderate hearing loss have difficulty in communicating with friends, relatives and even strangers. They even face problems in travelling. They feel disoriented during conversation and tend to miss out parts of conversation. They tend to use their visual signals more than hearing for example while watching television they try to focus and interpret more by the video than by listening to the audio. People suffering from mild to moderate hearing loss try to ignore the disability and request people to repeat statements but inadvertently still miss out the conversation and the try to ignore the handicap.Conclusions: Age related hearing loss known as presbycusis and it is one of the most prevalent conditions in old age and millions of people worldwide are afflicted. It is one of the leading cause of overall diminution of physical and mental performance in old age. It is often neglected and remains undetected for long in geriatric population due to gradual progression.

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Effect of rehabilitation training on an elderly population with mild to moderate hearing loss: study protocol for a randomised clinical trial

F1000Research ◽

10.12688/f1000research.23332.2 ◽

2020 ◽

Vol 9 ◽

pp. 582

Author(s):

Parisa Rasouli Fard ◽

Farnoush Jarollahi ◽

Seyyed Jalal Sameni ◽

Mohammad Kamali

Keyword(s):

Clinical Trial ◽

Hearing Loss ◽

Negative Impact ◽

Intervention Group ◽

Randomised Clinical Trial ◽

Control Group ◽

Rehabilitation Training ◽

Speech In Noise ◽

Age Related ◽

Moderate Hearing Loss

Background: Age-related hearing loss (presbycusis) is a form of hearing loss in over 60-year-olds and has a negative impact on quality of life. The pathophysiology of presbycusis is multifactorial and is predominately characterised with a loss of speech perception in noise. In the cochlea, auditory filters decompose broadband sound into a series of narrowband output signals, which contains two kinds of temporal information: slow changes in overall amplitude envelope (ENV) and faster variations in temporal fine structure (TFS). TFS is important for recognition of target speech in noise. The main aim of the study is to evaluate the effect of TFS rehabilitation training in participants over the age of 60 years with mild to moderate hearing loss. Methods: A randomised clinical trial conduct on 30 participants with mild (loss of 20-39dB) to moderate (40-69dB) hearing loss, aged between 60 and 75 years old. Participants with conductive hearing loss, abnormal middle ear pathology and central nerve system disease were excluded. Participants were randomly selected to an intervention and control group with a 1:1 ratio. Rehabilitation for the intervention Group are 30-minute sessions three times a week for a total five weeks of vowel consonant vowel words that are used to eliminate ENV and keep only TFS. Word in noise test, binaural TFS test, and Speech, Spatial and Qualities of Hearing Scale scores are performed at the beginning and end of study to evaluate the effect of rehabilitation training. Conclusion: Life expectancy in the elderly has improved, leading to an increased prevalence of age-related diseases including presbycusis. A literature review highlighted that TFS damage is permanent; however, in this study we will attempt to prove that TFS training may lead to speech in noise perception restored. Trial registration: Registry of Clinical Trials, IRCT2019625044006N1 (7th August 2019).

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10. Recognition of previously undiagnosed moderate hearing loss during an episode of otitis media with effusion

International Journal of Pediatric Otorhinolaryngology ◽

10.1016/0165-5876(96)83711-6 ◽

1996 ◽

Vol 35 (3) ◽

pp. 288-289

Author(s):

Fumiko Shishiyama ◽

Nobuaki Tsuchihashi ◽

Nobuko Kawashiro

Keyword(s):

Hearing Loss ◽

Otitis Media ◽

Otitis Media With Effusion ◽

Moderate Hearing Loss

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How Do Age and Hearing Loss Impact Spectral Envelope Perception?

Journal of Speech Language and Hearing Research ◽

10.1044/2018_jslhr-h-18-0056 ◽

2018 ◽

Vol 61 (9) ◽

pp. 2376-2385 ◽

Cited By ~ 3

Author(s):

Erol J. Ozmeral ◽

Ann C. Eddins ◽

David A. Eddins

Keyword(s):

Hearing Loss ◽

Spectral Resolution ◽

Modulation Frequency ◽

Normal Hearing ◽

Frequency Resolution ◽

Spectral Envelope ◽

Detection Thresholds ◽

Spectral Modulation ◽

Modulation Detection ◽

Moderate Hearing Loss

Purpose The goal was to evaluate the potential effects of increasing hearing loss and advancing age on spectral envelope perception. Method Spectral modulation detection was measured as a function of spectral modulation frequency from 0.5 to 8.0 cycles/octave. The spectral modulation task involved discrimination of a noise carrier (3 octaves wide from 400 to 3200 Hz) with a flat spectral envelope from a noise having a sinusoidal spectral envelope across a logarithmic audio frequency scale. Spectral modulation transfer functions (SMTFs; modulation threshold vs. modulation frequency) were computed and compared 4 listener groups: young normal hearing, older normal hearing, older with mild hearing loss, and older with moderate hearing loss. Estimates of the internal spectral contrast were obtained by computing excitation patterns. Results SMTFs for young listeners with normal hearing were bandpass with a minimum modulation detection threshold at 2 cycles/octave, and older listeners with normal hearing were remarkably similar to those of the young listeners. SMTFs for older listeners with mild and moderate hearing loss had a low-pass rather than a bandpass shape. Excitation patterns revealed that limited spectral resolution dictated modulation detection thresholds at high but not low spectral modulation frequencies. Even when factoring out (presumed) differences in frequency resolution among groups, the spectral envelope perception was worse for the group with moderate hearing loss than the other 3 groups. Conclusions The spectral envelope perception as measured by spectral modulation detection thresholds is compromised by hearing loss at higher spectral modulation frequencies, consistent with predictions of reduced spectral resolution known to accompany sensorineural hearing loss. Spectral envelope perception is not negatively impacted by advancing age at any spectral modulation frequency between 0.5 and 8.0 cycles/octave.

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