Journal Detail Information

1

Cite

Share

Speech Intelligibility in Persian Hearing Impaired Children with Cochlear Implants and Hearing Aids.

Mohammad REZAEI ; Maryam EMADI ; Peyman ZAMANI ; Farhad FARAHANI ; Gohar LOTFI

Journal of Audiology & Otology.2017;21(1):57-60. doi:10.7874/jao.2017.21.1.57

The aim of present study is to evaluate and compare speech intelligibility in hearing impaired children with cochlear implants (CI) and hearing aid (HA) users and children with normal hearing (NH). The sample consisted of 45 Persian-speaking children aged 3 to 5-years-old. They were divided into three groups, and each group had 15, children, children with CI and children using hearing aids in Hamadan. Participants was evaluated by the test of speech intelligibility level. Results of ANOVA on speech intelligibility test showed that NH children had significantly better reading performance than hearing impaired children with CI and HA. Post-hoc analysis, using Scheffe test, indicated that the mean score of speech intelligibility of normal children was higher than the HA and CI groups; but the difference was not significant between mean of speech intelligibility in children with hearing loss that use cochlear implant and those using HA. It is clear that even with remarkabkle advances in HA technology, many hearing impaired children continue to find speech production a challenging problem. Given that speech intelligibility is a key element in proper communication and social interaction, consequently, educational and rehabilitation programs are essential to improve speech intelligibility of children with hearing loss.
Child* ; Cochlear Implants* ; Hearing Aids* ; Hearing Loss ; Hearing* ; Humans ; Interpersonal Relations ; Rehabilitation ; Speech Intelligibility*

2

Cite

Share

Kawasaki Disease and Labyrinthitis: An Underdiagnosed Complication.

Kyu Yeun KIM ; Ki Hwan KIM ; Yoon Ah PARK ; Young Joon SEO

Journal of Audiology & Otology.2017;21(1):53-56. doi:10.7874/jao.2017.21.1.53

Sensorineural hearing loss (SNHL) that is seldom cited as a Kawasaki disease (KD) complication is known as an additional, potentially severe, and frequently irreversible sequel. Furthermore the vestibular functions of KD have been underestimated and it could be an important complication combined with SNHL in KD. We described a case that a 4 year-old boy who developed vestibular loss with SNHL has recovered successfully with a combined treatment.
Ear, Inner* ; Hearing Loss, Sensorineural ; Humans ; Labyrinthitis* ; Male ; Mucocutaneous Lymph Node Syndrome*

3

Cite

Share

Intractable Methicillin-Resistant Staphylococcus Aureus Otorrhea with Silicone Impression in the Middle Ear.

Eun Kyung JUNG ; Chul Ho JANG ; Jong Yuap SEONG ; Yong Beom CHO

Journal of Audiology & Otology.2017;21(1):49-52. doi:10.7874/jao.2017.21.1.49

We report a case of methicillin-resistant Staphylococcus aureus (MRSA) otorrhea with impression material of hearing aid in the middle ear. The patient had chronic otitis media in the right ear with sensorineural hearing loss in both ears. The silicone flowed into the middle ear through a tympanic membrane perforation during the process of making an ear mold. Several days after hearing aid fitting, the patient had severe otalgia, intractable otorrhea, aggravated hearing loss, and dizziness. The pus culture and sensitivity test revealed MRSA. After topical treatment using diluted vinegar irrigation and ototopical vancomycin solution, intractable otorrhea was controlled. The infected silicone impression was removed by canal wall-up mastoidectomy, and hearing was saved. We present here a review of the literature regarding silicone impression in the middle ear after hearing aid mold fitting.
Acetic Acid ; Dizziness ; Ear ; Ear, Middle* ; Earache ; Fungi ; Hearing ; Hearing Aids ; Hearing Loss ; Hearing Loss, Sensorineural ; Humans ; Methicillin Resistance* ; Methicillin-Resistant Staphylococcus aureus* ; Otitis Media ; Silicon* ; Silicones* ; Suppuration ; Tympanic Membrane Perforation ; Vancomycin

4

Cite

Share

Factors Prognostic of Season-Associated Sudden Sensorineural Hearing Loss: A Retrospective Observational Study.

In Yong RYU ; Sang Hyun PARK ; Eun Bin PARK ; Ho Joong KIM ; Sang Hoon KIM ; Seung Geun YEO

Journal of Audiology & Otology.2017;21(1):44-48. doi:10.7874/jao.2017.21.1.44

BACKGROUND AND OBJECTIVES: This study examined whether the prognosis of sudden deafness was dependent on the time of onset and evaluated the factors affecting prognosis during each period. SUBJECTS AND METHODS: Patients who developed sudden hearing loss from January 2005 to December 2015 were evaluated retrospectively. Meteorological data were obtained from the official website of the Korea Meteorological Administration. Factors prognostic of hearing recovery rate were analyzed. RESULTS: The hearing recovery rate of the 318 patients who developed sudden deafness did not differ significantly by month. Mean temperature and daily temperature range at onset of sudden deafness were not associated with recovery rate. CONCLUSIONS: The recovery rate in patients with sudden deafness did not differ markedly by season.
Hearing ; Hearing Loss, Sensorineural* ; Hearing Loss, Sudden ; Humans ; Korea ; Observational Study* ; Prognosis ; Retrospective Studies* ; Seasons

5

Cite

Share

Analysis of Effect of Eggshell Membrane Patching for Moderate-to-Large Traumatic Tympanic Membrane Perforation.

Jong Yoon JUNG ; Hee Chul YUN ; Tae Min KIM ; Jae Woo JOO ; In Sik SONG ; Yoon Chan RAH ; Jiwon CHANG ; Gi Jung IM ; June CHOI

Journal of Audiology & Otology.2017;21(1):39-43. doi:10.7874/jao.2017.21.1.39

BACKGROUND AND OBJECTIVES: To evaluate the effect of eggshell membrane (ESM) patching for tympanic membrane (TM) perforation, and to investigate correlations between healing time and age, gender, patching time, perforation size, and perforation location. SUBJECTS AND METHODS: One hundred and seventy-five patients diagnosed with traumatic TM perforation at the Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, between January 2008 and October 2013. Patients were divided into two groups, according to perforation edge approximation or ESM patching treatment. Healing time was compared between the group that received perforation edge approximation and the group that received ESM patching. Perforation grade, age, onset, and location were also compared between the two groups. RESULTS: ESM patching significantly improved healing time compared to spontaneous healing, especially in patients with moderate or large traumatic TM perforations (≥grade II). However, patient age, gender, perforation location, and especially timing of procedure, did not significantly affect healing time. CONCLUSIONS: ESM patching can be a good treatment choice to promote tympanic membrane healing in large traumatic TM perforations.
Gyeonggi-do ; Humans ; Korea ; Membranes* ; Neck ; Tympanic Membrane Perforation* ; Tympanic Membrane*

6

Cite

Share

Comparative Analysis of the Combined Therapeutic Effects of Lipoprostaglandin E1 on Sudden Idiopathic Sensorineural Hearing Loss.

Haeng Seon SHIM ; Joon Soo KIM ; Myung Gu KIM

Journal of Audiology & Otology.2017;21(1):33-38. doi:10.7874/jao.2017.21.1.33

BACKGROUND AND OBJECTIVES: Viral and vascular disorders are considered to be a major cause of idiopathic sudden sensorineural hearing loss (ISSNHL). Lipoprostaglandin E₁ (lipo-PGE₁) has vasodilating activity and has been used to treat ISSNHL. The purpose of this study was to determine the specific therapeutic effects of lipo-PGE₁ and compare them to other treatment modalities for ISSNHL. SUBJECTS AND METHODS: The study group had 1,052 patients diagnosed with ISSNHL. All were treated with steroid, carbogen inhalation, stellate ganglion block (SGB), or PGE₁. The CP group (steroid, carbogen inhalation, and PGE1 injection; 288 patients) was treated with lipo-PGE₁ and carbogen inhalation, the CS group (steroid, carbogen inhalation, and stellate ganglion block; 232 patients) with steroid, carbogen inhalation, and SGB, the C group (steroid and carbogen inhalation; 284 patients) with steroid and carbogen, and the control group (steroid only; 248 patients) with steroid only. Patients in the groups receiving lipo-PGE₁ received a continuous infusion of 10 µL lipo-PGE₁. RESULTS: The overall recovery rate after treatment was 52.2%, and recovery rates by group were 67.7% in the CP group, 54.3% in the CS group, 52.1% in the C group, and 32.2% in the control group. Therefore, the therapeutic results in groups treated with lipo-PGE₁ were better than results in other groups. The difference was statistically significant. CONCLUSIONS: The study results suggested that the CP group received effective treatment modalities for ISSNHL. The combined therapy of lipo-PGE₁ with carbogen inhalation in patients with ISSNHL was more beneficial than other treatment modalities.
Alprostadil ; Hearing Loss, Sensorineural* ; Humans ; Inhalation ; Stellate Ganglion ; Therapeutic Uses*

7

Cite

Share

Substitution Patterns of Phoneme Errors in Hearing Aid and Cochlear Implant Users.

Woojae HAN ; Hyungi CHUN ; Gibbeum KIM ; In Ki JIN

Journal of Audiology & Otology.2017;21(1):28-32. doi:10.7874/jao.2017.21.1.28

BACKGROUND AND OBJECTIVES: It is acknowledged that speech perceptual errors are increased in listeners who have sensorineural hearing loss as noise increases. However, there is a lack of detailed information for their error pattern. The purpose of the present study was to analyze substitution patterns of phoneme errors in Korean hearing aid (HA) and cochlear implant (CI) users who are postlingually deafened adults. SUBJECTS AND METHODS: In quiet and under two noise conditions, the phoneme errors of twenty HA and fourteen CI users were measured by using monosyllabic words, and a substitution pattern was analyzed in terms of manner of articulation. RESULTS: The results showed that both groups had a high percentage of nasal and plosive substitutions regardless of background conditions. CONCLUSIONS: This finding will provide vital information for understanding the speech perception of hearing-impaired listeners and for improving their ability to communicate when applied to auditory training.
Adult ; Cochlear Implants* ; Hearing Aids* ; Hearing Loss, Sensorineural ; Hearing* ; Humans ; Noise ; Speech Perception

8

Cite

Share

Combined Bifrontal Transcranial Direct Current Stimulation and Tailor-Made Notched Music Training in Chronic Tinnitus.

Ho Yun LEE ; Myoung Su CHOI ; Dong Sik CHANG ; Chin Saeng CHO

Journal of Audiology & Otology.2017;21(1):22-27. doi:10.7874/jao.2017.21.1.22

BACKGROUND AND OBJECTIVES: We evaluated the short-term treatment outcomes of combined bifrontal transcranial direct current stimulation (tDCS) and tailor-made notched music training (TMNMT) in tinnitus patients. The associations of patient characteristics with treatment responsiveness were investigated. SUBJECTS AND METHODS: Four sessions of bifrontal tDCS (F4: anode, F3: cathode) and TMNMT were conducted over a 2-week period in tinnitus patients. For tDCS, the stimulation intensity was 1.5 mA and the duration was approximately 20 min. During tDCS, patients listened to music lacking the frequency band within 1 octave of the tinnitus frequency. Patients were also instructed to listen to this music at home for at least 2 hours per day. One month after the final tDCS session, loudness (LD), awareness (AW), annoyance (AN), and effect on life (EL) of tinnitus were assessed subjectively using a visual analog scale. RESULTS: A total of 14 patients were enrolled in this study. After treatment, a 50% or greater improvement in AN, AW, EL, and LD was observed in 57.1, 42.9, 35.7, and 28.6% of patients, respectively. Furthermore, 78.6% of patients showed a 50% or greater improvement in their tinnitus handicap inventory scores. For AN, the absence of sleep disturbance was significantly associated with treatment responsiveness (p=0.041, OR=24.0). CONCLUSIONS: Combined bifrontal tDCS and TMNMT is a promising treatment for chronic tinnitus. To maximize the treatment outcomes of this therapy, sleep disturbances should also be addressed in candidate patients.
Electrodes ; Humans ; Music* ; Prognosis ; Tinnitus* ; Transcranial Direct Current Stimulation* ; Visual Analog Scale

9

Cite

Share

Effect of Age and Severity of Facial Palsy on Taste Thresholds in Bell's Palsy Patients.

Jung Min PARK ; Myung Gu KIM ; Junyang JUNG ; Sung Su KIM ; A Ra JUNG ; Sang Hoon KIM ; Seung Geun YEO

Journal of Audiology & Otology.2017;21(1):16-21. doi:10.7874/jao.2017.21.1.16

BACKGROUND AND OBJECTIVES: To investigate whether taste thresholds, as determined by electrogustometry (EGM) and chemical taste tests, differ by age and the severity of facial palsy in patients with Bell's palsy. SUBJECTS AND METHODS: This study included 29 patients diagnosed with Bell's palsy between January 2014 and May 2015 in our hospital. Patients were assorted into age groups and by severity of facial palsy, as determined by House-Brackmann Scale, and their taste thresholds were assessed by EGM and chemical taste tests. RESULTS: EGM showed that taste thresholds at four locations on the tongue and one location on the central soft palate, 1 cm from the palatine uvula, were significantly higher in Bell's palsy patients than in controls (p<0.05). In contrast, chemical taste tests showed no significant differences in taste thresholds between the two groups (p>0.05). The severity of facial palsy did not affect taste thresholds, as determined by both EGM and chemical taste tests (p>0.05). The overall mean electrical taste thresholds on EGM were higher in younger Bell's palsy patients than in healthy subjects, with the difference at the back-right area of the tongue differing significantly (p<0.05). In older individuals, however, no significant differences in taste thresholds were observed between Bell's palsy patients and healthy subjects (p>0.05). CONCLUSIONS: Electrical taste thresholds were higher in Bell's palsy patients than in controls. These differences were observed in younger, but not in older, individuals.
Bell Palsy* ; Facial Paralysis* ; Healthy Volunteers ; Humans ; Palate, Soft ; Taste Threshold* ; Tongue ; Uvula

10

Cite

Share

Prognostic Factors for Recovery from Sudden Sensorineural Hearing Loss: A Retrospective Study.

Woo Seok KANG ; Chan Joo YANG ; Myungjoo SHIM ; Chan Il SONG ; Tae Su KIM ; Hyun Woo LIM ; Joong Ho AHN ; Hong Ju PARK ; Jong Woo CHUNG

Journal of Audiology & Otology.2017;21(1):9-15. doi:10.7874/jao.2017.21.1.9

BACKGROUND AND OBJECTIVES: This study aimed to investigate prognostic factors in patients with idiopathic sudden sensorineural hearing loss (ISSNHL). SUBJECTS AND METHODS: From January 2007 to December 2011, a retrospective chart review identified 494 consecutive patients with ISSNHL. Demographic, audiometric, and clinical data were analyzed using a logistic regression test. RESULTS: Hearing recovery from ISSNHL was significantly associated with factors such as age, duration from onset of symptoms to commencement of treatment, severity of the initial pure tone threshold, and the treatment method. Intratympanic (IT) steroid administration alone showed a comparable efficiency to oral steroid administration with or without IT steroid injection. In patients who received IT steroid injection, the duration from onset to treatment, severity of initial hearing loss, and sequential IT steroid injection following systemic steroid administration were statistically associated with hearing improvement. CONCLUSIONS: Age, severity of initial pure tone threshold, duration from onset to treatment, initial speech discrimination, and initial pure tone threshold are statistically significant prognostic factors related to hearing improvement in ISSNHL. IT steroid injection as an initial single treatment is comparable to systemic oral steroid administration.
Hearing ; Hearing Loss ; Hearing Loss, Sensorineural* ; Humans ; Logistic Models ; Methods ; Prognosis ; Retrospective Studies* ; Speech Perception

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share