French Society of ENT (SFORL) guidelines (short version): Audiometry in adults and children

Favier, Valentin; Vincent, C.; Bizaguet, Eric; Bouccara, D.; Dauman, R.; Frachet, Bruno; Her, F. Le; Meyer-Bisch, C; Tronche, Sophie; Sterkers-Artières, F.; Venail, F.

doi:10.1016/j.anorl.2018.05.009

Cited by 8 publications

(4 citation statements)

References 10 publications

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“…Between our least and most predictable tasks (the Randomized to the clinical 3AFC paradigm), we found a 7-decibel average difference within the same subjects. This effect is sizeable when compared against the 5 dB step size used for clinical measurement (Favier et al, 2018). We then use more high-resolution methods to identify how predictive structure in time and frequency contribute to this difference.…”

Section: Discussionmentioning

confidence: 99%

Predictable sequential structure augments auditory sensitivity at threshold

Marin,

Gérenton,

Jean

et al. 2023

Preprint

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Human hearing is highly sensitive and allows us to detect acoustic events at low levels and at great distances. However, sensitivity is not only a function of the integrity of cochlear mechanisms, but also constrained by central processes such as attention and expectation. While the effects of distraction and attentional orienting are generally acknowledged, the extent to which probabilistic expectations influence sensitivity is not clear. Classical audiological assessment, commonly used to assess hearing sensitivity, does not distinguish between bottom-up sensitivity and top-down gain/filtering. In this study, we aim to decipher the influence of various types of expectations on hearing sensitivity and how this information can be used to improve the assessment of sensitivity to sound. Our results raise important critiques regarding common practices in the assessment of sound sensitivity, both in fundamental research and in audiological clinical assessment.Significance StatementThe principal clinical measure of ear function is the pure-tone audiogram in which a clinician will test for the softest tones one can detect across the frequency range. Clinicians have long known listener strategy can influence these measures whereby patients can guess when tones may occur based on regularities in the tone presentation structure. Our results demonstrate that this predictability and other forms influence not only listener strategy but also the sensitivity of the peripheral auditory system itself. This finding that prediction not only biases low-level perception but also enhances it has wide-ranging consequences for the fields of audiology and cognitive neuroscience, and furthermore suggests that prediction ability should be tracked as well as ear sensitivity as patients age.

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Section: Discussionmentioning

confidence: 99%

Predictable sequential structure augments auditory sensitivity at threshold

Marin,

Gérenton,

Jean

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…According to the pressure variations exerted in the outer ear canal 19, the tympanic impedance is divided into Type A (normal, with a symmetric wave), Type B (rounded or flat curve), Type C (low wave with leftward shift) and Type Ad (very high wave) ( 18 , 19 ).…”

Section: Methodsmentioning

confidence: 99%

“…According to the 2021 World Health Organization's hearing loss classification standards, using the pure tone average air conduct threshold between 500, 1,000, 2,000, and 4,000 Hz frequencies as the hearing threshold, HL is defined as having hearing thresholds greater (worse) than 20 decibel (dB) alteration at 6 and/or 8 kHz, and the PTA value obtained by average air conduction thresholds between 500, 1,000, 2,000, and 4,000 Hz frequencies is used as the basis for classifying hearing loss levels: According to the pressure variations exerted in the outer ear canal 19, the tympanic impedance is divided into Type A (normal, with a symmetric wave), Type B (rounded or flat curve), Type C (low wave with leftward shift) and Type Ad (very high wave) (18,19).…”

Section: Diagnostic Criteria For Audiologymentioning

confidence: 99%

Incidence and risk factors of hearing loss in patients with Turner Syndrome

Lin

Wang²,

Qin³

et al. 2023

Front. Public Health

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BackgroundHearing loss (HL) is one of the main medical complications for Turner Syndrome (TS) patients, with an earlier presentation and higher incidence than normal women. However, the etiology of HL in TS is unclear. The aim of this study was to investigate the hearing status of TS patients in China and the influencing factors, so as to provide a theoretical basis for early intervention treatment for TS patients with HL.MethodsIn total 46 female patients aged 14–32 diagnosed with TS received tympanic membrane and audiological examinations, including pure tone audiometry and tympanometry. In addition, the effects of karyotype, sex hormone levels, thyroid function, insulin, blood lipids, bone mineral density, age and other factors on hearing levels were analyzed, and the possible risk factors associated with HL in TS patients were explored.ResultsIn 9 patients (19.6%) had HL, including 1 (2.2%) with mild conductive hearing loss, 5 (10.9%) with mild sensorineural hearing loss, 3 (6.5%) with moderate sensorineural hearing loss. TS is often associated with age-related mid-frequency and high-frequency HL, and the incidence of HL increases with age. Compared with other karyotypes, patients with 45, X haplotype have an increased risk of mid-frequency HL.ConclusionsTherefore, karyotype may be a predictor of hearing problems in TS.

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“…A pure tone average (PTA) refers to the average of hearing threshold levels at 500, 1000, 2000 and 4000 Hz. 12 The SRT is the minimum hearing level for speech at which an individual can recognise 50% of the speech material. A recognition task is one in which the participant selects the test item from a closed set of choices.…”

Section: Auditory Performance Outcomesmentioning

confidence: 99%

Multicentre cohort study of cochlear implantation outcomes in Thailand

et al. 2021

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ObjectivesTo report the status and outcomes of cochlear implantation in Thailand.DesignCohort study.SettingTertiary care and university hospitals.ParticipantsPatients who underwent cochlear implant surgery in Thailand.InterventionsThis project collected data from all government and university hospitals in Thailand where cochlear implant surgery was performed between 2016 and 2020.Primary and secondary outcome measuresBaseline characteristics, operation data, complications, audiological outcomes and quality of life were reported.ResultsThis study included 458 patients, and nearly half of the patients were children and adolescents (46.94%). The mean age of the patients was 2.96±5.83 years. At 1 year postoperatively, the mean pure tone average of the hearing threshold in the implanted ear significantly improved from unaided preoperative baseline (mean difference (MD) 64.23 dB HL; 95% CI 59.81 to 68.65; p<0.001). The mean speech recognition threshold also improved (MD 55.96 dB HL; 95% CI 49.50 to 62.42, p<0.001). The quality-of-life scores of the EQ-5D-5L, PedsQL and HUI3 questionnaires at 1 year showed improved mobility (range, 0–5; MD 0.65; 95% CI 0.05 to 1.25; p=0.037), hearing (range, 0–6; MD 0.96; 95% CI 0.30 to 1.61; p=0.006) and speech (range, 0–5; MD 0.44; 95% CI 0.04 to 0.84; p=0.031). Common complications included electrode dislodgement (2.18%), vertigo (1.23%) and meningitis (1.93%).ConclusionsExcellent audiological outcomes and improvement in the quality of life in the mobility, hearing and speech domains were observed in patients who underwent cochlear implantation in Thailand.

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French Society of ENT (SFORL) guidelines (short version): Audiometry in adults and children

Cited by 8 publications

References 10 publications

Predictable sequential structure augments auditory sensitivity at threshold

Predictable sequential structure augments auditory sensitivity at threshold

Incidence and risk factors of hearing loss in patients with Turner Syndrome

Multicentre cohort study of cochlear implantation outcomes in Thailand

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