Prevalence of extended high-frequency hearing loss among adolescents from two rural areas in Colombia

Peñaranda, Daniel; Pérez-Herrera, Lucía C.; Hernandez, Diana C.; Moreno‐López, Sergio; Perea, Ilene; Jacome, Mario; Suetta-Lugo, Nancy; García, Juan Manuel Méjica; Peñaranda, Augusto

doi:10.1080/14992027.2020.1828631

Cited by 5 publications

(15 citation statements)

References 44 publications

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“…Among the sampled population with clinically normal audiograms, 7% of children had EHF hearing impairment and the EHF loss count increased with age. Compared with the present study, a higher percentage of prevalence of EHF loss has been reported for 13- to 19-year olds (10%) (Peñaranda et al 2020) and for 6- to 14-year olds with suspected listening disorders (32%) (Hunter et al 2021). Although 5 out of 38 (13%) EHF-impaired children had a history of OM, unlike previous studies (Gravel et al 2006; Margolis et al 2000; Hunter et al 1996), we did not find a significant effect of the history of OM on EHF hearing (PTA EHF ).…”

Section: Discussioncontrasting

confidence: 75%

Hearing Impairment in the Extended High Frequencies in Children Despite Clinically Normal Hearing

2022

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Objectives: Pediatric hearing impairment, regardless of degree and type, has a detrimental effect on speech perception, cognition, oral language development, academic outcomes, and literacy. Hearing assessment in the clinic is limited to 8 kHz although humans can hear up to 20 kHz. Hearing impairment in the extended high frequencies (EHFs > 8 kHz) can occur despite clinically normal hearing. However, to date, the nature and effects of EHF hearing impairment in children remain unknown. The goals of the present study were to determine the effects of EHF hearing impairment on speech-in-noise recognition in children and to examine whether hearing impairment in the EHFs is associated with altered cochlear functioning in the standard frequencies.Design: A volunteer sample of 542 participants (4 to 19 years) with clinically normal audiograms were tested. Participants identified with EHF impairment were assigned as cases in a subsequent case-control study. EHF loss was defined as hearing thresholds greater than 20 dB in at least one EHFs (10, 12.5, or 16 kHz). Speech recognition thresholds in multi-talker babble were measured using the digit triplet test. Distortion product otoacoustic emissions (f 2 = 2, 3, 4, and 5 kHz) were measured to assess cochlear functioning.Results: Thresholds in the EHFs were as reliable as those in the standard frequency range. Thirty-eight children had EHF hearing impairment regardless of a clinically normal audiogram. A linear mixed-effects model revealed that children with EHF hearing impairment had higher (poorer) mean speech recognition threshold than children with normal EHF sensitivity (estimate = 2.14 dB, 95% CI: 1.36 to 3.92; effect size = small). The overall magnitude of distortion product otoacoustic emissions was lower for children with EHF impairment (estimate = -2.47 dB, 95% CI: -4.60 to -0.73; effect size = medium). In addition, the pure-tone average for standard audiometric frequencies was relatively higher for EHF-impaired children (estimate = 3.68 dB, 95% CI: 2.56 to 4.80; effect size = small).Conclusions: Hearing impairment in the EHFs is common in children despite clinically normal hearing and can occur without a history of otitis media. EHF impairment is associated with poorer speech-in-noise recognition and preclinical cochlear deficits in the lower frequencies where hearing thresholds are normal. This study highlights the clinical need to identify EHF impairments in children.

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Section: Discussioncontrasting

confidence: 75%

Hearing Impairment in the Extended High Frequencies in Children Despite Clinically Normal Hearing

2022

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“…Confounding moderate noise and ototoxic exposure could affect hearing performance additionally and independently from aging and ARHL effects. Third, we did not assess extensive high‐frequency hearing loss (above 8 kHz) which seems to be a sign of early ARHL and can be associated with “hidden hearing loss,” that means impaired speech understanding in noise despite regular PTA‐thresholds (Barbee et al, 2018; Peñaranda et al, 2021; Sun et al, 2021). Possibly some of our healthy controls already exhibit some degree of extensive high‐frequency hearing loss not consistent with totally normal hearing.…”

Section: Discussionmentioning

confidence: 99%

Changes in the peripheral and central auditory performance in the elderly—A cross‐sectional study

Pürner

Schirkonyer

Janssen

2022

J of Neuroscience Research

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Age-related hearing loss (ARHL, formerly presbycusis) is due to a variety of lifetime damages to the auditory system and is characterized by bilateral sensorineural hearing loss, impaired speech understanding in noise and central sound processing deficits. Despite its commonness, the pathogenesis has not been completely clarified yet; especially the existence of an independent central ARHL component still remains controversial. We present the results of a cross-sectional topodiagnostic test battery study which aimed at separating aging-and hearing loss-related effects on all parts of the auditory system by current test procedures. Three groups of 30 participants each underwent extensive topodiagnostic test procedures (otoscopy, tympanometry, questionnaires, pure-tone audiometry, DPOAE threshold measurements, auditory brainstem response, central auditory discrimination tests, and speech-in-noise test).By comparing the results of the normally hearing young (18-26 years) and healthy control group, the normally hearing elderly group (60-80 years) and the hearingimpaired elderly group (60-80 years), we deduced aging and hearing loss-related effects on auditory performance. All measurements indicated a significant deterioration of auditory performance in the elderly, partly associated with aging and partly with age-related hearing loss. Our study thereby contributes to a multifocal concept of ARHL. All parts of the auditory system are impaired by aging, age-related hearing loss, or a combination of both. Further evidence for an independent central ARHL component, not attributable to peripheral hearing loss, is provided by the results of the central auditory discrimination test.

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“…Special care was taken with each of the young participants as they could potentially become bored, and they were given breaks if necessary. Patients who recorded thresholds above 15 dB HL in the conventional pure-tone audiogram were considered to have hearing loss ( 18 , 19 ). Based on previous studies, we also performed statistical evaluations using a threshold value of 15 dB HL for EHFs ( 18 , 19 ).…”

Section: Methodsmentioning

confidence: 99%

“…This suggests that achieving a normal pure-tone hearing threshold on an audiogram does not mean that there is no pathology in the cochlea or the central auditory nervous system ( 17 ). Therefore, conventional pure-tone audiometry should be complemented by extended high-frequency (EHF) (>8 kHz) audiometry ( 17 , 18 , 19 ) to achieve an accurate diagnosis for people with a normal conventional audiogram who have listening difficulties or people with history of noise exposure and/or disorders that affect basal regions of the cochlea, such as T1D. This type of audiometry may be useful in the early diagnosis of hearing loss in certain situations, such as the ototoxic effect of cisplatin-based treatment, noise exposure, or oral misunderstanding, especially in noisy environments ( 20 ) and with T1D.…”

Section: Introductionmentioning

confidence: 99%

“…EHF hearing is important for our understanding of speech in noise ( 17 ), potentially affecting academic success in school-age children. Therefore, EHF audiometry could also be a useful tool for the early diagnosis of hearing impairment in childhood ( 18 , 19 ). To date, only one study has investigated EHFs in children with T1D ( 21 ).…”

Section: Introductionmentioning

confidence: 99%

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The Importance of Extended High Frequencies in Hearing Evaluation of Pediatric Patients with Type 1 Diabetes

Güven¹,

Binay²

2023

Jcrpe

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Objective: Type 1 diabetes (T1D), one of the most common childhood diseases worldwide, can cause hearing loss through systemic effects. Diabetes-induced hearing loss is considered a progressive sensorineural hearing loss with a gradual onset, typically occurring at high frequencies (HFs). Extended HF (EHF) hearing sensitivity in children with T1D who did not complain of hearing loss was investigated as an early marker for hearing loss at the standard/conventional frequency range of hearing. Methods: Forty-two children (21 with T1D and 21 healthy controls) were evaluated in a case-control design. Conventional and EHF (14,000, 16,000, and 18,000 Hz) audiometry were performed. The diabetes group underwent routine blood biochemistry and glycated hemoglobin A1c measurements. The data were analyzed by the Student’s t-test, Mann-Whitney U test, chi-square test, and logistic regression analysis. Results: The mean hearing thresholds were significantly higher (p<0.05) in the diabetes group than in controls at 500, 2,000, 4,000, and 8,000 Hz [all <15 decibel hearing level (dB HL)]. The number of ears with thresholds >15 dB HL at 14,000-18,000 Hz but ≤15 dB HL at 500-4,000 Hz was significantly higher in the diabetes group than in the control group (p=0.049). Conclusion: Children with diabetes showed normal hearing thresholds within the conventional audiometric frequency range but they had higher hearing thresholds during EHF audiometry when compared with controls. Audiometry in these children should be performed using frequencies above 8,000 Hz combined with the conventional frequency range. EHF audiometry may be an effective method for identifying subclinical hearing loss in children with diabetes. Thus, diabetic children with an EHF mean hearing threshold above 15 dB HL should be monitored more closely in terms of blood glucose regulation to prevent diabetes-related hearing loss at the conventional frequency range.

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Prevalence of extended high-frequency hearing loss among adolescents from two rural areas in Colombia

Cited by 5 publications

References 44 publications

Hearing Impairment in the Extended High Frequencies in Children Despite Clinically Normal Hearing

Hearing Impairment in the Extended High Frequencies in Children Despite Clinically Normal Hearing

Changes in the peripheral and central auditory performance in the elderly—A cross‐sectional study

The Importance of Extended High Frequencies in Hearing Evaluation of Pediatric Patients with Type 1 Diabetes

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