Effect of Tinnitus and Duration of Deafness on Sound Localization and Speech Recognition in Noise in Patients With Single-Sided Deafness.
Effect of Tinnitus and Duration of Deafness on Sound Localization and Speech Recognition in Noise in Patients With Single-Sided Deafness.
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耳鸣和耳聋持续时间对单侧耳聋患者噪声中声音定位和言语识别的影响
DOI：
10.1177/2331216518813802
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发表时间：
2018-01
影响因子：
2.7
通讯作者：
Fu QJ
中科院分区：
文献类型：
--
作者：
Liu YW;Cheng X;Chen B;Peng K;Ishiyama A;Fu QJ
单侧耳聋 (SSD) 患者通常会出现声音定位不良、噪声中言语理解能力下降、生活质量下降和耳鸣等症状。本研究旨在评估 SSD 受试者的耳鸣和耳聋持续时间对噪声中的声音定位和语音识别的影响。在 26 名 SSD 和 10 名正常听力 (NH) 受试者中测量了噪声中的声音定位和语音识别能力。演讲总是直接呈现在听众面前。噪声被呈现给听者面前的聋耳或听力较好的耳朵。使用视觉模拟量表和耳鸣障碍清单来测量耳鸣严重程度。相对于 NH 受试者，SSD 受试者在所有听力条件下的声音定位和语音识别方面均存在显着缺陷 (p< .001)。对于 SSD 受试者，噪声中的语音识别与听力较好的耳朵的平均听力阈值相关 (p<0.001)，但与聋耳的平均听力阈值无关。患有耳鸣的 SSD 受试者在噪声中的声音定位和语音识别方面比没有耳鸣的受试者表现较差。耳聋持续时间较短与耳鸣较大和声音定位困难相关。耳鸣视觉模拟量表与耳鸣障碍量表高度相关；耳鸣程度与噪声中的声音定位和语音识别呈负相关。那些经历明显耳鸣的人可能比没有植入人工耳蜗的人受益更多；主观耳鸣的减少可能与噪声中声音定位和语音识别的改善有关。耳聋持续时间较长的受试者表现出更好的声音定位，这表明双耳线索损失的长期补偿。
Patients with single-sided deafness (SSD) often experience poor sound localization, reduced speech understanding in noise, reduced quality of life, and tinnitus. The present study aims to evaluate effects of tinnitus and duration of deafness on sound localization and speech recognition in noise by SSD subjects. Sound localization and speech recognition in noise were measured in 26 SSD and 10 normal-hearing (NH) subjects. Speech was always presented directly in front of the listener. Noise was presented to the deaf ear, in front of the listener, or to the better hearing ear. Tinnitus severity was measured using visual analog scale and Tinnitus Handicap Inventory. Relative to NH subjects, SSD subjects had significant deficits in sound localization and speech recognition in all listening conditions (p < .001). For SSD subjects, speech recognition in noise was correlated with mean hearing thresholds in the better hearing ear (p < .001) but not in the deaf ear. SSD subjects with tinnitus performed poorer in sound localization and speech recognition in noise than those without tinnitus. Shorter duration of deafness was associated with greater tinnitus and sound localization difficulty. Tinnitus visual analog scale and Tinnitus Handicap Inventory were highly correlated; the degree of tinnitus was negatively correlated with sound localization and speech recognition in noise. Those experiencing noticeable tinnitus may benefit more from cochlear implantation than those without; subjective tinnitus reduction may be correlated with improved sound localization and speech recognition in noise. Subjects with longer duration of deafness demonstrated better sound localization, suggesting long-term compensation for loss of binaural cues.
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影响因子：
3.7
作者：
Firszt JB;Reeder RM;Holden LK
通讯作者：
Holden LK
影响因子：
2.7
作者：
Chan, Jenny C. Y.;Freed, Daniel J.;Soli, Sigfrid D.
通讯作者：
Soli, Sigfrid D.
影响因子：
1.4
作者：
Bosman, AJ;Hol, MKS;Cremers, CWRJ
通讯作者：
Cremers, CWRJ
影响因子：
2.6
作者：
Chang, Jolie L.;Pross, Seth E.;Cheung, Steven W.
通讯作者：
Cheung, Steven W.
影响因子：
3.7
作者：
CULBERTSON, JL;GILBERT, LE
通讯作者：
GILBERT, LE