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Horizontal sound localisation and speech perception in Bonebridge-implanted single-sided deafness patients

Published online by Cambridge University Press:  16 September 2020

C Zhao ,
J Yang ,
Y Liu ,
M Gao ,
P Chen ,
J Zheng  and
S Zhao
C Zhao*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
J Yang
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
Y Liu
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
M Gao
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
P Chen
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
J Zheng
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
S Zhao*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
*
Author for correspondence: Dr Shouqin Zhao, Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, No.1 Dongjiaomin Lane, Dongcheng District, Beijing100730, China E-mail: [email protected] Fax: +86 105 826 9258
Author for correspondence: Dr Shouqin Zhao, Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, No.1 Dongjiaomin Lane, Dongcheng District, Beijing100730, China E-mail: [email protected] Fax: +86 105 826 9258
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Abstract

Objective

This study aimed to investigate the benefit of Bonebridge devices in patients with single-sided deafness.

Method

Five patients with single-sided deafness who were implanted with Bonebridge devices were recruited in a single-centre study. Participants’ speech perception and horizontal sound localisation abilities were assessed at 6 and 12 months post-operatively. Speech intelligibility in noisy environments was measured in three different testing conditions (speech and noise presented from the front, speech and noise presented from the front and contralateral (normal ear) side separately, and speech presented from the ipsilateral (implanted Bonebridge) side and noise from the contralateral side). Sound localisation was evaluated in Bonebridge-aided and Bonebridge-unaided conditions at different stimuli levels (65, 70 and 75 dB SPL).

Results

All participants showed a better capacity for speech intelligibility in quiet environments with the Bonebridge device. The speech recognition threshold with the Bonebridge device was significantly decreased at both short- and long-term follow up in the speech presented from the ipsilateral (implanted Bonebridge) side and noise from the contralateral side condition (p < 0.05). Additionally, participants maintained similar levels of sound localisation between the Bonebridge-aided and unaided conditions (p > 0.05). However, the accuracy of localisation showed some improvement at 70 dB SPL and 75 dB SPL post-operatively.

Conclusion

The Bonebridge device provides the benefit of improved speech perception performance in patients with single-sided deafness. Sound localisation abilities were neither improved nor worsened with Bonebridge implantation at the follow-up assessments.

Keywords

Single-Sided DeafnessHearing Loss, UnilateralBonebridgeSpeech PerceptionSound Localization
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 9 , September 2020 , pp. 814 - 821
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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Footnotes

Dr S Zhao takes responsibility for the integrity of the content of the paper

References

van Wieringen, A, Boudewyns, A, Sangen, A, Wouters, J, Desloovere, C. Unilateral congenital hearing loss in children: challenges and potentials. Hear Res 2019;372:29–4110.1016/j.heares.2018.01.010CrossRefGoogle ScholarPubMed
Rohlfs, A-K, Friedhoff, J, Bohnert, A, Breitfuss, A, Hess, M, Müller, F et al. Unilateral hearing loss in children: a retrospective study and a review of the current literature. Eur J Pediatr 2017;176:475–86CrossRefGoogle Scholar
Shargorodsky, J, Curhan, SG, Curhan, GC, Eavey, R. Change in prevalence of hearing loss in US adolescents. JAMA 2010;304:772–8CrossRefGoogle ScholarPubMed
Galvin, JJ 3rd, Fu, Q-J, Wilkinson, EP, Mills, D, Hagan, SC, Lupo, JE et al. Benefits of cochlear implantation for single-sided deafness: data from the House Clinic-University of Southern California-University of California, Los Angeles clinical trial. Ear Hear 2019;40:766–81CrossRefGoogle ScholarPubMed
Ramos Macias, Á, Borkoski-Barreiro, SA, Falcón González, JC, de Miguel Martínez, I, Ramos de Miguel, Á. Single-sided deafness and cochlear implantation in congenital and acquired hearing loss in children. Clin Otolaryngol 2019;44:138–43CrossRefGoogle ScholarPubMed
Anne, S, Lieu, JEC, Cohen, MS. Speech and language consequences of unilateral hearing loss: a systematic review. Otolaryngol Head Neck Surg 2017;157:572–9CrossRefGoogle ScholarPubMed
Harford, E, Barry, J. A rehabilitative approach to the problem of unilateral hearing impairment: the contralateral routing of signals CROS. J Speech Hear Disord 1965;30:121–38CrossRefGoogle ScholarPubMed
Williams, VA, McArdle, RA, Chisolm, TH. Subjective and objective outcomes from new BiCROS technology in a veteran sample. J Am Acad Audiol 2012;23:789–806Google Scholar
Ericson, H, Svärd, I, Högset, O, Devert, G, Ekström, L. Contralateral routing of signals in unilateral hearing impairment. A better method of fitting. Scand Audiol 1988;17:111–6CrossRefGoogle ScholarPubMed
Kitterick, PT, Smith, SN, Lucas, L. Hearing instruments for unilateral severe-to-profound sensorineural hearing loss in adults: a systematic review and meta-analysis. Ear Hear 2016;37:495–507CrossRefGoogle ScholarPubMed
Snapp, HA, Holt, FD, Liu, X, Rajguru, SM. Comparison of speech-in-noise and localization benefits in unilateral hearing loss subjects using contralateral routing of signal hearing aids or bone-anchored implants. Otol Neurotol 2017;38:11–8CrossRefGoogle ScholarPubMed
Kim, G, Ju, HM, Lee, SH, Kim, HS, Kwon, JA, Seo, YJ. Efficacy of bone-anchored hearing aids in single-sided deafness: a systematic review. Otol Neurotol 2017;38:473–83CrossRefGoogle ScholarPubMed
Nevoux, J, Coudert, C, Boulet, M, Czajka, C, Tavernier, L, Daval, M et al. Transcutaneous Baha Attract system: long-term outcomes of the French multicenter study. Clin Otolaryngol 2018;43:1553–9CrossRefGoogle ScholarPubMed
Bonne, NX, Hanson, JN, Gauvrit, F, Risoud, M, Vincent, C. Long-term evaluation of sound localization in single-sided deaf adults fitted with a BAHA device. Clin Otolaryngol 2019;44:898–904CrossRefGoogle ScholarPubMed
Agterberg, MJH, Snik, AFM, Van de Goor, RMG, Hol, MKS, Van Opstal, AJ. Sound-localization performance of patients with single-sided deafness is not improved when listening with a bone-conduction device. Hear Res 2019;372:62–8CrossRefGoogle Scholar
Kiringoda, R, Lustig, LR. A meta-analysis of the complications associated with osseointegrated hearing aids. Otol Neurotol 2013;34:790–4CrossRefGoogle ScholarPubMed
Grantham, DW, Ashmead, DH, Haynes, DS, Hornsby, BW, Labadie, RF, Ricketts, TA. Horizontal plane localization in single-sided deaf adults fitted with a bone-anchored hearing aid(Baha). Ear Hear 2012;33:595–603CrossRefGoogle Scholar
Seebacher, J, Franke-Trieger, A, Weichbold, V, Zorowka, P, Stephan, K. Improved interaural timing of acoustic nerve stimulation affects sound localization in single-sided deaf cochlear implant users. Hear Res 2019;371:19–27CrossRefGoogle ScholarPubMed
Choi, JE, Moon, IJ, Kim, EY, Park, HS, Kim, BK, Chung, WH et al. Sound localization and speech perception in noise of pediatric cochlear implant recipients: bimodal fitting versus bilateral cochlear implants. Ear Hear 2017;38:426–40CrossRefGoogle ScholarPubMed
Huber, AM, Sim, JH, Xie, YZ, Chatzimichalis, M, Ullrich, O, Roosli, C. The Bonebridge: preclinical evaluation of a new transcutaneously-activated bone anchored hearing device. Hear Res 2013;301:93–9CrossRefGoogle ScholarPubMed
Law, EKC, Bhatia, KSS, Tsang, WSS, Tong, MCF, Shi, L. CT pre-operative planning of a new semi-implantable bone conduction hearing device. Eur Radiol 2016;26:1686–95CrossRefGoogle ScholarPubMed
Vogt, K, Frenzel, H, Ausili, SA, Hollfelder, D, Wollenberg, B, Snik, AFM et al. Improved directional hearing of children with congenital unilateral conductive hearing loss implanted with an active bone–conduction implant or an active middle ear implant. Hear Res 2018;370:238–47CrossRefGoogle ScholarPubMed
Schmerber, S, Deguine, O, Marx, M, Van de Heyning, P, Sterkers, O, Mosnier, I et al. Safety and effectiveness of the Bonebridge transcutaneous active direct-drive bone-conduction hearing implant at 1-year device use. Eur Arch Otorhinolaryngol 2017;274:1835–51CrossRefGoogle ScholarPubMed
Salcher, R, Zimmermann, D, Giere, T, Lenarz, T, Maier, H. Audiological results in SSD with an active transcutaneous bone conduction implant at a retrosigmoidal position. Otol Neurotol 2017;38:642–7CrossRefGoogle Scholar
Van de Heyning, P, Távora-Vieira, D, Mertens, G, Van Rompaey, V, Rajan, GP, Müller, J et al. Towards a unified testing framework for single-sided deafness studies: a consensus paper. Audiol Neurotol 2016;21:391–8CrossRefGoogle ScholarPubMed
Schafer, EC, Amlani, AM, Paiva, D, Nozari, L, Verret, S. A meta-analysis to compare speech recognition in noise with bilateral cochlear implants and bimodal stimulation. Int J Audiol 2011;50:871–80CrossRefGoogle ScholarPubMed
Laske, RD, Röösli, C, Pfiffner, F, Veraguth, D, Huber, AM. Functional results and subjective benefit of a transcutaneous bone conduction device in patients with single-sided deafness. Otol Neurotol 2015;36:1151–6CrossRefGoogle ScholarPubMed
Hassepass, F, Bulla, S, Aschendorff, A, Maier, W, Traser, L, Steinmetz, C et al. The Bonebridge as a transcutaneous bone conduction hearing system: preliminary surgical and audiological results in children and adolescents. Eur Arch Otorhinolaryngol 2015;272:2235–41CrossRefGoogle ScholarPubMed
Grothe, B, Pecka, M, McAlpine, D. Mechanisms of sound localization in mammals. Physiol Rev 2010;90:983–1012CrossRefGoogle ScholarPubMed