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Pauli N, Sunnergren O, Florentzson R. High frequency hearing 25 years after transmyringeal ventilation tube treatment. Int J Pediatr Otorhinolaryngol 2023; 167:111509. [PMID: 36907111 DOI: 10.1016/j.ijporl.2023.111509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Revised: 02/22/2023] [Accepted: 03/04/2023] [Indexed: 03/14/2023]
Abstract
OBJECTIVES The main aim of the study was to compare hearing outcome between a healthy control group and patients treated with transmyringeal ventilation tubes, 25 years after primary surgery. Another aim was to analyse the relation between ventilation tube treatment in childhood and the occurrence of persistent middle ear pathology 25 years later. METHODS In 1996, children treated with transmyringeal ventilation tubes were recruited for a prospective study on the outcome of ventilation tube treatment. In 2006, a healthy control group were recruited and examined together with the original participants (case group). All participants in the 2006 follow-up were eligible for this study. A clinical ear microscopy examination including eardrum pathology grading and high frequency audiometry (10-16 kHz) was carried out. RESULTS A total of 52 participants were available for analysis. Hearing outcome was worse in the treatment group (n = 29) compared to the control group (n = 29), both in regard to standard frequency range hearing, (0.5-4 kHz), and high frequency hearing (HPTA3 10-16 kHz). Almost half the case group (48%) had eardrum retraction to some extent, compared to 10% in the control group. No case of cholesteatoma was found in this study and eardrum perforation was rare (<2%). CONCLUSION In the long term, high frequency hearing (HPTA3 10-16 kHz) was more often affected in the patients with transmyringeal ventilation tube treatment during childhood compared with the healthy controls. Middle ear pathology of greater clinical significance was rare.
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Affiliation(s)
- Nina Pauli
- Department of Otorhinolaryngology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden; Region Västra Götaland, Sahlgrenska University Hospital, Department of Otorhinolaryngology, Gothenburg, Sweden.
| | - Ola Sunnergren
- Region Jönköping County, Ryhov Hospital, Ear, Nose and Throat Clinic, Jönköping, Sweden
| | - Rut Florentzson
- Department of Otorhinolaryngology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden; Region Västra Götaland, Sahlgrenska University Hospital, Department of Otorhinolaryngology, Gothenburg, Sweden
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de Bustamante Simas ML, Dos Santos NRM, Lacerda AM. Auditory perceptual discomfort and low-hearing tolerance in the first episode psychosis. PSICOLOGIA, REFLEXAO E CRITICA : REVISTA SEMESTRAL DO DEPARTAMENTO DE PSICOLOGIA DA UFRGS 2022; 35:20. [PMID: 35819653 PMCID: PMC9276868 DOI: 10.1186/s41155-022-00224-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Accepted: 06/10/2022] [Indexed: 11/10/2022]
Abstract
Awareness of perceptual and sensory changes that might occur in visual, auditory, proprioception, and other senses, in the early stages towards the First Episode Psychosis (FEP), and their subsequent sensorial evolution as the disturb progresses deeper into an acute episode, might be a key element for interrupting the process. In the present study, we investigated hearing discomfort/tolerance to 16 given sound streams. Sixteen people diagnosed with FEP, participated in the experiment. Sixteen frequency sweeps varying in modulation envelopes (sawtooth, sine), order (ascending, descending), duration (4s, 8s), and range (50–8000 Hz, 2–8 kHz) were presented randomly, but always in the same sequence, to FEP and healthy controls (HC). The level of discomfort was estimated by the participant by making a mark across a continuous line whose extremes read “nothing bad” (left) and “too bad” (right). Results showed that ascending sine pure frequency sweeps (p < 0.01) and descending sine pure frequencies sweeps (p < 0.01) caused the maximum discomfort in FEP. Other variables also showed differences between FEP and HC, and FEP were always more intolerant to such pure frequency sweeps than HC. We conclude that this might be useful for very early assessment of people at risk, people with FEP, and people with schizophrenia.
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Affiliation(s)
- Maria Lúcia de Bustamante Simas
- Laboratório de Percepção Visual, Programa da Pós Graduação em Psicologia, Departamento de Psicologia, Centro de Filosofia e Ciências Humanas, Universidade Federal de Pernambuco, Av da Arquitetura s/n CFCH 9º Andar, Recife, PE, CEP.: 50740-550, Brasil.
| | - Naianna Ribeiro Mocelin Dos Santos
- Laboratório de Percepção Visual, Programa da Pós Graduação em Psicologia, Departamento de Psicologia, Centro de Filosofia e Ciências Humanas, Universidade Federal de Pernambuco, Av da Arquitetura s/n CFCH 9º Andar, Recife, PE, CEP.: 50740-550, Brasil
| | - Aline Mendes Lacerda
- Laboratório de Percepção Visual, Programa da Pós Graduação em Psicologia, Departamento de Psicologia, Centro de Filosofia e Ciências Humanas, Universidade Federal de Pernambuco, Av da Arquitetura s/n CFCH 9º Andar, Recife, PE, CEP.: 50740-550, Brasil
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Peñaranda D, Pérez-Herrera LC, Hernández D, Moreno-López S, Perea I, Jacome M, Suetta-Lugo N, García JM, Peñaranda A. Prevalence of extended high-frequency hearing loss among adolescents from two rural areas in Colombia. Int J Audiol 2020; 60:365-373. [PMID: 33043728 DOI: 10.1080/14992027.2020.1828631] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVE Worldwide research trends on the prevalence of hearing loss within young rural populations are scarce. Current evidence suggests extended high-frequency audiometry could be a sensitive predictor to detect subclinical hearing loss. This study aimed to determine the prevalence of hearing loss through conventional pure tone (0.25-8 kHz) and extended high-frequency (9-20 kHz) audiometry tests in a group of adolescents aged 13 to 19 years old from two rural areas of Colombia. A sociodemographic and associated factor for hearing loss questionnaire was applied. DESIGN Cross-sectional study. STUDY SAMPLE Three hundred sixty-six adolescents aged 13 to 19 years old from two rural municipalities in Colombia: Soracá, and Palmas del Socorro. RESULTS Hearing loss prevalence assessed through pure tone audiometry was 3.28% in right ears and 3.83% in left ears while through extended high-frequency audiometry was 14.21% and 13.11%, respectively. Associated factors found by the logistic regression were age (OR: 1.36; CI 95% 1.13-1.64) and obesity (OR: 3.74; CI 95% 1.07-13.11). CONCLUSIONS Using 15 dB as the normal hearing threshold parameter for audiometric frequencies, our results suggest that extended high-frequency hearing loss is already widespread among rural adolescents. This highlights the need for research on extended high-frequency audiometry in rural school-aged children.
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Affiliation(s)
- Daniel Peñaranda
- Otolaryngology Department, Fundación Universitaria de Ciencias de la Salud - Hospital de San José, Bogotá, Colombia
| | | | | | | | - Ilene Perea
- Otolaryngology Department, Fundación Universitaria de Ciencias de la Salud - Hospital de San José, Bogotá, Colombia
| | - Mario Jacome
- School of Medicine, Universidad de Los Andes, Bogotá, Colombia
| | - Nancy Suetta-Lugo
- Audiology Deparment, Universidad Nacional de Colombia Bogotá Bogotá, Colombia
| | - Juan Manuel García
- Otolaryngology Department, Fundación Universitaria de Ciencias de la Salud - Hospital de San José, Bogotá, Colombia.,School of Medicine, Universidad de Los Andes, Bogotá, Colombia.,Otolaryngology Section, Hospital Universitario Fundación Santa Fe, Bogotá, Colombia
| | - Augusto Peñaranda
- School of Medicine, Universidad de Los Andes, Bogotá, Colombia.,Otolaryngology Section, Hospital Universitario Fundación Santa Fe, Bogotá, Colombia
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Prestes MRD, Feitosa MAG, Sampaio ALL, Carvalho MDFC. Communication disorders in subjects with normal hearing: a behavioral and electrophysiological study. Braz J Otorhinolaryngol 2013; 79:65-74. [PMID: 23503910 PMCID: PMC9450879 DOI: 10.5935/1808-8694.20130012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2012] [Accepted: 11/13/2012] [Indexed: 12/05/2022] Open
Abstract
Hearing thresholds are not always predictive of performance in environments with reduced extrinsic redundancy. Objective To investigate the communication disorders reported by adults with normal hearing, and to assess their underlying conditions through behavioral and electrophysiological testing. Method This case control study enrolled 20 adults with normal hearing thresholds and divided them into two groups: a case group with 10 adults with hearing impairment-related communication disorders and a control group with 10 adults with normal hearing. The frequency of occurrence of communication difficulties was recorded during speech recognition tests run in quiet and noisy conditions, audiometry, and auditory evoked brainstem potential testing. Results Case group subjects differed statistically from controls only in self-reported scores of hearing impairment. The groups did not differ in the other ratings. A positive correlation was found between hearing thresholds and scores on self-reported impairment. Conclusion The combination of hearing complaints and unaltered audiograms was not correlated with differences in performance in speech recognition testing in noisy conditions or in the remaining evaluations. Correlation analysis showed that the higher the pure tone thresholds, the greater were the reported communication difficulties, even in thresholds between 0 and 25 dB.
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Behavioral hearing thresholds between 0.125 and 20 kHz using depth-compensated ear simulator calibration. Ear Hear 2012; 33:315-29. [PMID: 22436407 DOI: 10.1097/aud.0b013e31823d7917] [Citation(s) in RCA: 92] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
OBJECTIVES The purpose of this study was to obtain behavioral hearing thresholds for frequencies between 0.125 and 20 kHz from a large population between 10 and 65 yr old using a clinically feasible calibration method expected to compensate well for variations in the distance between the eardrum and an insert-type sound source. Previous reports of hearing thresholds in the extended high frequencies (>8 kHz) have either used calibration techniques known to be inaccurate or specialized equipment not suitable for clinical use. DESIGN Hearing thresholds were measured from 352 human subjects between 10 and 65 yr old having clinically normal-hearing thresholds (<20 dB HL) up to 4 kHz. An otoacoustic emission probe fitted with custom sound sources was used, and the stimulus levels individually tailored on the basis of an estimate of the insertion depth of the measurement probe. The calibrated stimulus levels were determined on the basis of measurements made at various depths of insertion in a standard ear simulator. Threshold values were obtained for 21 frequencies between 0.125 and 20 kHz using a modified Békésy technique. Forty-six of the subjects returned for a second measurement months later from the initial evaluation. RESULTS In agreement with previous reports, hearing thresholds at extended high frequencies were found to be sensitive to age-related changes in auditory function. In contrast with previous reports, no gender differences were found in average hearing thresholds at most evaluated frequencies. Two aging processes, one faster than the other in time scale, seem to influence hearing thresholds in different frequency ranges. The standard deviation (SD) of test-retest threshold difference for all evaluated frequencies was 5 to 10 dB, comparable to that reported in the literature for similar measurement techniques but smaller than that observed for data obtained using the standard clinical procedure. CONCLUSIONS The depth-compensated ear simulator-based calibration method and the modified Békésy technique allow reliable measurement of hearing thresholds over the entire frequency range of human hearing. Hearing thresholds at the extended high frequencies are sensitive to aging and reveal subtle differences, which are not evident in the frequency range evaluated regularly (≤8 kHz). Previously reported gender-related differences in hearing thresholds may be related to ear-canal acoustics and the calibration procedure and not because of differences in hearing sensitivity.
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Anastasio ART, Radael RD, Cavalcante JM, Hatzopoulos S. A report of extended high frequency audiometry thresholds in school-age children with no hearing complaints. Audiol Res 2012; 2:e8. [PMID: 26557317 PMCID: PMC4627155 DOI: 10.4081/audiores.2011.e8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2011] [Revised: 12/30/2011] [Accepted: 01/03/2011] [Indexed: 01/11/2023] Open
Abstract
The aim of the study was to establish the extended high frequency thresholds (EHF) of school-age children with no hearing complaints. The study was conducted on 50 children aged 8 to 12 years with pure tone thresholds (0.5, 1 and 2 kHz) of 15 dB HL or less, with normal speech discrimination and tympanometry and with the presence of contralateral acoustic reflexes of 0.5, 1, 2 and 4 kHz. The children were tested for EHF at frequencies of 9, 10, 11.2, 12.5, 14 and 16 kHz. No significant differences were found between the right and left ear for female and male groups. The results allowed us to group the children into a single sample with mean thresholds (dB) of 8.6 (9 kHz), 6.2 (10 kHz), 8.2 (11.2 kHz), 7.1 (12.5 kHz), 0.4 (14 kHz), and -3.6 (16 kHz). We conclude that, for school-age children, the extended EHF below 15 dBHL could be used as an indication of normal hearing sensitivity.
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Affiliation(s)
- Adriana Ribeiro Tavares Anastasio
- Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, Brazil
| | - Renata Daniela Radael
- Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, Brazil
| | - Juliana Maria Cavalcante
- Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, Brazil
| | - Stavros Hatzopoulos
- Department of Audiology, Center of Bioacoustics, University of Ferrara, Italy
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Anastasio ART, Radael RD, Cavalcante JM, Hatzopoulos S. A report of extended high frequency audiometry thresholds in school-age children with no hearing complaints. Audiol Res 2012. [PMID: 26557337 PMCID: PMC4630943 DOI: 10.4081/audiores.2012.e8] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
The aim of the study was to establish the extended high frequency thresholds (EHF) of school-age children with no hearing complaints. The study was conducted on 50 children aged 8 to 12 years with pure tone thresholds (0.5, 1 and 2 kHz) of 15 dB HL or less, with normal speech discrimination and tympanometry and with the presence of contralateral acoustic reflexes of 0.5, 1, 2 and 4 kHz. The children were tested for EHF at frequencies of 9, 10, 11.2, 12.5, 14 and 16 kHz. No significant differences were found between the right and left ear for female and male groups. The results allowed us to group the children into a single sample with mean thresholds (dB) of 8.6 (9 kHz), 6.2 (10 kHz), 8.2 (11.2 kHz), 7.1 (12.5 kHz), 0.4 (14 kHz), and -3.6 (16 kHz). We conclude that, for school-age children, the extended EHF below 15 dBHL could be used as an indication of normal hearing sensitivity.
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Affiliation(s)
- Adriana Ribeiro Tavares Anastasio
- Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, Brazil
| | - Renata Daniela Radael
- Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, Brazil
| | - Juliana Maria Cavalcante
- Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, Brazil
| | - Stavros Hatzopoulos
- Department of Audiology, Center of Bioacoustics, University of Ferrara, Italy
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