Clin Exp Otorhinolaryngol.  2021 Aug;14(3):355-358. 10.21053/ceo.2020.02523.

Effects of Contralateral Routing of Signal Hearing Aids on Audiological and Academic Performance in School-Age Children With Unilateral Hearing Loss

Affiliations
  • 1Department of Otorhinolaryngology, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
  • 2Research Center of GN Hearing Korea, Seoul, Korea
  • 3Department of Otorhinolaryngology, Yonsei University College of Medicine and Brain Korea 21 PLUS Project for Medical Sciences, Seoul, Korea


Figure

  • Fig. 1. (A) Outcomes of sound localization testing after contralateral routing of signal (CROS) hearing aid (HA) fitting in children with unilateral hearing loss (UHL). The ability of sound localization was measured as the root-mean-square error (RMSE) degree. The test was assessed at initial HA fitting (in both the unaided and CROS HA-aided states) and at 3, 6, and 12 months after HA fitting. (B-E) Outcomes of the Korean version of the Hearing in Noise Test (K-HINT) after CROS HA use in children with UHL. The composite scores were calculated using the formula: [2×noise front+noise right+noise left]/4. Speech perception ability was evaluated in three types of noise environments (ipsilateral side, contralateral side, and front) in both the unaided and CROS HA-aided states. The K-HINT was administered at the initial HA fitting (in both the unaided and CROS HA-aided states) at 3, 6, and 12 months after HA fitting. SNR, signal-to-noise ratio. *P<0.05, **P<0.01.

  • Fig. 2. Evaluation of school performance after contralateral routing of signal (CROS) hearing aid (HA) use in children with unilateral hearing loss (UHL). To evaluate school performance after CROS HA fitting, the Korea National Institute for the Special Education-Auditory Behavioral Checklist (KNISE-ABC) questionnaire was used. The KNISE-ABC consists of seven test areas: listening, listening in background noise, communication, learning, auditory memory, auditory attention, and related behaviors. The blue line indicates mean test results for schoolchildren with normal hearing [6]. The red line indicates the results for 18 elementary schoolchildren with cochlear implants (CIs) [7]. The red asterisks indicate statistical significance between CI and CROS HA users (P<0.05). The blue asterisks indicate statistical significance between schoolchildren with normal hearing and CROS HA users (P<0.05). + refers to the mean scores of study participants.


Cited by  1 articles

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Clin Exp Otorhinolaryngol. 2022;15(2):127-134.    doi: 10.21053/ceo.2021.01662.


Reference

1. Bess FH, Tharpe AM. Unilateral hearing impairment in children. Pediatrics. 1984; Aug. 74(2):206–16.
Article
2. Bess FH, Klee T, Culbertson JL. Identification, assessment, and management of children with unilateral sensorineural hearing loss. Ear Hear. 1986; Feb. 7(1):43–51.
Article
3. Culbertson JL, Gilbert LE. Children with unilateral sensorineural hearing loss: cognitive, academic, and social development. Ear Hear. 1986; Feb. 7(1):38–42.
4. Gordon KA, Papsin BC. Special edition on unilateral deafness and hearing loss: an introduction and overview. Hear Res. 2019; Feb. 372:1–2.
5. Kenworthy OT, Klee T, Tharpe AM. Speech recognition ability of children with unilateral sensorineural hearing loss as a function of amplification, speech stimuli and listening condition. Ear Hear. 1990; Aug. 11(4):264–70.
Article
6. Jang H, Kim-Lee Y, Lee H, Song Y. A study on the development of KNISE-auditory behavioral checklist. 1 ed. Asan: Korea National Institute for Special Education;2012. p. 141.
7. Jang H, Yoon K, Ryu H. Auditory behavior characteristics of the students with cochlear implants in mainstream settings. J Incl Educ. 2016; 11(2):167–86.
8. Pedley AJ, Kitterick PT. Contralateral routing of signals disrupts monaural level and spectral cues to sound localisation on the horizontal plane. Hear Res. 2017; Sep. 353:104–11.
Article
9. Lin LM, Bowditch S, Anderson MJ, May B, Cox KM, Niparko JK. Amplification in the rehabilitation of unilateral deafness: speech in noise and directional hearing effects with bone-anchored hearing and contralateral routing of signal amplification. Otol Neurotol. 2006; Feb. 27(2):172–82.
Article
10. 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; Sep-Oct. 37(5):495–507.
Article
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