Tone Decay Reconsidered: Preliminary Results of a Prospective Study in Hearing-Aid Users with Moderate to Severe Hearing Loss

Among hearing aid (HA) users, there is a considerable variability in word recognition scores (WRSs). This variability is most pronounced among individuals with moderately severe to severe hearing loss. The variability cannot be adequately explained by factors such as pure-tone audiogram, audiogram t...

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Main Authors: Florian Herrmann Schmidt, Thomas Hocke, Lichun Zhang, Wilma Großmann, Robert Mlynski
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/13/2/500
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author Florian Herrmann Schmidt
Thomas Hocke
Lichun Zhang
Wilma Großmann
Robert Mlynski
author_facet Florian Herrmann Schmidt
Thomas Hocke
Lichun Zhang
Wilma Großmann
Robert Mlynski
author_sort Florian Herrmann Schmidt
collection DOAJ
description Among hearing aid (HA) users, there is a considerable variability in word recognition scores (WRSs). This variability is most pronounced among individuals with moderately severe to severe hearing loss. The variability cannot be adequately explained by factors such as pure-tone audiogram, audiogram type or age. This prospective study was designed to investigate the relationship between tone decay (TD) and WRS in a group of HA users with corresponding pure-tone hearing loss. The study population included 22 patients with hearing loss between 50 and 80 dB HL. Aided WRS, unaided WRS and TD were assessed for both ears. TD was found to be frequency-dependent. TD and WRS were correlated, with up to R = −0.66. The TD test was revealed to be a feasible method for explaining variability in WRS among HA users with hearing loss below 80 dB. This may contribute to improved differential diagnostics. The TD test may thus offer a better understanding of the limitations of HA use in the context of cochlear implant candidacy assessment for HA users.
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spelling doaj.art-100991bc63a84b229ac12f4575e758c12024-01-29T14:02:25ZengMDPI AGJournal of Clinical Medicine2077-03832024-01-0113250010.3390/jcm13020500Tone Decay Reconsidered: Preliminary Results of a Prospective Study in Hearing-Aid Users with Moderate to Severe Hearing LossFlorian Herrmann Schmidt0Thomas Hocke1Lichun Zhang2Wilma Großmann3Robert Mlynski4Department of Otorhinolaryngology, Head and Neck Surgery, ‘Otto Körner’, Rostock University Medical Center, Doberaner Strasse 137-139, 18057 Rostock, GermanyCochlear Deutschland GmbH & Co. KG, Karl-Wiechert-Allee 76, 30625 Hannover, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, ‘Otto Körner’, Rostock University Medical Center, Doberaner Strasse 137-139, 18057 Rostock, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, ‘Otto Körner’, Rostock University Medical Center, Doberaner Strasse 137-139, 18057 Rostock, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, ‘Otto Körner’, Rostock University Medical Center, Doberaner Strasse 137-139, 18057 Rostock, GermanyAmong hearing aid (HA) users, there is a considerable variability in word recognition scores (WRSs). This variability is most pronounced among individuals with moderately severe to severe hearing loss. The variability cannot be adequately explained by factors such as pure-tone audiogram, audiogram type or age. This prospective study was designed to investigate the relationship between tone decay (TD) and WRS in a group of HA users with corresponding pure-tone hearing loss. The study population included 22 patients with hearing loss between 50 and 80 dB HL. Aided WRS, unaided WRS and TD were assessed for both ears. TD was found to be frequency-dependent. TD and WRS were correlated, with up to R = −0.66. The TD test was revealed to be a feasible method for explaining variability in WRS among HA users with hearing loss below 80 dB. This may contribute to improved differential diagnostics. The TD test may thus offer a better understanding of the limitations of HA use in the context of cochlear implant candidacy assessment for HA users.https://www.mdpi.com/2077-0383/13/2/500tone decaysuprathreshold diagnosticsretrocochlear disorderscochlear implanthearing aid
spellingShingle Florian Herrmann Schmidt
Thomas Hocke
Lichun Zhang
Wilma Großmann
Robert Mlynski
Tone Decay Reconsidered: Preliminary Results of a Prospective Study in Hearing-Aid Users with Moderate to Severe Hearing Loss
Journal of Clinical Medicine
tone decay
suprathreshold diagnostics
retrocochlear disorders
cochlear implant
hearing aid
title Tone Decay Reconsidered: Preliminary Results of a Prospective Study in Hearing-Aid Users with Moderate to Severe Hearing Loss
title_full Tone Decay Reconsidered: Preliminary Results of a Prospective Study in Hearing-Aid Users with Moderate to Severe Hearing Loss
title_fullStr Tone Decay Reconsidered: Preliminary Results of a Prospective Study in Hearing-Aid Users with Moderate to Severe Hearing Loss
title_full_unstemmed Tone Decay Reconsidered: Preliminary Results of a Prospective Study in Hearing-Aid Users with Moderate to Severe Hearing Loss
title_short Tone Decay Reconsidered: Preliminary Results of a Prospective Study in Hearing-Aid Users with Moderate to Severe Hearing Loss
title_sort tone decay reconsidered preliminary results of a prospective study in hearing aid users with moderate to severe hearing loss
topic tone decay
suprathreshold diagnostics
retrocochlear disorders
cochlear implant
hearing aid
url https://www.mdpi.com/2077-0383/13/2/500
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