Audiological Performance of ADHEAR Systems in Simulated Conductive Hearing Loss: A Case Series with a Review of the Existing Literature

A new non-invasive adhesive bone conduction hearing device (ABCD) has been proposed as an alternative solution for reversible bilateral conductive hearing loss in recurrent or long-lasting forms of otitis media with effusion (OME) in children that cannot undergo surgical treatment. Our aim was to as...

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Main Authors: Enrico Muzzi, Valeria Gambacorta, Ruggero Lapenna, Giulia Pizzamiglio, Sara Ghiselli, Igor Caregnato, Raffaella Marchi, Giampietro Ricci, Eva Orzan
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Audiology Research
Subjects:
Online Access:https://www.mdpi.com/2039-4349/11/4/48
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author Enrico Muzzi
Valeria Gambacorta
Ruggero Lapenna
Giulia Pizzamiglio
Sara Ghiselli
Igor Caregnato
Raffaella Marchi
Giampietro Ricci
Eva Orzan
author_facet Enrico Muzzi
Valeria Gambacorta
Ruggero Lapenna
Giulia Pizzamiglio
Sara Ghiselli
Igor Caregnato
Raffaella Marchi
Giampietro Ricci
Eva Orzan
author_sort Enrico Muzzi
collection DOAJ
description A new non-invasive adhesive bone conduction hearing device (ABCD) has been proposed as an alternative solution for reversible bilateral conductive hearing loss in recurrent or long-lasting forms of otitis media with effusion (OME) in children that cannot undergo surgical treatment. Our aim was to assess the effectiveness of ABCD in children with OME. Twelve normal-hearing Italian-speaking volunteers, in whom a conductive hearing loss was simulated, participated in the study. The free-field average hearing threshold was determined and, to evaluate binaural hearing skills, loudness summation and the squelch effect were assessed. Five conditions were tested: (1) unaided without earplugs, (2) unaided with bilateral earplugs, (3) aided right ear with bilateral earplugs, (4) aided left ear with bilateral earplugs, and (5) bilateral aid with bilateral earplugs. Post-hoc analysis showed a significant statistical difference between plugged, unplugged, and each aided condition. The main results were a better loudness summation and a substantial improvement of the squelch effect in the bilaterally aided. Our results suggest that ABCD is a valid treatment for patients with conductive hearing loss that cannot undergo bone conduction implant surgery. It is also important to consider bilateral aids in order to deal with situations in which binaural hearing is fundamental.
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spelling doaj.art-91edc7689c624c4c8d143d2392791fb62023-11-23T03:48:29ZengMDPI AGAudiology Research2039-43492021-10-0111453754610.3390/audiolres11040048Audiological Performance of ADHEAR Systems in Simulated Conductive Hearing Loss: A Case Series with a Review of the Existing LiteratureEnrico Muzzi0Valeria Gambacorta1Ruggero Lapenna2Giulia Pizzamiglio3Sara Ghiselli4Igor Caregnato5Raffaella Marchi6Giampietro Ricci7Eva Orzan8Audiology and Otorhinolaryngology Unit, Institute for Maternal and Child Health-Istituto di Ricerca a Carattere Clinico e Scientifico “Burlo Garofolo”, 34137 Trieste, ItalyDepartment of Surgical and Biomedical Sciences, Section of Otorhinolaryngology, University of Perugia, 06129 Perugia, ItalyDepartment of Surgical and Biomedical Sciences, Section of Otorhinolaryngology, University of Perugia, 06129 Perugia, ItalyAudiology and Otorhinolaryngology Unit, Institute for Maternal and Child Health-Istituto di Ricerca a Carattere Clinico e Scientifico “Burlo Garofolo”, 34137 Trieste, ItalyAudiology and Otorhinolaryngology Unit, Institute for Maternal and Child Health-Istituto di Ricerca a Carattere Clinico e Scientifico “Burlo Garofolo”, 34137 Trieste, ItalyAcustica Caregnato, 36063 Marostica, ItalyAudiology and Otorhinolaryngology Unit, Institute for Maternal and Child Health-Istituto di Ricerca a Carattere Clinico e Scientifico “Burlo Garofolo”, 34137 Trieste, ItalyDepartment of Surgical and Biomedical Sciences, Section of Otorhinolaryngology, University of Perugia, 06129 Perugia, ItalyAudiology and Otorhinolaryngology Unit, Institute for Maternal and Child Health-Istituto di Ricerca a Carattere Clinico e Scientifico “Burlo Garofolo”, 34137 Trieste, ItalyA new non-invasive adhesive bone conduction hearing device (ABCD) has been proposed as an alternative solution for reversible bilateral conductive hearing loss in recurrent or long-lasting forms of otitis media with effusion (OME) in children that cannot undergo surgical treatment. Our aim was to assess the effectiveness of ABCD in children with OME. Twelve normal-hearing Italian-speaking volunteers, in whom a conductive hearing loss was simulated, participated in the study. The free-field average hearing threshold was determined and, to evaluate binaural hearing skills, loudness summation and the squelch effect were assessed. Five conditions were tested: (1) unaided without earplugs, (2) unaided with bilateral earplugs, (3) aided right ear with bilateral earplugs, (4) aided left ear with bilateral earplugs, and (5) bilateral aid with bilateral earplugs. Post-hoc analysis showed a significant statistical difference between plugged, unplugged, and each aided condition. The main results were a better loudness summation and a substantial improvement of the squelch effect in the bilaterally aided. Our results suggest that ABCD is a valid treatment for patients with conductive hearing loss that cannot undergo bone conduction implant surgery. It is also important to consider bilateral aids in order to deal with situations in which binaural hearing is fundamental.https://www.mdpi.com/2039-4349/11/4/48conductive hearing lossbone conduction hearing deviceotitis media with effusionbinaural hearing
spellingShingle Enrico Muzzi
Valeria Gambacorta
Ruggero Lapenna
Giulia Pizzamiglio
Sara Ghiselli
Igor Caregnato
Raffaella Marchi
Giampietro Ricci
Eva Orzan
Audiological Performance of ADHEAR Systems in Simulated Conductive Hearing Loss: A Case Series with a Review of the Existing Literature
Audiology Research
conductive hearing loss
bone conduction hearing device
otitis media with effusion
binaural hearing
title Audiological Performance of ADHEAR Systems in Simulated Conductive Hearing Loss: A Case Series with a Review of the Existing Literature
title_full Audiological Performance of ADHEAR Systems in Simulated Conductive Hearing Loss: A Case Series with a Review of the Existing Literature
title_fullStr Audiological Performance of ADHEAR Systems in Simulated Conductive Hearing Loss: A Case Series with a Review of the Existing Literature
title_full_unstemmed Audiological Performance of ADHEAR Systems in Simulated Conductive Hearing Loss: A Case Series with a Review of the Existing Literature
title_short Audiological Performance of ADHEAR Systems in Simulated Conductive Hearing Loss: A Case Series with a Review of the Existing Literature
title_sort audiological performance of adhear systems in simulated conductive hearing loss a case series with a review of the existing literature
topic conductive hearing loss
bone conduction hearing device
otitis media with effusion
binaural hearing
url https://www.mdpi.com/2039-4349/11/4/48
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