Orientation abilities and intelligibility of speech in noise in single sided deaf persons provided with a bone-anchored hearing aid (BAHA)

Authors

  • Susanne Köbler Department of Audiology, Uppsala University Hospital, Sweden
  • Karin Strömbäck Department of Otosurgery, Uppsala University Hospital, Sweden
  • Susan Saeidi Uppsala Hearing Clinic, Uppsala, Sweden
  • Hans Christian Larsen Department of Audiology, Uppsala University Hospital, Sweden
  • Konrád Konrádsson Department of Audiology, Uppsala University Hospital, Sweden

Abstract

The present pilot study describes results for speech intelligibility in noise and localisation abilities of single sided deaf (SSD) persons treated with a bone- anchored hearing aid (BAHA) on the deaf side in order to provide bilateral signals via transcranial contralateral stimulation. Tools in this investigation with ve participants were psychoacoustical measurements including presentation of phonemically balanced (PB) words presented from the front in a quasi-free eld. Corresponding noise was presented from the front, the normal hearing and the deaf side respectively. Abilities of orientation and speech understanding were measured by presenting sentences from randomly chosen directions (-90°, 0°, or +90° azimuth) in the presence of noise. The patients pointed out the speech-emitting speaker and simultaneously repeated the presented sentence. Preliminary results showed no impact of the BAHA on understanding PB words regardless of the direction of the background noise. There was a tendency for bene t of the BAHA for speech perception with speech from varying directions, but no effect on directionality within this task. The patients also nished three different inquiries dealing with benefit of the BAHA, a health-related and a quality of life instrument.

References

Baguley, D. M., Bird, J., Humphriss, R. L., and Prevost, A. T. (2006). “The evidence base for the application of contralateral bone anchored hearing aids in acquired unilateral sensorineural hearing loss in adults,” Clin. Otolaryngol. 31, 6-14.

Burström, K., Johannesson M., and Diderichsen F. (2001). “Swedish population health-related quality of life results using the EQ-5D,” Qual Life Res 10, 621– 635.

Dumper, J., Hodgetts, B., Liu, R., and Brandner, N. (2009). “Indications for bone- anchored hearing AIDS: a functional outcomes study,” J. Otolaryngol Head. Neck. Surg. 38, 96-105.

Gatehouse, S. (1999). “Glasgow Hearing Aid Bene t Pro le: Derivation and validation of a client-centered outcome measure for hearing-aid services,” J. Am. Acad. Aud., 10, 80-103.

Hällgren, M., Larsby, B., Arlinger, S. (2006). “A Swedish version of the Hearing In Noise Test (HINT) for measurement of speech recognition,” Int. J. Audiol. 45, 227-237.

Hol, M. K., Bosman, A. J., Snik, A. F., Mylanus, E. A., Cremers, C. W. (2004). “Bone- anchored hearing aid in unilateral inner ear deafness: a study of 20 patients,” Audiol. Neurootol. 9, 274-281.

Hol, M. K., Bosman, A. J., Snik, A. F., Mylanus, E. A., and Cremers, C. W. (2005). “Bone-anchored hearing aids in unilateral inner ear deafness: an evaluation of audiometric and patient outcome measurements,” Otol. Neurotol. 26, 999-1006.

Lin, L. M., Bowditch, S., Anderson, M. J., May, B., Cox, K. M., and Niparko, J. K. (2006). “Ampli cation in the Rehabilitation of Unilateral Deafness: Speech in Noise and Directional Hearing Effects with Bone-Anchored Hearing and Contralateral Routing of Signal Ampli cation,” Otol. Neurotol. 27, 172-182.

Newman, C. W., Sandridge, S. A., and Wodzisz, L. M. (2008). “Longitudinal bene t from and satisfaction with the Baha system for patients with acquired unilateral sensorineural hearing loss,” Otol. Neurotol. 29, 1123-1131.

Sullivan, M., Karlsson, J., and Ware, J. E. Jr. (1995). “The Swedish SF-36 Health Survey – I. Evaluation of data quality, scaling assumptions, reliability and construct validity across general populations in Sweden,” Soc. Sci. Med., 41, 1349-1358.

Wazen, J. J., Spitzer, J. B., Ghossaini, S. N., Fayad, J. N., Niparko, J. K., Cox, K., Brackmann, D. E., and Soli, S. D. (2003). “Transcranial contralateral cochlear stimulation in unilateral deafness,” Otolaryngol Head Neck Surg. 129, 248-254.

Yuen, H. W., Bodmer, D., Smilsky, K., Nedzelski, J. M., Chen, J. M. (2009). “Management of single-sided deafness with the bone-anchored hearing aid,” Otolaryngol Head Neck Surg. 141, 16-23.

Additional Files

Published

2009-12-15

How to Cite

Köbler, S., Strömbäck, K., Saeidi, S., Larsen, H. C., & Konrádsson, K. (2009). Orientation abilities and intelligibility of speech in noise in single sided deaf persons provided with a bone-anchored hearing aid (BAHA). Proceedings of the International Symposium on Auditory and Audiological Research, 2, 335–342. Retrieved from https://proceedings.isaar.eu/index.php/isaarproc/article/view/2009-34

Issue

Section

2009/3. Speech processing and perception under adverse conditions