| Autor: |
Lazzerini F; Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, 56126 Pisa, Italy.; Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy., Bruschini L; Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, 56126 Pisa, Italy.; Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy., Fiacchini G; Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, 56126 Pisa, Italy.; Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy., Canzi P; Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy., Berrettini S; Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, 56126 Pisa, Italy.; Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy.; Clinical Science, Intervention and Technology, Karolinska Institute, 17177 Stockholm, Sweden., Forli F; Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, 56126 Pisa, Italy.; Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy. |
| Abstrakt: |
Congenital unilateral hearing loss (UHL) represents a contemporary audiologic challenge. Children with UHL can struggle with understanding speech in noise, localizing sounds, developing language, and maintaining academic performance, leading to low self-esteem, anxiety, and decreased social support. Two specific conditions related to UHL in children are single-sided deafness (SSD) and unilateral auris atresia (UAA). This was a retrospective observational study on a group of children with UHL. The Simplified Italian Matrix Sentence Test was used for the assessment of speech reception threshold (SRT) in different conditions: speech and noise from the front (S0N0), speech at 45° from the side of the better ear and noise at 45° from the opposite side (SbNw), and vice versa (SwNb). Each test was conducted unaided, with a bone-anchored hearing device (BAHD), and with a remote microphone (RM) system. The use of a BAHD and RM led to an improvement in SRT in S0N0 and SwNb conditions. The SSD subgroup demonstrated significant benefits with both devices in SwNb, and the UAA subgroup from the use of BAHD in S0N0. In conclusion, the study underscores the potential benefits of both devices in enhancing speech perception for UHL children, providing insights into effective intervention strategies for these challenging cases. |
