Speech Quality Perception in Unilateral Cochlear Implant Users With Single-Sided Deafness.

Autor:	Kelly S; Department of Otolaryngology-Head and Neck Surgery, Columbia University Vagelos College of Physicians and Surgeons,  New York-Presbyterian/Columbia University Irving Medical Center, New York, New York, USA., Kuhlmey ME; Department of Otolaryngology-Head and Neck Surgery, Columbia University Vagelos College of Physicians and Surgeons,  New York-Presbyterian/Columbia University Irving Medical Center, New York, New York, USA., Despotidis MA; Department of Otolaryngology-Head and Neck Surgery, Columbia University Vagelos College of Physicians and Surgeons,  New York-Presbyterian/Columbia University Irving Medical Center, New York, New York, USA., Alter IL; Department of Otolaryngology-Head and Neck Surgery, Columbia University Vagelos College of Physicians and Surgeons,  New York-Presbyterian/Columbia University Irving Medical Center, New York, New York, USA., Hwa TP; Department of Otorhinolaryngology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA., Chern A; Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland, USA., Lalwani AK; Department of Otolaryngology-Head and Neck Surgery, Columbia University Vagelos College of Physicians and Surgeons,  New York-Presbyterian/Columbia University Irving Medical Center, New York, New York, USA.; Department of Mechanical Engineering, Columbia University, New York City, New York, USA.
Jazyk:	angličtina
Zdroj:	Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2025 Jan; Vol. 172 (1), pp. 224-232. Date of Electronic Publication: 2024 Aug 09.
DOI:	10.1002/ohn.941
Abstrakt:	Objective: Cochlear implant (CI) users frequently complain about speech quality perception (SQP). In patients undergoing cochlear implantation for single-sided deafness, there is concern that poor SQP from the implanted ear will negatively impact binaural (CI + normal hearing [NH]) SQP. In this study, we investigate if binaural SQP is measurably different than unimplanted NH alone. Study Design: Cross-sectional study. Setting: Tertiary care center. Methods: Fifteen unilateral CI users with NH in the contralateral ear completed the validated Columbia Speech Quality Instrument. This instrument consists of 9 audio clips rated across 14 specific speech qualities using a 10-point visual analog scale. SQP was assessed in 3 conditions: CI only, NH only, and CI + NH. Results: Median speech quality scores were worse in the CI only condition compared to the NH only (50.0 vs 72.6, P = .0003) and binaural (50.0 vs 71.0, P = .007) conditions. Median speech quality scores were not significantly different between the NH only and binaural conditions (72.6 vs 71, P = .8). Compared to NH, CI speech quality sounded less clear, less natural, and more mechanical. Conclusion: Compared to NH, SQP is poorer with a CI alone. However, in contrast to expectation, there is no significant difference between NH and binaural SQP. This suggests poorer CI speech perception does not negatively impact binaural SQP in patients undergoing cochlear implantation for single-sided deafness. (© 2024 American Academy of Otolaryngology–Head and Neck Surgery Foundation.)
Databáze:	MEDLINE
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