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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
717
[Speech recognition with hearing aids for 10 standard audiograms].
1Audiologische Abteilung und CI Centrum CICERO Hals-Nasen-Ohrenklinik, Universitätsklinikum Erlangen, Waldstraße 1, 91054, Erlangen, Deutschland.
HNO
|November 16, 2019
Summary
Hearing aid outcomes vary. This study found that aided speech recognition is 10-20% lower than maximum word recognition scores, influenced by hearing loss type and degree.
Area of Science:
- Audiology
- Hearing Science
- Speech Perception
Background:
- Improving speech perception in quiet is a key goal for hearing aid users.
- Actual hearing aid outcomes frequently show considerable variability.
- Understanding factors influencing aided speech perception is crucial.
Purpose of the Study:
- To examine the relationship between audiogram type, maximum word recognition score, and aided speech perception.
- To identify predictors of successful hearing aid outcomes.
Main Methods:
- Retrospective analysis of audiometric data from 370 patients (740 ears).
- Included pure-tone and speech audiometry, focusing on maximum word recognition score (WRSmax) and aided monosyllabic speech recognition (WRS65(HA)).
- Analysis was performed across 10 standard audiogram types.
Main Results:
- Aided speech recognition (WRS65(HA)) was consistently 10-20% lower than maximum word recognition scores (WRSmax).
- This difference was more pronounced in flat and moderately sloping audiograms compared to steep-sloping ones.
- The ratio WRS65(HA)/WRSmax serves as an efficiency factor for hearing aid performance.
Conclusions:
- Hearing aid expectations should be individualized based on WRSmax, hearing loss degree, and audiogram type.
- Quality measures derived from speech audiometry can help predict hearing aid success.
- Audiogram type significantly influences the effectiveness of hearing aid amplification.
Keywords:
IEC 60118-15Maximum word recognition scoreSpeech audiometrySpeech comprehensibilityTone audiometryMore Related Videos
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