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Published on: January 25, 2016
Auditory testing outcomes with hearing aids in patients with auditory neuropathy spectrum disorder
Firas Sbeih1, Donald M Goldberg2, Sara Liu1
1Cleveland Clinic Foundation, Head and Neck Institute, USA.
Insights
Hearing aids significantly improved auditory skills in children with Auditory Neuropathy Spectrum Disorder (ANSD), as measured by the Infant Toddler-Meaningful Auditory Integration Scale (IT-MAIS) and Ling 6 Sound Test. Further research is needed to explore long-term outcomes.
Area of Science:
- Audiology
- Pediatric Otolaryngology
- Neuroscience
Background:
- Auditory Neuropathy Spectrum Disorder (ANSD) presents unique challenges in auditory development.
- Early audiological intervention is crucial for children with ANSD.
- Hearing aid efficacy in ANSD requires ongoing evaluation.
Purpose of the Study:
- To assess the impact of hearing aids on audiologic outcomes in pediatric patients diagnosed with ANSD.
- To evaluate changes in auditory integration and sound detection using the IT-MAIS and Ling 6 Sound Test.
Main Methods:
- A case series design was employed at a single tertiary care medical center.
- Pediatric patients with ANSD confirmed by Auditory Brainstem Response (ABR) testing were included.
- Audiologic outcomes were assessed using the IT-MAIS and Ling 6 Sound Test for patients with hearing aid use.
Main Results:
- Ten pediatric patients with ANSD using hearing aids were analyzed.
- The Infant Toddler-Meaningful Auditory Integration Scale (IT-MAIS) scores improved by an average of 20.4% with hearing aid use.
- Ling 6 Sound Test scores showed improvement, increasing from an average of 3.6 to 4.8 with amplification.
Conclusions:
- Hearing aid use generally leads to improved audiologic outcomes in children with ANSD.
- Both initial and extended hearing aid use demonstrated positive effects on IT-MAIS and Ling 6 scores.
- Further multi-institutional studies are recommended to investigate long-term impacts and confounding factors.
Objective:
The objective of this study is to evaluate the audiologic outcomes with hearing aids in pediatric patients with auditory neuropathy spectrum disorder (ANSD) using the Infant Toddler-Meaningful Auditory Integration Scale (IT-MAIS), and the Ling 6 Sound Test (Ling 6).
Study Design:
Case series.
Setting:
Single tertiary care academic medical center.
Subjects And Methods:
All pediatric patients with a confirmed diagnosis of ANSD on Auditory Brainstem Response (ABR) testing who presented to a single tertiary medical center between September 2008 and September 2018 were included. Only patients that underwent Infant Toddler-Meaningful Auditory Integration Scale (IT-MAIS) and/or Ling 6 Sound Test (Ling 6) were included in the study. Audiologic testing performed after cochlear implantation was excluded.
Results:
60 pediatric patients with ANSD were analyzed. There were 10 patients included in the study with documented hearing aid use who underwent IT-MAIS and/or Ling 6 testing. Average IT-MAIS score improved by 20.4% after initial or extended trial of amplification. Similarly, average Ling 6 score improved from 3.6 to 4.8 after initial or extended trial of amplification. The four patients who did not receive amplification had higher average IT-MAIS and Ling 6 scores.
Conclusion:
In most children with ANSD, IT-MAIS and Ling 6 Sound Test scores improved with initial hearing aid use and over time with extended hearing aid use. Long-term prospective, multi-institutional studies are needed to determine the impact of the natural history of ANSD, comorbidities, and socioeconomic variables on auditory function testing results in children with ANSD using hearing aids.
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