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Related Concept Videos

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Self-presentation is a fundamental aspect of social interaction, shaping both how others perceive individuals and how they view themselves. This dynamic process influences behaviors in various social settings, often leading people to adjust their appearance, speech, and demeanor to align with their desired identity. While self-presentation can be deliberate or unconscious, it plays a critical role in interpersonal relationships and self-perception.Forms of Self-PresentationSelf-presentation can...
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Monaural hearing aid effect: case presentations

R M Hurley1

  • 1Department of Communicative Disorders, University of Rhode Island, Kingston.

Journal of the American Academy of Audiology
|September 1, 1993
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Summary
This summary is machine-generated.

Bilateral sensorineural hearing loss (BSNHL) patients may experience worsening speech recognition in an unaided ear. Binaural hearing aids can help restore speech recognition scores in these individuals.

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Area of Science:

  • Audiology
  • Neuroscience
  • Speech-Language Pathology

Background:

  • Some individuals with bilateral sensorineural hearing loss (BSNHL) experience a decline in speech recognition in their unaided ear after a monaural hearing aid fitting.
  • This phenomenon highlights potential challenges in managing hearing loss with single-sided amplification.

Purpose of the Study:

  • To investigate the impact of binaural amplification on speech recognition scores in individuals with BSNHL experiencing unaided ear deterioration.
  • To determine if switching from monaural to binaural hearing aid use can reverse or mitigate the decline in unaided ear speech recognition.

Main Methods:

  • A cohort of nine subjects with BSNHL who initially opted for monaural hearing aid fitting was retrospectively analyzed.
  • Subjects were monitored from their initial fitting until their unaided ear's speech recognition score (SRS) fell below the critical difference threshold.
  • The impact of subsequent binaural fitting on SRS was assessed, with subjects making different choices regarding continued binaural use.

Main Results:

  • All nine subjects experienced a significant drop in unaided ear SRS, prompting a switch to binaural amplification.
  • Following binaural fitting, all subjects who continued with binaural amplification showed a return of their SRS within the normal range.
  • Two subjects who reverted to monaural use also demonstrated a recovery of their SRS, suggesting potential benefits even with less than full binaural adoption.

Conclusions:

  • Binaural amplification appears effective in restoring speech recognition in the unaided ear for individuals with BSNHL experiencing deterioration.
  • The findings suggest that even temporary or partial adoption of binaural amplification may offer benefits for speech recognition.
  • Further research is warranted to understand the mechanisms behind unaided ear SRS decline and the optimal amplification strategies for BSNHL.