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Nasopharyngeal Carcinoma and Unilateral Conductive Hearing Loss: A Case Study 鼻咽癌与单侧传导性听力损失的个案研究
Pub Date : 2004-11-01 DOI: 10.1375/AUDI.26.2.139.58275
B. McLeod, G. Croxson
Malignant tumours of the nasopharynx can be divided into three main groups: squamous cell carcinomas, lymphomas and a large miscellaneous group. The nonglandular, nonlymphomatous epithelial malignancies are collectively called nasopharyngeal carcinomas and are the most common tumours of the nasopharynx. Nasopharyngeal cancer is well known to the otolaryngologist but may not be as familiar to the audiologist. We report the case of a 52-year-old man of Chinese extraction who presented with symptoms of 'a blocked feeling' in the left ear, leading to a diagnosis of nasopharyngeal cancer. The investigation and treatment is discussed.
鼻咽部的恶性肿瘤可分为三大类:鳞状细胞癌、淋巴瘤和大杂项组。非腺状、非淋巴瘤的上皮恶性肿瘤统称为鼻咽癌,是鼻咽部最常见的肿瘤。耳鼻喉科医师对鼻咽癌很熟悉,但听力学家可能不太熟悉。我们报告一例52岁的中国男性,他表现出左耳“阻塞感”的症状,导致鼻咽癌的诊断。讨论了调查和处理方法。
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引用次数: 0
Tympanometry and TEOAE Testing of Children with Down Syndrome in Special Schools 特殊学校唐氏综合症儿童的鼓室测量和TEOAE测试
Pub Date : 2003-11-01 DOI: 10.1375/AUDI.25.2.85.31120
C. Driscoll, J. Kei, D. Bates, B. McPherson
Despite widespread awareness that children with Down syndrome are particularly susceptible to hearing pathologies, the audiological status of students with Down syndrome in special schools is all too often unknown. Unfortunately, hearing screening for this population is unable to rely on standard, behavioural test batteries. To facilitate future improvements in screening protocols, this study investigated the results of tympanometry and transient evoked otoacoustic emission (TEOAE) testing for a group of children with Down syndrome. Assessments were not conducted in the artificial context of a clinic or laboratory, but within the school environment. Outcomes are reported for 27 subjects with a mean age of 10 years 5 months (SD = 4;11). Tympanometry testing was failed in at least one ear by 41.7% of subjects, while a failure rate of 81.5% of subjects was observed for TEOAE testing. Therefore, it is concluded that immediate review of hearing screening programs for students with Down syndrome is highly advisable.
尽管人们普遍意识到患有唐氏综合症的儿童特别容易受到听力疾病的影响,但特殊学校中患有唐氏综合症的学生的听力学状况往往是未知的。不幸的是,对这一人群的听力筛查无法依靠标准的行为测试电池。为了促进未来筛查方案的改进,本研究调查了一组唐氏综合征儿童的鼓室测量和瞬态诱发耳声发射(TEOAE)测试结果。评估不是在诊所或实验室的人工环境中进行的,而是在学校环境中进行的。报告了27例受试者的结果,平均年龄为10岁5个月(SD = 4;11)。41.7%的受试者至少有一只耳鼓室测量不合格,而TEOAE测试不合格率为81.5%。因此,结论是立即审查唐氏综合症学生的听力筛查计划是非常可取的。
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引用次数: 15
Comparing Cochlear Implant with Hearing Aid to Bilateral Microphone Inputs for Unilateral Cochlear Implant Users 单侧人工耳蜗使用者使用助听器与双侧麦克风输入的比较
Pub Date : 2003-11-01 DOI: 10.1375/AUDI.25.2.99.31117
T. Ching, Paula Incerti, M. Hill
This study aimed to evaluate (a) whether the use of bilateral microphones with a unilateral cochlear implant system is better than the use of a single microphone input, and (b) whether the use of a single implant system with bilateral microphone inputs is better than the use of a hearing aid with a cochlear implant. Six adults were evaluated under three listening conditions: cochlear implant and hearing aid (CIHA), cochlear implant with unilateral microphone (CI-UM) and cochlear implant with bilateral microphones (CI-BM). Performance measures included dichotic speech perception in noise, horizontal localisation and functional performance in real life. The results of speech testing showed a significant advantage of CIHA and CI-BM over CI-UM. The localisation task showed that CIHA was significantly better than CI-BM or CI-UM. The functional performance questionnaires showed that CIHA was better than CIUM, and similar to or better than CI-BM in real-life situations. The subjects also commented on the improved quality of sound provided by the use of a hearing aid with a cochlear implant. We conclude that both CIHA and bilateral microphones with a single implant can provide real advantages for dichotic speech perception in noise over an implant system with a single microphone input when speech originated from the non-implanted side. CIHA provided extra benefits in localisation and functional performance in real life, and is the option of choice for users of unilateral cochlear implants who have some residual hearing in the non-implanted ear.
本研究旨在评估(a)使用双侧麦克风与单侧人工耳蜗系统是否优于使用单侧麦克风输入,以及(b)使用双侧麦克风输入的单侧人工耳蜗系统是否优于使用助听器与人工耳蜗。6名成人分别在三种听力条件下进行评估:人工耳蜗配助听器(CIHA)、人工耳蜗配单侧麦克风(CI-UM)和人工耳蜗配双侧麦克风(CI-BM)。性能测量包括噪音中的二分语音感知,水平定位和现实生活中的功能表现。语音测试结果显示CIHA和CI-BM比CI-UM有明显的优势。定位任务显示CIHA明显优于CI-BM或CI-UM。功能表现问卷调查显示,CIHA优于CIUM,在现实生活中与CI-BM相似或优于CI-BM。受试者还评论了使用带有人工耳蜗的助听器所提供的声音质量的改善。我们得出的结论是,当语音来自非植入侧时,单植入的CIHA和双侧麦克风都比单植入的双侧麦克风在噪声中提供了真正的优势。CIHA在现实生活中的定位和功能表现方面提供了额外的好处,对于在未植入耳蜗的耳朵中有一些残余听力的单侧耳蜗植入用户来说,这是一种选择。
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引用次数: 7
Melodies Familiar to the Australian Population across a Range of Hearing Abilities 不同听力水平的澳大利亚人都熟悉的旋律
Pub Date : 2003-11-01 DOI: 10.1375/AUDI.25.2.75.31118
V. Looi, C. Sucher, Hugh J. McDermott
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引用次数: 10
Effects of Background Noise and Reverberation on the Aided Speech Perception in Adults with a Severe or Severe-to-profound Hearing Impairment 背景噪声和混响对重度或重度至重度听力障碍成人辅助言语感知的影响
Pub Date : 2003-11-01 DOI: 10.1375/AUDI.25.2.63.31119
R. Dowell, Mark Flynn
The effects of three types of background noise (multitalker speech babble, cafeteria noise and speech noise) and two levels of reverberation (0.5 s and 1.0 s) on open-set sentence recognition by 20 adults with severe sensorineural hearing impairment (PTA = 61-80 dB HL) and 14 adults with severe-to-profound sensorineural hearing impairment (PTA = 81-100 dB HL) were investigated. Open-set sentences were presented at 70 dB SPL with noise levels adjusted for each participant to reduce ceiling and floor effects. The results indicated that, for adults with a severe hearing impairment, the four-talker babble had significantly (p .05) decrease in speech perception score. The results of this study only partially support the assertion that ecologically valid tests of speech perception should include interference representative of the spectral and temporal characteristics of that found in external environments.
本文研究了3种背景噪声(多说话人的语言杂音、食堂噪声和语音噪声)和2种混响(0.5 s和1.0 s)对20例重度感音神经性听力障碍患者(PTA = 61 ~ 80 dB HL)和14例重度至重度感音神经性听力障碍患者(PTA = 81 ~ 100 dB HL)开放集句子识别的影响。在70分贝声压下呈现开放句子,并为每个参与者调整噪音水平,以减少天花板和地板的影响。结果表明,对于重度听力障碍的成人,四语者的言语感知得分显著降低(p . 0.05)。本研究的结果仅部分支持以下断言,即生态学上有效的语音感知测试应该包括表征外部环境中发现的频谱和时间特征的干扰。
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引用次数: 1
The Effect of Linguistic Background on the Macquarie Pediatric Speech Intelligibility Test 语言背景对麦格理儿童言语清晰度测试的影响
Pub Date : 2003-11-01 DOI: 10.1375/AUDI.25.2.95.31121
S. Cameron, Rosalin Barker, P. Newall
Previous studies on the effect of linguistic background on tests of central auditory processing that utilise word stimuli have shown that the performance of children for whom English is a second language (ESL) is reduced compared to native English-speaking controls. Therefore, for this population, a poor score on central tests may not be an indication of an auditory processing problem, but rather the consequence of linguistic experience. In view of the potential dangers of misdiagnosis inherent in administering central auditory tests to children with ESL highlighted by these studies, a small preliminary exploration was conducted to examine the effect of ESL on the recently developed Macquarie Pediatric Speech Intelligibility Test (MPSI; Cameron, Barker, and Newall, 2003). A trend emerged whereby having English as a second language affected performance on the dichotic condition of the test at the least favourable message to competition ratio (MCR), with ESL children performing at levels usually associated with auditory processing disorder (APD). This trend highlights the need for a larger study to determine the differences in performance on the MPSI between ESL listeners and normative data collected from native English-speaking controls. Possible reasons for the results of the preliminary exploration are discussed in relation to previous research.
先前关于语言背景对使用单词刺激的中央听觉处理测试的影响的研究表明,以英语为第二语言(ESL)的儿童的表现与以英语为母语的对照组相比有所下降。因此,对于这一人群来说,在中央测试中得分低可能不是听觉处理问题的迹象,而是语言经验的结果。鉴于这些研究强调了对ESL儿童进行中枢听觉测试固有的误诊潜在危险,我们进行了一项小型的初步探索,以检查ESL对最近开发的麦格理儿童言语清晰度测试(MPSI)的影响;Cameron, Barker, and Newall, 2003)。有一种趋势出现了,即英语作为第二语言会影响在测试的二元条件下的表现,在最不利的信息竞争比(MCR)上,ESL儿童的表现通常与听觉处理障碍(APD)有关。这一趋势强调了需要进行更大规模的研究,以确定ESL听众和从母语为英语的对照组收集的规范数据之间MPSI表现的差异。结合前人的研究,讨论了初步探索结果的可能原因。
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引用次数: 3
Behavioural and Electroacoustic Calibration of Air-conducted Click and Toneburst Auditory Brainstem Response Stimuli 空气传导的滴答声和声脉冲听觉脑干反应刺激的行为和电声校准
Pub Date : 2003-05-01 DOI: 10.1375/AUDI.25.1.54.31122
Mridula Sharma, S. Purdy, Lou Bonnici
Although auditory brainstem response (ABR) audiometry is widely used to assess hearing sensitivity in infants and young children, normal calibration values vary across clinics. This study was undertaken to determine normal hearing thresholds for tonebursts and clicks with insert earphones. Techniques for performing electroacoustic and behavioural calibration of brief ABR stimuli are described. The average insert earphone thresholds for 25 young adults with normal hearing for 500, 1000, 2000, 4000 and 8000 Hz, 2-1-2 cycle tonebursts presented at 41 per second were: 24, 20, 23, 23 and 34 dB peak to peak equivalent (ppe) SPL (re 20 Pa), respectively. Average thresholds were about 30 dB ppeSPL for 100 s clicks. Results were generally consistent with normative values reported in the literature.
虽然听觉脑干反应(ABR)听力学被广泛用于婴幼儿的听力敏感性评估,但各诊所的正常校准值各不相同。这项研究是为了确定正常的听力阈值的音调爆发和点击与插入式耳机。描述了进行简短ABR刺激的电声和行为校准的技术。25名听力正常的年轻人在500、1000、2000、4000和8000hz、2-1-2周期、41 / s频率下的平均插入式耳机阈值分别为:24、20、23、23和34 dB峰对峰等效(ppe)声压级(约20 Pa)。点击100秒的平均阈值约为30 dB ppeSPL。结果与文献报道的正常值大体一致。
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引用次数: 6
Evidence-based Audiology and Clinical Excellence 循证听力学与临床卓越
Pub Date : 2003-05-01 DOI: 10.1375/AUDI.25.1.10.31127
P. Thorne
This article is based on the Kaye Coddington Memorial Lecture of the New Zealand Audiological Society presented at the Combined Meeting of the Australian and New Zealand Audiological Societies in Melbourne, March 2002. The annual lecture is given in memory of Kaye Coddington, a Clinical Audiologist who made a unique contribution to the audiology profession in New Zealand. The theme of the lecture, emphasising the importance of research in audiology, pays tribute to Kaye's strong advocacy for clinical excellence and particularly the role that research plays in informing clinical practice.
这篇文章是根据2002年3月在墨尔本举行的澳大利亚和新西兰听力学学会联合会议上发表的新西兰听力学学会Kaye Coddington纪念演讲改编的。一年一度的讲座是为了纪念Kaye Coddington,他是一位临床听力学家,对新西兰听力学专业做出了独特的贡献。讲座的主题是强调听力学研究的重要性,向Kaye对临床卓越的大力倡导致敬,特别是研究在临床实践中所起的作用。
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引用次数: 4
Prediction of non-linear amplification using different loudness scaling tests 用不同响度比例尺测试预测非线性放大
Pub Date : 2003-05-01 DOI: 10.1375/AUDI.25.1.36.31126
G. Keidser
Frequency-specific loudness data are widely used in procedures for fitting non-linear hearing aids, with each procedure using different methods to obtain information about a person's loudness perception. There has been some suggestion that due to differences in methodology different loudness tests result in different prediction of the non-linear amplification when applied according to the same fitting rationale. However, this has not been empirically verified. In this paper the inverse compression ratios prescribed based on a pure loudness normalisation technique and loudness data measured with two different categorical loudness scaling tests were compared for 20 test ears. The data showed that the two loudness tests produced significantly different prescriptions for non-linear amplification and that the discrepancy in prescription was non-linearly related to hearing threshold level with the greatest discrepancy found for cases with moderate loss. Differences in methodology used to obtain the loudness data are argued to be the most likely reason for the measured discrepancy in prescription. Up to 50% of a large variability in data across hearing threshold levels was explained by individual participant factors, suggesting that the interpretation of the two loudness tests varied across participants. The results imply that any fitting rationale based on frequency-specific loudness data is only valid for the test conditions in which the loudness data are obtained, and a hearing aid fitting based on frequency-specific loudness data should be verified.
频率特定的响度数据广泛用于非线性助听器的装配过程,每个过程使用不同的方法来获取有关人的响度感知的信息。有人认为,由于方法的不同,不同的响度测试在采用相同的拟合原理时,会导致非线性放大的预测不同。然而,这还没有得到实证的证实。本文比较了基于纯响度归一化技术的反压缩比和用两种不同的响度分级试验测量的20只测试耳的响度数据。数据显示,两种响度测试对非线性放大的处方差异显著,处方差异与听力阈值水平呈非线性相关,其中中等损失的差异最大。用于获得响度数据的方法差异被认为是处方测量差异的最可能原因。在听力阈值水平的数据中,高达50%的大变异性是由个体参与者因素解释的,这表明两个响度测试的解释在参与者之间是不同的。结果表明,任何基于特定频率响度数据的拟合原理仅对获得响度数据的测试条件有效,基于特定频率响度数据的助听器拟合都应进行验证。
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引用次数: 3
Development and Evaluation of an Australian Version of the Pediatric Speech Intelligibility Test for Auditory Processing Disorder 澳大利亚版儿童听觉加工障碍言语清晰度测试的开发与评价
Pub Date : 2003-05-01 DOI: 10.1375/AUDI.25.1.16.31124
S. Cameron, Rosalin Barker, P. Newall
Research has shown that the Pediatric Speech Intelligibility Test (PSI; Jerger and Jerger, 1984) is a sensitive tool for diagnosing auditory processing disorder (APD) in young children. The PSI is a speech test which utilises competing sentences presented dichotically and monotically at various message to competition ratios (MCRs). The purpose of the present study was to develop an Australian version of this test for use in local clinics. The Macquarie Pediatric Speech Intelligibility Test (MPSI) was recorded using Australian speakers, in order to control for linguistic differences which could affect performance on the test by Australian children. Normative data was collected from 51 normally hearing Australian children aged 7.0 to 8.11 years. The scores below which a child's performance on the MPSI is considered indicative of APD were found to be comparable to those calculated for the original North American version of the test. No significant differences in performance between 7- and 8-year-olds were detected for either the monotic or dichotic conditions of the MPSI. The degree of right or left ear advantage on the dichotic task was very slight, regardless of handedness, making differentiating between the right and left ears when tabulating cut-off scores unnecessary. The preliminary results indicated that the MPSI will be a valuable tool in the identification of APD in the Australian school-aged population.
研究表明,儿童言语清晰度测试(PSI;Jerger and Jerger, 1984)是诊断幼儿听觉加工障碍(APD)的灵敏工具。PSI是一种语音测试,它利用在不同的信息竞争比(mcr)下二分和一元呈现的竞争句子。本研究的目的是开发一种澳大利亚版本的测试,用于当地诊所。麦考瑞儿童言语清晰度测试(MPSI)是用澳大利亚人来记录的,以控制可能影响澳大利亚儿童在测试中的表现的语言差异。本研究收集了51名7.0 ~ 8.11岁的澳大利亚正常听力儿童的标准数据。以下的分数被认为是儿童在MPSI上表现的指示性APD,与北美原版测试的计算结果相当。7岁和8岁儿童在MPSI单项或二元条件下的表现均无显著差异。无论惯用手与否,右耳或左耳在二分任务中的优势程度都非常轻微,这使得在制表截止分数时区分右耳和左耳变得没有必要。初步结果表明,MPSI将是一个有价值的工具,在识别APD在澳大利亚学龄人口。
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引用次数: 2
期刊
Australian and New Zealand Journal of Audiology
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