Scott Kelly, Megan E Kuhlmey, Meghan A Despotidis, Isaac L Alter, Tiffany P Hwa, Alexander Chern, Anil K Lalwani
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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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Speech Quality Perception in Unilateral Cochlear Implant Users With Single-Sided Deafness.\",\"authors\":\"Scott Kelly, Megan E Kuhlmey, Meghan A Despotidis, Isaac L Alter, Tiffany P Hwa, Alexander Chern, Anil K Lalwani\",\"doi\":\"10.1002/ohn.941\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>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.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Tertiary care center.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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. 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引用次数: 0
摘要
目的:人工耳蜗(CI)使用者经常抱怨语音质量感知(SQP)问题。对于因单侧耳聋而接受人工耳蜗植入手术的患者,人们担心植入耳的 SQP 不佳会对双耳(CI + 正常听力 [NH])的 SQP 产生负面影响。在本研究中,我们将调查双耳 SQP 是否与单独植入的 NH 有明显不同:研究设计:横断面研究:研究设计:横断面研究:15 名单侧 CI 用户和对侧耳的 NH 用户完成了经过验证的哥伦比亚语音质量工具。该工具由 9 个音频片段组成,使用 10 点视觉模拟量表对 14 种特定语音质量进行评分。SQP 在 3 种情况下进行评估:结果:结果:与仅使用 NH(50.0 vs 72.6,P = .0003)和双耳(50.0 vs 71.0,P = .007)条件相比,仅使用 CI 条件下的中位语音质量得分更差。仅 NH 和双耳条件下的语音质量得分中位数差异不大(72.6 vs 71,P = .8)。与 NH 相比,CI 语音质量听起来不那么清晰、不那么自然,而且更机械:结论:与 NH 相比,仅使用 CI 的 SQP 更差。然而,与预期不同的是,NH 和双耳 SQP 之间没有显著差异。这表明,对于接受人工耳蜗植入术治疗单侧耳聋的患者来说,较差的人工耳蜗言语感知并不会对双耳 SQP 产生负面影响。
Speech Quality Perception in Unilateral Cochlear Implant Users With Single-Sided Deafness.
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.
期刊介绍:
Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.