An audibility model of the headband trial with a bone conduction device in single-sided deaf subjects.

Objective: Modelling the head-shadow effect compensation and speech recognition outcomes, we aimed to study the benefits of a bone conduction device (BCD) during the headband trial for single-sided deafened (SSD) subjects. Design: This study is based on a database of individual patient measurements,...

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Publicado en:International Journal of Audiology Vol. 63; no. 12; pp. 948 - 957
Autores principales: Cattani, Guido, Rhebergen, Koenraad S., Smit, Adriana L.
Formato: equations & formulas research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2024
      vid: 63
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/14992027.2023.2299927
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        atl: An audibility model of the headband trial with a bone conduction device in single-sided deaf subjects.
      aug:
        au:
          Cattani, Guido
          Rhebergen, Koenraad S.
          Smit, Adriana L.
        affil: Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands
      sug:
        subj:
          Bone Conduction Equipment and Supplies
          Hearing Aid Fitting Equipment and Supplies
          Deafness Therapy
          Hearing Loss, Partial Therapy
          Human
          Netherlands
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Academic Medical Centers
          Retrospective Design
          Descriptive Statistics
          T-Tests
          Mann-Whitney U Test
          Fisher's Exact Test
          Paired T-Tests
          Wilcoxon Rank Sum Test
          Speech Intelligibility
          Speech Perception
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Objective: Modelling the head-shadow effect compensation and speech recognition outcomes, we aimed to study the benefits of a bone conduction device (BCD) during the headband trial for single-sided deafened (SSD) subjects. Design: This study is based on a database of individual patient measurements, fitting parameters, and acoustic BCD properties retrospectively measured on a skull simulator or from existing literature. The sensation levels of the Bone-Conduction and Air-Conduction sound paths were compared, modelling three spatial conditions with speech in quiet. We calculated the phoneme score using the Speech Intelligibility Index for the three conditions in quiet and seven in noise. Study sample: Eighty-five SSD adults fitted with BCD during headband trial. Results: According to our model, most subjects did not achieve a full head-shadow effect compensation with the signal at the BCD side and in front. The modelled speech recognition in the quiet conditions did not improve with the BCD on the headband. In noise, we found a slight improvement in some specific conditions and minimal worsening in others. Conclusions: Based on an audibility model, this study challenges the fundamentals of a BCD headband trial in SSD subjects. Patients should be counselled regarding the potential outcome and alternative approaches.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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