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Horizontal sound localisation and speech perception in Bonebridge-implanted single-sided deafness patients

Published online by Cambridge University Press:  16 September 2020

C Zhao
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
J Yang
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
Y Liu
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
M Gao
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
P Chen
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
J Zheng
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
S Zhao
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
Corresponding
E-mail address:
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Abstract

Objective

This study aimed to investigate the benefit of Bonebridge devices in patients with single-sided deafness.

Method

Five patients with single-sided deafness who were implanted with Bonebridge devices were recruited in a single-centre study. Participants’ speech perception and horizontal sound localisation abilities were assessed at 6 and 12 months post-operatively. Speech intelligibility in noisy environments was measured in three different testing conditions (speech and noise presented from the front, speech and noise presented from the front and contralateral (normal ear) side separately, and speech presented from the ipsilateral (implanted Bonebridge) side and noise from the contralateral side). Sound localisation was evaluated in Bonebridge-aided and Bonebridge-unaided conditions at different stimuli levels (65, 70 and 75 dB SPL).

Results

All participants showed a better capacity for speech intelligibility in quiet environments with the Bonebridge device. The speech recognition threshold with the Bonebridge device was significantly decreased at both short- and long-term follow up in the speech presented from the ipsilateral (implanted Bonebridge) side and noise from the contralateral side condition (p < 0.05). Additionally, participants maintained similar levels of sound localisation between the Bonebridge-aided and unaided conditions (p > 0.05). However, the accuracy of localisation showed some improvement at 70 dB SPL and 75 dB SPL post-operatively.

Conclusion

The Bonebridge device provides the benefit of improved speech perception performance in patients with single-sided deafness. Sound localisation abilities were neither improved nor worsened with Bonebridge implantation at the follow-up assessments.

Type
Main Articles
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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Footnotes

Dr S Zhao takes responsibility for the integrity of the content of the paper

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