Significance Following sensory deprivation, the brain regions can become colonized by other intact modalities. In deaf individuals, evidence suggests that visual language recruits auditory and may limit hearing restoration with a cochlear implant. This suggestion underpins current rehabilitative recommendations individuals undergoing implantation should avoid using language. However, here we show opposite: Recruitment of speech after is associated better understanding adaptive benefits...

<h3>Objective</h3> Cochlear implantation in one ear (unilateral implantation) has been the standard treatment for severe-profound childhood deafness. We assessed whether cochlear both ears (bilateral is associated with better listening skills, higher health-related quality of life (health utility) and general (QOL) than unilateral implantation. <h3>Design</h3> Cross-sectional observational study. <h3>Setting</h3> University York. <h3>Participants</h3> Fifty severely-profoundly deaf 56...

Objective: Recommendation for cochlear implant (CI) treatment individuals with severe to profound single-sided deafness (SSD) and asymmetrical hearing loss (AHL) is on the rise. This raises need greater consistency in definition of CI candidacy these cases assessment methods patient-related benefits permit effective comparison interpretation outcomes both conventional implantable options across studies. Method: During a dedicated seminar AHL patients, panellists closing round table reviewed...

Functional near-infrared spectroscopy (fNIRS) is a silent, non-invasive neuroimaging technique that potentially well suited to auditory research. However, the reliability of auditory-evoked activation measured using fNIRS largely unknown. The present study investigated test-retest speech-evoked responses in normally-hearing adults. Seventeen participants underwent imaging two sessions separated by three months. In block design, were presented with speech, visual speech (silent...

Objectives: This study examined the subjective psychological and social effects of highly asymmetric hearing loss (single-sided deafness [SSD]) in adults. Design: Three group interviews were conducted using critical incident technique analysed an inductive thematic analysis. Study sample: Eight adults with a clinical diagnosis moderately severe or greater one ear normal near-normal other ear. Results: A range functional difficulties associated SSD including impaired speech background noise...

The benefits of prior information about who would speak, where they be located, and when speak were measured in a multi-talker spatial-listening task. On each trial, target phrase several masker phrases allocated to 13 loudspeakers 180° arc, overlapping time slots, which started every 800 ms. Speech-reception thresholds (SRTs) as the level relative at listeners reported key words 71% correct. When phases pairs all three cues beneficial (“who” 3.2 dB, “where” 5.1 “when” 0.3 dB). Over range...

Currently, it is not possible to accurately predict how well a deaf individual will be able understand speech when hearing (re)introduced via cochlear implant. Differences in brain organisation following deafness are thought contribute variability understanding with implant and may offer unique insights that could help more reliably outcomes. An emerging optical neuroimaging technique, functional near-infrared spectroscopy (fNIRS), was used determine whether pre-operative measure of...

Cochlear implants (CIs) are the most successful treatment for severe-to-profound deafness in children. However, speech outcomes with a CI often lag behind those of normally-hearing Some authors have attributed these deficits to takeover auditory temporal cortex by vision following deafness, which has prompted some clinicians discourage rehabilitation pediatric recipients using visual speech. We studied this cross-modal activity cortex, along responses and non-speech stimuli, experienced...

Substantial resources are required to provide lifelong postoperative care people with cochlear implants. Most patients visit the clinic annually. We introduced a person-centred remote follow-up pathway, giving telemedicine tools use at home so they would only centre when intervention was required.To assess feasibility of comparing pathway standard in adults using implants.Two-arm randomised controlled trial. Randomisation used minimisation approach, controlling for potential confounding...

Children with hearing loss appear to experience greater fatigue than children normal (CNH). Listening-related is often associated an increase in effortful listening or difficulty situations. This has been observed bilateral (CBHL) and, more recently, unilateral (CUHL). Available tools for measuring include general questionnaires such as the child self-report and parent-proxy versions of PedsQL TM -Multidimensional Fatigue Scale (MFS) PROMIS Scale. Recently, Vanderbilt (VFS-C: self-report;...

Modern health services need efficient tools for measuring outcomes from interventions, that is, of proven efficacy which make minimal demands on the time clinicians in learning to administer tests and interpreting results. This paper describes an apparatus designed meet those requirements. The administers performance spatial listening children adults with unilateral bilateral cochlear implants. was guidance clinicians. It possesses three key attributes: it is simple use; results are scored...

Purpose A music-related quality of life (MuRQoL) questionnaire was developed for the evaluation music rehabilitation adult cochlear implant (CI) users. The present studies were aimed at refinement and validation. Method Twenty-four experts reviewed MuRQoL items face validity. refined version completed by 147 CI users, psychometric techniques used item selection, assessment reliability, definition factor structure. same participants Short Form Health Survey construct responses from 68 users...

Many resources are required to provide postoperative care patients who receive a cochlear implant. The implant service commits lifetime follow-up. patient regular adjustment and rehabilitation appointments in the first year annual follow-up thereafter. Offering remote may result more stable hearing, reduced travel expense, time disruption, empowered patients, greater equality delivery freedom optimise allocation of clinic resources.

Individuals with a unilateral severe-to-profound hearing loss, or single-sided deafness, report difficulty listening in many everyday situations despite having access to well-preserved acoustic one ear. The standard of care for deafness available on the UK National Health Service is contra-lateral routing signals aid which transfers sounds from impaired ear non-impaired This has been found improve speech understanding noise when signal-to-noise ratio more favourable at than However,...

This study used vocoder simulations with normal-hearing (NH) listeners to (1) measure their ability integrate speech information from an NH ear and a simulated cochlear implant (CI), (2) investigate whether binaural integration is disrupted by mismatch in the delivery of spectral between ears arising misalignment mapping frequency place.Eight volunteers participated listened sentences embedded background noise via headphones. Stimuli presented left were unprocessed. right (referred as...

<h3>Clinical Question</h3> Are hearing aids associated with improved health-related quality of life in adults mild to moderate loss? <h3>Bottom Line</h3> Compared no aids, the provision was improvements hearing-specific and general life.

Purpose This research note describes a planned project to design, implement, and evaluate remote care for adults using cochlear implants compare their outcomes with those of individuals following the standard pathway. Method Sixty people will be recruited randomized either group or control group. The use new tools 6 months: self-monitoring, self-adjustment device, personalized online support tool. main outcome measure is patient empowerment, secondary stability in hearing quality life,...