Chronic Conductive Hearing Loss Is Associated With Speech Intelligibility Deficits in Patients With Normal Bone Conduction Thresholds.

Abstract:

OBJECTIVES:The main objective of this study is to determine whether chronic sound deprivation leads to poorer speech discrimination in humans. DESIGN:We reviewed the audiologic profile of 240 patients presenting normal and symmetrical bone conduction thresholds bilaterally, associated with either an acute or chronic unilateral conductive hearing loss of different etiologies. RESULTS:Patients with chronic conductive impairment and a moderate, to moderately severe, hearing loss had lower speech recognition scores on the side of the pathology when compared with the healthy side. The degree of impairment was significantly correlated with the speech recognition performance, particularly in patients with a congenital malformation. Speech recognition scores were not significantly altered when the conductive impairment was acute or mild. CONCLUSIONS:This retrospective study shows that chronic conductive hearing loss was associated with speech intelligibility deficits in patients with normal bone conduction thresholds. These results are as predicted by a recent animal study showing that prolonged, adult-onset conductive hearing loss causes cochlear synaptopathy.

journal_name

Ear Hear

journal_title

Ear and hearing

authors

Okada M,Welling DB,Liberman MC,Maison SF

doi

10.1097/AUD.0000000000000787

subject

Has Abstract

pub_date

2020-05-01 00:00:00

pages

500-507

issue

3

eissn

0196-0202

issn

1538-4667

journal_volume

41

pub_type

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