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Current Advances in Assessment and Intervention for Hearing Loss and Cochlear Implantation

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Otolaryngology".

Deadline for manuscript submissions: closed (31 January 2025) | Viewed by 6935

Special Issue Editors

Dr. Auriane Gros

E-Mail Website
Guest Editor
1. Département d’Orthophonie de Nice (DON), UFR Médecine, Université Côte d’Azur, 06107 Nice, France
2. Laboratoire CobTeK, Université Côte d’Azur, 06100 Nice, France
3. Université Côte d’Azur, Centre Hospitalier Universitaire de Nice (University Hospital of Nice), Service Clinique Gériatrique du Cerveau et du Mouvement, Centre Mémoire Ressources et Recherche (Geriatric Brain and Movement Clinic, Memory Resources and Research Centre), 06100 Nice, France
Interests: sensoriality; NTIC; neurosciences
Dr. Stéphanie Borel

E-Mail Website
Guest Editor
Paris Brain Institute (ICM Institut du Cerveau), AP-HP, INSERM, CNRS, Sorbonne Université, University Hospital Pitié-Salpêtrière, F-75013 Paris, France
Interests: speech therapy; cochlear implant; phonetics; lipreading
Prof. Dr. Philippe Robert

E-Mail Website
Guest Editor
Cognition Behaviour Technology Lab, University Côte d'Azur (UCA), Nice, France
Interests: NICT; cognition; behaviour; neuropsychiatry; arts

Special Issue Information

Dear Colleagues,

The extraordinary expansion of information and communication technology integrating AI is simultaneous with advances in our understanding of the links between cognition and hearing. In fact, the assessment of deaf patients and the interventions carried out before and after cochlear implantation have greatly evolved.

The aim of this Special Issue is to provide an opportunity to publish innovative studies relating the assessment of deaf patients (taking into account emotional capacities, linguistic skills, social cognition, motivation and recognition of biological movement) and the care of hearing-impaired patients using (or not) new information and communication technologies.

Articles submitted may be related to the following examples:

- New avenues of assessment and care based on a better understanding of the brain function in deaf people;

- Innovations (technological or otherwise) in the field of assessment and rehabilitation of people with cochlear implants;

- Age-related issues and the link with neurocognitive and behavioral disorders.

Literature reviews, original articles and publication of protocols in progress are accepted.

Dr. Auriane Gros
Dr. Stéphanie Borel
Prof. Dr. Philippe Robert
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • hearing
  • innovation
  • assessment
  • rehabilitation

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (5 papers)

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10 pages, 1310 KiB  
Article
Retrospective Analysis of Hearing Outcomes of Cochlear Implantation in Patients with Deafness Due to Congenital CMV Infection
by Natalia Zajdel, Oskar Rosiak, Nikodem Pietrzak, Maciej Skalski and Wiesław Konopka
J. Clin. Med. 2025, 14(8), 2575; https://doi.org/10.3390/jcm14082575 - 9 Apr 2025
Viewed by 226
Abstract
Cytomegalovirus (CMV) infection in pregnant women is one of the most common causes of congenital infection in children. It is often asymptomatic but can lead to serious complications, including progressive sensorineural hearing loss. Profound hearing loss is an indication for cochlear implantation (CI). [...] Read more.
Cytomegalovirus (CMV) infection in pregnant women is one of the most common causes of congenital infection in children. It is often asymptomatic but can lead to serious complications, including progressive sensorineural hearing loss. Profound hearing loss is an indication for cochlear implantation (CI). Electrode impedance and neural response telemetry (NRT) thresholds can be measured to confirm correct electrode placement and speech processor programming. Background/Objectives: The aim of the study is to evaluate the hearing outcome of children with profound sensorineural hearing loss or deafness due to cCMV infection after CI compared to a control group of children born with other causes of congenital hearing loss and to identify prognostic factors predicting the outcome of patients with hearing loss due to cCMV infection after CI. Methods: A retrospective study was conducted in patients implanted between 2016 and 2023 at the Department of Otolaryngology of the Institute of the Polish Mother’s Memorial Hospital Research Institute in Łódź. Pre- and postoperative hearing levels, electrode impedance and neural response telemetry (NRT) thresholds were compared. The degree of pre-implantation hearing loss was assessed by the level of the recorded V-wave in the ABR test. Post-implantation hearing assessment was based on the last available free-field tonal audiometry measurement. Impedance measurements were included: intraoperative, 1, 6, 12 months after CI, respectively, and NRT thresholds. Results: The final analysis included 84 patients with profound sensorineural hearing loss and complete audiological follow-up data: 13 patients with congenital CMV (cCMV) infection and 71 patients with other causes of deafnes. The analysis included 175 implanted ears: 17 in the CMV group and 158 in the control group. The age at implantation ranged from 1 to 11 years in the CMV and from 1 to 13 years in the control group. Mean preoperative hearing thresholds were 94.54 dB in the CMV group and 97.04 dB in the control group. At the most recent postoperative evaluation, mean thresholds improved to 33.83 dB and 36.42 dB, respectively. No statistically significant differences were observed between the groups. Mean intraoperative NRT values were 79.74 in the CMV group and 86.90 in the non-CMV group. Final NRT values were 129.77 and 130.76, respectively. Mean impedance values measured intraoperatively and at 1, 6 and 12 months postoperatively were 11.09 kOhm, 13.40 kOhm, 8.35 kOhm and 8.25 kOhm in the CMV group; and 12.28 kOhm, 14.06 kOhm, 9.60 kOhm and 8.00 kOhm in the control group, respectively. Conclusions: CI in children with deafness caused by cCMV infection is an effective treatment option. Initial electrical impedance values of the electrodes increase after implant activation and decrease in subsequent months of follow-up, suggesting the absence of active adhesion processes in the cochlea. Full article
(This article belongs to the Special Issue Current Advances in Assessment and Intervention for Hearing Loss and Cochlear Implantation)
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12 pages, 1046 KiB  
Article
Assessing the Recognition of Social Interactions Through Body Motion in the Routine Care of Patients with Post-Lingual Sensorineural Hearing Loss
by Cordélia Fauvet, Léa Cantini, Aude-Eva Chaudoreille, Elisa Cancian, Barbara Bonnel, Chloé Sérignac, Alexandre Derreumaux, Philippe Robert, Nicolas Guevara, Auriane Gros and Valeria Manera
J. Clin. Med. 2025, 14(5), 1604; https://doi.org/10.3390/jcm14051604 - 27 Feb 2025
Viewed by 278
Abstract
Background: Body motion significantly contributes to understanding communicative and social interactions, especially when auditory information is impaired. The visual skills of people with hearing loss are often enhanced and compensate for some of the missing auditory information. In the present study, we investigated [...] Read more.
Background: Body motion significantly contributes to understanding communicative and social interactions, especially when auditory information is impaired. The visual skills of people with hearing loss are often enhanced and compensate for some of the missing auditory information. In the present study, we investigated the recognition of social interactions by observing body motion in people with post-lingual sensorineural hearing loss (SNHL). Methods: In total, 38 participants with post-lingual SNHL and 38 matched normally hearing individuals (NHIs) were presented with point-light stimuli of two agents who were either engaged in a communicative interaction or acting independently. They were asked to classify the actions as communicative vs. independent and to select the correct action description. Results: No significant differences were found between the participants with SNHL and the NHIs when classifying the actions. However, the participants with SNHL showed significantly lower performance compared with the NHIs in the description task due to a higher tendency to misinterpret communicative stimuli. In addition, acquired SNHL was associated with a significantly higher number of errors, with a tendency to over-interpret independent stimuli as communicative and to misinterpret communicative actions. Conclusions: The findings of this study suggest a misinterpretation of visual understanding of social interactions in individuals with SNHL and over-interpretation of communicative intentions in SNHL acquired later in life. Full article
(This article belongs to the Special Issue Current Advances in Assessment and Intervention for Hearing Loss and Cochlear Implantation)
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18 pages, 3055 KiB  
Article
Cross-Modal Plasticity in Postlingual Hearing Loss Predicts Speech Perception Outcomes After Cochlear Implantation
by Fátima Ávila-Cascajares, Clara Waleczek, Sophie Kerres, Boris Suchan and Christiane Völter
J. Clin. Med. 2024, 13(23), 7016; https://doi.org/10.3390/jcm13237016 - 21 Nov 2024
Viewed by 895
Abstract
Background: Sensory loss may lead to intra- and cross-modal cortical reorganization. Previous research showed a significant correlation between the cross-modal contribution of the right auditory cortex to visual evoked potentials (VEP) and speech perception in cochlear implant (CI) users with prelingual hearing loss [...] Read more.
Background: Sensory loss may lead to intra- and cross-modal cortical reorganization. Previous research showed a significant correlation between the cross-modal contribution of the right auditory cortex to visual evoked potentials (VEP) and speech perception in cochlear implant (CI) users with prelingual hearing loss (HL), but not in those with postlingual HL. The present study aimed to explore the cortical reorganization induced by postlingual HL, particularly in the right temporal region, and how it correlates with speech perception outcome with a CI. Material and Methods: A total of 53 adult participants were divided into two groups according to hearing ability: 35 had normal hearing (NH) (mean age = 62.10 years (±7.48)) and 18 had profound postlingual HL (mean age = 63.78 years (±8.44)). VEPs, using a 29-channel electroencephalogram (EEG) system, were recorded preoperatively in the 18 patients scheduled for cochlear implantation and in 35 NH adults who served as the control group. Amplitudes and latencies of the P100, N100, and P200 components were analyzed across frontal, temporal, and occipital areas and compared between NH and HL subjects using repeated measures ANOVA. For the HL group, speech perception in quiet was assessed at 6 and 12 months of CI use. Results: No difference was found in amplitudes or latencies of the P100, N100, and P200 VEP components between the NH and HL groups. Further analysis using Spearman correlations between preoperative amplitudes and latencies of the P100, N100, and P200 VEP components at the right temporal electrode position T8 and postoperative speech perception showed that the HL group had either significantly higher or significantly lower amplitudes of the P200 component at the right temporal electrode position T8 compared to the NH controls. The HL subgroup with higher amplitudes had better speech perception than the subgroup with lower amplitudes at 6 months and 12 months of CI use. Conclusions: Preoperative evaluation of cortical plasticity can reveal plasticity profiles, which might help to better predict postoperative speech outcomes and adapt the rehabilitation regimen after CI activation. Further research is needed to understand the susceptibility of each component to cross-modal reorganization and their specific contribution to outcome prediction. Full article
(This article belongs to the Special Issue Current Advances in Assessment and Intervention for Hearing Loss and Cochlear Implantation)
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13 pages, 927 KiB  
Article
Effectiveness of Noise Cancelling Earbuds in Reducing Hearing and Auditory Attention Deficits in Children with Autism
by Julien Zanin, Dani Tomlin and Gary Rance
J. Clin. Med. 2024, 13(16), 4786; https://doi.org/10.3390/jcm13164786 - 14 Aug 2024
Viewed by 2526
Abstract
Background/Objectives: Autism spectrum disorder (ASD) is a lifelong neurodevelopmental condition characterised by impairments in social communication, sensory abnormalities, and attentional deficits. Children with ASD often face significant challenges with speech perception and auditory attention, particularly in noisy environments. This study aimed to [...] Read more.
Background/Objectives: Autism spectrum disorder (ASD) is a lifelong neurodevelopmental condition characterised by impairments in social communication, sensory abnormalities, and attentional deficits. Children with ASD often face significant challenges with speech perception and auditory attention, particularly in noisy environments. This study aimed to assess the effectiveness of noise cancelling Bluetooth earbuds (Nuheara IQbuds Boost) in improving speech perception and auditory attention in children with ASD. Methods: Thirteen children aged 6–13 years diagnosed with ASD participated. Pure tone audiometry confirmed normal hearing levels. Speech perception in noise was measured using the Consonant-Nucleus–Consonant-Word test, and auditory/visual attention was evaluated via the Integrated Visual and Auditory Continuous Performance Task. Participants completed these assessments both with and without the IQbuds in situ. A two-week device trial evaluated classroom listening and communication improvements using the Listening Inventory for Education-Revised (teacher version) questionnaire. Results: Speech perception in noise was significantly poorer for the ASD group compared to typically developing peers and did not change with the IQbuds. Auditory attention, however, significantly improved when the children were using the earbuds. Additionally, classroom listening and communication improved significantly after the two-week device trial. Conclusions: While the noise cancelling earbuds did not enhance speech perception in noise for children with ASD, they significantly improved auditory attention and classroom listening behaviours. These findings suggest that Bluetooth earbuds could be a viable alternative to remote microphone systems for enhancing auditory attention in children with ASD, offering benefits in classroom settings and potentially minimising the stigma associated with traditional assistive listening devices. Full article
(This article belongs to the Special Issue Current Advances in Assessment and Intervention for Hearing Loss and Cochlear Implantation)
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30 pages, 2462 KiB  
Systematic Review
Systematic Review of Auditory Training Outcomes in Adult Cochlear Implant Recipients and Meta-Analysis of Outcomes
by James R. Dornhoffer, Shreya Chidarala, Terral Patel, Karl R. Khandalavala, Shaun A. Nguyen, Kara C. Schvartz-Leyzac, Judy R. Dubno, Matthew L. Carlson, Aaron C. Moberly and Theodore R. McRackan
J. Clin. Med. 2024, 13(2), 400; https://doi.org/10.3390/jcm13020400 - 11 Jan 2024
Cited by 5 | Viewed by 2470
Abstract
Objective: to review evidence on the efficacy of auditory training in adult cochlear implant recipients. Data Sources: PRISMA guidelines for a systematic review of the literature were followed. PubMed, Scopus, and CINAHL databases were queried on 29 June 2023 for terms involving cochlear [...] Read more.
Objective: to review evidence on the efficacy of auditory training in adult cochlear implant recipients. Data Sources: PRISMA guidelines for a systematic review of the literature were followed. PubMed, Scopus, and CINAHL databases were queried on 29 June 2023 for terms involving cochlear implantation and auditory training. Studies were limited to the English language and adult patient populations. Study Selection: Three authors independently reviewed publications for inclusion in the review based on a priori inclusion and exclusion criteria. Inclusion criteria encompassed adult cochlear implant populations, an analysis of clinician- or patient-directed auditory training, and an analysis of one or more measures of speech recognition and/or patient-reported outcome. Exclusion criteria included studies with only pediatric implant populations, music or localization training in isolation, and single-sample case studies. Data Extraction: The data were collected regarding study design, patient population, auditory training modality, auditory training timing, speech outcomes, and data on the durability of outcomes. A quality assessment of the literature was performed using a quality metric adapted from the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) Working Group guidelines. Data Synthesis and Meta-Analysis: Data were qualitatively summarized for 23 studies. All but four studies demonstrated significant improvement in at least one measured or patient-reported outcome measure with training. For 11 studies with sufficient data reporting, pre-intervention and post-intervention pooled means of different outcome measures were compared for 132 patients using meta-analysis. Patient-direct training was associated with significant improvement in vowel-phoneme recognition and speech recognition in noise (p < 0.05 and p < 0.001, respectively), and clinician-directed training showed significant improvement in sentence recognition in noise (p < 0.001). Conclusions: The literature on auditory training for adult cochlear implant recipients is limited and heterogeneous, including a small number of studies with limited levels of evidence and external validity. However, the current evidence suggests that auditory training can improve speech recognition in adult cochlear implant recipients. Full article
(This article belongs to the Special Issue Current Advances in Assessment and Intervention for Hearing Loss and Cochlear Implantation)
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