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Introduction There are very few studies comparing speech perception abilities of children using bimodal hearing over monaural cochlear implant and factors related to benefit of bimodal hearing. The aim of this study is to compare speech perception abilities of children using bimodal fitting versus children using cochlear implant alone and explore factors related to benefit of bimodal hearing. Materials and Methods In the present study, 20 cochlear implantees with the hearing age range of 3 to 8 years were included. Speech perception performance was assessed by means of Parent’s Evaluation of Aural/Oral Performance of Children scale and early speech perception (ESP) test: Pattern Perception Words, Monosyllabic Words, Bisyllabic, and Trisyllabic Words Identification test. ESP test was carried out in two conditions cochlear implant with hearing aid in opposite ear (CIHA), bimodal, and cochlear implant (CI) alone. Aided audiometry was also carried out in above mentioned two conditions. Results and Discussion On aided audiometry test, aided thresholds were improved by 5 to 6 dB in CIHA condition as compared to CI alone condition in 14 out of 20 children. Whereas on speech perception test, there was a significant improvement of 15 to 20% on domains of ESP test in these children. Factors such as implant age, chronological age, and number of hours of hearing aid usage were not significantly associated with benefit. Nevertheless aided threshold at 4,000 Hz was found to be significantly associated with bimodal benefit. Conclusion Bimodal hearing is beneficial in most of the children than monaural hearing through cochlear implant.

Introduction Hypertension (HTN) is a common health problem, diagnosed in every one out of four individuals. It is associated with various complications; however, its impact on hearing loss is not well studied. In this study, we will determine the impact of HTN on hearing. Methods This cross-sectional study was conducted in Jinnah Sindh Medical University from August 2020 to March 2021. Three hundred (300) patients with documented diagnosis of HTN, between the ages of 21 and 50 years, were enrolled in the study. Another 300 non-hypertensive participants were enrolled as a reference group. Participants were sent to trained otolaryngologist technicians, who performed audiometry at six different frequencies for each year (0.5, 1.0, 2.0, 3.0, 4.0, and 6.0 kilohertz (kHz)). The final hearing level was calculated by taking mean of hearing levels of both ears. Results The hearing levels in audiometry were significantly higher in hypertensive participants compared to non-hypertensive participants (23.4 ± 8.67 dB vs 18.3 ± 6.02 dB; p-value

In the long-term observation (9-22 years) of 45 hearing-impaired children, using our own "Hearing Test Progress Table", 36(80.0%) showed fluctuation of the hearing threshold. Twenty-nine of the 36 patients had acute progression of hearing loss. Three peaks of onset of the acute loss were observed: at age 6, 10, 16 years in girls, 7, 11 and 16 years in boys. Twenty-three of the 45 (51.1%) have been able to maintain their good thresholds throughout these periods, with 14 cases of hearing loss restored by our successful treatment of acute sensorineural hearing losses (1-6 times). Twenty-two of the 45 children (48.9%) could not maintain their initial thresholds: gradual hearing deterioration in 7 of the 22, and acute hearing loss (1-10 times) in the remaining 15 cases. Although these 15 patients could not maintain their initial hearing thresholds until the end of the observation period, active treatments for their acute losses were successful in the early period, and almost all patients were able to maintain their initial hearing thresholds until graduation from elementary school. Our "Hearing Test Progress Table" is based on the results of pure tone audiometry for each frequency on every audiometry test. The management (including guidance and treatment) using the table is very effective.

The auditory steady-state response (ASSR) is one of auditory evoked brain responses applied to objective audiometry test. ASSR evoked by an amplitude-modulated tone is recorded as a waveform with the same frequency as the stimulus modulation frequency. Since the 40-Hz ASSR can be measured when subjects are awake, a rapid objective audiometry test has been desired for the 40-Hz ASSR. In the previous paper, based on wavelet analysis, we proposed a design of procedure of averaging waveform of 40-Hz ASSR for our original objective audiometry device. In this paper, we present detail examination using complex continuous wavelet analysis of characteristics of brain waves obtained by our original objective audiometry device. We also propose a Meyer type band-pass filter to extract the waveform data of around 40 Hz. The effectiveness of band pass filter is shown by an experiment.

It is well known that a hearing loss is induced by aging in a high frequency range. It is easy to imagine that the aging also alters characteristics of voice, because you can roughly estimate the speaker’s age. In general, those aging phenomena are discussed independently. In speech communication, however, the speech chain [Dense & Pinson, 1993] must dominate the interaction on the aging effects between hearing and speaking. Individual interaction between them is investigated using both his pure-tone audiometry test threshold and his recordings of read utterances. In this study, 21 Japanese elderly males, whose ages ranged from 62 to 85 years old, participated in pure tone audiometry and recording of Japanese sentence and word utterances. Concerning three elderlies with presbycusis, who are aware of hearing loss in daily lives, hearing abilities gradually decrease in proportion to frequency over 2 kHz, and spectral energies increase in the high frequency range over 4.5 kHz. In another case of high-frequen...

(1969). Cortical Audiometry: Test Problems and Sources of Error. International Audiology: Vol. 8, No. 2-3, pp. 337-344.