@article{MertensAndriesKurzetal.2022, author = {Mertens, Griet and Andries, Ellen and Kurz, Anja and Tȧvora-Vieira, Dayse and Calvino, Miryam and Amann, Edda and Anderson, Ilona and Lorens, Artur}, title = {Towards a consensus on an ICF-based classification system for horizontal sound-source localization}, series = {Journal of Personalized Medicine}, volume = {12}, journal = {Journal of Personalized Medicine}, number = {12}, issn = {2075-4426}, doi = {10.3390/jpm12121971}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-297319}, year = {2022}, abstract = {The study aimed to develop a consensus classification system for the reporting of sound localization testing results, especially in the field of cochlear implantation. Against the background of an overview of the wide variations present in localization testing procedures and reporting metrics, a novel classification system was proposed to report localization errors according to the widely accepted International Classification of Functioning, Disability and Health (ICF) framework. The obtained HEARRING_LOC_ICF scale includes the ICF graded scale: 0 (no impairment), 1 (mild impairment), 2 (moderate impairment), 3 (severe impairment), and 4 (complete impairment). Improvement of comparability of localization results across institutes, localization testing setups, and listeners was demonstrated by applying the classification system retrospectively to data obtained from cohorts of normal-hearing and cochlear implant listeners at our institutes. The application of our classification system will help to facilitate multi-center studies, as well as allowing better meta-analyses of data, resulting in improved evidence-based practice in the field.}, language = {en} } @phdthesis{Grubenbecher2021, author = {Grubenbecher, Marius Julian}, title = {Retrospektive Datenanalyse einseitig ertaubter Erwachsener, die mit einem Cochlea Implantat versorgt wurden}, doi = {10.25972/OPUS-23977}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-239777}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2021}, abstract = {Das Ziel der vorliegenden Arbeit war die Untersuchung einer Kohorte erwachsener Patienten mit einseitiger Taubheit (single-sided deafness SSD), die ein Cochlea-Implantat erhalten haben. Es sollten Faktoren ermittelt werden, die es erm{\"o}glichen, eine Voraussage {\"u}ber die sp{\"a}tere H{\"o}rleistung mit Cochlea Implantat treffen zu k{\"o}nnen. Der Beobachtungszeitraum umfasste die Jahre 2009 - 2016. Das Patientenkollektiv bestand aus 55 einseitig ertaubten Erwachsenen. Die Sprachverst{\"a}ndlichkeit wurde mit dem Freiburger Zahlentest bei 65 dB SPL, dem Freiburger Einsilbertest bei 65 dB SPL und 80 dB SPL, sowie dem HSM-Satztest ohne St{\"o}rger{\"a}usch bei 65 dB SPL getestet. Es hat sich gezeigt, dass mit steigender H{\"o}rerfahrung mit einer Verbesserung der H{\"o}rkompetenz zu rechnen ist. Im untersuchten Patientenkollektiv schnitten Patienten mit der Kombination aus einer langen Ertaubungsdauer und einer entz{\"u}ndlichen {\"A}tiologie signifikant schlechter ab als die Vergleichsgruppe.}, subject = {Cochlear-Implantat}, language = {de} } @article{KurzZanzingerHagenetal.2021, author = {Kurz, Anja and Zanzinger, Maren and Hagen, Rudolf and Rak, Kirsten}, title = {The impact of cochlear implant microphone settings on the binaural hearing of experienced cochlear implant users with single sided deafness}, series = {European Archives of Oto-Rhino-Laryngology}, journal = {European Archives of Oto-Rhino-Laryngology}, edition = {corrected version}, issn = {0937-4477}, doi = {10.1007/s00405-020-06450-5}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-231750}, year = {2021}, abstract = {Objective Cochlear implantation has become a well-accepted treatment option for people with single-sided deafness (SSD) and has become a clinical standard in many countries. A cochlear implant (CI) is the only device which restores binaural hearing. The effect of microphone directionality (MD) settings has been investigated in other CI indication groups, but its impact on speech perception in noise has not been established in CI users with SSD. The focus of this investigation was, therefore, to assess binaural hearing effects using different MD settings in CI users with SSD. Methods Twenty-nine experienced CI users with SSD were recruited to determine speech reception thresholds with varying target and noise sources to define binaural effects (head shadow, squelch, summation, and spatial release from masking), sound localization, and sound quality using the SSQ12 and HISQUI19 questionnaires. Outcome measures included the MD settings "natural", "adaptive", and "omnidirectional". Results The 29 participants involved in the study were divided into two groups: 11 SONNET users and 18 OPUS 2/RONDO users. In both groups, a significant head shadow effect of 7.4-9.2 dB was achieved with the CI. The MD setting "adaptive" provided a significant head shadow effect of 9.2 dB, a squelch effect of 0.9 dB, and spatial release from masking of 7.6 dB in the SONNET group. No significant summation effect could be determined in either group with CI. Outcomes with the omnidirectional setting were not significantly different between groups. For both groups, localization improved significantly when the CI was activated and was best when the omnidirectional setting was used. The groups' sound quality scores did not significantly differ. Conclusions Adaptive directional microphone settings improve speech perception and binaural hearing abilities in CI users with SSD. Binaural effect measures are valuable to quantify the benefit of CI use, especially in this indication group.}, language = {en} }