1
|
Ionescu EC, Reynard P, Idriss SA, Ltaief-Boudriga A, Joly CA, Thai-Van H. The "Near"-Narrowed Internal Auditory Canal Syndrome in Adults: Clinical Aspects, Audio-Vestibular Findings, and Radiological Criteria for Diagnosis. J Clin Med 2023; 12:7580. [PMID: 38137649 PMCID: PMC10743808 DOI: 10.3390/jcm12247580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Revised: 11/28/2023] [Accepted: 12/06/2023] [Indexed: 12/24/2023] Open
Abstract
INTRODUCTION Vestibular Paroxysmia (VP) refers to short attacks of vertigo, spontaneous or triggered by head movements, and implies the presence of a compressive vascular loop in contact with the cochleovestibular nerve (CVN). Classically, a narrowed internal auditory canal (IAC) corresponds to a diameter of less than 2 mm on CT, usually associated with a hypoplastic CVN on MRI. The aim of this study was to discuss a distinct clinical entity mimicking VP in relation to a "near"-narrowed IAC (NNIAC) and to propose radiological criteria for its diagnosis. METHODS Radiological measurements of the IAC were compared between three groups: the study group (SG, subjects with a clinical presentation suggestive of VP, but whose MRI of the inner ear and pontocerebellar angle excluded a compressive vascular loop) and two control groups (adult and children) with normal vestibular evaluations and no history of vertigo. RESULTS 59 subjects (18 M and 41 F) were included in the SG. The main symptoms of NNIAC were positional vertigo, exercise- or rapid head movements-induced vertigo, and dizziness. The statistical analysis in the study group showed that the threshold values for diagnosis were 3.3 mm (in tomodensitometry) and 2.9 mm (in MRI) in coronal sections of IAC. Although a significantly lower mean value for axial IAC diameter was found in SG compared with controls, the statistics did not reveal a threshold due to the large inter-individual variations in IAC measurements in normal subjects. There was no significant difference in IAC diameter between the adult and pediatric controls. CONCLUSIONS In the present study, we report a new anatomopathological condition that appears to be responsible for a clinical picture very similar-but not identical-to VP in association with the presence of an NNIAC. The diagnosis requires a careful analysis of the IAC's shape and diameters in both axial and coronal planes.
Collapse
Affiliation(s)
- Eugen C. Ionescu
- Department of Audiology and Neurotology, Civil Hospitals of Lyon, 69003 Lyon, France; (P.R.); (C.-A.J.); (H.T.-V.)
- Team Clinical and Translational Exploration of Sensorineural Hearing Loss, Hearing Institute, Research Center of Pasteur Institute, Inserm U1120, 75015 Paris, France
| | - Pierre Reynard
- Department of Audiology and Neurotology, Civil Hospitals of Lyon, 69003 Lyon, France; (P.R.); (C.-A.J.); (H.T.-V.)
- Team Clinical and Translational Exploration of Sensorineural Hearing Loss, Hearing Institute, Research Center of Pasteur Institute, Inserm U1120, 75015 Paris, France
- Department of Physiology, Claude Bernard University, 69003 Lyon, France
| | - Samar A. Idriss
- Department of Audiology and Neurotology, Civil Hospitals of Lyon, 69003 Lyon, France; (P.R.); (C.-A.J.); (H.T.-V.)
- Department of Otolaryngology, Dar Al Shifa Hospital, Hawally 13034, Kuwait
- Department of Otolaryngology and Head and Neck Surgery, Eye and Ear Hospital, Holy Spirit University of Kaslik, Beirut 1201, Lebanon
| | | | - Charles-Alexandre Joly
- Department of Audiology and Neurotology, Civil Hospitals of Lyon, 69003 Lyon, France; (P.R.); (C.-A.J.); (H.T.-V.)
- Team Clinical and Translational Exploration of Sensorineural Hearing Loss, Hearing Institute, Research Center of Pasteur Institute, Inserm U1120, 75015 Paris, France
| | - Hung Thai-Van
- Department of Audiology and Neurotology, Civil Hospitals of Lyon, 69003 Lyon, France; (P.R.); (C.-A.J.); (H.T.-V.)
- Team Clinical and Translational Exploration of Sensorineural Hearing Loss, Hearing Institute, Research Center of Pasteur Institute, Inserm U1120, 75015 Paris, France
- Department of Physiology, Claude Bernard University, 69003 Lyon, France
| |
Collapse
|
2
|
Thai-Van H, Veuillet E, Le Normand MT, Damien M, Joly CA, Reynard P. The Magnitude of Contralateral Suppression of Otoacoustic Emissions Is Ear- and Age-Dependent. J Clin Med 2023; 12:4553. [PMID: 37445587 DOI: 10.3390/jcm12134553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Revised: 07/04/2023] [Accepted: 07/05/2023] [Indexed: 07/15/2023] Open
Abstract
The maturation of the uncrossed medial olivocochlear (UMOC) efferent remains poorly documented to date. The UMOC efferent system allows listeners to not only detect but also to process, recognize, and discriminate auditory stimuli. Its fibers can be explored non-invasively by recording the effect of contralateral acoustic stimulation (CAS), resulting in a decrease in the amplitude of transient evoked otoacoustic emissions (TEOAE). The objective of the present cross-sectional study was to investigate how the effectiveness of this system varies with age in healthy subjects aged 8 years to adulthood. For this purpose, 120 right-handed native French-speaking subjects (57 females and 63 males) were divided into five age groups of 24 subjects each: 8y-10y, 10y-11y6m, 11y6m-13y, 13y-17y, and ≥18y. TEOAE amplitudes with and without CAS were recorded. The equivalent attenuation (EA) was calculated, corresponding to the change in TEOAE amplitude equivalent to the effect generated by CAS. General linear models were performed to control for the effect of ear, sex, and age on EA. No sex effect was found. A stronger EA was consistently found regardless of age group in the right ear compared to the left. In contrast to the right ear, for which, on average, EA remained constant across age groups, an increasingly weaker TEOAE suppression effect with age was found in the left ear, reinforcing the asymmetrical functioning of the UMOC efferent system in favor of the right ear in adulthood. Further studies are needed to investigate the lateralization of the UMOC efferent system and its changes over time in cases of atypical or reversed cortical asymmetries, especially in subjects with specific learning disorders.
Collapse
Affiliation(s)
- Hung Thai-Van
- Institut de l'Audition, Institut Pasteur, Inserm, 75012 Paris, France
- Service d'Audiologie et d'Explorations Oto-Neurologiques, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France
- Faculty of Medicine, Université Claude Bernard Lyon 1, 69100 Villeurbanne, France
| | - Evelyne Veuillet
- Institut de l'Audition, Institut Pasteur, Inserm, 75012 Paris, France
- Service d'Audiologie et d'Explorations Oto-Neurologiques, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France
- Faculty of Medicine, Université Claude Bernard Lyon 1, 69100 Villeurbanne, France
| | - Marie-Thérèse Le Normand
- Institut de l'Audition, Institut Pasteur, Inserm, 75012 Paris, France
- Laboratoire Psychopathologie et Processus de Santé, URP 4057, Université Paris Cité, 92100 Boulogne Billancourt, France
| | - Maxime Damien
- Institut de l'Audition, Institut Pasteur, Inserm, 75012 Paris, France
- Service d'Audiologie et d'Explorations Oto-Neurologiques, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France
- Faculty of Medicine, Université Claude Bernard Lyon 1, 69100 Villeurbanne, France
| | - Charles-Alexandre Joly
- Institut de l'Audition, Institut Pasteur, Inserm, 75012 Paris, France
- Service d'Audiologie et d'Explorations Oto-Neurologiques, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France
- Faculty of Medicine, Université Claude Bernard Lyon 1, 69100 Villeurbanne, France
| | - Pierre Reynard
- Institut de l'Audition, Institut Pasteur, Inserm, 75012 Paris, France
- Service d'Audiologie et d'Explorations Oto-Neurologiques, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France
- Faculty of Medicine, Université Claude Bernard Lyon 1, 69100 Villeurbanne, France
| |
Collapse
|
3
|
Thai-Van H, Mosnier I, Dejean F, Ambert-Dahan E, Bakhos D, Belmin J, Bonnard D, Borel S, Ceccato JC, Coez A, Damien M, Del Rio M, El Yagoubi M, Genin A, Gros A, Harichaux M, Idriss S, Ionescu E, Joly CA, Salmon PK, Marianowski R, Marx M, Mom T, Parietti-Winkler C, Potier M, Renard C, Roman S, Roy T, Tronche S, Venail F, Vincent C, Reynard P. Early management of presbycusis: recommendations from the French Society of Otorhinolaryngology and Head and Neck Surgery, the French Society of Audiology, and the French Society of Geriatrics and Gerontology. Geriatr Psychol Neuropsychiatr Vieil 2023:1-11. [PMID: 37170803 DOI: 10.1684/pnv.2023.1094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
INTRODUCTION Presbycusis is the physiological decrease in hearing due to advancing age and begins well before the sixth decade. These recommendations recall the principles of early diagnosis of presbycusis and the means of optimal rehabilitation as soon as the first symptoms appear. MATERIAL AND METHODS The recommendations are based on a systematic analysis of the literature carried out by a multidisciplinary group of ENT physicians, audiologists, geriatricians and hearing specialists from all over France. They are classified as grade A, B, C or professional agreement according to a decreasing level of scientific evidence. RESULTS The diagnosis of presbycusis is more difficult at the beginning of its evolution but a certain number of tools are available for its early diagnosis and its face-to-face or remote management. CONCLUSION In the case of a clinical profile suggestive of presbycusis in a young subject, especially if there are several family cases, it is recommended to propose a genetic investigation. Free-field speech audiometry in noise is recommended to measure intelligibility in a realistic environment. Questionnaires in addition to audiometric tests would allow the best assessment of the patient's disability. Hearing rehabilitation with a hearing aid or cochlear implant may slow or prevent cognitive decline. Combined auditory and cognitive rehabilitation should be offered regardless of the time since the hearing was fitting. It is recommended to integrate programs accessible via smartphones, tablets or the Internet, that include different training domains to complement face-to-face sessions.
Collapse
Affiliation(s)
- Hung Thai-Van
- Service d'audiologie et d'explorations otoneurologiques, CHU de Lyon, Hôpital Édouard-Herriot, Lyon, France, Claude-Bernard University Lyon 1, Institut de l'audition, Institut Pasteur, Inserm, Paris, France
| | - Isabelle Mosnier
- Institut de l'audition, Institut Pasteur, Inserm, Paris, France, ORL Department, Ile de France reference centre for cochlear and brainstem implants in adults, Pitié-Salpêtrière Hospital Group, Sorbonne University, AP -HP, Paris, France
| | | | - Emmanuelle Ambert-Dahan
- ORL Department, Ile de France reference centre for cochlear and brainstem implants in adults, Pitié-Salpêtrière Hospital Group, Sorbonne University, AP -HP, Paris, France
| | - David Bakhos
- ENT Department, CHU de Tours, iBrain, Inserm U1253, Université François- Rabelais, Tours, France
| | - Joël Belmin
- AP-HP, University Hospitals Pitié- Salpêtrière - Charles-Foix, Department of Geriatrics with a cardiological and neurological orientation, Ivry-sur-Seine, Sorbonne University, Paris, France
| | | | - Stéphanie Borel
- ORL Department, Ile de France reference centre for cochlear and brainstem implants in adults, Pitié-Salpêtrière Hospital Group, Sorbonne University, AP -HP, Paris, France
| | - Jean-Charles Ceccato
- Institute for Neurosciences of Montpellier, Inserm U1298, Centre de recherche et de formation en audioprothèse, University of Montpellier, Montpellier, France
| | - Arnaud Coez
- Institut de l'audition, Institut Pasteur, Inserm, Paris, France
| | - Maxime Damien
- Service d'audiologie et d'explorations otoneurologiques, CHU de Lyon, Hôpital Édouard-Herriot, Lyon, France, Claude-Bernard University Lyon 1, Institut de l'audition, Institut Pasteur, Inserm, Paris, France
| | | | | | | | - Auriane Gros
- ORL Department, Centre mémoire ressources et recherche, CHU de Nice, Institut Claude-Pompidou, Nice, France
| | | | - Samar Idriss
- Service d'audiologie et d'explorations otoneurologiques, CHU de Lyon, Hôpital Édouard-Herriot, Lyon, France
| | - Eugen Ionescu
- Service d'audiologie et d'explorations otoneurologiques, CHU de Lyon, Hôpital Édouard-Herriot, Lyon, France, Institut de l'audition, Institut Pasteur, Inserm, Paris, France
| | - Charles-Alexandre Joly
- Service d'audiologie et d'explorations otoneurologiques, CHU de Lyon, Hôpital Édouard-Herriot, Lyon, France, Institut de l'audition, Institut Pasteur, Inserm, Paris, France
| | | | - Rémi Marianowski
- ORL Department, CHU de Brest, Laboratoire de neurobiologie, UA 4685, Brest, France
| | - Mathieu Marx
- Department of Otology and Otoneurology, Hôpital Pierre-Paul-Riquet, CHU Toulouse Purpan, Toulouse, France
| | - Thierry Mom
- ORL Department, CHU d'Estaing, Clermont-Ferrand, France
| | | | | | - Christian Renard
- Department of Otology and Otoneurology, Salengro Hospital, University of Lille, Lille, France
| | - Stéphane Roman
- ORL Department, Hôpital de la Timone et de la Conception, Marseille, France
| | | | | | - Frédéric Venail
- Otology and Otoneurology unit, ORL Department, CHU Gui-de-Chauliac, Montpellier, France
| | - Christophe Vincent
- Department of Otology and Otoneurology, Salengro Hospital, University of Lille, Lille, France
| | - Pierre Reynard
- Service d'audiologie et d'explorations otoneurologiques, CHU de Lyon, Hôpital Édouard-Herriot, Lyon, France, Claude-Bernard University Lyon 1, Institut de l'audition, Institut Pasteur, Inserm, Paris, France
| |
Collapse
|
4
|
Reynard P, Mosnier I, Dejean F, Ambert-Dahan E, Bakhos D, Belmin J, Bonnard D, Borel S, Ceccato JC, Coez A, Damien M, Del Rio M, El Yagoubi M, Genin A, Gros A, Harichaux M, Idriss S, Ionescu E, Joly CA, Krolak-Salmon P, Marianowski R, Marx M, Mom T, Parietti-Winkler C, Potier M, Renard C, Roman S, Roy T, Tronche S, Venail F, Vincent C, Thai-Van H. [Early management of presbycusis: recommendations from the French Society of Otorhinolaryngology and Head and Neck Surgery, the French Society of Audiology, and the French Society of Geriatrics and Gerontology]. Geriatr Psychol Neuropsychiatr Vieil 2023; 21:9-20. [PMID: 37115675 DOI: 10.1684/pnv.2023.1090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
INTRODUCTION Presbycusis is the physiological decrease in hearing due to advancing age and begins well before the sixth decade. These recommendations recall the principles of early diagnosis of presbycusis and the means of optimal rehabilitation as soon as the first symptoms appear. MATERIAL AND METHODS The recommendations are based on a systematic analysis of the literature carried out by a multidisciplinary group of doctors and audioprosthetists from all over France. They are graded A, B, C or expert opinion according to decreasing level of scientific evidence. RESULTS The diagnosis of presbycusis is more difficult at the beginning of its evolution but a certain number of tools are available for its early diagnosis and its management in face-to-face or even distance learning. CONCLUSION In case of a clinical profile suggestive of presbycusis in a young subject, especially if there are several family cases, it is recommended to propose a genetic investigation. It is recommended to perform free-field speech audiometry in noise to measure intelligibility in an environment as close as possible to reality. Questionnaires can be used in addition to audiometry to best assess the patient's disability. It is recommended that hearing rehabilitation with a hearing aid or cochlear implant may slow or prevent cognitive decline. Combined auditory and cognitive rehabilitation should be offered regardless of the time elapsed since the fitting. It is recommended to integrate programs accessible via smartphones, tablets or the Internet, integrating different training domains in addition to face-to-face sessions.
Collapse
Affiliation(s)
- Pierre Reynard
- Service d'audiologie et d'explorations otoneurologiques, CHU de Lyon, Hôpital Édouard Herriot, Lyon, France, Université Lyon 1, Institut de l'audition, Institut Pasteur, Inserm, Paris, France
| | - Isabelle Mosnier
- Institut de l'audition, Institut Pasteur, Inserm, Paris, France, APHP-Sorbonne Université, GH Pitié-Salpêtrière, service ORL, unité fonctionnelle implants auditifs, Paris, France
| | | | - Emmanuelle Ambert-Dahan
- APHP-Sorbonne Université, GH Pitié-Salpêtrière, service ORL, unité fonctionnelle implants auditifs, Paris, France
| | - David Bakhos
- Service ORL, CHU de Tours, Inserm UMR 1253 I-Brain, Université François-Rabelais, Tours, France
| | - Joël Belmin
- AP-HP, Hôpitaux universitaires Pitie-Salpêtrière-Charles Foix, Service de Gériatrie à orientation Cardiologique et Neurologique, F-94200 Ivry-sur-Seine, Sorbonne Université, Paris, France
| | - Damien Bonnard
- Service ORL, CHU de Bordeaux, Hôpital Pellegrin, Bordeaux, France
| | - Stéphanie Borel
- APHP-Sorbonne Université, GH Pitié-Salpêtrière, service ORL, unité fonctionnelle implants auditifs, Paris, France
| | - Jean-Charles Ceccato
- Institut des Neurosciences de Montpellier - Inserm U1298, Centre de Recherche et de Formation en Audioprothèse - Montpellier, France
| | - Arnaud Coez
- Institut de l'audition, Institut Pasteur, Inserm, Paris, France
| | - Maxime Damien
- Service d'audiologie et d'explorations otoneurologiques, CHU de Lyon, Hôpital Édouard Herriot, Lyon, France, Université Lyon 1, Institut de l'audition, Institut Pasteur, Inserm, Paris, France
| | | | | | | | - Auriane Gros
- Service ORL, Centre Mémoire Ressources et Recherche. CHU de Nice, Institut Claude Pompidou, Nice, France
| | | | - Samar Idriss
- Service d'audiologie et d'explorations otoneurologiques, CHU de Lyon, Hôpital Édouard Herriot, Lyon, France
| | - Eugen Ionescu
- Service d'audiologie et d'explorations otoneurologiques, CHU de Lyon, Hôpital Édouard Herriot, Lyon, France, Institut de l'audition, Institut Pasteur, Inserm, Paris, France
| | - Charles-Alexandre Joly
- Service d'audiologie et d'explorations otoneurologiques, CHU de Lyon, Hôpital Édouard Herriot, Lyon, France, Institut de l'audition, Institut Pasteur, Inserm, Paris, France
| | | | - Rémi Marianowski
- Service ORL, CHU de Brest, Laboratoire de Neurobiologie UA 4685, France
| | - Mathieu Marx
- Service d'Otologie, Otoneurologie et ORL pédiatrique, Hôpital Pierre-Paul Riquet, CHU Toulouse Purpan, Toulouse, France
| | - Thierry Mom
- Service ORL, CHU d'Estaing, Clermont-Ferrand, France
| | | | | | - Christian Renard
- Service d'Otologie et d'Otoneurologie, Hôpital Salengro, CHU Lille, Université de Lille, Lille, France
| | - Stéphane Roman
- Service ORL, Hôpital de la Timone et de la Conception, Marseille, France
| | - Thomas Roy
- Société Française d'Audiologie, Paris, France
| | - Sophie Tronche
- Société Française d'Otorhinolaryngologie et de Chirurgie de la Face et du Cou, Paris, France
| | - Frédéric Venail
- Unité Otologie et Otoneurologie, Service ORL, CHU Gui de Chauliac, Montpellier, France
| | - Christophe Vincent
- Service d'Otologie et d'Otoneurologie, Hôpital Salengro, CHU Lille, Université de Lille, Lille, France
| | - Hung Thai-Van
- Service d'audiologie et d'explorations otoneurologiques, CHU de Lyon, Hôpital Édouard Herriot, Lyon, France, Université Lyon 1, Institut de l'audition, Institut Pasteur, Inserm, Paris, France
| |
Collapse
|
5
|
Reynard P, Joly CA, Damien M, Le Normand MT, Veuillet E, Thai-Van H. Age-Related Dichotic Listening Skills in Impaired and Non-Impaired Readers: A Comparative Study. J Clin Med 2023; 12:jcm12020666. [PMID: 36675595 PMCID: PMC9865678 DOI: 10.3390/jcm12020666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Revised: 01/10/2023] [Accepted: 01/11/2023] [Indexed: 01/18/2023] Open
Abstract
Dichotic listening is the high-level auditory process which enables the perception of different verbal stimuli delivered simultaneously to the right and left ears (binaural integration), as well as the perception of a verbal stimulus presented to one ear while ignoring a different stimulus in the other ear (binaural separation). Deficits in central auditory processing have been reported in children with learning disabilities. The present study aimed to compare dichotic listening performances in right-handed impaired readers (IR) and non-impaired readers (non-IR) according to age. For this, a cross-sectional study was conducted in 120 IR (56 males and 64 females) divided into five age groups and 120 non-IR (63 male and 57 female) matched on chronological age (8 to 9 years; 9 to 10 years; 10 to 12 years; 12 to 18 years; adult). They were tested for binaural integration and binaural separation, allowing for the calculation of dichotic aptitude (DA), ear prevalence (EP), and attentional shift index (ASI). A series of ANOVAs showed an effect of age and of the reading group for all the dichotic-related measures, except for EP. Binaural separation scores were lower in IR who also showed more intrusive responses compared to non-IR. These intrusive responses, which were more frequent on the right ear for IR, decreased with age in both groups. Overall, these results suggest that dichotic listening scores improve with age as the central auditory pathways mature. However, whatever the age, performances are lower in IR than in non-IR. This might be explained by an incomplete maturation of the auditory pathways in IR; an early start for long-term follow-up and auditory training is suggested.
Collapse
Affiliation(s)
- Pierre Reynard
- Institut de l’Audition, Institut Pasteur, INSERM U1120, 75012 Paris, France
- Faculty of Medicine, University Claude Bernard Lyon 1, 69100 Villeurbanne, France
- Service d’Audiologie et d’Explorations Oto-Neurologiques, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France
- Correspondence: (P.R.); (H.T.-V.)
| | - Charles-Alexandre Joly
- Institut de l’Audition, Institut Pasteur, INSERM U1120, 75012 Paris, France
- Service d’Audiologie et d’Explorations Oto-Neurologiques, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France
| | - Maxime Damien
- Faculty of Medicine, University Claude Bernard Lyon 1, 69100 Villeurbanne, France
- Service d’Audiologie et d’Explorations Oto-Neurologiques, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France
| | - Marie-Thérèse Le Normand
- Institut de l’Audition, Institut Pasteur, INSERM U1120, 75012 Paris, France
- Laboratoire de Psychopathologie et Processus de Santé, Université de Paris Cité, 92100 Boulogne-Billancourt, France
| | - Evelyne Veuillet
- Institut de l’Audition, Institut Pasteur, INSERM U1120, 75012 Paris, France
- Faculty of Medicine, University Claude Bernard Lyon 1, 69100 Villeurbanne, France
- Service d’Audiologie et d’Explorations Oto-Neurologiques, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France
| | - Hung Thai-Van
- Institut de l’Audition, Institut Pasteur, INSERM U1120, 75012 Paris, France
- Faculty of Medicine, University Claude Bernard Lyon 1, 69100 Villeurbanne, France
- Service d’Audiologie et d’Explorations Oto-Neurologiques, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France
- Correspondence: (P.R.); (H.T.-V.)
| |
Collapse
|
6
|
Idriss SA, Reynard P, Marx M, Mainguy A, Joly CA, Ionescu EC, Assouly KKS, Thai-Van H. Short- and Long-Term Effect of Cochlear Implantation on Disabling Tinnitus in Single-Sided Deafness Patients: A Systematic Review. J Clin Med 2022; 11:jcm11195664. [PMID: 36233532 PMCID: PMC9572534 DOI: 10.3390/jcm11195664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2022] [Revised: 09/12/2022] [Accepted: 09/20/2022] [Indexed: 11/16/2022] Open
Abstract
Patients with single-sided deafness can experience an ipsilateral disabling tinnitus that has a major impact on individuals’ social communication and quality of life. Cochlear implants appear to be superior to conventional treatments to alleviate tinnitus in single-sided deafness. We conducted a systematic review to evaluate the effectiveness of cochlear implants in single-sided deafness with disabling tinnitus when conventional treatments fail to alleviate tinnitus (PROSPERO ID: CRD42022353292). All published studies in PubMed/MEDLINE and SCOPUS databases until December 2021 were included. A total of 474 records were retrieved, 31 studies were included and were divided into two categories according to whether tinnitus was assessed as a primary complaint or not. In all studies, cochlear implantation, evaluated using subjective validated tools, succeeded in reducing tinnitus significantly. Objective evaluation tools were less likely to be used but showed similar results. A short-(3 months) and long-(up to 72 months) term tinnitus suppression was reported. When the cochlear implant is disactivated, complete residual tinnitus inhibition was reported to persist up to 24 h. The results followed a similar pattern in studies where tinnitus was assesed as a primary complaint or not. In conclusion, the present review confirmed the effectiveness of cochlear implantation in sustainably reducing disabling tinnitus in single-sided deafness patients.
Collapse
Affiliation(s)
- Samar A. Idriss
- Department of Audiology and Otoneurological Evaluation, Edouard Herriot Hospital, Hospices Civils de Lyon, 69002 Lyon, France
- Department of Otorhinolaryngology and Head and Neck Surgery, Eye and Ear University Hospital, Holy Spirit University of Kaslik, Beirut 1202, Lebanon
| | - Pierre Reynard
- Department of Audiology and Otoneurological Evaluation, Edouard Herriot Hospital, Hospices Civils de Lyon, 69002 Lyon, France
- Institut de l’Audition, Institut Pasteur, University of Paris, INSERM, 75012 Paris, France
- Faculty of Medicine, University Claude Bernard Lyon 1, 69100 Villeurbanne, France
| | - Mathieu Marx
- Department of Otology, Otoneurology and Pediatric Otolaryngology, Pierre-Paul Riquet Hospital, Toulouse Purpan University Hospital, 31300 Toulouse, France
- Brain and Cognition Laboratory, UMR 5549, Toulouse III University, 31062 Toulouse, France
| | - Albane Mainguy
- National Commission for the Evaluation of Medical Devices and Health Technologies, Haute Autorité de Santé, 93210 La Plaine St Denis, France
| | - Charles-Alexandre Joly
- Department of Audiology and Otoneurological Evaluation, Edouard Herriot Hospital, Hospices Civils de Lyon, 69002 Lyon, France
- Institut de l’Audition, Institut Pasteur, University of Paris, INSERM, 75012 Paris, France
- Faculty of Medicine, University Claude Bernard Lyon 1, 69100 Villeurbanne, France
| | - Eugen Constant Ionescu
- Department of Audiology and Otoneurological Evaluation, Edouard Herriot Hospital, Hospices Civils de Lyon, 69002 Lyon, France
- Institut de l’Audition, Institut Pasteur, University of Paris, INSERM, 75012 Paris, France
| | - Kelly K. S. Assouly
- Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands
- UMC Utrecht Brain Center, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands
- Cochlear Technology Centre, 2800 Mechelen, Belgium
| | - Hung Thai-Van
- Department of Audiology and Otoneurological Evaluation, Edouard Herriot Hospital, Hospices Civils de Lyon, 69002 Lyon, France
- Institut de l’Audition, Institut Pasteur, University of Paris, INSERM, 75012 Paris, France
- Faculty of Medicine, University Claude Bernard Lyon 1, 69100 Villeurbanne, France
- National Commission for the Evaluation of Medical Devices and Health Technologies, Haute Autorité de Santé, 93210 La Plaine St Denis, France
- Correspondence:
| |
Collapse
|
7
|
Buisson Savin J, Reynard P, Bailly-Masson E, Joseph C, Joly CA, Boiteux C, Thai-Van H. Adult Normative Data for the Adaptation of the Hearing in Noise Test in European French (HINT-5 Min). Healthcare (Basel) 2022; 10:healthcare10071306. [PMID: 35885831 PMCID: PMC9315974 DOI: 10.3390/healthcare10071306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 07/07/2022] [Accepted: 07/11/2022] [Indexed: 12/05/2022] Open
Abstract
Decreased speech-in-noise (SpIN) understanding is an early marker not only of presbycusis but also of auditory processing disorder. Previous research has shown a strong relationship between hearing disorders and cognitive limitations. It is therefore crucial to allow SpIN testing in subjects who cannot sustain prolonged diagnostic procedures. The objectives of this study were to develop a rapid and reproducible version of the Hearing in Noise Test (HINT-5 min), and to determine its adult normative values in free-field and monaural or binaural headphone conditions. Following an adaptive signal-to-noise ratio (SNR) protocol, the test used a fixed noise level, while the signal level varied to reach the 50% speech reception threshold (SRT50). The speech material consisted of five lists of 20 sentences each, all recorded in European French. The whole semi-automated procedure lasted 5 min and was administered to 83 subjects aged 19 to 49 years with no reported listening difficulties. Fifty-two subjects were retested between 7 and 8 days later. For the binaural free-field condition, the mean SRT50 was −1.0 dB SNR with a standard deviation of 1.3 dB SNR. There was no significant difference between the results obtained at test and retest, nor was there any effect of listening condition, sex, or age on SRT50. The results indicate that the procedure is robust and not affected by any learning phenomenon. The HINT-5 min was found to be both a fast and reliable marker of the ability to understand speech in background noise.
Collapse
Affiliation(s)
- Johanna Buisson Savin
- Institut de l’Audition, Institut Pasteur, INSERM U1120, 75012 Paris, France; (J.B.S.); (P.R.); (C.-A.J.)
- Amplifon France, 94110 Arcueil, France; (E.B.-M.); (C.J.); (C.B.)
| | - Pierre Reynard
- Institut de l’Audition, Institut Pasteur, INSERM U1120, 75012 Paris, France; (J.B.S.); (P.R.); (C.-A.J.)
- Service d’Audiologie et d’Explorations Otoneurologiques, Hospices Civils de Lyon, Hôpital Edouard Herriot, 69003 Lyon, France
- Faculty of Medicine, University Claude Bernard Lyon 1, 69100 Villeurbanne, France
| | | | - Célia Joseph
- Amplifon France, 94110 Arcueil, France; (E.B.-M.); (C.J.); (C.B.)
| | - Charles-Alexandre Joly
- Institut de l’Audition, Institut Pasteur, INSERM U1120, 75012 Paris, France; (J.B.S.); (P.R.); (C.-A.J.)
- Service d’Audiologie et d’Explorations Otoneurologiques, Hospices Civils de Lyon, Hôpital Edouard Herriot, 69003 Lyon, France
- Faculty of Medicine, University Claude Bernard Lyon 1, 69100 Villeurbanne, France
| | | | - Hung Thai-Van
- Institut de l’Audition, Institut Pasteur, INSERM U1120, 75012 Paris, France; (J.B.S.); (P.R.); (C.-A.J.)
- Service d’Audiologie et d’Explorations Otoneurologiques, Hospices Civils de Lyon, Hôpital Edouard Herriot, 69003 Lyon, France
- Faculty of Medicine, University Claude Bernard Lyon 1, 69100 Villeurbanne, France
- Correspondence:
| |
Collapse
|
8
|
Thai-Van H, Joly CA, Idriss S, Melki JB, Desmettre M, Bonneuil M, Veuillet E, Ionescu E, Reynard P. Online digital audiometry vs. conventional audiometry: a multi-centre comparative clinical study. Int J Audiol 2022; 62:362-367. [PMID: 35337229 DOI: 10.1080/14992027.2022.2052979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE The primary objective of the current study was the validation of a cloud-centralized audiometry system for clinical practice. DESIGN A cross-sectional study design was used. STUDY SAMPLE A convenience sample of patients (>10 years old) booked for follow-up appointments were invited to participate. Participants completed both conventional and online digital audiometry in a standard sound treated clinic space during a single clinic visit; tests were completed in random order. Data for both ears were included. Patients were from one of three audiological practices. RESULTS A total of 41 participants completed both audiometric tests. Validation study results showed that the mean difference between the two audiometric test results remained within 5 dB HL for both air and bone conduction thresholds at all tested frequencies. CONCLUSIONS Online digital audiometry has been demonstrated as a clinically accurate method for hearing assessment.
Collapse
Affiliation(s)
- Hung Thai-Van
- Department of Audiology and Otoneurological Evaluation, Lyon University Hospital, French Society of Audiology, Paris Hearing Institute, Research Center of Institut Pasteur, Team Clinical and Translational Exploration of Sensorineural Hearing Loss, Paris, France
| | - Charles-Alexandre Joly
- Department of Audiology and Otoneurological Evaluation, Lyon University Hospital, Paris Hearing Institute, Research Center of Institut Pasteur, Team Clinical and Translational Exploration of Sensorineural Hearing Loss, Paris, France
| | - Samar Idriss
- Department of Audiology and Otoneurological Evaluation, Lyon University Hospital, Lyon, France
| | | | | | | | - Evelyne Veuillet
- Department of Audiology and Otoneurological Evaluation, Lyon University Hospital, Paris Hearing Institute, Research Center of Institut Pasteur, Team Clinical and Translational Exploration of Sensorineural Hearing Loss, Paris, France
| | - Eugen Ionescu
- Department of Audiology and Otoneurological Evaluation, Lyon University Hospital, Paris Hearing Institute, Research Center of Institut Pasteur, Team Clinical and Translational Exploration of Sensorineural Hearing Loss, Paris, France
| | - Pierre Reynard
- Department of Audiology and Otoneurological Evaluation, Lyon University Hospital, Paris Hearing Institute, Research Center of Institut Pasteur, Team Clinical and Translational Exploration of Sensorineural Hearing Loss, Paris, France
| |
Collapse
|
9
|
Reynard P, Lagacé J, Joly CA, Dodelé L, Veuillet E, Thai-Van H. Speech-in-Noise Audiometry in Adults: A Review of the Available Tests for French Speakers. Audiol Neurootol 2021; 27:185-199. [DOI: 10.1159/000518968] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Accepted: 08/09/2021] [Indexed: 11/19/2022] Open
Abstract
<b><i>Background:</i></b> Difficulty understanding speech in background noise is the reason of consultation for most people who seek help for their hearing. With the increased use of speech-in-noise (SpIN) testing, audiologists and otologists are expected to evidence disabilities in a greater number of patients with sensorineural hearing loss. The purpose of this study is to list validated available SpIN tests for the French-speaking population. <b><i>Summary:</i></b> A review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed and Scopus databases were searched. Search strategies used a combination of 4 keywords: speech, audiometry, noise, and French. There were 10 validated SpIN tests dedicated to the Francophone adult population at the time of the review. Some tests use digits triplets as speech stimuli and were originally designed for hearing screening. The others were given a broader range of indications covering diagnostic or research purposes, determination of functional capacities and fitness for duty, as well as assessment of hearing amplification benefit. <b><i>Key Messages:</i></b> As there is a SpIN test for almost any type of clinical or rehabilitation needs, both the accuracy and duration should be considered for choosing one or the other. In an effort to meet the needs of a rapidly aging population, fast adaptive procedures can be favored to screen large groups in order to limit the risk of ignoring the early signs of forthcoming presbycusis and to provide appropriate audiological counseling.
Collapse
|
10
|
Joly CA, Reynard P, Hermann R, Seldran F, Gallego S, Idriss S, Thai-Van H. Intra-Cochlear Current Spread Correlates with Speech Perception in Experienced Adult Cochlear Implant Users. J Clin Med 2021; 10:jcm10245819. [PMID: 34945115 PMCID: PMC8709369 DOI: 10.3390/jcm10245819] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Revised: 12/03/2021] [Accepted: 12/08/2021] [Indexed: 11/16/2022] Open
Abstract
Broader intra-cochlear current spread (ICCS) implies higher cochlear implant (CI) channel interactions. This study aimed to investigate the relationship between ICCS and speech intelligibility in experienced CI users. Using voltage matrices collected for impedance measurements, an individual exponential spread coefficient (ESC) was computed. Speech audiometry was performed to determine the intelligibility at 40 dB Sound Pressure Level (SPL) and the 50% speech reception threshold: I40 and SRT50 respectively. Correlations between ESC and either I40 or SRT50 were assessed. A total of 36 adults (mean age: 50 years) with more than 11 months (mean: 34 months) of CI experience were included. In the 21 subjects for whom all electrodes were active, ESC was moderately correlated with both I40 (r = −0.557, p = 0.009) and SRT50 (r = 0.569, p = 0.007). The results indicate that speech perception performance is negatively affected by the ICCS. Estimates of current spread at the closest vicinity of CI electrodes and prior to any activation of auditory neurons are indispensable to better characterize the relationship between CI stimulation and auditory perception in cochlear implantees.
Collapse
Affiliation(s)
- Charles-Alexandre Joly
- Institut de l’Audition, Institut Pasteur, Université de Paris, INSERM, 75012 Paris, France; (C.-A.J.); (P.R.)
- Université Claude Bernard Lyon 1, 69100 Villeurbanne, France; (R.H.); (S.G.)
- Service d’Audiologie et d’Explorations Otoneurologiques, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France;
| | - Pierre Reynard
- Institut de l’Audition, Institut Pasteur, Université de Paris, INSERM, 75012 Paris, France; (C.-A.J.); (P.R.)
- Université Claude Bernard Lyon 1, 69100 Villeurbanne, France; (R.H.); (S.G.)
- Service d’Audiologie et d’Explorations Otoneurologiques, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France;
| | - Ruben Hermann
- Université Claude Bernard Lyon 1, 69100 Villeurbanne, France; (R.H.); (S.G.)
- Integrative, Multisensory, Perception, Action and Cognition Team (IMPACT), Inserm U1028, CNRS UMR5292, Lyon Neuroscience Research Center, 69675 Bron, France
- Service d’ORL, Chirurgie Cervico-Faciale et d’Audiophonologie, Hospices Civils de Lyon, Hôpital Edouard Herriot, 69003 Lyon, France
| | | | - Stéphane Gallego
- Université Claude Bernard Lyon 1, 69100 Villeurbanne, France; (R.H.); (S.G.)
- Neuronal Dynamics and Audition Team (DNA), Laboratory of Cognitive Neuroscience, CNRS UMR7291, Aix-Marseille University, CEDEX 3, 13331 Marseille, France
| | - Samar Idriss
- Service d’Audiologie et d’Explorations Otoneurologiques, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France;
| | - Hung Thai-Van
- Institut de l’Audition, Institut Pasteur, Université de Paris, INSERM, 75012 Paris, France; (C.-A.J.); (P.R.)
- Université Claude Bernard Lyon 1, 69100 Villeurbanne, France; (R.H.); (S.G.)
- Service d’Audiologie et d’Explorations Otoneurologiques, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France;
- Correspondence:
| |
Collapse
|
11
|
Colombo AF, Joly CA. Brazilian Atlantic Forest lato sensu: the most ancient Brazilian forest, and a biodiversity hotspot, is highly threatened by climate change. BRAZ J BIOL 2011; 70:697-708. [PMID: 21085776 DOI: 10.1590/s1519-69842010000400002] [Citation(s) in RCA: 128] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2010] [Accepted: 07/05/2010] [Indexed: 11/22/2022] Open
Abstract
After 500 years of exploitation and destruction, the Brazilian Atlantic Forest has been reduced to less the 8% of its original cover, and climate change may pose a new threat to the remnants of this biodiversity hotspot. In this study we used modelling techniques to determine present and future geographical distribution of 38 species of trees that are typical of the Brazilian Atlantic Forest (Mata Atlântica), considering two global warming scenarios. The optimistic scenario, based in a 0.5% increase in the concentration of CO2 in the atmosphere, predicts an increase of up to 2 °C in the Earth's average temperature; in the pessimistic scenario, based on a 1% increase in the concentration of CO2 in the atmosphere, temperature increase may reach 4 °C. Using these parameters, the occurrence points of the studied species registered in literature, the Genetic Algorithm for Rule-set Predictions/GARP and Maximum entropy modeling of species geographic distributions/MaxEnt we developed models of present and future possible occurrence of each species, considering Earth's mean temperature by 2050 with the optimistic and the pessimistic scenarios of CO2 emission. The results obtained show an alarming reduction in the area of possible occurrence of the species studied, as well as a shift towards southern areas of Brazil. Using GARP, on average, in the optimistic scenario this reduction is of 25% while in the pessimistic scenario it reaches 50%, and the species that will suffer the worst reduction in their possible area of occurrence are: Euterpe edulis, Mollinedia schottiana, Virola bicuhyba, Inga sessilis and Vochysia magnifica. Using MaxEnt, on average, in the optimistic scenario the reduction will be of 20% while in the pessimistic scenario it reaches 30%, and the species that will suffer the worst reduction are: Hyeronima alchorneoides, Schefflera angustissima, Andira fraxinifolia and the species of Myrtaceae studied.
Collapse
Affiliation(s)
- A F Colombo
- Programa de Pós-graduação em Ecologia, Instituto de Biologia – IB, Universidade Estadual de Campinas – UNICAMP, CP 6109, CEP 13083-970, Campinas, SP, Brazil
| | | |
Collapse
|