Using a Bone-Conduction Headset to Improve Speech Discrimination in Children With Otitis Media With Effusion.
Holland Brown, Tamsin
James Best, Alexandra
Marriage, Josephine E
Trends in hearing
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Holland Brown, T., Salorio-Corbetto, M., Gray, R., James Best, A., & Marriage, J. E. (2019). Using a Bone-Conduction Headset to Improve Speech Discrimination in Children With Otitis Media With Effusion.. Trends in hearing, 23 2331216519858303. https://doi.org/10.1177/2331216519858303
The recommended management for children with otitis media with effusion (OME) is 'watchful waiting' before considering grommet surgery. During this time speech and language, listening skills, quality of life, social skills, and outcomes of education can be jeopardized. Air-conduction (AC) hearing aids are problematic due to fluctuating AC hearing loss. Bone-conduction (BC) hearing is stable, but BC hearing aids can be uncomfortable. Both types of hearing aids are costly. Given the high prevalence of OME and the transitory nature of the accompanying hearing loss, cost-effective solutions are needed. The leisure industry has developed relatively inexpensive, comfortable, high-quality BC headsets for transmission of speech or music. This study assessed whether these headsets, paired with a remote microphone, improve speech discrimination for children with OME. Nineteen children aged 3 to 6 years receiving recommended management in the United Kingdom for children with OME participated. Word-discrimination thresholds were measured in a sound-treated room in quiet and with 65 dB(A) speech-shaped noise, with and without a headset. The median threshold in quiet (N = 17) was 39 dB(A) (range: 23-59) without a headset and 23 dB(A) (range: 9-35) with a headset (Z = -3.519, p < .001). The median threshold in noise (N = 19) was 59 dB(A) (range: 50-63) without a headset and 45 dB(A) (range: 32-50) with a headset (Z = -3.825, p < .001). Thus, the use of a BC headset paired with a remote microphone significantly improved speech discrimination in quiet and in noise for children with OME.
The main source of funding for this study was the Cambridge Hearing Trust. T. H. B. was awarded the British Association of Paediatricians in Audiology Prize in 2017, and J. E. M. and M. S.-C. were jointly granted the Stuart Gatehouse Applied Research Grant 2015 by the British Society of Audiology, both toward the Bone conduction In Glue ear study.
External DOI: https://doi.org/10.1177/2331216519858303
This record's URL: https://www.repository.cam.ac.uk/handle/1810/296548
Attribution-NonCommercial 4.0 International
Licence URL: https://creativecommons.org/licenses/by-nc/4.0/