Wafaa El Kholy
Sessions
Panel presentation of Current Approach to Auditory Neuropathy Spectrum Disease
Background: Approximately 10% of children born with a permanent hearing loss have auditory neuropathy. Implementation of universal newborn hearing screening has led to early detection and intervention. An increased understanding of the long-term achievements of children with auditory neuropathy is essential to developing a comprehensive account of expected outcomes of children for improving counselling and clinical management.
Objective. This study examined language and speech outcomes in a population-based cohort of 9-year-old children with hearing loss and auditory neuropathy, and investigated factors influencing outcomes.
Method. Receptive and expressive language skills, speech output accuracy, and a diverse set of cognitive, demographic and audiological, variables (including age at device fitting) were evaluated at 3-, 5- and 9-years of age using direct assessment and caregiver report. Multiple regression analyses were used to address two questions: 1) Do language and speech outcomes at earlier ages predict language and speech outcomes at 9 years of age? 2) Which cognitive, demographic and audiological variables measured at 9 years of age predict concurrent language and speech outcomes after controlling for early language and speech outcomes?
Result and Discussion. The influence of cognitive, demographic and audiological variables, including auditory neuropathy, on 9-year outcomes was quantified. The implications of results on clinical best-practice management of children with hearing loss and auditory neuropathy will be discussed.
Background & Aim
Spatial listening is the ability to distinguish a target speech stream from simultaneous distracting noise using auditory spatial awareness. It relies on several factors, including the listener’s hearing thresholds, auditory experience, familiarity with the surrounding environment, motivation, and attention.
Listening in noisy environments is especially challenging for younger children in school settings, where early educational skills are often taught amidst background noise. Spatial processing disorder (SPD) is a significant issue observed in a notable proportion of children diagnosed with auditory processing disorder (APD). This round table will explore spatial listening research work in children
Material & Methods
Psychophysical and electrophysiological measures of spatial listening were condcted on normal children to establish norms for these measures
Results
It showed normal scores of the test that improved with age in both LiSN test and electrophysiological measures
Conclusions
LiSN test is a promising tool for assessing spatial listening as well as electrophysiological measures
Keywords
LiSN test-cortical measures- spatial listening- Auditory processing disorders