Unilateral Hearing Loss Clinical Trial
Official title:
Reorganization of Central Auditory System After Single Sided Deafness: a Functional Magnetic Resonance Imaging Study
The objective is to study the relation between the reorganization of the central auditory system, and the psychophysical deficits in binaural hearing in subjects with single sided deafness.
Background Single sided deafness (SSD) and asymmetrical hearing loss are common hearing
impairments, and their social consequences are well established. At the central auditory
system level, the single sided deafness is associated with a reorganization of auditory
temporal cortices that leads to a reduction of inter hemispheric asymmetry.
Purpose : Our main objective is to study the relation between the reorganization of the
central auditory system, namely the inter hemispheric asymmetry, and the psychophysical
deficits in binaural hearing in subjects with SSD.
Abstract : Binaural hearing enables spatial localization of the sound source and improves
speech recognition in a competing noise. SSD and asymmetrical hearing loss are common hearing
impairments, which affect 0.3 to 1/1000 children. In the adult population, this prevalence
increases with age. The impact of SSD and asymmetrical hearing loss on quality of life
indices is well established and some reports underline its consequences in children
scholarship. Previous neuro-imaging and electro physiological studies highlighted the
reduction of normal inter hemispheric asymmetry in subjects with SSD. To the best of our
knowledge, there is no report about the relation between the central auditory system
reorganization and its behavioural deficits.
The investigators propose to conduct a study which analyzes the relationship between the
reduction of inter hemispheric asymmetry and performance in binaural hearing tests. Thus, the
auditory plasticity will be studied using functional magnetic resonance imaging and more
specifically BOLD variations in auditory temporal cortices. A set of binaural hearing
assessments will be performed, including speech recognition in noise and localization
abilities. The correlation between the lateralization ratio and binaural measurements (speech
reception threshold (SRT) in dichotic hearing, diotic hearing, reverse dichotic hearing) will
be estimated. Likewise, the impact of SSD duration on cortical reorganization and binaural
tests will be studied.
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