• Speech Sciences
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• v.10 no.4
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• pp.181-187
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• 2003

This paper introduces a new zinc coated copper wire electrode with coiled cone shape which has low surface resistance and tolerance to the motion artifact for promontory stimulation electrically auditory brainstem responses (PSEABR). Auditory brainstem responses (ABR) can be used to predict hearing threshold level with a great deal of accuracy particularly for a young child who cannot cooperate mechanically and some hearing impaired who are exaggerating a hearing loss for economic compensation. While severe profound sensorineural hearing losses may not be implemented by auditory potentials, PSEABR is proven as a useful tool even for some sensorineural related hearing impaired. It was shown that PSEABR gives the electrical stimuli to promontory of the cochlear instead of giving acoustic stimuli. For this reason, PSEABR can be used as an alternative for cochlear implantation, and can also be used as an optimal device selection and neural information for MAP. It was found that the role of electrode is very important in PSEABR. Even though this cone-shaped electrode was applied in animal experiments, waveforms are well produced by PSEABR. Thus, it was concluded that cone-shaped electrode turned out to be a useful preoperative audiological evaluation tool in deciding time for cochlear implantation surgery.

• The Journal of the Acoustical Society of Korea
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• v.31 no.5
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• pp.273-279
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• 2012

In this thesis, a nonlinear compression fitting method was studied for each frequency channel of a 64 channel digital hearing aid. Unlike conventional fitting formula method done from the result of the hearing loss test, the present fitting method uses the auditory threshold of sound pressure measured near the tympanic membrane while ITE (In-The-Ear) hearing aid is fitted into the user's ear canal. Also, the spectral distribution of the voice sound pressure was used for realizing of output sound pressure compression curves against input sound pressure level. Theoretical research results of FFT-iFFT compression algorithm has been evaluated by experimental gain measurements at each different input sound pressure level 50 dB, 70 dB, 90 dB respectively.

• Journal of Sasang Constitutional Medicine
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• v.33 no.4
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• pp.23-31
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• 2021

Objective The case report showed that sudden hearing loss and tinnitus after trigeminal schwannoma surgery were improved with Yeoldahansotang-gamibang. Method The patient was diagnosed with Taeeumin interior heat (Ganyeol) disease based on the original symptoms of Taeeumin. He was treated with herbal medicine and acupuncture treatment. Puretone audiometry (PTA), speech audiometry, tinnitus handicap inventory (THI) and the original symptoms were investigated before and after the treatment. Results Right side PTA score was significantly reduced, speech audiometry was improved in speech reception threshold (SRT), word recognition score (WRS) and most comfortable level (MCL) and THI score decreased from 40 to 0, which showed normalizing hearing function. And the patient revealed improvements in sleeping, digestion, stooling, perspiration and facial sensation after treatment. Conclusion This study suggests that Yeoldahansotang-gamibang is effective on sudden hearing loss and tinnitus after surgery by correcting the imbalanced energy of Taeeumin.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.34 no.3
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• pp.80-91
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• 2021

Objective : The purpose of this study is to discriminate the vestibular schwannoma misdiagnosed as Idiopathic Sudden Sensorineural Hearing Loss. Methods : A 46-year-old female patient who was suffering left sudden sensorineural hearing loss(SSNHL), visited after diagnosed as Idiopathic SSNHL by previous hospital. For diagnosing the vestibular schwannoma, we conducted the Puretone audiometry, auditory brainstem response threshold test and magnetic resonance imaging(MRI) for temporal bone with enhancement. Result : Auditory Brainstem Response threshold test was abnormal and in enhanced MRI, the vestibular schwannoma in left side was detected. The patient was discharged from the hospital for tertiary hospital care. Conclusions : When the patient with SSNHL visits a hospital even if after diagnosed as Idiopathic SSNHL by previous hospital, a doctor should keep in mind the possibility of vestibular schwannoma.

• Journal of Yeungnam Medical Science
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• v.40 no.4
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• pp.402-411
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• 2023

Background: We hypothesized that fatty liver disease (FLD) is associated with a high prevalence of hearing loss (HL) owing to metabolic disturbances. This study aimed to evaluate the association between FLD and HL in a large sample of the Korean population. Methods: We used a dataset of adults who underwent routine voluntary health checkups (n=21,316). Fatty liver index (FLI) was calculated using Bedogni's equation. The patients were divided into two groups: the non-FLD (NFLD) group (n=18,518, FLI <60) and the FLD group (n=2,798, FLI ≥60). Hearing thresholds were measured using an automatic audiometer. The average hearing threshold (AHT) was calculated as the pure-tone average at four frequencies (0.5, 1, 2, and 3 kHz). HL was defined as an AHT of >40 dB. Results: HL was observed in 1,370 (7.4%) and 238 patients (8.5%) in the NFLD and FLD groups, respectively (p=0.041). Compared with the NFLD group, the odds ratio for HL in the FLD group was 1.16 (p=0.040) and 1.46 (p<0.001) in univariate and multivariate logistic regression analyses, respectively. Linear regression analyses revealed that FLI was positively associated with AHT in both univariate and multivariate analyses. Analyses using a propensity score-matched cohort showed trends similar to those using the total cohort. Conclusion: FLD and FLI were associated with poor hearing thresholds and HL. Therefore, active monitoring of hearing impairment in patients with FLD may be helpful for early diagnosis and treatment of HL in the general population.

• Proceedings of the IEEK Conference
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• 2000.09a
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• pp.189-192
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• 2000

본 논문에서는 청각 장애인의 보다 향상된 보청 환경을 조성하고자 청각손실을 심리음향 모델을 적용하여 감음 신경성 난청을 보정하는 알고리즘을 제안한다. 제안한 알고리즘에서는 난청의 유형은 내이에서부터 중추 뇌에 걸친 감음계와 신경계의 장애에서 비롯되는 감음신경성 난청(sensorineural hearing loss)으로 주파수 영역상에서 MTH(minimum hearing threshold)가 균일하지 않게 상승하게되어 가청영역이 좁아지는 문제점을 해결하기 위한 방법으로 각각의 주파수 밴드마다 멀티밴드 압축 알고리즘을 적용하였다. 그러나 이 경우 각각의 주파수 밴드에 따른 서로 다른 가청 영역의 영향에 의한 변형된 스펙트럼 모양으로 인해 spectral contrast reduction과 변형된 마스킹 특성으로 인해 음성 변별력에 제한을 가하게 된다. 이것은 주변 주파수 성분들에 의한 마스킹 효과에 의한 것으로, 신호에 대한 난청인이 느끼는 지각 영역(perceptual domain)에서의 해석과 심리음향 모델 파라미터를 통한 보청기의 개발이 이루어져야 하며, 본 논문에서 그 알고리즘을 적용하였다.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1982.05a
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• pp.17.1-17
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• 1982

In 1965, Rosenberg reported that platinum compounds not only inhibit growth and cell division of E. coli but also has anti-tumor activity. Since then, through animal and clinical experiments by Welsch(1971), Speer(1972), Rossof(1972), Hill(1974), and Wittes(1975), it was proved that Cis-platinum has excellent supressive effects on malignant tumor, especially on head and neck cancer. Accordingly, Cis-platinum is now widely used, sometimes without any other durg, or sometimes with Bleomycin and Methotrexate etc. Inspite of the strong anticancer effect, the use of Cis-platinum is quite often discouraged because of the reports that Cis-platinum causes auditory impairment at high frequencies above the speech range due to inner ear damage and irreversible change in the renal tubules. Since Kohonen et al(1965), Standnicki et al(1974) reported that Cisplatinum has toxic effects at the basal turn of the cochlea using guinea pig, many studies on ototoxicity after infusion of Cis-platinum have been carried out using animals. But the studies on ototoxicity in human beings can hardly be found except in reports by Piel et al(1974) and Hong et al (1979). So the authors did a study which tried to clarify the ototoxic effect by comparing the hearing level after infusion of Cis-plastinum with the hearing level before infusion of Cis-plastinum in 30 patients who was treated with Cis-platinum and admitted to the dept. of otolaryngology of Yonsei University Hospital during 2 years and a half from July. 1979 to March. 1982 and the following results were obtained. 1) The results of auditory evaluation, using the pure tone average, hearing loss of 4kHz and 8kHz, Speech Reception Threshold, PB score, SISI showed that the difference of dosage does not change the hearing level after infusion of Cis-platinum and before infusion of Cis-platinum. 2) Cis-platinum had no effect on the hearing level of patients with conductive hearing loss, or with sensorineural hearing loss, as well as with normal hearing level. 3) The infusion of Cis-platinum did not cause any change in creatinine clearance, creatinine, uric acid, but only one case showed that Cis-platinum caused severe nephrotoxicity. 4) The infusion of Cis-plastinum did not cause any change in hemoglobin, leukocyte count, platelet count and there was no correlation with the amount of infusion. 5) To see the side effect of hydration practiced with the infusion of Cis-platinum, the electrolytes, particularly the K level in the serum was measured. But the results did not show any change. 6) Judging from the results of this study mentioned above, ototoxicity caused by infusion of Cis-platinum can be prevented by sufficient hydration. Also the results might say that the appropriate method of infusion of Cis-platinum might be effective in the patients with head and neck cancer who had sensorineural hearing loss for whom the infusion of Cis-platinum has been absolutely cotraindicated.

• Journal of Life Science
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• v.9 no.2
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• pp.136-145
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• 1999

The purpose of this study was to evaluate the effect of organic slovents and noise on hearing loss. We selected organic solvents exposed group of 32 cases, noise exposed group of 31 cases, both noise and solvent exposed group of 31 cases, and control group of 53 cases and studied the relation between exposure level of noise and organic solvents and degree of hearing loss. The results were as follows. The subjects under investigation were exposed to noise and organic solvents under threshold limit values and the amount of urinary hippuric acid excretion were also under biological exposure indices. In case of noise, both noise and organic solvents exposed group and noise exposed group were more exposed than organic solvents exposed group(p<0.05). When urinary hippuric acid excretion were concerned, both noise iud organic solvents exposed group and organic solvents exposed group showed higher values than noise exposed group(p<0.05). In comparison of mean auditory threshold values by frequency, on the air conduction test, both noise and organic solvents exposed group showed significantly higher hearing loss than noise exposed group in 500Hz of right ear, 500 and 2000Hz of left ear(p<0.05). Forty-three cases among 147 subjects were regarded as hearing loss group and average age(42.6years) of hearing loss group was higher than normal groups average age of 38.0 years. Urinary hippuric acid excretions of hearing loss group were significantly higher than normal group(p<0.05). Thirty-eight percent(12cases) of noise exposed group, 40.6 $\%$(13cases) of organic solvents exposed group, 51.6 $\%$(16cases) of both noise and organic solvents exposed group, and 3.8 $\%$(2cases) of unexposed group were regarded as hearing losers. Exposed groups showed higher incidence of hearing loss than unexposed group but there were no significant differences among the exposed groups. The variables showing significant correlation with hearing loss were age and the amount of hippuric acid in urinary excretion. When age were adjusted for the purpose of seeing the effects of hearing losses due to organic solvent, urinary excretion of hippuric acids was the only variable with significant correlation with hearing loss (p<0.05). When odds ratio to hearing loss between control and exposed groups was considered, noise exposed group showed 6.1 times (95 $\%$ CI: 3.3-8.7), organic solvents exposed group showed 7.4 times (95 $\%$ CI: 3.5-14.6) and both noise and organic solvents exposed group showed 17.2 times(95% CI: 5.6-31.8) higher values than unexposed group(p<0.01). Above results suggest that health screening test of hearing loss is also needed in organic solvents exposed workers.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.11 no.1
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• pp.73-79
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• 2017

It is difficult to detect the adult hearing loss after the language acquisition because of its slow progression, which can be evaluated voluntarily and actively when the appropriate tools are provided. Smartphones are one of useful tools, and they can utilize surveys and/or applications for hearing screening. This study aims to verify the possibility as a tool discovering delayed acquired hearing losses by comparing the pure tone screening application (app_PTS) which was recently developed by our research team and hearing handciap inventory (HHI). The subjects were 22 people whose age ranges from 10s to 80s. For pure tone averages (PTAs), hearing threshold level was selected the best one in same frequency, in both ears. Sensitivity and specificity of HHI were confirmed based on self awareness of hearing loss and PTAs at 1, 2, 4 kHz. Comparisons of two tests were measured by analyzing simple regression of correlation between PTAs of App_PTS and HHI scores. Sensitivity and specificity were 1.000 in both criteria. There was a statistically significant relationship between the PTAs_4 kHz and HHI (R-square = .951, p = .000). Hearing screening by questionnaire showed high correlation with smart phones based on application. Therefore, it can be useful as a hearing screening tool for individual life cycle using an user-friendly tool.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.9 no.1
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• pp.41-55
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• 1999

In order to evaluate the effects of knowledge, attitude and practice on noise-induced hearing loss or hearing threshold level, questionnaire survey was performed and hearing thresholds of 1 kHz and 4 kHz were measured on 1,040 subjects with workers exposed to noise, safety and health officers. industrial hygienists, analysts rind office workers. The results were as follows ; 1. The following 6 factors were obtained by factor analysis and factor rotation of 30 questionnaire of knowledge, attitude and practice about noise; knowledge of noise (F1), concern of hearing protective devices (F2), concern of noise induced hearing loss (F3), concern of noise level and hearing impairment (F4), concern of noise in workplace (F5) and recognition of noised-induced hearing loss (F6). 56.1% of variance was explained by 6 factors. 2. Significant variables influencing knowledge, attitude and practice about noise were education level and age in F1, personal protective devices (PPE) and education level in F2, age and education level in F3, education level, age and sex in F4, PPE, education level, age and work duration in F5, and work duration and PPE in F6. 3. Hearing thresholds of 4 kHz were significantly higher in workers exposed to noise than that of in the other subjects and tended to be higher in industrial hygienists, safety and health officers and analysts than that of the office workers. 4. Significant variables influencing hearing thresholds of 1 kHz were age, education level, F5 and F6 in workers exposed to noise, and F1 in industrial hygienists. 5. Significant variables influencing hearing thresholds of 4 kHz were age, F6, sex, work duration, F1, F5, F2 and F3 in workers exposed to noise, F1 and age in safety and health officers, and F6, sex and F4 in industrial hygienists. With the above results, it suggested that workers exposed to noise be needed the education of knowledge, attitude and practice about noise in hearing conservation program for the prevention of noise induced hearing loss. Also, it suggested that health managers in workplace be needed countermeasures to prevent hearing loss although they are intermittently exposed to noise.