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KMID : 0361020150580120841
Korean Journal of Otolaryngology - Head and Neck Surgery
2015 Volume.58 No. 12 p.841 ~ p.847
The Effect of High Frequency Sensorineural Hearing Loss on Auditory Temporal Resolution: Gaps-In-Noise Test Performance in Older and Young Adults with Normal Hearing
°­¿ë°æ:Kang Yong-Kyung
ÀÌÀº¼·:Lee Eun-Sub/À±»ó¿ø:Yoon Sang-Won/½ÉÇöÁØ:Shim Hyun-Joon/¾È¿ëÈÖ:An Yong-Hwi
Abstract
Background and Objectives: Auditory temporal resolution, which refers to the time-related aspects of acoustic processing, can be evaluated by the Gaps-In-Noise (GIN) test. We investigated whether the presence of high frequency sensorineural hearing loss (HF-SNHL) affects the temporal resolution of GIN performance in older adults with normal hearing.

Subjects and Method: Hearing tests including the GIN test were performed in 87 subjects with normal pure tone average. The GIN threshold and percentage of correct answers were compared among 4 groups of participants; older adults with normal hearing (n=18), older adults with HF-SNHL (n=24), young adults with normal hearing (n=24) and young adults with HF-SNHL (n=21).

Results: There was no significant difference in the mean GIN thresholds between the HF-SNHL group (5.8¡¾0.8 msec) and the normal hearing group (6.0¡¾0.8 msec) in older adults, whereas the mean GIN thresholds of HF-SNHL group was higher than that of the normal group in young adults (4.6¡¾0.3 msec vs. 4.2¡¾0.5 msec, p<0.05). The mean percentage of correct answers of HF-SNHL group (62.5¡¾5.5%) was not significantly different from that of the normal hearing group (60.6¡¾3.9%) in the old, unlike in the young (71.3¡¾4.0% with HF-SNHL vs. 76.9¡¾4.3% with normal hearing, p<0.05). Age only showed a significant correlation with the GIN performance. Neither the GIN threshold nor the GIN perception level had any relation with the presence of HF-SNHL in older adults.

Conclusion: We found no evidence that supported the influence of HF-SNHL on auditory temporal resolution in older adults. These results imply that HF-SNHL may be of little importance in gap detection after age-related changes in central auditory system.
KEYWORD
Age, Gaps-In-Noise test, High-frequency hearing loss, Temporal resolution
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