Loading…
Influence of Protective Face Coverings on the Speech Recognition of Cochlear Implant Patients
Objectives The objectives were to characterize the effects of wearing face coverings on: 1) acoustic speech cues, and 2) speech recognition of patients with hearing loss who listen with a cochlear implant. Methods A prospective cohort study was performed in a tertiary referral center between July an...
Saved in:
| Published in: | The Laryngoscope 2021-06, Vol.131 (6), p.E2038-E2043 |
|---|---|
| Main Authors: | , , , , , , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Request full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c4767-7c8de37faa0d75a06537ff60f50405b9a43de8f7c0358a92449a482804501d713 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c4767-7c8de37faa0d75a06537ff60f50405b9a43de8f7c0358a92449a482804501d713 |
| container_end_page | E2043 |
| container_issue | 6 |
| container_start_page | E2038 |
| container_title | The Laryngoscope |
| container_volume | 131 |
| creator | Vos, Teresa G. Dillon, Margaret T. Buss, Emily Rooth, Meredith A. Bucker, Andrea L. Dillon, Sarah Pearson, Adrienne Quinones, Kristen Richter, Margaret E. Roth, Noelle Young, Allison Dedmon, Matthew M. |
| description | Objectives
The objectives were to characterize the effects of wearing face coverings on: 1) acoustic speech cues, and 2) speech recognition of patients with hearing loss who listen with a cochlear implant.
Methods
A prospective cohort study was performed in a tertiary referral center between July and September 2020. A female talker recorded sentences in three conditions: no face covering, N95 mask, and N95 mask plus a face shield. Spectral differences were analyzed between speech produced in each condition. The speech recognition in each condition for twenty‐three adult patients with at least 6 months of cochlear implant use was assessed.
Results
Spectral analysis demonstrated preferential attenuation of high‐frequency speech information with the N95 mask plus face shield condition compared to the other conditions. Speech recognition did not differ significantly between the uncovered (median 90% [IQR 89%–94%]) and N95 mask conditions (91% [IQR 86%–94%]; P = .253); however, speech recognition was significantly worse in the N95 mask plus face shield condition (64% [IQR 48%–75%]) compared to the uncovered (P |
| doi_str_mv | 10.1002/lary.29447 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_COVID</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8014501</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2490129110</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4767-7c8de37faa0d75a06537ff60f50405b9a43de8f7c0358a92449a482804501d713</originalsourceid><addsrcrecordid>eNp9kV9rFDEUxYModlt98QPIgC9SmHrzb5O8CGWxdmGhpSrog4Q0c2c3ZXayJjMr_fZmu7VoH_oUcu8v5-bcQ8gbCicUgH3oXLo9YUYI9YxMqOS0FsbI52RSmrzWkn0_IIc53wBQxSW8JAecSwPa6An5Oe_bbsTeYxXb6jLFAf0QtliduVKaxS2m0C9zFftqWGH1ZYPoV9UV-rjswxBKuTybRb_q0KVqvt50rh-qSzcE7If8irxoXZfx9f15RL6dffo6O68XF5_ns9NF7YWaqlp53SBXrXPQKOlgKsulnUIrQYC8Nk7wBnWrPHCpnWFClJJmGoQE2ijKj8jHve5mvF5j48vs5Dq7SWFddmOjC_b_Th9Wdhm3VgPdaRSB9_cCKf4aMQ92HbLHrrjBOGbLhAHKDKVQ0HeP0Js4pr7Ys0yyApYd6ycpoUs8UlFWqOM95VPMOWH78GUKdpet3WVr77It8Nt_TT6gf8MsAN0Dv0OHt09I2cXp1Y-96B9awa41</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2489955712</pqid></control><display><type>article</type><title>Influence of Protective Face Coverings on the Speech Recognition of Cochlear Implant Patients</title><source>Coronavirus Research Database</source><creator>Vos, Teresa G. ; Dillon, Margaret T. ; Buss, Emily ; Rooth, Meredith A. ; Bucker, Andrea L. ; Dillon, Sarah ; Pearson, Adrienne ; Quinones, Kristen ; Richter, Margaret E. ; Roth, Noelle ; Young, Allison ; Dedmon, Matthew M.</creator><creatorcontrib>Vos, Teresa G. ; Dillon, Margaret T. ; Buss, Emily ; Rooth, Meredith A. ; Bucker, Andrea L. ; Dillon, Sarah ; Pearson, Adrienne ; Quinones, Kristen ; Richter, Margaret E. ; Roth, Noelle ; Young, Allison ; Dedmon, Matthew M.</creatorcontrib><description>Objectives
The objectives were to characterize the effects of wearing face coverings on: 1) acoustic speech cues, and 2) speech recognition of patients with hearing loss who listen with a cochlear implant.
Methods
A prospective cohort study was performed in a tertiary referral center between July and September 2020. A female talker recorded sentences in three conditions: no face covering, N95 mask, and N95 mask plus a face shield. Spectral differences were analyzed between speech produced in each condition. The speech recognition in each condition for twenty‐three adult patients with at least 6 months of cochlear implant use was assessed.
Results
Spectral analysis demonstrated preferential attenuation of high‐frequency speech information with the N95 mask plus face shield condition compared to the other conditions. Speech recognition did not differ significantly between the uncovered (median 90% [IQR 89%–94%]) and N95 mask conditions (91% [IQR 86%–94%]; P = .253); however, speech recognition was significantly worse in the N95 mask plus face shield condition (64% [IQR 48%–75%]) compared to the uncovered (P < .001) or N95 mask (P < .001) conditions.
Conclusions
The type and combination of protective face coverings used have differential effects on attenuation of speech information, influencing speech recognition of patients with hearing loss. In the face of the COVID‐19 pandemic, there is a need to protect patients and clinicians from spread of disease while maximizing patient speech recognition. The disruptive effect of wearing a face shield in conjunction with a mask may prompt clinicians to consider alternative eye protection, such as goggles, in appropriate clinical situations.
Level of Evidence
3 Laryngoscope, 131:E2038–E2043, 2021</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.29447</identifier><identifier>PMID: 33590898</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adult ; Cochlear Implants ; Cohort Studies ; COVID‐19 ; Cues ; face shield ; Female ; Hearing loss ; Hearing Loss - physiopathology ; Humans ; Laryngoscopy ; Male ; Mask ; N95 Respirators ; Otology‐Neurotology ; Perceptual Masking - physiology ; Prospective Studies ; Sound Spectrography ; Speech ; Speech Acoustics ; Speech Discrimination Tests ; speech perception ; Speech Perception - physiology ; Voice recognition</subject><ispartof>The Laryngoscope, 2021-06, Vol.131 (6), p.E2038-E2043</ispartof><rights>2021 The American Laryngological, Rhinological and Otological Society, Inc.</rights><rights>2021. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the associated terms available at https://novel-coronavirus.onlinelibrary.wiley.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4767-7c8de37faa0d75a06537ff60f50405b9a43de8f7c0358a92449a482804501d713</citedby><cites>FETCH-LOGICAL-c4767-7c8de37faa0d75a06537ff60f50405b9a43de8f7c0358a92449a482804501d713</cites><orcidid>0000-0002-5565-2781 ; 0000-0003-4344-283X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2489955712?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,38516,43895</link.rule.ids><linktorsrc>$$Uhttps://www.proquest.com/docview/2489955712?pq-origsite=primo$$EView_record_in_ProQuest$$FView_record_in_$$GProQuest</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33590898$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vos, Teresa G.</creatorcontrib><creatorcontrib>Dillon, Margaret T.</creatorcontrib><creatorcontrib>Buss, Emily</creatorcontrib><creatorcontrib>Rooth, Meredith A.</creatorcontrib><creatorcontrib>Bucker, Andrea L.</creatorcontrib><creatorcontrib>Dillon, Sarah</creatorcontrib><creatorcontrib>Pearson, Adrienne</creatorcontrib><creatorcontrib>Quinones, Kristen</creatorcontrib><creatorcontrib>Richter, Margaret E.</creatorcontrib><creatorcontrib>Roth, Noelle</creatorcontrib><creatorcontrib>Young, Allison</creatorcontrib><creatorcontrib>Dedmon, Matthew M.</creatorcontrib><title>Influence of Protective Face Coverings on the Speech Recognition of Cochlear Implant Patients</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>Objectives
The objectives were to characterize the effects of wearing face coverings on: 1) acoustic speech cues, and 2) speech recognition of patients with hearing loss who listen with a cochlear implant.
Methods
A prospective cohort study was performed in a tertiary referral center between July and September 2020. A female talker recorded sentences in three conditions: no face covering, N95 mask, and N95 mask plus a face shield. Spectral differences were analyzed between speech produced in each condition. The speech recognition in each condition for twenty‐three adult patients with at least 6 months of cochlear implant use was assessed.
Results
Spectral analysis demonstrated preferential attenuation of high‐frequency speech information with the N95 mask plus face shield condition compared to the other conditions. Speech recognition did not differ significantly between the uncovered (median 90% [IQR 89%–94%]) and N95 mask conditions (91% [IQR 86%–94%]; P = .253); however, speech recognition was significantly worse in the N95 mask plus face shield condition (64% [IQR 48%–75%]) compared to the uncovered (P < .001) or N95 mask (P < .001) conditions.
Conclusions
The type and combination of protective face coverings used have differential effects on attenuation of speech information, influencing speech recognition of patients with hearing loss. In the face of the COVID‐19 pandemic, there is a need to protect patients and clinicians from spread of disease while maximizing patient speech recognition. The disruptive effect of wearing a face shield in conjunction with a mask may prompt clinicians to consider alternative eye protection, such as goggles, in appropriate clinical situations.
Level of Evidence
3 Laryngoscope, 131:E2038–E2043, 2021</description><subject>Adult</subject><subject>Cochlear Implants</subject><subject>Cohort Studies</subject><subject>COVID‐19</subject><subject>Cues</subject><subject>face shield</subject><subject>Female</subject><subject>Hearing loss</subject><subject>Hearing Loss - physiopathology</subject><subject>Humans</subject><subject>Laryngoscopy</subject><subject>Male</subject><subject>Mask</subject><subject>N95 Respirators</subject><subject>Otology‐Neurotology</subject><subject>Perceptual Masking - physiology</subject><subject>Prospective Studies</subject><subject>Sound Spectrography</subject><subject>Speech</subject><subject>Speech Acoustics</subject><subject>Speech Discrimination Tests</subject><subject>speech perception</subject><subject>Speech Perception - physiology</subject><subject>Voice recognition</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>COVID</sourceid><recordid>eNp9kV9rFDEUxYModlt98QPIgC9SmHrzb5O8CGWxdmGhpSrog4Q0c2c3ZXayJjMr_fZmu7VoH_oUcu8v5-bcQ8gbCicUgH3oXLo9YUYI9YxMqOS0FsbI52RSmrzWkn0_IIc53wBQxSW8JAecSwPa6An5Oe_bbsTeYxXb6jLFAf0QtliduVKaxS2m0C9zFftqWGH1ZYPoV9UV-rjswxBKuTybRb_q0KVqvt50rh-qSzcE7If8irxoXZfx9f15RL6dffo6O68XF5_ns9NF7YWaqlp53SBXrXPQKOlgKsulnUIrQYC8Nk7wBnWrPHCpnWFClJJmGoQE2ijKj8jHve5mvF5j48vs5Dq7SWFddmOjC_b_Th9Wdhm3VgPdaRSB9_cCKf4aMQ92HbLHrrjBOGbLhAHKDKVQ0HeP0Js4pr7Ys0yyApYd6ycpoUs8UlFWqOM95VPMOWH78GUKdpet3WVr77It8Nt_TT6gf8MsAN0Dv0OHt09I2cXp1Y-96B9awa41</recordid><startdate>202106</startdate><enddate>202106</enddate><creator>Vos, Teresa G.</creator><creator>Dillon, Margaret T.</creator><creator>Buss, Emily</creator><creator>Rooth, Meredith A.</creator><creator>Bucker, Andrea L.</creator><creator>Dillon, Sarah</creator><creator>Pearson, Adrienne</creator><creator>Quinones, Kristen</creator><creator>Richter, Margaret E.</creator><creator>Roth, Noelle</creator><creator>Young, Allison</creator><creator>Dedmon, Matthew M.</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>COVID</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5565-2781</orcidid><orcidid>https://orcid.org/0000-0003-4344-283X</orcidid></search><sort><creationdate>202106</creationdate><title>Influence of Protective Face Coverings on the Speech Recognition of Cochlear Implant Patients</title><author>Vos, Teresa G. ; Dillon, Margaret T. ; Buss, Emily ; Rooth, Meredith A. ; Bucker, Andrea L. ; Dillon, Sarah ; Pearson, Adrienne ; Quinones, Kristen ; Richter, Margaret E. ; Roth, Noelle ; Young, Allison ; Dedmon, Matthew M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4767-7c8de37faa0d75a06537ff60f50405b9a43de8f7c0358a92449a482804501d713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Cochlear Implants</topic><topic>Cohort Studies</topic><topic>COVID‐19</topic><topic>Cues</topic><topic>face shield</topic><topic>Female</topic><topic>Hearing loss</topic><topic>Hearing Loss - physiopathology</topic><topic>Humans</topic><topic>Laryngoscopy</topic><topic>Male</topic><topic>Mask</topic><topic>N95 Respirators</topic><topic>Otology‐Neurotology</topic><topic>Perceptual Masking - physiology</topic><topic>Prospective Studies</topic><topic>Sound Spectrography</topic><topic>Speech</topic><topic>Speech Acoustics</topic><topic>Speech Discrimination Tests</topic><topic>speech perception</topic><topic>Speech Perception - physiology</topic><topic>Voice recognition</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vos, Teresa G.</creatorcontrib><creatorcontrib>Dillon, Margaret T.</creatorcontrib><creatorcontrib>Buss, Emily</creatorcontrib><creatorcontrib>Rooth, Meredith A.</creatorcontrib><creatorcontrib>Bucker, Andrea L.</creatorcontrib><creatorcontrib>Dillon, Sarah</creatorcontrib><creatorcontrib>Pearson, Adrienne</creatorcontrib><creatorcontrib>Quinones, Kristen</creatorcontrib><creatorcontrib>Richter, Margaret E.</creatorcontrib><creatorcontrib>Roth, Noelle</creatorcontrib><creatorcontrib>Young, Allison</creatorcontrib><creatorcontrib>Dedmon, Matthew M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Vos, Teresa G.</au><au>Dillon, Margaret T.</au><au>Buss, Emily</au><au>Rooth, Meredith A.</au><au>Bucker, Andrea L.</au><au>Dillon, Sarah</au><au>Pearson, Adrienne</au><au>Quinones, Kristen</au><au>Richter, Margaret E.</au><au>Roth, Noelle</au><au>Young, Allison</au><au>Dedmon, Matthew M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of Protective Face Coverings on the Speech Recognition of Cochlear Implant Patients</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2021-06</date><risdate>2021</risdate><volume>131</volume><issue>6</issue><spage>E2038</spage><epage>E2043</epage><pages>E2038-E2043</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives
The objectives were to characterize the effects of wearing face coverings on: 1) acoustic speech cues, and 2) speech recognition of patients with hearing loss who listen with a cochlear implant.
Methods
A prospective cohort study was performed in a tertiary referral center between July and September 2020. A female talker recorded sentences in three conditions: no face covering, N95 mask, and N95 mask plus a face shield. Spectral differences were analyzed between speech produced in each condition. The speech recognition in each condition for twenty‐three adult patients with at least 6 months of cochlear implant use was assessed.
Results
Spectral analysis demonstrated preferential attenuation of high‐frequency speech information with the N95 mask plus face shield condition compared to the other conditions. Speech recognition did not differ significantly between the uncovered (median 90% [IQR 89%–94%]) and N95 mask conditions (91% [IQR 86%–94%]; P = .253); however, speech recognition was significantly worse in the N95 mask plus face shield condition (64% [IQR 48%–75%]) compared to the uncovered (P < .001) or N95 mask (P < .001) conditions.
Conclusions
The type and combination of protective face coverings used have differential effects on attenuation of speech information, influencing speech recognition of patients with hearing loss. In the face of the COVID‐19 pandemic, there is a need to protect patients and clinicians from spread of disease while maximizing patient speech recognition. The disruptive effect of wearing a face shield in conjunction with a mask may prompt clinicians to consider alternative eye protection, such as goggles, in appropriate clinical situations.
Level of Evidence
3 Laryngoscope, 131:E2038–E2043, 2021</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>33590898</pmid><doi>10.1002/lary.29447</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-5565-2781</orcidid><orcidid>https://orcid.org/0000-0003-4344-283X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext_linktorsrc |
| identifier | ISSN: 0023-852X |
| ispartof | The Laryngoscope, 2021-06, Vol.131 (6), p.E2038-E2043 |
| issn | 0023-852X 1531-4995 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8014501 |
| source | Coronavirus Research Database |
| subjects | Adult Cochlear Implants Cohort Studies COVID‐19 Cues face shield Female Hearing loss Hearing Loss - physiopathology Humans Laryngoscopy Male Mask N95 Respirators Otology‐Neurotology Perceptual Masking - physiology Prospective Studies Sound Spectrography Speech Speech Acoustics Speech Discrimination Tests speech perception Speech Perception - physiology Voice recognition |
| title | Influence of Protective Face Coverings on the Speech Recognition of Cochlear Implant Patients |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T22%3A46%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_COVID&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Influence%20of%20Protective%20Face%20Coverings%20on%20the%20Speech%20Recognition%20of%20Cochlear%20Implant%20Patients&rft.jtitle=The%20Laryngoscope&rft.au=Vos,%20Teresa%20G.&rft.date=2021-06&rft.volume=131&rft.issue=6&rft.spage=E2038&rft.epage=E2043&rft.pages=E2038-E2043&rft.issn=0023-852X&rft.eissn=1531-4995&rft_id=info:doi/10.1002/lary.29447&rft_dat=%3Cproquest_COVID%3E2490129110%3C/proquest_COVID%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c4767-7c8de37faa0d75a06537ff60f50405b9a43de8f7c0358a92449a482804501d713%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2489955712&rft_id=info:pmid/33590898&rfr_iscdi=true |