{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T12:58:40Z","timestamp":1755694720612},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T00:00:00Z","timestamp":1664150400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T00:00:00Z","timestamp":1664150400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Schleswig-Holstein - Campus L\u00fcbeck"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HNO"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund und Ziel der Arbeit<\/jats:title>\n                <jats:p>Neben dem Sprachverstehen ist die empfundene H\u00f6ranstrengung im Alltag ein wichtiger Indikator f\u00fcr den Erfolg einer H\u00f6rhilfe und deren Signalverarbeitung. Diese Studie hat zum Ziel, die subjektive H\u00f6ranstrengung f\u00fcr Sprache im St\u00f6rger\u00e4usch bei Patienten mit dem aktiven Mittelohrimplantat Vibrant Soundbridge (VSB) f\u00fcr omnidirektionale und direktionale Richtwirkung und f\u00fcr einseitiges und beidseitiges H\u00f6ren zu ermitteln.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Bei 15\u00a0VSB-Tr\u00e4gern wurde die subjektive H\u00f6ranstrengung in einem Lautsprecherring im reflexionsarmen Raum mit der adaptiven Skalierungsmethode ACALES (Adaptive CAtegorical Listening Effort Scaling) erfasst. Verschiedene Hintergrund-St\u00f6rger\u00e4usche aus unterschiedlichen Richtungen und gleichzeitig dargebotene S\u00e4tze aus dem Oldenburger Satztest wurden zu vier alltagsnahen akustischen Szenen kombiniert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Direktionale Richtwirkung verringerte die H\u00f6ranstrengung bei VSB-Tr\u00e4gern im Median nur numerisch, insbesondere bei r\u00e4umlich verteilten St\u00f6rquellen und niedrigem Signal-Rausch-Verh\u00e4ltnis, allerdings ohne signifikanten Unterschied zur omnidirektionalen Einstellung. Einseitiges H\u00f6ren mit VSB (bei Verschluss des kontralateralen Ohrs) f\u00fchrte dazu, dass im Probandenmittel alle untersuchten H\u00f6ranstrengungskategorien bei signifikant h\u00f6heren Signal-Rausch-Verh\u00e4ltnissen gemessen wurden als bei beidseitigem H\u00f6ren.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Insgesamt konnte keine statistisch signifikant niedrigere H\u00f6ranstrengung bei Verwendung des Richtmikrofonprogramms nachgewiesen werden, daher liefert diese Studie keine Empfehlung f\u00fcr oder gegen das Richtmikrofonprogramm. Allerdings konnte eine geringere H\u00f6ranstrengung bei beidseitigem H\u00f6ren im Gegensatz zu einseitigem H\u00f6ren gezeigt werden. Patienten sollten daher ermutigt werden, immer mit beiden Ohren bestm\u00f6glich versorgt zu h\u00f6ren.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-022-01223-4","type":"journal-article","created":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T13:04:00Z","timestamp":1664197440000},"page":"375-385","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Einfluss von Richtmikrofonie auf die H\u00f6ranstrengung bei Mittelohrimplantattr\u00e4gern","Influence of directional microphones on listening effort in middle ear implant users"],"prefix":"10.1007","volume":"71","author":[{"given":"Daniela","family":"Hollfelder","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"Prein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"J\u00fcrgens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anke","family":"Leichtle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl-Ludwig","family":"Bruchhage","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,9,26]]},"reference":[{"issue":"1","key":"1223_CR1","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1097\/MAO.0b013e3181fcf271","volume":"32","author":"S Arndt","year":"2011","unstructured":"Arndt\u00a0S, Aschendorff\u00a0A, Laszig\u00a0R, Beck\u00a0R, Schild\u00a0C, Kroeger\u00a0S, Wesarg\u00a0T (2011) Comparison of pseudobinaural hearing to real binaural hearing rehabilitation after cochlear implantation in patients with unilateral deafness and tinnitus. 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