{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T23:48:33Z","timestamp":1787788113115,"version":"build-2784847793"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T00:00:00Z","timestamp":1727654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study examined patients with normal hearing thresholds who had trouble understanding speech in noise. We used electrocochleography (ECochG) to detect and compare SP\/AP amplitude area ratios, a potential indicator of cochlear synaptopathy, and investigate speech perception disorder in noise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study included 68 people aged between 18 and 65\u2009years, 35 patients and 33 healthy volunteers, who applied to the otorhinolaryngology clinic between November 2023 and March 2024 with a 2\u2010month history of difficulty understanding speech in noisy environments. Everyone was given a tiptrode electrode ECochG test, and the results were compared between groups. An ECochG test was recorded with tiptrode electrodes and was performed on all participants, and the results were compared between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the ECochG test, the summation potential\/action potential (SP\/AP) amplitude and area ratios of patients who had difficulty understanding speech in a noisy environment were statistically higher than those of the control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ECochG testing may provide additional evidence to evaluate auditory nerve pathways.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.14235","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T06:03:54Z","timestamp":1727676234000},"page":"75-81","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Cochlear Synaptopathy Evaluation With Electrocochleography in Patients With Hearing Difficulty in Noise Despite Normal Hearing Levels"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3300-4430","authenticated-orcid":false,"given":"Murat","family":"Ya\u015far","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology School of Medicine, Kastamonu University  Kastamonu Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6195-3110","authenticated-orcid":false,"given":"Fatih","family":"\u00d6ner","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology School of Medicine, Kastamonu University  Kastamonu Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0344-1982","authenticated-orcid":false,"given":"Fatma","family":"Atalay","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology School of Medicine, Kastamonu University  Kastamonu Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5671-7797","authenticated-orcid":false,"given":"Sezai Sacid","family":"Anbar","sequence":"additional","affiliation":[{"name":"Department of Audiology Kastamonu Research and Training Hospital  Kastamonu Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,30]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000195"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/16513860701296421"},{"issue":"20","key":"e_1_2_12_4_1","first-page":"55","article-title":"Is There an Association Between Noise Exposure and King Kopetzky Syndrome?","volume":"5","author":"Stephens D.","year":"2003","journal-title":"Noise & Health"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1590\/2317\u20101782\/20232023032pt"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnsys.2018.00059"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1152\/jn.00016.2020"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroscience.2018.07.053"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0162726"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100038\u20101641743"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1152\/jn.00006.2019"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2016.04.021"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.129.5.547"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1523\/JNEUROSCI.2845\u201009.2009"},{"issue":"2","key":"e_1_2_12_15_1","first-page":"147","article-title":"Hearing Loss From Lesions of the Cochlear Nerve: An Experimental and Clinical Study","volume":"59","author":"Woellner R. C.","year":"1955","journal-title":"Transactions \u2013 American Academy of Ophthalmology and Otolaryngology"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heares.2015.02.009"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1523\/JNEUROSCI.2156\u201011.2011"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics12040802"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749\u20106632.1999.tb08646.x"},{"key":"e_1_2_12_20_1","first-page":"1","article-title":"Acoustic Trauma in Cats. Cochlear Pathology and Auditory\u2010Nerve Activity","volume":"358","author":"Liberman M. C.","year":"1978","journal-title":"Acta Oto\u2010Laryngologica. Supplementum"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0067618"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.18502\/avr.v31i1.8128"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1523\/JNEUROSCI.1783\u201013.2013"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2013.00124"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heares.2017.10.007"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heares.2018.03.008"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.14235","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T03:16:38Z","timestamp":1733368598000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.14235"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,30]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1111\/coa.14235"],"URL":"https:\/\/doi.org\/10.1111\/coa.14235","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/COA.14235\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14235\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14235\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14235\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14235\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14235\/v2\/review1","asserted-by":"object"}]},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,30]]},"assertion":[{"value":"2024-06-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}