Hearing complaints among veterans following traumatic brain injury

Frederick J Gallun, Melissa A Papesh, M Samantha Lewis, Frederick J Gallun, Melissa A Papesh, M Samantha Lewis

Abstract

It has been shown that there is an increased risk for impaired auditory function following traumatic brain injury (TBI) in Veterans. Evidence is strongest in the area of self-report, but behavioural and electrophysiological data have been obtained that are consistent with these complaints. Peripheral and central dysfunction have both been observed. Historically, studies have focused on penetrating head injuries where central injury is more easily documented than in mild closed head injuries, but several recent reports have expanded the literature to include closed head injuries as well. The lack of imaging technology that can identify which closed head injuries are likely to impact auditory function is a significant barrier to accurate diagnosis and rehabilitation. Current behavioural and electrophysiological measures are effective in substantiating the auditory complaints of these patients but leave many questions unanswered. One significant limitation of current approaches is the lack of clear data regarding the potential influence of those mental health comorbidities that are very likely to be present in the Veteran population. In the area of rehabilitation, there are indications that hearing aids and other assistive listening devices may provide benefit, as can auditory training programmes, yet more research needs to be done.

Keywords: Hearing; TBI; Veteran; auditory; auditory processing.

References

    1. Mueller H, Beck W, Sedge R. Comparison of the efficiency of cortical level speech tests. Semin Hear. 1987;8(3):279–298.
    1. Mueller HG. An auditory test protocol for evaluation of neural trauma. Semin Hear 8(3):223–239.
    1. Mueller HG. The staggered spondaic word test: Practical use. Semin Hear 8(3):267–277.
    1. Jabbari B, Mueller HG, Howard DK. Auditory brainstem response findings in the late phase of head injury. Semin Hear. 8(3):240–252.
    1. Mueller HG, Beck WG. Brainstem level test results following head injury. Semin Hear 8(3):253–260.
    1. Vance SC. Auditory findings in neural trauma: Radiologic evaluation. Semin Hear 8(3):215–222.
    1. Belmont PJ, Schoenfeld AJ, Goodman G. Epidemiology of combat wounds in operation Iraqi freedom and operation enduring freedom: Orthopaedic burden of disease. J Surg Orthop Adv. 2010;19(1):2–7.
    1. DePalma RG, Burris DG, Champion HR, Hodgson MJ. Blast injuries. N Engl J Med. 2005;352(13):1335–1342.
    1. Fausti SA, Wilmington DJ, Gallun FJ, Myers PJ, Henry JA. Auditory and vestibular dysfunction associated with blast-related traumatic brain injury. J Rehabil Res Dev. 2009;46(6):797–810.
    1. Saunders GH, Frederick MT, Arnold M, Silverman S, Chisolm TH, Myers P. Auditory difficulties in blast-exposed Veterans with clinically normal hearing. J Rehabil Res Dev. 2015;52(3):343–60.
    1. Gallun FJ, Lewis MS, Folmer RL, Hutter M, Papesh MA, Belding H, Leek MR. Chronic effects of exposure to high-intensity blasts: Results on tests of central auditory processing. J Rehabil Res Dev. 2016;53(6):705.
    1. Hoover EC, Souza PE, Gallun FJ. Auditory and cognitive factors associated with speech-in-noise complaints following mild traumatic brain injury. J Am Acad Audiol, in press Available from
    1. Musiek FE. Assessment of central auditory dysfunction: The dichotic digit test revisited. Ear Hear. 1983;4(2):79–83.
    1. Gallun FJ, Diedesch AC, Kubli LR, Walden TC, Folmer RL, Lewis MS, Mc DJDermott, Fausti SA, Leek MR. Performance on tests of central auditory processing by individuals exposed to high-intensity blasts. J Rehabil Res Dev. 2012;49(7):1005–25.
    1. Musiek FE, Shinn JB, Jirsa R, Bamiou DE, Baran JA, Zaida E. GIN (gaps-in-noise) test performance in subjects with confirmed central auditory nervous system involvement. Ear Hear. 2005;26(6):608–18.
    1. Musiek FE, Pinheiro ML. Frequency patterns in cochlear, brainstem, and cerebral lesions: Reconnaissance mélodique dans les lésions cochléaires, bulbaires et corticales. Audiology. 1987;26(2):79–88.
    1. Bressler S, Goldberg H, Shinn-Cunningham B. Sensory coding and cognitive processing of sound in Veterans with blast exposure. Hear Res. 2016. Available from
    1. Bergemalm PO, Lyxell B. Appearances are deceptive? Long-term cognitive and central auditory sequelae from closed head injury. Int J Audiol. 2005;44(1):39–49.
    1. Krause MO, Kennedy MR, Nelson PB. Masking release, processing speed and listening effort in adults with traumatic brain injury. Brain Inj. 2014;28(11):1473–84.
    1. Hoover EC, Souza PE, Gallun FJ. Competing views on abnormal auditory results after mild traumatic brain injury. SIG 6 Perspect Hear Hear Disord: Res Diagn. 2015;19:12–21.
    1. Turgeon C, Champoux F, Lepore F, Leclerc S, Ellemberg D. Auditory processing after sport-related concussions. Ear Hear 2011;32(5):667–670.
    1. Jabbari B, Mueller G, Howard DK. Auditory brainstem response findings in the late phase of head injury. Semin Hear 1987;8(3):261–265.
    1. Musiek FE, Pinheiro ML. Frequency patterns in cochlear, brainstem, and cerebral lesions. Audiology. 1987;26(2):79–88.
    1. Munjal SK, Panda NK, Pathak A. Relationship between severity of traumatic brain injury (TBI) and extent of auditory dysfunction. Brain Inj. 2010;24(3):525–32.
    1. Folmer RL, Billings CJ, Diedesch-Rouse AC, Gallun FJ, Lew HL. Electrophysiological assessments of cognition and sensory processing in TBI: applications for diagnosis, prognosis and rehabilitation. Int J Psychophysiol. 2011;82(1):4–15.
    1. Duncan CC, Kosmidis MH, Mirsky AF. Closed head injury-related information processing deficits: an event-related potential analysis. Int J Psychophysiol. 2005;58(2–3):133–57.
    1. Petrie EC, Cross DJ, Yarnykh VL, Richards T, Martin NM, Pagulayan K, Hoff D, Hart K, Mayer C, Tarabochia M. Neuroimaging, behavioral, and psychological sequelae of repetitive combined blast/impact mild traumatic brain injury in Iraq and Afghanistan war veterans. J Neurotrauma. 2014; 31(5):425–436.
    1. Trotter BB, Robinson ME, Milberg WP, McGlinchey RE, Salat DH. Military blast exposure, ageing and white matter integrity. Brain. 2015;138(8):2278–2292.
    1. Johnson B, Zhang K, Gay M, Horovitz S, Hallett M, Sebastianelli W, Slobounov S. Alteration of brain default network in subacute phase of injury in concussed individuals: resting-state fMRI study. Neuroimage. 2012;59(1):511–518.
    1. Palacios EM, Sala-Llonch R, Junque C, Roig T, Tormos JM, Bargallo N, Vendrell P. Resting-state functional magnetic resonance imaging activity and connectivity and cognitive outcome in traumatic brain injury. JAMA Neurol. 2013;70(7):845–851.
    1. Weihing J, Chermak GD, Musiek FE. Auditory training for central auditory processing disorder. Semin Hear 36(4):199–215.
    1. Saunders GH, Frederick MT, Chisolm TH, Silverman S, Arnold M, Myers P. Use of a frequency-modulated system for veterans with blast exposure, perceived hearing problems, and normal hearing sensitivity. Semin Hear. 2014;35(3):227–38.
    1. Kokx-Ryan M, Nousak JM, Jackson JC, DeGraba T, Brungart DS, Grant KW. Improved management of patients with auditory processing deficits fit with low-gain hearing aids International Hearing Aid Research Conference, 2016; Lake Tahoe, CA.

Source: PubMed

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