Joseph Attias

Joseph Attias
University of Haifa | haifa · Department of Communication Sciences and Disorders

Professor

About

163
Publications
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Publications

Publications (163)
Article
Full-text available
Citation: Attias, J.; Shahnaz, N.; Efrat, C.; Westerberg, B.; Lea, J.; David, E.; Zavdy, O.; Hilly, O. Wideband Tympanometry in Adults with Severe to Profound Hearing Loss with and without Cochlear Implants. Appl. Sci. 2022, 12, 8879. https://doi.org/ 10.3390/app12178879
Article
Full-text available
Purpose The purpose of this study was to evaluate whether induction of temporary threshold shift (TTS) with aspirin prior to cisplatin exposure can prevent or minimize cisplatin detrimental effects on hearing. Methods We randomly divided BALB mice into three groups: (1) cisplatin only, (2) aspirin only, and (3) combined aspirin/cisplatin. Cisplati...
Preprint
purpose: The purpose of this study was to evaluate whether induction of temporary threshold shift (TTS) with aspirin prior to cisplatin exposure can prevent or minimize cisplatin detrimental effects on hearing. Methods: We randomly divided BALB mice into three groups: ]1[ cisplatin only, ]2[ aspirin only, and ]3[ combined aspirin/cisplatin. Cisplat...
Article
Objectives: The use of objective measures in cochlear implant (CI) mapping, has greatly contributed to the refinement of the setting of audible and comfortable stimulation levels, which serve as the basis of the mapping process, especially in cases of infants and young children. In addition, objective measures can also confirm the integrity of the...
Article
Full-text available
Objective: Early diagnosis of cochlear implant failures (CIF) is a critical part of post-implantation follow-up. Diagnosis is challenging and time consuming. Our study aimed to describe diagnoses of CIF with emphasis on soft failures (SF), focusing on symptoms, time from symptoms to replacement, and differences between SF and hard failures (HF)....
Article
Background: Superior Semicircular Canal Dehiscence (SSCD) may lead to vestibular and auditory impairments. Objective: To study the effects of power absorbance (PA), Distortion Product Otoacoustic emissions (DPOAE), and hearing thresholds in normal ears of fat sand rats, after a bullotomy, creation and patching. Methods: SSCD was performed unil...
Article
Full-text available
Objective: To evaluate in cochlear implant patients, the feasibility and reliability of angular depth of insertion (aDOI) measurements using plain x-ray scans. Study design: Retrospective study where three observers independently evaluated and compared intraoperative anterior-posterior and oblique x-ray scans. Setting: A tertiary pediatric med...
Article
Full-text available
Recently, valganciclovir treatment of symptomatic congenital cytomegalovirus (cCMV) disease, commenced during the neonatal period (≤ 4 weeks), was found to improve hearing and developmental outcome. However, many children (symptomatic or asymptomatic at birth) present only after 4 weeks of age. The purpose of this observational retrospective study...
Article
Introduction: In normal hearing, the brain receives bilateral auditory input from both ears. In individuals with only one functioning ear listening in noisy environments and sound localization may become difficult. Historically, the impact of unilateral hearing loss in children had typically been minimized by clinicians, as it was assumed that one...
Article
Objectives: The aim of this study was to compare intracochlear-recorded cochlear microphonics (CM) responses to behavioral audiometry thresholds in young children, with congenital hearing loss, 2 to 5 years after cochlear implantation early in life. In addition, differences in speech and auditory outcomes were assessed among children with and with...
Article
Full-text available
Objective: The role of bilateral bone conduction amplification in patients with bilateral conductive hearing loss is unclear because cranial attenuation is usually considered negligible, and both cochleae can be stimulated with similar efficacy by each device. The aim of the study was to determine if bilateral bone-conduction hearing aids can impr...
Conference Paper
Full-text available
Our study aimed to evaluate whether post-operative X-rays scans, taken routinely following cochlear implantation allow for accurate and reliable estimation of angular insertion depth
Article
Congenital cytomegalovirus (cCMV) is the leading cause of congenital infections, affecting approximately 0.7% of live births worldwide. Although, 85%‐90% of infected children are asymptomatic at birth, 10%‐15% will develop late onset hearing impairment (1). The appropriate management of cCMV is controversial and data are needed to estimate the cost...
Article
This study examined the contribution of cochlear implants (CIs) to the social-emotional functioning of children who are deaf or hard of hearing (dhh). Sixty-three parents of children who are dhh participated in the study. Thirty children were CI users and 32 used hearing aids (HAs). They completed the Strengths and Difficulties Questionnaire and a...
Article
Objective: To evaluate the efficacy of antiviral treatment for infants with congenital cytomegalovirus (cCMV) with isolated sensorineural hearing loss (SNHL). Study design: Data were reviewed retrospectively for infants with isolated SNHL who received prolonged antiviral treatment between 2005 and 2017. Hearing status was evaluated for infants w...
Article
Purpose: Hard cochlear implant failures are diagnosed by objective tests whereas soft failures are suspected on the basis of clinical signs and symptoms. This study reviews our experience with children in tertiary pediatric medical center who underwent revision cochlear implantation, with emphasis on soft failures. Materials and methods: Childre...
Article
The current study explored the relationship between perceived quality of life and financial well-being among adult cochlear implant (CI) users as compared with hearing aid (HA) users. Participants were 66 adults: 30 CI users and 36 HA users. They completed the Perceived Quality of Life for Deaf and Hard-of-Hearing (DHH) scale, the In Charge Financi...
Conference Paper
In general, individuals with severe to profound hearing loss constitute a potential risk group for general deterioration in quality of life (QoL) as compared to the typical hearing population (e.g., Ringdahl & Grimby, 2000). However, studies on the QoL among deaf and hard of hearing (dhh) adults are generally sparse, tend to examine health-related...
Presentation
Background Chirp is a frequency time-varying stimulation that compensates for the temporal dispersion in the cochlea by delaying high frequencies of stimulation, so that both low and high frequencies will transmit simultaneously from the cochlea. Most studies that examined the effectiveness of Chirp stimulus used AC ABR, while only little research...
Article
Background: Congenital cytomegalovirus (cCMV) infection is an important cause of hearing loss and neurodevelopment delay. While data on vertical transmission and neonatal outcome after singleton pregnancy with cCMV is well established, only scarce reports have addressed cCMV in multiple birth pregnancies. Furthermore, no studies have yet compared...
Article
Full-text available
Although, cochlear implants (CI) traditionally have been used to treat individuals with bilateral profound sensorineural hearing loss, a recent trend is to implant individuals with residual low-frequency hearing. Notably, many of these individuals demonstrate an air-bone gap (ABG) in low-frequency, pure-tone thresholds following implantation. An AB...
Article
Neonatal serum detection of cytomegalovirus (CMV) immunoglobulin M (IgM) has low sensitivity in identifying congenital cytomegalovirus (cCMV). Several reports have endeavored to associate the presence/absence of IgM to disease severity. Data were collected for all infants with cCMV followed in our clinic. Infant outcome after birth was compared bet...
Article
Objectives: The aim of the study was to compare auditory and speech outcomes and electrical parameters on average 8 years after cochlear implantation between children with isolated auditory neuropathy (AN) and children with sensorineural hearing loss (SNHL). Design: The study was conducted at a tertiary, university-affiliated pediatric medical c...
Article
Objectives: Evaluate the intra- and postoperative effects of untreated otitis media with effusion (OME) in cochlear implant (CI) patients, and to assess the role of ventilation tube (VT) introduction before implantation. Study design: A retrospective chart review. Setting: Tertiary referral center. Patients: CI patients, aged 10 years or you...
Article
Objectives/hypothesis: Cochlear implantation in patients with residual hearing has increased interest in hearing preservation. Two major surgical approaches to implantation have been devised: via the round window membrane and through cochleostomy. However, the advantages of either approach on hearing preservation have not been established. Due to...
Article
Background: Recently, congenital cytomegalovirus (cCMV) infection was reported irrespective of a negative amniotic-fluid prenatal analysis for CMV. The question of whether this phenomenon represents low sensitivity of the test or late development of fetal infection (after amniocentesis) was discussed, but not answered. However, if late transmissio...
Presentation
Objective To study the application of VEP’s to identify cortical measures differentiating between lie and true concealed information. This was tested in memorized and retrieval paradigm. Methods VEP’s were recoded from 31 electrodes among 15 subjects in response to modified “Sternberg paradigm”, which included implemented concealed information bot...
Article
Cognitive autonomy is a skill which may help adolescents prepare for important decisions in adulthood. The current study examined the associations between cognitive autonomy and perceived social support among adolescents with and without hearing loss. Participants were 177 students: 55 were deaf and hard of hearing (dhh) and 122 were hearing. They...
Article
Full-text available
Introduction : Speech recognition in adverse listening conditions becomes more difficult as we age, particularly for individuals with age-related hearing loss (ARHL). Whether these difficulties can be eased with training remains debated, because it is not clear whether the outcomes are sufficiently general to be of use outside of the training conte...
Article
Background Congenital cytomegalovirus (cCMV) is the most common non-genetic cause of childhood sensorineural hearing loss. Antiviral treatment has been shown to prevent hearing deterioration in these infants. However, studies focused on infants with hearing impairment at birth and on the specific degree of impairment and further improvement or dete...
Article
Purpose: The mechanism and the type of hearing loss induced by cochlear implants are mostly unknown. Therefore, this study evaluated the impact and type of hearing loss induced by each stage of cochlear implantation surgery in an animal model. Study design: Original basic research animal study. Setting: The study was conducted in a tertiary, u...
Article
Objectives Cochlear implantation is performed at a young age, when children are prone to acute otitis media. Acute mastoiditis is the most common complication of otitis media, but data on its management in the presence of a cochlear implant are sparse. The objective of this study was to assess the characteristics, treatment, and outcome of acute ma...
Article
Full-text available
Bilateral vestibular failure is a debilitating condition that may lead to oscillopia and adversely affect quality of life. Researchers have suggested that vestibular function might be restored with implantation of an external mechanical stimulation device. However, it is essential that such a device must not interfere with normal hearing. To evalua...
Article
To test whether using hearing aids can improve unaided performance in speech perception tasks in elderly hearing-impaired individuals. Unaided performance was evaluated in dichotic listening and speech in noise tests in 47 hearing-impaired elderly individuals; 36 participants in 3 study groups were tested before hearing aid fitting and after 4, 8 a...
Article
Date Presented 4/17/2015 This study used advanced technology of event-related potentials and aimed to elaborate the knowledge about central nervous system involvement in sensory processing disorders (SPDs). The results show overexcitation and lower adaptation to stimuli among people with SPDs, which may explain the difficulties in daily life perfor...
Article
AimThis study investigated the relationship between lenticulostriated vasculopathy (LSV) and hearing loss in 141 infants with congenital cytomegalovirus (cCMV) infection.Methods We included all infants with cCMV infection who were followed in our clinic for more than a year with only LSV signs of brain involvement on initial brain ultrasound. Group...
Article
Objectives Noise Induced Hearing Loss (NIHL) may result from occupational noise exposures and is considered as an “Occupational Disease”, therefore, it is compensable. To verify the existence and severity of the work-related hearing loss, there is a need of an objective, reliable auditory measure in cases of arbitration of financial disputes to res...
Article
The neurophysiologic aberrations underlying the auditory hypersensitivity in Williams syndrome (WS) are not well defined. The P1-N1-P2 obligatory complex and mismatch negativity (MMN) response were investigated in 18 participants with WS, and the results were compared with those of 18 age- and gender-matched typically developing (TD) controls. Resu...
Article
Objective: To compare within-subject bilateral–binaural and bimodal complementary abilities between bimodal (cochlear implant and hearing aid; CI/HA) and bilateral CI hearing (CI/CI), thereby enabling better-informed counseling of experienced CI/HA users contemplating contralateral implantation. Study Design: Comparative within-subject case review....
Article
Background: Perception of speech in the presence of competing multitalker noise is difficult for most individuals with sensory hearing loss, and in particular, for the elderly hearing impaired. Elderly people frequently report that these difficulties are poorly compensated for by hearing aids, albeit the algorithms and technologies aiming to impro...
Article
Cochlear implantation is associated with deterioration in hearing. Despite the fact that the damage is presumed to be of sensory origin, residual hearing is usually assessed by air-conduction thresholds alone. This study sought to determine if surgery may cause changes in air- and bone-conduction thresholds producing a mixed-type hearing loss. The...
Article
Currently available behavioral tools for the assessment of noise-induced hearing loss (NIHL) depend on the reliable cooperation of the subject. Furthermore, in workers' compensation cases, there is considerable financial gain to be had from exaggerating symptoms, such that accurate assessment of true hearing threshold levels is essential. An altern...
Article
Objective: To evaluate the effect of antiviral treatment on late-onset hearing loss in infants with congenital cytomegalovirus infection. Design: The database of all infants who had normal hearing at birth, and treated for late-onset hearing loss was collected. The primary study endpoint was the need for a cochlear implant at the last follow-up...
Article
To determine the effects of sequential versus simultaneous bilateral hearing aids fitting on patient compliance. 36 hearing impaired older adultsparticipated in the study. Twelve participants were fitted with bilateral hearing aids simultaneously. The remaining participants were fitted sequentially: one hearing aid (to the left or to the right ear)...
Article
To test whether training with amplified, clear speech, in regular room acoustics, will result in larger perceptual gains of auditory processing in elderly hearing-aids users. 36 elderly hearing impaired participants (ages: 64-88) were fitted with bilateral hearing-aids and were randomly assigned to 2 unequal groups. Study group participants were pr...
Article
HYPOTHESIS: In the absence of patent cochlear windows, cochlear fluid inertia depends on the presence of a "third window" as a major component of the bone-conduction response. BACKGROUND: Studies have shown conflicting results regarding changes in air and bone conduction whenever, the round window, oval window, or both windows were occluded. METHOD...
Article
Objective: To assess sound field auditory thresholds of hearing-impaired adults by using auditory steady-state evoked responses (ASSRs). Design: ASSRs were recorded to carrier frequencies of 500, 1000, 2000, and 4000 Hz, each uniquely modulated at a single frequency of 80-100 Hz. ASSR thresholds were compared to behavioral auditory thresholds....
Article
Eleven infants who were fed a thiamine-deficient formula for a mean of 3 months were evaluated for immediate and long-term auditory abnormalities. At presentation, 8 infants had auditory neuropathy spectrum disorder (ANSD), which resolved with supplementary thiamine in 5 children, was permanent in 2 children, and deteriorated in 1 patient who died...
Article
Experimental studies have shown that creating a window in the bony cover of the cochlea and vestibular parts of the inner ear, with preservation of membranous and middle-ear functions, induces an air-bone gap (ABG). This study sought to determine if a similar mechanism explains the ABG frequently observed in audiograms of cochlear implant candidate...
Article
Full-text available
The aims of this study were to collect data on electrically evoked compound action potential (eCAP) and electrically evoked stapedius reflex thresholds (eSRT) in HiResolution(TM) cochlear implant (CI) users, and to explore the relationships between these objective measures and behavioural measures of comfort levels (M-levels). A prospective study o...
Article
The aim of this prospective clinical study was to test auditory function in patients with Laron syndrome, either untreated or treated with insulin-like growth factor I (IGF-I). The study group consisted of 11 patients with Laron syndrome: 5 untreated adults, 5 children and young adults treated with replacement IGF-I starting at bone age <2 years, a...
Article
Full-text available
Superior semicircular dehiscence syndrome is associated with vestibular symptoms and an air-bone gap component in the audiogram, apparently caused by the creation of a pathological bony "third window" in the superior semicircular canal. The aim of this study was to evaluate changes in auditory air- and bone-conduction thresholds to low- and high-fr...
Article
Background: The HiRes 120™ sound coding strategy from Advanced Bionics™ implements virtual channels by steering current between two adjacent electrodes. In this way the number of stimulation sites is no longer limited to 16, the same as the number of electrode contacts but may be extended to 120 locations which correspond to 120 spectral bands. The...
Article
To investigate the sensation in the hand after forearm cast removal in children. The study group included 33 consecutive children who were treated nonoperatively for a forearm fracture at our center over a 1-year period. The children were asked to report any sensation in the ipsilateral hand after cast removal, and the findings were analyzed agains...
Article
Full-text available
To comprehensively assess auditory impairments in velocardiofacial syndrome (VCFS) and Williams syndrome (WS). Audiologic measurements were conducted with 62 subjects with VCFS and 44 subjects with WS, as well as two control groups consisting of 22 subjects with idiopathic developmental disability and 23 typically developing controls. An associatio...
Article
Untreated or late IGF-I treated patients with Laron syndrome have auditory defects. In very early treated children hearing is normal.
Article
The auditory impact of a cochlear third window differs by its location in the scala vestibuli or scala tympani. Pathologic third window has been investigated primarily in the vestibular apparatus of animals and humans. Dehiscence of the superior semicircular canal is the clinical model. Fat sand rats (n = 11) have a unique inner-ear anatomy that al...
Article
A third window in the vestibular apparatus has been investigated in both animals and humans, specifically in superior semicircular canal dehiscence. There are as yet no animal model studies of the effect of a third vestibular window of the posterior semicircular canal. Original basic research study. A fenestration was drilled in the bony labyrinth...
Article
Full-text available
Williams syndrome is a neurodevelopmental disorder caused by a deletion on chromosome 7. It is characterized by a range of medical problems in addition to severe impairments in visuospatial processing and oversensitivity to sounds, including hypersensitivity to sounds (hyperacusis) and extreme fear from sounds (phonophobia). In spite of impairments...
Article
Patients with Gaucher disease (GD) are divided into three types based on the presence and rate of progression of the neurologic manifestations. While type 1 GD has a strong predilection in the Jewish Ashkenazi population, both other types lack such a propensity. We report the occurrence of type 2 GD (GD2) in four pregnancies in two Jewish families...
Article
Pathologic third window has been investigated in both animals and humans, with a third window located in the vestibular apparatus, specifically, dehiscence of the superior semicircular canal, serving as the clinical model. The present study sought to examine the effect of a cochlear third window in the scala vestibuli on the auditory thresholds in...
Article
The efficacy of self-hypnosis (SH), masking (MA) and attentiveness to the patient's complaints (AT) in the alleviation of tinnitus was evaluated. Forty-five male patients close in age with chronic tinnitus related to acoustic trauma were assigned to three matched subgroups: SH, AT or MA. The therapeutic stimuli in the SH and MA sessions, recorded o...
Article
The purpose of the study was to examine the test-retest value of tinnitus pitch and loudness in patients with tinnitus and noise-induced hearing loss (NIHL). The study sample consisted of 30 patients of mean age 35 +/- 6.7 years with long-standing tinnitus and hearing loss due to exposure to noise during military service. Ten patients had unilatera...
Article
Hyperacusis and phonophobia are among the most salient features of Williams syndrome (WS) and affect the life of most children carrying the syndrome. We have investigated the clinical characteristics and neuroaudiological pathways mediating the hyperacusis in 49 children and adolescents with WS. Compared to controls, subjects with WS showed 20dB lo...
Article
Full-text available
The aim of this study was to evaluate the efficacy of an intraoperative monitoring hearing preservation strategy that includes simultaneous recordings of an auditory brainstem response (ABR) and non-invasive electrocochleography (ECochG). The combined ABR and tympanic membrane (TM) ECochG testing was performed in 74 patients undergoing acoustic neu...
Article
To evaluate the effect of blast injury on the otologic and hearing state over time. Otology unit of a tertiary referral center. Seventy-three patients aged 16 to 73 years who sustained physical trauma from an explosion underwent otologic and audiologic examination 3-4 months and one year later. At the first examination, high-frequency sensorineural...
Article
The auditory efferent system and acoustic reflexes have been investigated in patients with Williams syndrome (WS). Twenty-one patients aged 6-26 years with a genetically confirmed diagnosis of WS and with reported hyperacusis were compared with 21 normally developing age-matched subjects. The medial olivocochlear (MOC) efferent system was tested by...
Article
Auditory neuropathy is characterized by congenital sensorineural hearing loss associated with absent or impaired auditory brainstem evoked responses and preservation of outer hair cell activity. This study describes the recent experience of our tertiary pediatric center with auditory neuropathy (AN). The files of all children diagnosed with AN at o...