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  • 1.
    Asp, Filip
    et al.
    Karolinska Institutet.
    Mäki-Torkko, Elina
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi.
    Hergils, Leif
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för klinisk och experimentell medicin, Oto-Rhino-Laryngologi.
    Harder, Henrik
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi.
    Karltorp, Eva
    Karolinska Institutet.
    Stenfelt, Stefan
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Bilateral cochlear implants in children: Longitudinal results and parental experiences2010Inngår i: 11th International Conference on Cochlear Implants and Other Auditory Implantable Technologies, 2010Konferansepaper (Fagfellevurdert)
  • 2.
    Asp, Filip
    et al.
    Karolinska Institute, Sweden; Karolinska University Hospital, Sweden.
    Mäki-Torkko, Elina
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Öron- näsa- och halskliniken US.
    Karltorp, Eva
    Karolinska Institute, Sweden; Karolinska University Hospital, Sweden.
    Harder, Henrik
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Öron- näsa- och halskliniken US.
    Hergils, Leif
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Öron- näsa- och halskliniken US.
    Eskilsson, Gunnar
    Karolinska University Hospital, Sweden.
    Stenfelt, Stefan
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten.
    A longitudinal study of the bilateral benefit in children with bilateral cochlear implants2015Inngår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 54, nr 2, s. 77-88Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To study the development of the bilateral benefit in children using bilateral cochlear implants by measurements of speech recognition and sound localization. Design: Bilateral and unilateral speech recognition in quiet, in multi-source noise, and horizontal sound localization was measured at three occasions during a two-year period, without controlling for age or implant experience. Longitudinal and cross-sectional analyses were performed. Results were compared to cross-sectional data from children with normal hearing. Study sample: Seventy-eight children aged 5.1-11.9 years, with a mean bilateral cochlear implant experience of 3.3 years and a mean age of 7.8 years, at inclusion in the study. Thirty children with normal hearing aged 4.8-9.0 years provided normative data. Results: For children with cochlear implants, bilateral and unilateral speech recognition in quiet was comparable whereas a bilateral benefit for speech recognition in noise and sound localization was found at all three test occasions. Absolute performance was lower than in children with normal hearing. Early bilateral implantation facilitated sound localization. Conclusions: A bilateral benefit for speech recognition in noise and sound localization continues to exist over time for children with bilateral cochlear implants, but no relative improvement is found after three years of bilateral cochlear implant experience.

  • 3.
    Asp, Filip
    et al.
    Karolinska University Hospital, Sweden Karolinska Institute, Sweden .
    Mäki-Torkko, Elina
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Karltorp, Eva
    Karolinska University Hospital, Sweden Karolinska Institute, Sweden .
    Harder, Henrik
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Oto-Rhino-Laryngologi. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Sinnescentrum, Öron- näsa- och halskliniken US.
    Hergils, Leif
    Linköpings universitet, Institutionen för medicin och hälsa, Medicinsk teknologiutvärdering. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Sinnescentrum, Öron- näsa- och halskliniken US.
    Eskilsson, Gunnar
    Karolinska University Hospital, Sweden .
    Stenfelt, Stefan
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Bilateral versus unilateral cochlear implants in children: Speech recognition, sound localization, and parental reports2012Inngår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 51, nr 11, s. 817-832Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To compare bilateral and unilateral speech recognition in quiet and in multi-source noise, and horizontal sound localization of low and high frequency sounds in children with bilateral cochlear implants. Design: Bilateral performance was compared to performance of the implanted side with the best monaural speech recognition in quiet result. Parental reports were collected in a questionnaire. Results from the CI children were compared to binaural and monaural performance of normal-hearing peers. Study sample: Sixty-four children aged 5.1-11.9 years who were daily users of bilateral cochlear implants. Thirty normal-hearing children aged 4.8-9.0 years were recruited as controls. Results and Conclusions : Group data showed a statistically significant bilateral speech recognition and sound localization benefit, both behaviorally and in parental reports. The bilateral speech recognition benefit was smaller in quiet than in noise. The majority of subjects localized high and low frequency sounds significantly better than chance using bilateral implants, while localization accuracy was close to chance using unilateral implants. Binaural normal-hearing performance was better than bilateral performance in implanted children across tests, while bilaterally implanted children showed better localization than normal-hearing children under acute monaural conditions.

  • 4.
    Hergils, Leif
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi. Östergötlands Läns Landsting, Rekonstruktionscentrum, Öronkliniken US.
    Analysis of measurements from the first Swedish universal neonatal hearing screening program2007Inngår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 46, nr 11, s. 680-685Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study analyses results from the first Swedish UNHS program. It includes over 33 000 measurement files from 14 287 children at two maternity wards. The screening program uses a two-stage TEOAE test procedure. A database was created in MedLog after data transformation in Word and Excel. The coverage rate was 99.1%. Bilateral pass rate after retesting was 97.0%. A unilateral pass criterion would have resulted in 1268 fewer children (9.0% of target group) for retesting and 231 fewer children (1.6% of target group) for diagnostic evaluation. When the first test was performed on the day the child was born, the pass rate was 64.8%, the pass rate increased to 89.2% when testing≥3 days after birth. High coverage rates and pass rates were found to be possible, independent of the number of children born at the maternity ward. Learning curves were observed in the program with improvements distributed over time. Test performance was clearly better when the children were tested day two after birth or later. © 2007 British Society of Audiology, International Society of Audiology, and Nordic Audiological Society.

  • 5.
    Hergils, Leif
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi. Östergötlands Läns Landsting, Rekonstruktionscentrum, Öronkliniken US.
    Analysis of the results from the first universal neonatal hearing screening program in Sweden2004Inngår i: NHS2004 - The International Conference on Newborn Hearing Screening, Diagnosis and Intervention,2004, 2004Konferansepaper (Annet vitenskapelig)
  • 6.
    Hergils, Leif
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Oto-Rhino-Laryngologi. Östergötlands Läns Landsting, RC - Rekonstruktionscentrum, ÖNH - Öron- Näsa- Halskliniken.
    How do we identify hearing impairment in early childhood?2000Inngår i: Acta Paediatrica. Supplement, ISSN 0803-5326, Vol. 89, nr 434, s. 12-16Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This review discusses the need for universal neonatal hearing screening. Historical background is given concerning conventional childhood hearing screening programmes in western countries. Direct studies on the effects of very early habilitation programmes on speech and language development are cited. Measurement of otoacoustic emissions (OAE) as a tool for neonatal hearing screening is presented. The state of neonatal hearing screening programmes in the US and in Europe, particularly in Sweden, is discussed.

  • 7.
    Hergils, Leif
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Centrum för utvärdering av medicinsk teknologi. Östergötlands Läns Landsting, Rekonstruktionscentrum, Öronkliniken US.
    Hörselscreening: Hög tid testa alla nyfödda!2006Inngår i: Audionytt, ISSN 0347-6308, Vol. 1-2, s. 30-31Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 8.
    Hergils, Leif
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Oto-Rhino-Laryngologi. Östergötlands Läns Landsting, RC - Rekonstruktionscentrum, ÖNH - Öron- Näsa- Halskliniken.
    Ny metod upptäcker medfödda hörselnedsättningar.1999Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 96, s. 1166-1168Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 9.
    Hergils, Leif
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Oto-Rhino-Laryngologi. Östergötlands Läns Landsting, RC - Rekonstruktionscentrum, ÖNH - Öron- Näsa- Halskliniken.
    Hergils, Å.
    Universal neonatal hearing screening-parental attitudes and concern.2000Inngår i: British Journal of Audiology, ISSN 0300-5364, E-ISSN 1471-2849, Vol. 34, nr 6, s. 321-327Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study addresses parental attitudes and concern in relation to universal neonatal hearing screening by otoacoustic emissions (OAE) testing. The parents of 87 children who had participated during the first year of the universal neonatal hearing screening programme at University Hospital, Linkoping, Sweden were included in the study. These children were all tested during this period and later cared for at three well-baby clinics (part of their primary healthcare). A questionnaire was given to the parents during routine medical check-ups at the well-baby clinics when the infants were 5-6 months of age. Ninety-five per cent of parents stated that they had a positive attitude towards neonatal hearing screening, 1% were ambivalent and 4% were negative about it. The parents wanted early detection of hearing loss and the possibility of early intervention. It was also found that screening did not disturb the children. A few parents were anxious due to repeated testing of their children. The information provided in connection with the test was found to be sufficient by 77% of parents, whereas 11% of parents had negative comments about it (e.g. they wanted more information about the otoacoustic emissions technique). The general attitude among parents towards universal neonatal hearing screening was very positive in that they felt reassured by it. The risk of disturbing the parent-child relationship by early screening seems to be small, and could be further minimized by improved information and rapid and effective follow-up.

  • 10.
    Hergils, Leif
    et al.
    Linköpings universitet.
    Larsby, Birgitta
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Some clinical applications for travelling wave velocity measurements in Ménièr's disease - preliminary studies1995Inngår i: Ménièr's Disease, 1995 / [ed] Vesterhauge S, Katholm M, Mikines P,, 1995, s. 229-234Konferansepaper (Annet vitenskapelig)
  • 11.
    Larsby, Birgitta
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Hergils, Leif
    Linköpings universitet.
    Measurement of the travelling wave velocity in Menier's disease1995Inngår i: In: Claussen C-F, Kirtane MV, Schneider D, editors.; 1995,  Hamburg: medicin+pharmacie dr. werner rudat & Co Nachf.; 1995 / [ed] Claussen C-F, Kirtane MV, Schneider D, 1995, s. 207-201Konferansepaper (Annet vitenskapelig)
  • 12.
    Larsby, Birgitta
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Hergils, Leif
    Linköpings universitet.
    Techniques and equipment to measure the traveling wave velocity in patients with hydrops1995Inngår i: Ménièr's Disease,1995 / [ed] Vesterhauge S, Katholm M, Mikines P, 1995, s. 232-238Konferansepaper (Annet vitenskapelig)
  • 13.
    Larsby, Birgitta
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Hergils, Leif
    Östergötlands Läns Landsting.
    Billermark, Erica
    Östergötlands Läns Landsting.
    A comparative study of the glycerol test, electrocochleography (ECoG) and measurement of the travelling wave velocity  in diagnosis of Meniere's disease1999Konferansepaper (Annet vitenskapelig)
  • 14. Magnusson, M.
    et al.
    Hergils, Leif
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Oto-Rhino-Laryngologi. Östergötlands Läns Landsting, RC - Rekonstruktionscentrum, ÖNH - Öron- Näsa- Halskliniken.
    Late diagnosis of congenital hearing impairment in children. The parents´experiences and opinions.2000Inngår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 41, nr 3, s. 285-294Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of the present investigation is to describe how parents experience a delayed identification of their child's hearing impairment. Ten parents of 8 children were interviewed. The impairment was confirmed when the children were between 2 years, and 5 years and 8 months. The results show that the parents and their child pass through a series of distinct phases: Unawareness, Suspicion, Confirmation and Habilitation. After the birth of the child there was first a calm period, which lasted until the possibility of a hearing impairment was suspected. Once the suspicion was raised, a time of much anxiety and frustration ensued. The parents described how defective communication and misunderstanding lead to frequent conflicts with their child. The differing behaviour of the child, in combination with poor language development, initiated referral to audiological assessment and confirmation of the hearing impairment. After confirmation, the parents felt relief but at the same time a sorrow. When hearing aids had been fitted and education in sign language was under way, the child's language and social behaviour improved. Supposedly, the late detection is explained by the combination of an insufficient test method that cannot detect all children with a hearing impairment and, in cases of uncertainty, a tendency to let the child pass rather than 'bringing bad news'. All parents in the present study would have wished to participate in a hearing screening program for new-borns, had the opportunity been present.

  • 15. Rask-Andersen, Helge
    et al.
    Friberg, Ulla
    Bagger-Sjöbäck, Dan
    Hessén-Söderman, Ann-Charlotte
    Bergenius, Johan
    Idrizbegovic, Esma
    Granath, Anna
    Hergils, Leif
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Oto-Rhino-Laryngologi. Östergötlands Läns Landsting, Rekonstruktionscentrum, Öronkliniken US.
    Hydén, Dag
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Oto-Rhino-Laryngologi. Östergötlands Läns Landsting, Rekonstruktionscentrum, Öronkliniken US.
    Johansson, Marianne
    Stjernschantz, Johan
    Randomized, Double-Blind, Placebo-Controlled, Dose-Titration Study with Latanoprost Salt in Meniere´s Disease2006Inngår i: Association for research in otolaryngology,2006, 2006, s. 331-331Konferansepaper (Annet vitenskapelig)
    Abstract [en]

       

  • 16.
    Stenfelt, Stefan
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Asp, Filip
    Karolinska Institutet.
    Harder, Henrik
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för klinisk och experimentell medicin, Oto-Rhino-Laryngologi. Östergötlands Läns Landsting, Rekonstruktionscentrum, Öronkliniken US.
    Hergils, Leif
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för klinisk och experimentell medicin, Oto-Rhino-Laryngologi. Östergötlands Läns Landsting, Rekonstruktionscentrum, Öronkliniken US.
    Karltorp, Eva
    Karolinska Institutet.
    Mäki-Torkko, Elina
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi.
    Klinisk utvärdering av 80 barn med bilaterala cochleaimplantat2009Inngår i: TeMA Hörsel, Jönköping, Sweden, 2009Konferansepaper (Fagfellevurdert)
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