WorldWideScience

Sample records for audiology

  1. Audiological Assessment.

    Science.gov (United States)

    Rose, Darrell E., Ed.

    The text, designed for students and others interested in clinical audiology, is intended to provide comprehensive coverage of not only important concepts in audiology but particularly of the methods and procedures used in audiological assessment. The functions of tests, the administration of specific tests, and the analysis of test results are…

  2. The history of audiology

    OpenAIRE

    Sente Marko

    2004-01-01

    Introduction The paper presents historical data on development of audiology as a medical specialty. It gives the chronological overview of the most significant discoveries which have contributed to the progress and constant development of the science of hearing. The insights and discoveries encompass the ancient, medieval and contemporary medical science. The term "audiology" and first associations of audiologists The paper reviews the origin of the term “audiology” and the time of its occurr...

  3. Disciplining the audiological encounter

    DEFF Research Database (Denmark)

    Hindhede, Anette Lykke

    2010-01-01

    This article addresses the social power variations in the context of audiological rehabilitation. The empirically based study examines the everyday interaction between professional medicine and the patient when hearing aids are being provided. By the use of video recordings an analysis is conduct...

  4. Audiology Services Manual.

    Science.gov (United States)

    Gallaudet Coll., Washington, DC. Pre-College Programs.

    The manual describes audiology services offered at the Model Secondary School for the Deaf (MSSD). Components are listed for diagnostic services, instructional services, program development, training, and publications. Testing and reporting procedures for MSSD students are outlined. Testing includes pure-tone air conduction testing, tympanometry,…

  5. Audiology in Nicaragua.

    Science.gov (United States)

    Polich, Laura

    1995-01-01

    Interviews with 37 individuals in Nicaragua were the basis of this review of the audiology field in that nation. The review covers the prevalence and etiology of hearing impairment, training for audiologists, government services for individuals with hearing impairment, private agencies concerned with hearing impairment, and fitting and use of…

  6. The history of audiology

    Directory of Open Access Journals (Sweden)

    Sente Marko

    2004-01-01

    Full Text Available Introduction The paper presents historical data on development of audiology as a medical specialty. It gives the chronological overview of the most significant discoveries which have contributed to the progress and constant development of the science of hearing. The insights and discoveries encompass the ancient, medieval and contemporary medical science. The term "audiology" and first associations of audiologists The paper reviews the origin of the term “audiology” and the time of its occurrence. The First World Congress of Audiologists was held in 1948, and the Conference of Audiologists and Phoniatrists of Yugoslavia was established in 1974. Historical overview The ancient scientists and philosophers mentioned in the paper are as follows: Democritus, Hippocrates, Empedocles, Plato, Aristotle, and Galenus. Discoveries of Vesalius, Fallopio, Eustachio, Duverney, Schelhammer, Catugno and Helmholtz marked their epochs and made a great contribution to the development of the entire medical science, including audiology. A significant contribution to audiology was made by Schwartz in 1920 and Fletcher in 1926, constructors of audiometers. Fowler, Weigel and Fletcher promoted an audiogram in 1922. Wever and Bray first introduced the cochlear microphonic potentials. The first modern audiometer with a flat zero line for all pitches was constructed in 1937. In 1947, Békésy constructed the automatic audiometer, and the theory of mobile waves was introduced in 1928. Fletcher and Steinberg promoted speech audiometries in 1929. Mendel and Goldstein described medium latency responses in 1969. The first hearing aids worn within the ear appeared in the same year. William House pioneered the cochlear implantation in adults in 1969, and the program of infant cochlear implants. Jewett described the evoked auditory potentials in 1970. James Jerger classified tympanometric curves into three tympanogram types (A, B, C. Portmann and Arran introduced

  7. Disciplining the audiological encounter

    DEFF Research Database (Denmark)

    Lykke Hindhede, Anette

    2010-01-01

    This article addresses the social power variations in the context of audiological rehabilitation. The empirically based study examines the everyday interaction between professional medicine and the patient when hearing aids are being provided. By the use of video recordings an analysis is conducted...... of the structural level of rehabilitation practice for hard-of-hearing working age people in two outpatient clinics in two different public hospitals in Denmark. It is shown that the hearing aid fitting consultations are conducted in a ritualised manner which makes it possible to control what kind of...... experiences patients are allowed to bring to the audiological encounter. Bureaucratic time imperatives preclude patients' subjective experiences and standardised, normative accountabilities based on scientific knowledge work as an effective structuring principle to get the work done in the appropriate time....

  8. Clustering audiology data

    OpenAIRE

    Anwar, Naveed; Oakes, Michael; Wermter, Stefan; Heinrich, Stefan

    2010-01-01

    In this paper we describe new results of statistical and neural data mining of audiology patient records, with the ultimate aim of looking for factors influencing which patients would most benefit from being fitted with a hearing aid. We describe how a combination of neural and statistical techniques can usefully subdivide a set of patients into clusters, based on their hearing thresholds at six different frequencies, and then label the clusters with meaningful text labels. In our first exper...

  9. Epistemics in audiological consultations

    DEFF Research Database (Denmark)

    Egbert, Maria

    with hearing loss perceive of their hearing, even during audiograms, as less precise and more varied. When asked by the audiologist about hearing experiences in different settings (e.g. dyadic conversation, multiperson interaction, telephone, outdoors, train station), the descriptions by clients are diffuse......]. Brouwer, C. E. 2012. Notes on talking cognition in the audiology clinic. In Rasmussen, G., Brouwer, C. E., & Day, D. (eds.), Evaluating cognition. John Benjamins Publishing Company, xxx Egbert, M. 2013. Technology and social interaction in the multimodal, multispace setting of audiometric testing. In: New...

  10. The field of Danish audiology

    DEFF Research Database (Denmark)

    Lykke Hindhede, Anette; Parving, Agnete

    2009-01-01

    The present contribution briefly describes the history of Danish Audiology during the last 50-60 years from the establishment of the National Hearing Health Services (NHHS). The progress within the field is framed according to the theory of Bourdieu challenging the present concept of evidence-bas......, is regarded as a potential reduction for future research and training within audiology. In contrast, the political field considers it as an improvement despite the substantial increase in costs for the state....

  11. Bridging the Gap between Audiology and Education.

    Science.gov (United States)

    Razack, Zaim Riza

    1995-01-01

    This article examines issues related to the provision of educational audiological services that are sensitive to the needs of a diverse population. The focus is on paradigm shifts from traditional clinical audiology to classroom-based educational audiology and use of a cyclical reflective process. Critical components of courses offered at York…

  12. Audiologic diagnostics of vestibular schwannoma

    Directory of Open Access Journals (Sweden)

    Komazec Zoran

    2004-01-01

    Full Text Available Introduction Vestibular schwannoma (acoustic neuroma is a rare, but important cause of sensorineural hearing loss. Patients with asymmetric hearing loss, or unilateral tinnitus should be evaluated expeditiously, to prevent further neurological damage. Audiologic diagnostics Audiologic diagnostics represents the basic diagnosis for early detection of vestibular schwannoma. Patients with vestibular schwannomas may present with a variety of clinical features, including retrocochlear pattern of sensorineural hearing loss. Supraliminary audiometry, tympano- metry, stapedius reflex and otoacoustic emissions as well as vestibular response to caloric testing are methods for selection of patients with suspicion of this tumor. Conclusion The golden standard for audiologic diagnostics of vestibular schwannoma is BAEP (Brainstem Auditory Evoked Potentials. Patients with pathological findings of BAEP should undergo MRI of the posterior fossa. Gadolinium-enhanced magnetic resonance imaging is the best and final tool for making a diagnosis of vestibular schwannoma.

  13. Agricultural Pilot's Audiological Profile

    Directory of Open Access Journals (Sweden)

    Foltz, Lucas

    2010-09-01

    Full Text Available Introduction: The agricultural airplane pilot are daily exposed to intense noises, being susceptible to the noise-induced hearing loss (NIHL and its auditory and extra auditory effects. Objective: To analyze the audiological profile of this population, verifying the work's influence on its hearing. Method: It was realized a retrospective, individual, observational, and cross-sectional study through the data obtained by means of a questionnaire and audiometric thresholds of 41 agricultural pilots. To the statistical analysis were utilized the chi-square, Spearman, and Wilcoxon tests with significance level of 5%. Results: It was verified that 95,1% of the pilots use PPE ( personal protective equipment during flight and 58,5% have contact with pesticides. More than half of individuals referred to feel auditory and extra auditory symptoms, being the buzz the more frequent (29,1%. It has the occurrence of 29,3% of NIHL suggestive hearing loss and 68,3% of normality, taking this presence of unilateral notch in 24,4% and bilateral notch in 31,7%. It was found correlation statistically significant in the associations between time of service and the average of the acute frequencies in the right ear (p=0038, and in the left ear (p=0,010. It has a statistical tendency in the association between audiometric configuration and contact with pesticides (p=0,088. Conclusion: The hearing loss prevalence in this study was showed high. More than half of the sample has normal audiometric thresholds with notch configuration. Such data lead to the conclusion that the agricultural pilots, even with PPE use, they still suffer with the damages caused by noise, needing best proposals of hearing loss prevention.

  14. Best Practices in Educational Audiology.

    Science.gov (United States)

    English, Kris

    1991-01-01

    Members (n=182) of the Educational Audiology Association were surveyed to determine emerging levels of best practices in the field. Demographic data, uses of amplification, the role of the educational audiologist as case manager/consultant, and both clinical and professional concerns are discussed. Areas for further research are suggested.…

  15. Musicopathogenic Influences from the View of Audiology

    OpenAIRE

    Horáková, Pavlína

    2014-01-01

    The title of my bachelor´s work is The Musical-pathogenical influences from the View of Audiology. It has theoretically-empirical character and should document consequences of noise on hearing and damage of hearing. Theoretical part deal with perception of music, physiology of hearing and musical ecology. The second part should present audiology and importance of this discipline. There are in details described anatomy and physiology of an ear and the special audiological methods. In theoretic...

  16. Conducting qualitative research in audiology : A tutorial

    OpenAIRE

    Knudsen, Line V; Laplante-Levesque, Ariane; Jones, Lesley; Preminger, Jill E.; Nielsen, Claus; Lunner, Thomas; Hickson, Louise; Naylor, Graham; Kramer, Sophia E.

    2012-01-01

    OBJECTIVE: Qualitative research methodologies are being used more frequently in audiology as it allows for a better understanding of the perspectives of people with hearing impairment. This article describes why and how international interdisciplinary qualitative research can be conducted. DESIGN: This paper is based on a literature review and our recent experience with the conduction of an international interdisciplinary qualitative study in audiology. RESULTS: We describe some available qua...

  17. A Systematic Review of Audiology Terminology.

    Science.gov (United States)

    Oh, Soo Hee; Lee, Junghak

    2016-09-01

    The present report provides an overview of terminology studies in audiology including topics and study characteristics, as well as categorizing the main issues. The goals are to improve the understanding of the current issues for terminology in audiology and to provide some basic information that will be useful to develop an international standard. Search procedures were completed over two phases. Phase 1 included a systematic electronic searches using MEDLINE (PubMed), Excerpta Medica Database, Cumulative Index to Nursing and Allied Health Literature, and International Organization for Standardization with keywords related to terminology of audiology. The studies were initially identified according to the titles of 2921 publications following careful abstract examination. Of these, whole texts of 16 publications were retrieved. Five papers met the inclusion criteria were further investigated. In phase 2, a manual search was conducted to collect additional publications with keywords related to terminology project in audiology. A total of 16 papers were found. The essential terminology issues classified included 'appropriateness,' 'classification/framework,' 'inconsistency of terminology,' 'multilingual and international aspects,' and 'service quality/delivery including communication and accessibility.' This was indicative of the paucity of terminology research in audiology, despite recurring terminology issues. Establishment of standardized terminology in audiology may minimize current challenging terminology issues by improving appropriateness and consistency of terminology as well as communication among relevant stakeholders at national and international levels. PMID:27626085

  18. Survey of Educational Preparation in Pediatric Audiology: A Decade Later.

    Science.gov (United States)

    Oyler, Robert F.; Gross, Shannon R.

    2000-01-01

    This study surveyed audiology program directors (N=46) and audiologists (N=70) concerning preparation in pediatric audiology, specifically general program characteristics, education and training in pediatric audiology, affiliation with a pediatric medical facility, affiliation with school systems, and perceived adequacy of preparation. Comparison…

  19. Audiological findings in Infantile Refsum disease.

    Science.gov (United States)

    Vandana, V P; Bindu, Parayil Sankaran; Nagappa, Madhu; Sinha, Sanjib; Taly, Arun B

    2015-08-01

    Audiological manifestations in a four-year-old child with Infantile Refsum disease are reported. He was born to non-consanguineous parents and had normal birth history and mildly delayed milestones prior to presentation. Clinical features were characterized by neuroregression, retinitis pigmentosa, hearing loss, peripheral neuropathy and white matter signal changes on magnetic resonance imaging. Biochemical evaluation showed elevated serum levels of long chain fatty acid and phytanic acid confirming the diagnosis. The audiological profile was characterized by absent auditory brainstem responses with robust otocoustic emissions, which indicated auditory neuropathy as the possible cause of hearing loss.

  20. Dimensions of Multiskilling: Considerations for Educational Audiology.

    Science.gov (United States)

    Johnson, Carole E.

    1999-01-01

    Discusses multiskilling and use of support personnel in educational audiology in reference to the following principles: guidelines, models of multiskilling, components of successful multiskilling, and do's and don'ts for multiskilling. These principles are illustrated through the use of multiskilling in the establishment of a hearing-aid…

  1. Speech-Language-Pathology and Audiology Handbook.

    Science.gov (United States)

    New York State Education Dept., Albany. Office of the Professions.

    The handbook contains State Education Department rules and regulations that govern speech-language pathology and audiology in New York State. The handbook also describes licensure and first registration as a licensed speech-language pathologist or audiologist. The introduction discusses professional regulation in New York State while the second…

  2. Educational Audiology Hard of Hearing. Final Report.

    Science.gov (United States)

    Berg, Frederick S.

    The audiology curriculum of the Department of Communicative Disorders at Utah State University which has been developed to prepare specialists in clinical and/or educational management of aurally handicapped children is described. Focused upon are prevalence of children's unilateral and bilateral hearing loss, areas affected by hearing impairment…

  3. Otologic and Audiology Aspects of Microtia Repair

    OpenAIRE

    Lipan, Michael J.; Eshraghi, Adrien A.

    2011-01-01

    Congenital abnormalities of the outer ear pose a reconstructive challenge for plastic surgeons and otologists. Many patients with microtia of the auricle have concurrent atresia of the external auditory canal. The hearing loss associated with canal atresia can have long-lasting effects if not treated promptly and appropriately. The diagnosis and workup for canal atresia requires an otologic evaluation. Audiologic and radiologic evaluations direct treatment, which varies depending on unilatera...

  4. Audiologic Evaluation of Patients with Mucopolysaccharidosis at a Pediatric Hospital

    OpenAIRE

    Gomes, Ariana Braga; Pereira, Rodrigo Guimarães; Vassoler, Tríssia Maria Farah; Alcantara, Lauro João Lobo; Zimmermann, Elise; Santos, Mara Lúcia Schmitz Ferreira

    2011-01-01

    Introduction: Mucopolysaccharidosis are characterized by the deficit of lysosomal enzymes corrupting the glycosaminoglycans. Accumulating these metabolites causes several alterations, such as otologic alterations. Objective: To evaluate a number of patients with mucopolysaccharidosis at Pequeno Principe Hospital, emphasizing their audiologic alterations and establish a permanent evaluation protocol for these patients. Method: A backward-looking study of audiologic evaluation by using records ...

  5. A Survey of the Deaf Community Concerning Their Opinions, Needs and Knowledge of Audiology and Audiology Services.

    Science.gov (United States)

    Butler, Charles E.; Martin, Frederick N.

    1987-01-01

    A survey questionnaire of 32 adult deaf subjects evaluated their knowledge of and interest in audiology and services of audiologists. Issues examined included communication, practices in audiology, deafness, hearing, the auditory system, delivery of specific services to the deaf community and general interrelationships in the deaf community.…

  6. Educational Audiology: A Comparison of Service Delivery Systems Utilized by Missouri Schools.

    Science.gov (United States)

    Allard, J. Brad; Golden, Diane Cordry

    1991-01-01

    Comparison of three audiology service delivery systems--(1) school-based audiology within the district, (2) non-school-based audiology in the community, and (3) school-based audiology in a remote community--found the local school-based delivery system superior on various quality indicators. (Author/DB)

  7. Role of early audiological screening and intervention

    Directory of Open Access Journals (Sweden)

    Isha Preet Tuli

    2012-01-01

    Full Text Available Objectives: The aim of our study is to find out whether early identification and intervention prevents severe linguistic and communication delays, minimizing the need for more elaborate rehabilitation during the school years. Design and Study Sample: A Cross-sectional study was carried out on one hundred and eleven children with documented deaf-mutism presenting at the Department of Oto-Rhino-Laryngology in two different geographical regions of India. Detailed history, clinical and audiological assessment along with assessment of the language and communication skills according to American Speech Language Hearing Association (ASHA guidelines was done. Results: The children were predominantly male, of low socio-economic background, presented for rehabilitation, mostly after the age of six years. They commonly had more than 70dBHL (decibel hearing level hearing threshold. The study found that the children who presented early for diagnosis and hearing aid usage had better response to rehabilitation. Conclusion: It is important that hearing loss be detected at an early age and amplification should be introduced as early as possible once there has been a diagnosis of a hearing loss. So that early intervention can have an impact on speech and language development. Without concurrent follow-up program, identification of hearing loss early in children is meaningless.

  8. Interventional Audiology: Broadening the Scope of Practice to Meet the Changing Demands of the New Consumer

    Science.gov (United States)

    Taylor, Brian

    2016-01-01

    Given the growth in the aging population, low hearing uptake rates and the emerging science indicating that age-related hearing loss has long term consequences to health and wellness, an interventional audiology strategy is needed. This paper will define interventional audiology and offer guidance on bringing an interventional audiology to life in clinical practice.

  9. Interventional Audiology: Broadening the Scope of Practice to Meet the Changing Demands of the New Consumer.

    Science.gov (United States)

    Taylor, Brian

    2016-05-01

    Given the growth in the aging population, low hearing uptake rates and the emerging science indicating that age-related hearing loss has long term consequences to health and wellness, an interventional audiology strategy is needed. This paper will define interventional audiology and offer guidance on bringing an interventional audiology to life in clinical practice. PMID:27516719

  10. Chi-squared and Associations in Tabular Audiology Data

    OpenAIRE

    Muhammad N. Anwar; Michael P. Oakes; Ken McGarry

    2010-01-01

    In this paper, we have used the chi-squared test and Yule’s Q measure to discover associations in tables of patient audiology data. These records are examples of heterogeneous medical records, since they contain audiograms, textual notes and typical relational fields. In our first experiment we used the chi-squared measure to discover associations between the different fields of audiology data such as patient gender and patient age with diagnosis. Then, in our second experiment we used Yule’s...

  11. From Colorado to Guam: Infant Diagnostic Audiological Evaluations by Telepractice

    Science.gov (United States)

    Hayes, Deborah; Eclavea, Elaine; Dreith, Susan; Habte, Bereket

    2012-01-01

    This manuscript describes a pilot project in which infants in Guam who refer on newborn hearing screening receive diagnostic audiological evaluation conducted by audiologists in Colorado over the Internet (telepractice). The evaluation is completed in real time using commercially-available software and personal computers to control the diagnostic…

  12. Notes on talking cognition in the audiology clinic

    DEFF Research Database (Denmark)

    Brouwer, Catherine E.

    2012-01-01

    ’). The audiologist, however, is trained to deal with the intersection of technical or physiological evaluations. The issue, therefore, is how the client comes to mention cognitive abilities, despite the audiologists agenda. Using conversation analysis as a methodology, video recorded audiology consultations...

  13. A Guide to Clinical Services in Speech Pathology and Audiology.

    Science.gov (United States)

    Rehabilitation Services Administration (DHEW), Washington, DC.

    A listing of speech pathology and audiology services in the United States, the guide includes the names of 910 clinics and of 216 members of the American Speech and Hearing Association who are engaged in full time private practice. Arranged geographically, by state and city, the guide specifies the following for each clinic: official name,…

  14. Educational Audiology: A Proposal for Training and Accreditation.

    Science.gov (United States)

    Lenich, Jennifer Komnick; And Others

    1987-01-01

    This paper discusses the practice of educational audiology, its legislative basis, and services offered to hearing-impaired children, such as a high-risk register/referral system, comprehensive screening program, and classroom acoustics management. A plan for in-service education and a proposal for an accreditation program in Educational Audiology…

  15. The Role of Speech Pathology and Audiology in Special Education.

    Science.gov (United States)

    Bakare, C. A.

    1976-01-01

    Speech and language disorder is seen as a characteristic feature in most of the areas of exceptionalities identified as the hearing impaired, the visually impaired, the mentally retarded, the physically handicapped, and learning disabilities. Commonalities of speech pathology/audiology and special education are discussed. (MLW)

  16. A Systematic Analysis of Audiological Services in EHDI

    Science.gov (United States)

    Munoz, Karen F.; Bradham, Tamala S.; Nelson, Lauri

    2011-01-01

    State coordinators of early hearing detection and intervention (EHDI) programs completed a strengths, weaknesses, opportunities, and threats, or SWOT, analysis that examined 12 areas within state EHDI programs. For audiological evaluation and services, 299 items were listed by 49 coordinators, and themes were identified within each SWOT category.…

  17. Pediatric Audiology Report: Assessment and Revision of an Audiology Report Written to Parents of Children with Hearing Impairment

    Science.gov (United States)

    Donald, Ashleigh J.; Kelly-Campbell, Rebecca J.

    2016-01-01

    Objective: The purpose of this study was twofold: first, to evaluate a typical pediatric diagnostic audiology report to establish its readability and comprehensibility for parents and, second, to revise the report to improve its readability, as well as the comprehension, sense of self-efficacy, and positive opinions of parent readers. Method: In…

  18. Impact of an audiology clinic in one general practice.

    OpenAIRE

    Khunti, K; Carr, M

    1997-01-01

    There is a large demand for the provision of hearing aids. However, there are lengthy delays involved between referral and fitment of National Health Service (NHS) hearing aids. This report shows that a general practice based audiology clinic can lead to an increase in the number of patients referred and fitted with a hearing aid. The introduction of the clinic also led to reduced waiting times for patients to be fitted with hearing aids.

  19. The rise and fall of audiology in Denmark, 1950-2010 - a field perspective

    DEFF Research Database (Denmark)

    Hindhede, Anette Lykke; Larsen, Kristian

    In this paper, we trace the history of those forms of rationality that comprise the present situation in hearing clinics. The paper takes as a starting point the 1950s when audiology became a public service. The formation of the field of audiology is framed according to Bourdieu's conception...... the audiological field is structured and how services are provided are matters of 'accumulated history'. Our findings illustrate how the myth of present audiological scientific reason is not merely logical and rational but also complex and contradictory....

  20. Audiologic Evaluation of Patients with Mucopolysaccharidosis at a Pediatric Hospital

    Directory of Open Access Journals (Sweden)

    Gomes, Ariana Braga

    2011-04-01

    Full Text Available Introduction: Mucopolysaccharidosis are characterized by the deficit of lysosomal enzymes corrupting the glycosaminoglycans. Accumulating these metabolites causes several alterations, such as otologic alterations. Objective: To evaluate a number of patients with mucopolysaccharidosis at Pequeno Principe Hospital, emphasizing their audiologic alterations and establish a permanent evaluation protocol for these patients. Method: A backward-looking study of audiologic evaluation by using records of 18 patients diagnosed with mucopolysaccharidosis and attended at Pequeno Principe Hospital between January 2005 and November 2010. Results: 7 records were selected, out of which only one did not have a hearing loss, and most of them presented conductive or mixed hearing loss, and only one had an exclusively sensorineural loss. Six of these patients had also been submitted to at least one otorhinolaryngological procedure. Conclusion: Mucopolysaccharidosis patients require a permanent care and a multidisciplinary follow-up. The pediatric otorhinolaryngologist plays an important role when performing the otologic and audiologic evaluation and managing the airways, since almost all the patients evaluated presented some kind of hearing loss and an indication of otorhinolaryngologic procedure. The pattern determined in our service was at least an initial consultation when there is a suspicion and/or diagnosis of MPS and sequential consultations that were at least twice a year or more frequent, if necessary.

  1. Beginnings: Introducing Computer Technology to Students in Speech-Language Pathology and Audiology.

    Science.gov (United States)

    McErlain, Eileen; Squibb, Kevin

    In the areas of audiology and speech science, computer technology has moved to the forefront in both the clinical and laboratory settings. It is imperative that students in both speech-language pathology and audiology acquire fundamental skills with all aspects of computer technology in order to maintain professional marketability. A survey of 75…

  2. Audiological outcomes in cases with mucopolysaccharidoses (Morquio′s disease

    Directory of Open Access Journals (Sweden)

    Prawin Kumar

    2014-01-01

    Full Text Available Background: The mucopolysaccharidoses (MPS is an autosomal recessive disorder, caused due to malfunctioning of certain lysosomal enzymes involved in degradation of glycosaminoglycans. This report presents audiological evaluation findings found in two siblings with Morquio syndrome (MPS type IV. Materials and Methods: The present study evaluated two individuals (case A: 18-year-old male and case B: 15-year-old female with a routine audiological evaluation including pure tone audiometry, speech audiometry, and immittance evaluation. Results: Case ′A′ and ′B′ were assessed for three consecutive audiological evaluations over time in a span of 2 years. For case A, all three evaluations revealed same degree of hearing loss in both ears. However, for case B, results reveal that there was increase in degree of hearing loss in both ears. Further, immittance results in both case A and B revealed middle ear pathology in both ears in all the three evaluations. Hence, it can be concluded that there was no progression in severity of hearing loss in case A; however, same was observed in case ′B′. In addition to that, at present both case A and B are using moderate gain digital behind the ear hearing aid in both the ears which is enabling them to communicate better. Conclusion: To conclude on these case reports of the siblings, otologist and audiologist need to be aware of this relevant information and take immediate steps to provide services to patients. Regular follow-up of the clients is an important aspect as it is highlighted in present study.

  3. RELATIONSHIP BETWEEN THE SIZE OF PONTOCEREBELLAR ANGLE TUMOR AND AUDIOLOGY

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Objective: To study the relationship between the size ofpontocerebellar angle tumor and audiology.Methods: Retrospective analysis of accoustically evoked brainstem response (ABR) waveforms and pure tone threshold in 27 subjects with tumor of pontocerebellar angle.Results: ABR wave forms and pure tone threshold were significantly affected statistically by the size of tumors,especially those tumor larger than 3 cm in diameter.Conclusion: The primary symptom of the patient was unilateral hearing loss.Early discovery of the lesion is important and ABR is a sensitive tool for early diagnose of the tumor.

  4. How to Implement Itemization in an Audiology Practice.

    Science.gov (United States)

    Sjoblad, Stephanie; Abel, Debbie

    2016-05-01

    The hearing aid delivery landscape has dramatically changed over the past several years, with a commercial payer, the Internet, and big box stores dispensing hearing aids directly to patients. The audiology community needs to modify the bundled billing model. This session will describe how to optimize the services you provide to current and new patients and change the hearing aid delivery and hearing aid pricing model to remain competitive with these new market trends. This activity will educate participants on itemized billing, sometimes referred to as unbundling, its pros and cons, and how it could aid audiologists in differentiating themselves in the hearing aid delivery landscape. PMID:27516720

  5. Outcomes of long-term audiological rehabilitation in charge syndrome.

    Science.gov (United States)

    Trevisi, P; Ciorba, A; Aimoni, C; Bovo, R; Martini, A

    2016-06-01

    The aim of this paper is to assess the long-term audiological features and outcomes of hearing rehabilitation in a large group of individuals with CHARGE Syndrome. The study has been conducted retrospectively, on a paediatric patient database, at the Audiology Department of the University Hospitals of Ferrara and Padua. The study sample included 31 children presenting with different degrees of hearing impairment associated with CHARGE syndrome. Hearing was assessed using auditory brainstem responses (ABRs) and/or electrocochleography, or conditioned audiometry (visual reinforcement audiometry [VRA] or play audiometry). Auditory-perceptual outcomes in terms of communication skills and expressive language were also recorded. The effects of hearing rehabilitation (with hearing aids or cochlear implants) in this group of children and language outcomes after rehabilitation were monitored during long-term follow-up. The outcomes of rehabilitation measures differed in relation to the heterogeneous and often severe disabilities associated with CHARGE syndrome, e.g. developmental delay, intellectual delay, visual impairment, thin 8(th) nerve with retrocochlear auditory dysfunction (as described in cases of auditory neuropathy/dyssynchrony). Oral expressive language was severely impaired in most cases, even after lengthy follow-up, suggesting the need for alternative augmentative communication modes. The early identification of sensorineural hearing loss, and carefully planned rehabilitation treatments, can be of some benefit in children with CHARGE syndrome. PMID:27214832

  6. Audiological evaluation in Chinese patients with mitochondrial encephalomyopathies

    Institute of Scientific and Technical Information of China (English)

    Liu Yuhe; Xue Junfang; Zhao Danhua; Chen Li; Yuan Yun; Wang Zhaoxia

    2014-01-01

    Background Hearing impairment has been reported to be common in patients with mitochondrial disorders,a group of diseases characterized by pleiomorphic clinical manifestations due to defects in oxidative phosphorylation of mitochondria.This study aimed to investigate the audiological characteristics in a large cohort of patients with mitochondrial disease.Methods Comprehensive audiological evaluations,including pure tone audiometry,tympanometry,speech audiometry,otoacoustic emissions,electrocochleography and auditory brainstem evoked potentials,were performed in 73 Chinese patients with mitochondrial encephalomyopathy and with confirmed mitochondrial DNA (mtDNA) defects.Results Among the patients,71% had hearing impairment.However,the incidence rate and severity of hearing impairment were much less in the chronic progressive external ophthalmoplegia (CPEO) subtype than in the mitochondrial encephalomyopathy,lactic acidosis,and stroke-like episodes (MELAS),myoclonic epilepsy with ragged red fibers (MERRF) and Kearns-Sayre syndrome (KSS) subtypes.While most of our patients had a predominantly cochlea origin for the hearing deficit,five patients had an auditory neuropathy spectrum disorder and three patients had impairment of both cochlea and auditory codex.Conclusions Various portions of the auditory system could be involved in patients with mitochondrial diseases,including cochlea,auditory nerve,auditory pathway and cortex.Hearing loss was more associated with multisystem involvement.Genotype,mutant load of mtDNA and other unknown factors could contribute to heterogeneity of hearing impairment in mitochondrial disease.

  7. AUDIOLOGICAL PROFILE IN DIABETES MELLITUS IN CORRELATION WITH INFLAMMATORY MARKERS

    Directory of Open Access Journals (Sweden)

    Shanmugam

    2014-10-01

    Full Text Available OBJECTIVE: To correlate the audio-logical profile in diabetes mellitus with inflammatory markers (TNFα, IL-6, CRP, and FREE RAICALS. MATERIALS AND METHODS: A two year prospective study of Audio-logical profile and its correlation with inflammatory markers was done in 35 diabetic patients attending Diabetic OPD and ENT OPD at RMMCH between 2012- 2014.Patients with diabetes mellitus on oral hypoglycaemic agents or insulin therapy was subjected to Pure Tone Audiometry using Arphi Audiometer-Model 700MK4 and Inflammatory marker study. STATISTICS AND ANALYSIS: P-value was found out by ANOVA method to find out the significance of auditory thresholds between various categories of parameters. RESULTS: Patients with Diabetes Mellitus were more commonly affected by Sensori-neural Hearing loss in the age group between 41- 49 years accounting for 77.14%. Females were more affected in our study in the ratio3.3:1. Hearing loss was bilaterally symmetrical and of sensori-neural type affecting mainly the higher frequencies. In 77.1% of our patients the duration of diabetes mellitus was less than 5years, however there was no correlation between the duration of diabetes mellitus and hearing loss. Control in the severity of diabetes mellitus lead to improvement in hearing thresholds, which was statistically significant at higher frequencies. CONCLUSION: There was a positive correlation between increased level of inflammatory markers-TNF α, IL-6, CRP, free radicals and hearing loss in diabetes mellitus. However the inclusion of elevated markers as a prognostic index to assess the degree of deafness and its relation to microangiopathy needs further studies and its role in prevention of deafness in diabetes mellitus needs further evaluation.

  8. Audiology practice management in South Africa: What audiologists know and what they should know

    OpenAIRE

    Deidré Breytenbach; Alta Kritzinger; Maggi Soer

    2015-01-01

    Background: In future, the South African Department of Health aims to purchase services from accredited private service providers. Successful private audiology practices can assist to address issues of access, equity and quality of health services. It is not sufficient to be an excellent clinician, since audiology practices are businesses that must also be managed effectively.Objective: The objective was to determine the existing and required levels of practice management knowledge as perceiv...

  9. Audiological issues and hearing loss among Veterans with mild traumatic brain injury

    OpenAIRE

    Michael Oleksiak; Bridget M. Smith, PhD; Justin R. St. Andre, MA; Carly M. Caughlan, AuD; Monica Steiner, MD

    2012-01-01

    We examined the prevalence, severity, etiology, and treatment of audiology problems among Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) Veterans with mild traumatic brain injury (TBI). A retrospective chart review was performed of 250 Veterans with mild TBI. Results of a comprehensive second-level mild TBI evaluation and subsequent visits to audiology were evaluated. We found the vast majority (87%) of Veterans reported some level of hearing disturbance and those involved in bl...

  10. Audiological Practice in India: An Internet-Based Survey of Audiologists

    OpenAIRE

    Easwar, Vijayalakshmi; Boothalingam, Sriram; Chundu, Srikanth; Manchaiah, Vinaya K. C.; Ismail, S. Mohammed

    2013-01-01

    The field of Audiology in India has expanded exponentially in recent years. Audiologists practice in a variety of work places. However, little is known about the practice trends across these several work places. An Internet-based survey probing into Audiology practice was conducted between June and September 2012. The survey focused on four domains, namely, demography, assessment, hearing aid (HA) fitting and protocol usage. A total of 199 audiologists completed the survey. A large proportion...

  11. Mining and analysis of audiology data to find significant factors associated with tinnitus masker

    OpenAIRE

    Anwar, Naveed

    2013-01-01

    Objectives The objective of this research is to find the factors associated with tinnitus masker from the literature, and by using the large amount of audiology data available from a large NHS (National Health Services, UK) hearing aid clinic. The factors evaluated were hearing impairment, age, gender, hearing aid type, mould and clinical comments. Design The research includes literature survey for factors associated with tinnitus masker, and performs the analysis of audiology data...

  12. A use study of speech pathology and audiology periodicals at Illinois State University.

    OpenAIRE

    Duran, N; Buckley, C. E.; Ng, M. L.

    1997-01-01

    No core list of periodicals exists for speech pathology and audiology. Faced with the prospect of having to cancer periodicals for all subjects, the science librarians at Illinois State University decided to determine which science periodicals were used most heavily. A one-year study of science periodical reshelving and interlibrary loan requests yielded ranked lists of periodicals important to speech pathology and audiology faculty and students at Illinois State University. The three most he...

  13. Paediatric Meningitis and Hearing Loss in a Developing Country: Exploring the Current Protocols Regarding Audiological Management Following Meningitis

    OpenAIRE

    Katijah, Khoza-Shangase; Emma, Rifkind Romi

    2010-01-01

    The purpose of this study was to establish audiology referral protocols for post meningitis paediatric populations in two academic hospitals in Gauteng, South Africa. Specific objectives of this study included determining if audiological assessment referrals were made following infection; determining the time of referral post meningitis diagnosis; establishing what audiological assessments were conducted on this population, as well as determining any correlations between signs and symptoms of...

  14. Clinical and audiological evaluation of hearing impaired children

    Directory of Open Access Journals (Sweden)

    Zafarullah Beigh

    2012-01-01

    Full Text Available Daily activities, interpersonal relationship, employment, and general well being; among such skills, communication skills are essential to a successful life for all individuals. Such skills affect education, adequate hearing acuity is of paramount importance and acts as a prerequisite in the overall personality development of an individual. Hearing impairment at any age has serious effects on the day to day life of an individual and he/she feels handicapped socially, emotionally, and scholastically. A child stuck with this malady is a back bencher in the class, excommunicative, and absent-minded. This study was conducted in order to find out various causes of hearing impairment in children and to study role of various audiological and radiological tests in finding the cause of impaired hearing in children. Aims and Objectives: To assess the possible etiological causes of hearing impairment in children. Study role of various audiological tests in finding the cause of impaired hearing in children. Study Design: Prospective study. Materials and Methods: This study was conducted in the Department of ENT and HNS of government medical college Srinagar. A total of 150 children of age range 0-14 years visited our ENT Department with complaints of impaired hearing, but only 70 children who met the inclusion criteria of impaired hearing and defective/delayed speech were selected for this study. Results of initial evaluation by means of comprehensive clinical history and followed by proper thorough systemic physical examination from head to toe was performed. These hearing impaired children were subjected to various subjective and objective tests; pure tone audiometry and behavioral observation audiometry were performed for subjective tests and impedance audiometry, Oto-acoustic emissions (OAE, and brainstem evoked response audiometry (BERA were performed for objective tests. Results: Possible etiological cause on the basis of history were birth anoxia (2

  15. Audiological Findings in Patients with Oculo-Auriculo-Vertebral Spectrum

    Science.gov (United States)

    Sleifer, Pricila; Gorsky, Natalya de Souza; Goetze, Thayse Bienert; Rosa, Rafael Fabiano Machado; Zen, Paulo Ricardo Gazzola

    2014-01-01

    Introduction Oculo-auriculo-vertebral spectrum, also referred to as Goldenhar syndrome, is a condition characterized by alterations involving the development of the structures of the first and second branchial arches. The abnormalities primarily affect the face, the eyes, the spine, and the ears, and the auricular abnormalities are associated with possible hearing loss. Objective To analyze the audiological findings of patients with oculo-auriculo-vertebral spectrum through liminal pure-tone audiometry and speech audiometry test. Methods Cross-sectional study conducted on 10 patients with oculo-auriculo-vertebral spectrum and clinical findings on at least two of the following areas: orocraniofacial, ocular, auricular, and vertebral. All patients underwent tonal and vocal hearing evaluations. Results Seven patients were male and three were female; all had ear abnormalities, and the right side was the most often affected. Conductive hearing loss was the most common (found in 10 ears), followed by sensorineural hearing loss (in five ears), with mixed hearing loss in only one ear. The impairment of the hearing loss ranged from mild to moderate, with one case of profound loss. Conclusions The results show a higher frequency of conductive hearing loss among individuals with the oculo-auriculo-vertebral spectrum phenotype, especially moderate loss affecting the right side. Furthermore, research in auditory thresholds in the oculo-auriculo-vertebral spectrum is important in speech therapy findings about the disease to facilitate early intervention for possible alterations. PMID:25992144

  16. Brazilian young adults and noise: attitudes, habits, and audiological characteristics.

    Science.gov (United States)

    Zocoli, Angela Maria Fontana; Morata, Thais Catalani; Marques, Jair Mendes; Corteletti, Lilian Jacob

    2009-01-01

    The objective of this study was to examine behaviors and attitudes of Brazilian teenagers towards noise, and determine their audiological characteristics. Participants were 245 young persons (14 to 18 years old) who attended private school. Behaviors and attitudes were measured using the validated Portuguese version of the Youth Attitude to Noise Scale (YANS). Pure-tone audiometry was used to evaluate the hearing of a sub-sample of 24 participants. Music played through personal media players was the most common exposure reported. A substantial percentage of participants reported temporary tinnitus (69%) after attending discos, music concerts, and listening to music through headphones. Tinnitus complaints were more frequent among females (41%) than males (27%). Four participants (1.6%) reported use of a hearing protector. Among a subsample of 24 participants, two (8%) young women had bilateral audiometric notches. YANS scores in the present study were slightly lower than those obtained in Sweden and the US, indicating a more negative attitude towards noise. Gender, age, country, and/or region are variables that will influence exposure to noise or music and possibly hearing outcomes. PMID:19863355

  17. Audiological, psychological and cognitive characteristics of tinnitus sufferers

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    Noorain Alam

    2012-01-01

    Full Text Available Objective: Tinnitus is widespread amongst clients attending hearing clinics and has been associated with a range of physical and emotional disorders. This study was undertaken with the assumption that tinnitus has a negative impact on psychological well-being as well as on mental concentration of the person. Materials and Methods: Three groups were selected, comprising 10 participants each. Two groups consisted of subjects with tinnitus complaints. The first group had no hearing loss (Tinnitus group (TIG, the second group had mild hearing loss (PTA >25, <40 dBHL (Tinnitus group with hearing impairment (TWHIG, and the third group had no tinnitus or hearing loss (Normal control group (NCG. After an audiological assessment, the following questionnaires were administered: 1 nature of tinnitus questionnaire, 2 tinnitus reaction questionnaire, 3 the symptom checklist (SCL-90-R, and 4 cognitive failure questionnaire (CFQ. Out of these, four were administered to all tinnitus groups while only the last two were administered on NCG. The results of these tests were compared using a t- test. Results: Participants with tinnitus reported significantly more psychological distress symptoms and everyday cognitive failures than the control group. Conclusion: Our assumption about the potential negative impact of tinnitus on psychological well-being as well as on mental concentration is supported by our study results. Implication: The present study indicates that there is a greater need for providing counseling as well as psychological intervention to reduce stress and assistance in coping with the cognitive failures for persons with tinnitus.

  18. Audiology profile in the military police state of São Paulo

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    Kinoshita, Sérgio Koodi

    2010-12-01

    Full Text Available Introduction: The military police are a population exposed to noise impact due to training with firearms. Objective: To investigate the audiological profile of the military police in São Paulo state, and to correlate the age and duration of exposure and audiological findings. Method: In this study of case series, cross-sectional audiological evaluation was performed in 200 police officers being 169 (84.5% were male and 31 (15.5% females, aged between 25 and 45 years (mean 38.83 ± 5.05, average service time of 16.80 ± 6.27 years. Results: The main complains were: tinnitus (n=52/26%, hearing loss (n=36/18%, ear fullness (n=24/12% and autophonia (n=24/12%. Impedance were found in 100% of type A curves (JERGER, 1970, and recruitment was present in 20 (10% cases. According to the results of audiometry, the data showed that 54 (27% right ears and 56 (28% left ears had hearing loss. The degree of loss with higher prevalence was 1 and 2 (MERLUZZI et al., 1979, 85 (42.5% cases. There was significant correlation between age and exposure time with the worsening of audiometric thresholds in both ears. Conclusion: From the audiological data analysis was possible that the military police are a population that presents a risk to develop hearing loss. Thus, we see the need for implementation of hearing conservation program for the military police.

  19. Auditory complaints and audiologic assessment in children with surgically repaired cleft lip and palate

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    Cerom, Jaqueline Lourenço

    2013-04-01

    Full Text Available Introduction: At the initial consultation, the speech-language pathologist and audiologist may consider possible diagnostic hypotheses based on the child's history and the parents' complaint. Aim: To investigate the association of hearing complaints with the findings obtained in the conventional audiologic assessment in children with cleft lip and palate. Retrospective study. Methods: We analyzed medical charts of 1000 patients with cleft lip and palate who underwent surgical repair between 1988 and 1995 at a mean age of 6 years 8 months. We excluded charts with records of inconsistent audiological responses and charts with missing data for any of the audiologic evaluations considered. Thus, the sample consisted of 393 records. Results: Two hundred thirty-nine patients presented hearing loss in one or both ears, but only 3.8% reported hearing complaints. The most frequent were otorrhea followed by otalgia. There was no statistical significance between the complaint and gender (p = 0.26 nor between the complaint and hearing loss (p = 0.83. Conclusion: This study showed no association between the hearing complaint and the conventional audiologic assessment.

  20. Epidemiology: An Essential Science for Speech-Language Pathology and Audiology.

    Science.gov (United States)

    Lubker, Bobbie Boyd

    1997-01-01

    Introduces epidemiology as a health science that is essential as a complement to the basic laboratory and clinical sciences in speech-language pathology and audiology. A definition of epidemiology is presented. Principles of epidemiology, including causal criteria, and concepts such as incidence, prevalence, and risk are discussed. (Author/CR)

  1. Factors Affecting Career Choice among Speech-Language Pathology and Audiology Students

    Science.gov (United States)

    Stone, Larissa; Pellowski, Mark W.

    2016-01-01

    This investigation assessed the factors affecting career choice among 474 current undergraduate and graduate speech-language pathology and audiology students (from four universities). A 14-item questionnaire was developed that included questions related to general influence of career choice and whether or not the participants had previously been,…

  2. Epidemiologic Issues in Audiology: Impact on Professional Training and Service Delivery.

    Science.gov (United States)

    Cameron, Thomas H.

    1997-01-01

    The benefits and disadvantages in conducting universal infant hearing screening and in the transition of audiology from a master's to a doctoral level profession are discussed from an epidemiological point of view. Epidemiologic strategies which may inform decision making in these two important and controversial areas are presented. (Author/CR)

  3. Tinnitus referral pathways within the National Health Service in England: a survey of their perceived effectiveness among audiology staff

    OpenAIRE

    Collins Luke; Hoare Derek J; Gander Phillip E; Smith Sandra; Hall Deborah A

    2011-01-01

    Abstract Background In the UK, audiology services deliver the majority of tinnitus patient care, but not all patients experience the same level of service. In 2009, the Department of Health released a Good Practice Guide to inform commissioners about key aspects of a quality tinnitus service in order to promote equity of tinnitus patient care in UK primary care, audiology, and in specialist multi-disciplinary centres. The purpose of the present research was to evaluate utilisation and opinion...

  4. A Systematic Approach to Find a Professional Audiology Clinic: Patient-Based Information.

    Science.gov (United States)

    Kim, Gungu; Kim, Gibbeum; Na, Wondo; Han, Woojae

    2016-09-01

    This brief communication introduced a systematic way to find a professional audiology clinic developed for patients and professionals by the American Academy of Audiology, American Speech-Language-Hearing Association, and Healthy Hearing. Patients can access each organization's website to find professionals and/or clinics based on criteria such as location, hours, special areas, types of service, reviews and rating by previous patients, and kinds of insurance accepted. Such a system may protect the patients from information overload, guarantee accurate information, and help them find themselves professional audiologists who can assist them. We expect professional organizations to adopt this system as soon as possible and link hearing-impaired patients with professional audiologists in Korea. PMID:27626086

  5. Study of the Reliability and Validity of Objective Structured Clinical Examination (OSCE) in the Assessment of Clinical Skills of Audiology Students

    OpenAIRE

    Nickbakht, Mansoureh; Amiri, Marzieh; Latifi, Seyed Mahmoud

    2013-01-01

    Introduction: Audiology students should possess clinical competence and skills. To achieve this, their clinical skills must be properly assessed. The Objective Structured Clinical Examination (OSCE) is a standard and fair examination of clinical competence. The goal of this study is to devise a checklist of OSCE examination criteria and study their validity and reliability for assessing the clinical competence of Audiology students. Methods: Among the various procedures in which audiology stu...

  6. Audiological and Ontological Findings in Acquired Immune-Deficiency Syndrome (AIDS

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    Farzaneh Vadoudfam

    2001-05-01

    Full Text Available The human immunodeficiency virus (HIV is the virus that causes AIDS (acquired immune-deficiency syndrome. Head and neck are the most common sites in contamination with this virus. HIV can affect outer, middle and inner parts of the ear. Changing in the color of the skin, effusion, infection and sudden hearing loss are some types of the audiological and ontological findings in such patients.

  7. OSSIC U LAR DEFECTS AND AUDIOLOGICAL PROFILE OF CHRONIC OTITIS MEDIA

    OpenAIRE

    Sathyaki; Jyothi Swarup; Mohan; Mamatha Rani; Anu; Manjunath

    2014-01-01

    BACKGROUND: CSOM is a common disorder which causes hearing deficit. It can be due to perforation of tympanic membrane or ossicular erosion. AIM: To study the ossicular erosion and audiological profile in patients with CSOM. MATERIALS AND METHODS: A total of 30 patients with CSOM who underwent surgery were included in the study. RESULTS: Hearing loss was significantly higher in males and in patient s with ossicular erosion. CONCLUSION: Ossicular erosio...

  8. Standardization of Data Elements of Audiology Records: A Suitable Model for Iran

    OpenAIRE

    Seyed Mahmoud Latifi; Shahla Zahednejad; Ahmad Azizi; Roya Ghasemzadeh; Mansoureh Nickbakht; Ali Asghar Arastoo

    2012-01-01

    Background and Aim: Providing high quality health care is not possible without information related to the past and current condition of the patient. Records show which services, where, when and by whom was delivered. Documentation is referred to the process of precisely recording the information regarding patient care and treatment. The purpose of this study is to determine the essential data set required in audiology record keeping and designing a model for Iran.Methods: In an applied resear...

  9. Audiology Service Satisfaction and Level of Anxiety in Parents with Hearing-Impaired Children

    OpenAIRE

    Farnoush Jarollahi; Hassan Ashayeri; Seyedeh Reyhaneh Amini; Mohammad Kamali

    2011-01-01

    Background and Aim: Hearing-impaired children make a lot of stress for the parents. Providing the parents of these children with suitable consultation and rehabilitation services results in increased satisfaction and reduced anxiety level. In this study we investigated the relationship between audiology service satisfaction and level of anxiety in parents of hearing-impaired children.Methods: Seventy-five parents of hearing-impaired children, whose problem was diagnosed during the last year, ...

  10. Utilization of Speech-Language Pathology and Audiology Services in Stroke Patients

    OpenAIRE

    Fridriksson, Julius; Frank, Elaine; Vesselinov, Roumen

    2005-01-01

    The purpose of this study was to investigate biographical and medical factors associated with utilization of speech-language pathology and audiology services provided to stroke patients in the hospital setting. Moreover, the study sought to identify possible sub-groups of stroke patients that might be under served by speech-language pathologists and audiologists. Discharge data for over 91,000 stroke patients from the years 1996 to 2000 were examined. Using a relatively new statistical approa...

  11. Internal Evaluation of Audiology Department, Faculty of Rehabilitation, Tehran University of Medical Sciences, Iran

    OpenAIRE

    Mahin Sedaie; Fereshteh Farzianpour; Mansoureh Adel Ghahraman; Ghasem Mohammad Khani; Jamileh Fattahi; Saeed Sarough Farahani; Nematollah Rouhbakhsh; Mahnaz Ahmadi

    2007-01-01

    Background and Aim: Internal Evaluation means assessment of abilities and potentials. To promote the quality of education, research, health and finally rehabilitation is one of the most important roles and responsibilities of the universities. Promotion of quality of the theoretical and practical education for the Audiology students provides this major with its final goal that is to serve society. The purpose of this study was to evaluate the strength, weaknesses, opportunities and threats (...

  12. Knowledge Translation in Audiology: Promoting the Clinical Application of Best Evidence

    OpenAIRE

    Moodie, Sheila T.; Kothari, Anita; Bagatto, Marlene P.; Seewald, Richard; Miller, Linda T; Susan D. Scollie

    2011-01-01

    The impetus for evidence-based practice (EBP) has grown out of widespread concern with the quality, effectiveness (including cost-effectiveness), and efficiency of medical care received by the public. Although initially focused on medicine, EBP principles have been adopted by many of the health care professions and are often represented in practice through the development and use of clinical practice guidelines (CPGs). Audiology has been working on incorporating EBP principles into its mandat...

  13. Management of tinnitus in English NHS audiology departments: an evaluation of current practice

    OpenAIRE

    Hoare, Derek J.; Gander, Phillip E; Collins, Luke; Smith, Sandra; Hall, Deborah A.

    2012-01-01

    Rationale, aim and objective In 2009, the UK Department of Health formalized recommended National Health Service practices for the management of tinnitus from primary care onwards. It is timely therefore to evaluate the perceived practicality, utility and impact of those guidelines in the context of current practice. Methods We surveyed current practice by posting a 36-item questionnaire to all audiology and hearing therapy staff that we were able to identify as being involved in tinnitus pat...

  14. Standardization of Data Elements of Audiology Records: A Suitable Model for Iran

    Directory of Open Access Journals (Sweden)

    Seyed Mahmoud Latifi

    2012-03-01

    Full Text Available Background and Aim: Providing high quality health care is not possible without information related to the past and current condition of the patient. Records show which services, where, when and by whom was delivered. Documentation is referred to the process of precisely recording the information regarding patient care and treatment. The purpose of this study is to determine the essential data set required in audiology record keeping and designing a model for Iran.Methods: In an applied research of a descriptive-comparative type which was carried out in 2010, data elements of audiology records of domestic and foreign patient notes were used to compile a check list which was subjected to debate by Iranian audiologists in Delphi method. 110 audiologists and 17 faculty members responded to the opinion poll.Results: From 51 elements which were subjected to discussion, 37 elements by more than 75 percent of the participants, nine elements by 50 to 75 percent of the participants and five elements by less than 50 percent of the participants, were agreed upon. The only element to be considered more important by faculty members than audiologists was "Gender" (p=0.018. Seventy percent of the participants valued the effectiveness of information in patient records very high.Conclusion: The minimum data set for audiology records must include demographic information, past medical history, patient assessment and treatment plan. With reference to record design principles this information was used to develop amodel for patient audiology record which also included the necessary instructions for completing it.

  15. Audiology practice management in South Africa: What audiologists know and what they should know

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    Deidré Breytenbach

    2015-02-01

    Full Text Available Background: In future, the South African Department of Health aims to purchase services from accredited private service providers. Successful private audiology practices can assist to address issues of access, equity and quality of health services. It is not sufficient to be an excellent clinician, since audiology practices are businesses that must also be managed effectively.Objective: The objective was to determine the existing and required levels of practice management knowledge as perceived by South African audiologists. Method: An electronic descriptive survey was used to investigate audiology practice management amongst South African audiologists. A total of 147 respondents completed the survey. Results were analysed by calculating descriptive statistics. The Z-proportional test was used to identify significant differences between existing and required levels of practice management knowledge. Results: Significant differences were found between existing and required levels of knowledge regarding all eight practice management tasks, particularly legal and ethical issues and marketing and accounting. There were small differences in the knowledge required for practice management tasks amongst respondents working in public and private settings. Conclusion: Irrespective of their work context, respondents showed that they need significant expansion of practice management knowledge in order to be successful, to compete effectively and to make sense of a complex marketplace.

  16. Audiological assessment modalities in children with multiple handicaps and parents′ perception

    Directory of Open Access Journals (Sweden)

    Noorain Alam

    2014-01-01

    Full Text Available Aim: Children with multiple disabilities have combination of various disabilities. Accurate hearing evaluation is difficult in this population. Audiologists, generally employ a test battery approach, which includes combining findings of parent impression with behavior observation audiometry (BOA as well as auditory brainstem evoked responses (ABR findings. This study was carried out to find if there exists a correlation among various steps in the test battery for children with multiple handicaps as well as to find out, which disability is the most common among this population. Methodology: A total of 103 numbers of children with multiple handicaps were chosen at random who were referred to C U Shah Institute of Audiology and Speech Therapy for audiological assessment. The three steps involved in assessment that is parental impression, BOA and ABR findings were taken into account. The relationship was obtained using data analysis. Results: It was found that among children with multiple handicaps referred for audiological assessment, mental retardation was the most common (32.03%. Furthermore, it was found that there were more contradictory findings between parent impression and ABR (48% when compared with parent impression with BOA (38%. In between BOA and ABR contradictory findings were found in 41% of cases. Conclusion: There are wide contradictions among various steps involved in assessment of children with multiple handicaps. Implication: Audiologist should use a test battery approach to assess hearing ability of this population and audiologists should interpret findings carefully at each level.

  17. Infection prevention and control measures currently applied in South African audiology

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    Katerina Ehlert

    2014-06-01

    Full Text Available Background: To counter the global increase in infection-related deaths, infection control has recently developed into an active area of research. Many diseases can be prevented by infection control. In the confines of the audiology clinic, cross-contamination by micro-organisms associated with opportunistic infections remains a real concern.Objective: The primary aim of the study was to ascertain the methods that audiologists in South Africa use to prevent and control the spread of infections during and after consultation with clients.Method: A survey study was conducted, using a self-administered questionnaire. Fifty currently practising audiologists participated in the study.Results: The majority (84%; n = 42 of respondents acknowledged the importance of hand hygiene for the purpose of infection control, with 76% (n = 38 making use of no-rinse hand sanitisers. Approximately a third of audiologists wear gloves during procedures such as otoscopy and immittance, and while handling hearing aids. Disinfecting audiological equipment seem to be the preferred choice of infection control, with only 60% (n = 30 of respondents sterilising audiological equipment after each individual patient consultation. Less than half of the respondents disinfected touch surfaces and toys in the reception area.Conclusions: Based on the results, further education and training should focus on measures implemented in infection control, awareness of possible risk factors at work settings, and vaccination as an effective means of infection control.

  18. Development of a progressive audiologic tinnitus management program for Veterans with tinnitus

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    Paula J. Myers, PhD

    2014-07-01

    Full Text Available Tinnitus is the most prevalent service-connected disability awarded to Veterans. However, clinical protocols for management of tinnitus have been inconsistent across Department of Veterans Affairs (VA medical centers. A study was funded to develop and pilot test a protocol to provide tinnitus services consistently across VA audiology clinics. Drawing on a series of prior VA and external research projects, a clinical model was formulated, supporting materials in multimedia were developed, and a pilot study was conducted. Five hierarchical levels of care were defined and labeled the Progressive Audiologic Tinnitus Management (PATM model. The model facilitates access to medical services for tinnitus and includes detailed protocols for evaluation, education, and counseling of patients. Patients at each level of care have the option to "progress" to the next level of PATM if further services are required. Clinical procedures were defined for each level and materials were produced for audiologists and patients. The PATM model was then piloted with clinical patients at the James A. Haley Veterans’ Hospital (JAHVH in Tampa, Florida. Throughout the pilot study, feedback from patients and clinicians was carefully noted. Training materials for audiologists, incorporation of the protocol into clinic activities, and patient outcomes were evaluated. The model was implemented within the JAHVH Audiology Clinic and to assist Veterans with tinnitus management. The most notable finding was how little tinnitus-specific intervention was required for the majority of patients. This finding supports a clinical model that offers stepped-care ("progressive" levels of care until tinnitus management is achieved by the patient.

  19. Partial Recovery of Audiological, Vestibular, and Radiological Findings following Spontaneous Intralabyrinthine Haemorrhage

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    Thomas Pézier

    2013-01-01

    Full Text Available The diagnosis, work-up, and treatment of sudden sensorineural hearing loss and sudden vestibular loss vary widely between units. With the increasing access to both magnetic resonance imaging and objective vestibular testing, our understanding of the various aetiologies at hand is increasing. Despite this, the therapeutic options are limited and without a particularly strong evidence base. We present a rare, yet increasingly diagnosed, case of intralabyrinthine haemorrhage (ILH together with radiological, audiological, and vestibular test results. Of note, this occurred spontaneously and has shown partial recovery in all the mentioned modalities.

  20. Universal neonatal audiological screening: experience of the University Hospital of Pisa

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    Baggiani Angelo

    2011-04-01

    Full Text Available Abstract The early identification of pre-lingual deafness is necessary to minimize the consequences of hearing impairment on the future communication skills of a baby. According to the most recent international guidelines the deafness diagnosis must occur before the age of three months and the prosthetic-rehabilitative treatment with a traditional hearing aid should start within the first six months. When a Cochlear implant becomes necessary, the treatment should start between the age of 12 months and 18 months. The only way to diagnose the problem early is the implementation of universal neonatal audiological screening programs. Transient evoked otoacoustic emissions (TEOAE is the most adequate test because it's accurate, economic and of simple execution. Automatic auditory brainstem response (AABR is necessary to identify patients with auditory neuropathy but it is also important to reduce the number of false-positives.The 20-30% of infant hearing impairment is represented by progressive or late-onset hearing loss (HL so it's also necessary to establish an audiological follow up program, especially in infants at risk. From November 2005 all neonates born in the University hospital of Pisa undergo newborn hearing screening. From 2008 the screening program follows the guidelines for the execution of the audiological screening in Tuscany which have been formulated by our group according to the 2007 JCIH Position Statement and adaptated to our regional reality by a multidisciplinary effort. From November 2005 to April 2009 8113 neonates born in the Neonatal Unit of Santa Chiara Hospital (Pisa have undergone newborn hearing screening. 7621 neonates (93.9% without risk factors executed only the TEOAE test. 492 (6.1% neonates had audiological risk factors and thus underwent TEOAE and AABR. 84 patients (1,04% failed both TEOAE and AABR tests. 78 of them underwent further investigations. 44 patients resulted falsepositives (the 0,54% of the screened

  1. Universal neonatal audiological screening: experience of the University Hospital of Pisa.

    Science.gov (United States)

    Ghirri, Paolo; Liumbruno, Annalisa; Lunardi, Sara; Forli, Francesca; Boldrini, Antonio; Baggiani, Angelo; Berrettini, Stefano

    2011-04-11

    The early identification of pre-lingual deafness is necessary to minimize the consequences of hearing impairment on the future communication skills of a baby. According to the most recent international guidelines the deafness diagnosis must occur before the age of three months and the prosthetic-rehabilitative treatment with a traditional hearing aid should start within the first six months. When a Cochlear implant becomes necessary, the treatment should start between the age of 12 months and 18 months. The only way to diagnose the problem early is the implementation of universal neonatal audiological screening programs. Transient evoked otoacoustic emissions (TEOAE) is the most adequate test because it's accurate, economic and of simple execution. Automatic auditory brainstem response (AABR) is necessary to identify patients with auditory neuropathy but it is also important to reduce the number of false-positives.The 20-30% of infant hearing impairment is represented by progressive or late-onset hearing loss (HL) so it's also necessary to establish an audiological follow up program, especially in infants at risk.From November 2005 all neonates born in the University hospital of Pisa undergo newborn hearing screening. From 2008 the screening program follows the guidelines for the execution of the audiological screening in Tuscany which have been formulated by our group according to the 2007 JCIH Position Statement and adaptated to our regional reality by a multidisciplinary effort. From November 2005 to April 2009 8113 neonates born in the Neonatal Unit of Santa Chiara Hospital (Pisa) have undergone newborn hearing screening. 7621 neonates (93.9%) without risk factors executed only the TEOAE test. 492 (6.1%) neonates had audiological risk factors and thus underwent TEOAE and AABR. 84 patients (1,04%) failed both TEOAE and AABR tests. 78 of them underwent further investigations. 44 patients resulted false positives (the 0,54% of the screened newborns). 34 neonates

  2. OSSIC U LAR DEFECTS AND AUDIOLOGICAL PROFILE OF CHRONIC OTITIS MEDIA

    Directory of Open Access Journals (Sweden)

    Sathyaki

    2014-02-01

    Full Text Available BACKGROUND: CSOM is a common disorder which causes hearing deficit. It can be due to perforation of tympanic membrane or ossicular erosion. AIM: To study the ossicular erosion and audiological profile in patients with CSOM. MATERIALS AND METHODS: A total of 30 patients with CSOM who underwent surgery were included in the study. RESULTS: Hearing loss was significantly higher in males and in patient s with ossicular erosion. CONCLUSION: Ossicular erosion can give rise to hearing loss of more than 60dB

  3. Influence of middle ear mucosal condition on post-tympanoplasty audiologic outcome.

    Science.gov (United States)

    Song, Chan Il; Hong, Hye Ran; Yoon, Tae Hyun

    2016-03-01

    In this study, the association between the middle ear mucosal condition and post-tympanoplasty audiologic outcome was investigated in patients with chronic otitis media without cholesteatoma. One hundred and forty-three patients with chronic otitis media were collected in the Department of Otorhinolaryngology-Head and Neck Surgery at Asan Medical Center between January, 2009 and December, 2011. In the course of tympanoplasty, the status of the middle ear mucosa was divided into normal or abnormal by one surgeon. Pure tone audiometry was performed preoperatively and postoperatively, and post-tympanoplasty tympanogram was also conducted to estimate the condition of middle ear cavity. Of the 143 patients, there were 73 patients with normal middle ear mucosa and 70 patients with abnormal middle ear mucosa around Eustachian tube opening. The mean ABG of subjects with normal middle ear mucosa was 20.1 dB preoperatively, and 9.7 dB postoperatively (p ear mucosa group (p = 0.137). Postoperative ABGs for 500 and 1000 Hz (7.1, 7.7 dB) in normal middle ear mucosa patients were significantly lower than those (17.2, 19.4 dB) in abnormal middle ear mucosa patients (p ear mucosa status and post-tympanoplasty audiologic outcomes. The better condition of middle ear ventilation, the better postoperative hearing thresholds revealed after tympanoplasty.

  4. Patient Complexity Charge Matrix for Audiology Services: A New Perspective on Unbundling

    Science.gov (United States)

    Windmill, Ian M.; Bishop, Charles; Elkins, Alex; Johnson, Mary Frances; Sturdivant, Grace

    2016-01-01

    Traditional approaches to unbundling hearing aid services often take existing bundled charges and then separate the charges across all potential services associated with dispensing the devices. However, this method results in every patient being charged the same amount even though the complexity of the service varies across patients. We describe a model of charging for hearing aid services that takes into account three elements associated with patient services (i.e., assessing hearing status, audiologic decision making and interpretation, and counseling and treatment options) and two levels of complexity (straightforward and complex). Using this approach, there is negligible long-term financial impact on a practice however patients will perceive a lower overall cost for amplification. Additionally, this approach provides a payment structure more representative of the professional value of each visit.

  5. Introduction to audiology: Some basics about hearing loss, hearing technologies and barriers to hearing aid use

    DEFF Research Database (Denmark)

    Mourtou, Eleni; Meis, Markus

    2012-01-01

    This chapter provides background information for researchers who wish to become familiar with some basic medical and audiological aspects of hearing loss and the technology of hearing aids. It introduces (1) the disciplines involved in research on hearing loss, (2) the medical categories of hearing...... loss and their various effects on communication, (3) the different degrees of hearing loss as defined by different national and international organizations, (4) statistics on the preva- lence of hearing loss worldwide, (5) some technological aspects of hearing instruments, (6) sta- tistics on non......-usage of hearing instruments worldwide, and (7) barriers to using hearing aids. Since hearing loss is a worldwide pervasive phenomenon which is likely to increase even further in the future, the authors point out that an understanding of the non-use of hearing aids is crucial....

  6. Audiological and psychological characteristics of a group of tinnitus sufferers, prior to tinnitus management training.

    Science.gov (United States)

    Dineen, R; Doyle, J; Bench, J

    1997-02-01

    A profile of audiological and psychological characteristics, obtained before starting tinnitus management training, is presented for 96 subjects with tinnitus. Variability was marked in all measures. A history of headaches, neck or back pain, or balance problems was not related to the ability to cope with tinnitus. The coping strategies used to manage tinnitus were influenced by the beliefs held about tinnitus, but the coping strategies chosen were not necessarily effective. No gender differences were found in coping ability or overall stress levels, although there were gender differences on some psychological measures and stress influences. Subjects who had previously sought assistance differed from those who had not in the complexity of the tinnitus sounds, the level of emotional reaction and the use of coping behaviours. PMID:9056041

  7. Audiologic and otoacoustic emission evaluation in individuals exposed to noise and plaguecides

    Directory of Open Access Journals (Sweden)

    Morini, Renata Graziele

    2009-09-01

    Full Text Available Introduction: The noise induced hearing loss (NIHL has been studied for many years and today the specialized literature also studies the synergic action of chemicals. Objective: To research the audiologic findings and DPOAE in workers exposed to occupational noise and plaguecides and to compare them with data obtained in individuals without exposure to these harmful elements. Method: 51 individuals were evaluated (102 ears, divided into three groups. Group I was composed by 17 workers with exposure to noise and plaguecides, all with neurosensorial auditory loss; group II was composed by 17 workers with exposure to noise and plaguecides with audiometric thresholds within normality standards (up to 25 dBNA and group III by 17 healthy individuals without auditory alterations and without exposure to noise and plaguecides, control group. Results: In the audiologic anamnesis, as for groups I and II, we observed that the main auditory complaints presented by the workers were those of recruitment (29.5%, tinnitus (26.5%, allergy (23.5% and arterial hypertension (12%. The findings of the audiometry appointed that the research's individuals did not present with auditory losses in the frequencies of 500 Hz, 1 and 2 kHz, the losses occurred in the frequencies of 3 and 8 kHz. As for the distortion-product otoacoustic emissions (DPOAEs, we observed that the individuals in group III had a major incidence of responses when compared to those of groups I and II. Conclusion: The results analysis allowed us to conclude that the DPOAE test represents an important tool for follow up and prevention of NIHL.

  8. The Virtual Man Project's CD-ROM "Voice Assessment: Speech-Language Pathology and Audiology & Medicine", Vol.1

    Directory of Open Access Journals (Sweden)

    Millena Maria Ramalho Matta Vieira

    2009-01-01

    Full Text Available The CD-ROM "Voice Assessment: Speech-Language Pathology and Audiology & Medicine" was developed as a teaching tool for people interested in the production of the spoken or sung human voice. Its content comprises several subjects concerning the anatomy and physiology of spoken and sung voice. A careful assessment becomes necessary in order to ensure the effectiveness of teaching and learning educational materials, whether related to education or health, within the proposal of education mediated by technology. OBJECTIVE: This study aimed to evaluate the efficacy of the Virtual Man Project's CD-ROM "Voice Assessment: Speech-Language Pathology and Audiology & Medicine", as a self-learning material, in two different populations: Speech-Language Pathology and Audiology students and Lyrical Singing students. The participants were instructed to study the CD-ROM during 1 month and answer two questionnaires: one before and another one after studying the CD-ROM. The quantitative results were compared statistically by the Student's t-test at a significance level of 5%. RESULTS: Seventeen out of the 28 students who completed the study, were Speech-Language Pathology and Audiology students, while 11 were Lyrical Singing students (dropout rate of 44%. Comparison of the answers to the questionnaires before and after studying the CD-ROM showed a statistically significant increase of the scores for the questionnaire applied after studying the CD-ROM for both Speech-Language Pathology and Audiology and Lyrical Singing students, with p<0.001 and p<0.004, respectively. There was also a statistically significant difference in all topics of this questionnaire for both groups of students. CONCLUSION: The results concerning the evaluation of the Speech-Language Pathology and Audiology and Lyrical Singing students' knowledge before and after learning from the CD-ROM allowed concluding that the participants made significant improvement in their knowledge of the proposed

  9. What Is the International Classification of Functioning, Disability and Health and Why Is It Relevant to Audiology?

    Science.gov (United States)

    Meyer, Carly; Grenness, Caitlin; Scarinci, Nerina; Hickson, Louise

    2016-08-01

    The World Health Organization's International Classification of Functioning, Disability and Health (ICF) is widely used in disability and health sectors as a framework to describe the far-reaching effects of a range of health conditions on individuals. This biopsychosocial framework can be used to describe the experience of an individual in the components of body functions, body structures, and activities and participation, and it considers the influence of contextual factors (environmental and personal) on these components. Application of the ICF in audiology allows the use of a common language between health care professionals in both clinical and research settings. Furthermore, the ICF is promoted as a means of facilitating patient-centered care. In this article, the relevance and application of the ICF to audiology is described, along with clinical examples of its application in the assessment and management of children and adults with hearing loss. Importantly, the skills necessary for clinicians to apply the ICF effectively are discussed. PMID:27489397

  10. Acoustic CR Neuromodulation Therapy for Subjective Tonal Tinnitus: A Review of Clinical Outcomes in an Independent Audiology Practice Setting

    OpenAIRE

    Williams, Mark; Hauptmann, Christian; Patel, Nitesh

    2015-01-01

    Objective: To describe the quantitative treatment outcomes of patients undergoing acoustic coordinated reset (CR) neuromodulation at a single independent audiology practice over a 22- to 26-week period as part of an open label, non-randomized, non-controlled observational study. Methods: Sixty-six patients with subjective tonal tinnitus were treated with acoustic CR neuromodulation with a retrospective review of patient records being performed in order to identify changes of visual analog ...

  11. Are we there yet? On a journey towards more contextually relevant resources in speech-language therapy and audiology

    OpenAIRE

    Michelle Pascoe; Christine Rogers; Vivienne Norman

    2013-01-01

    Audiologists and speech-language therapists working in developing contexts like South Africa have the opportunity to address a range of needs through their research. One of these needs is the development of assessments and therapy materials that are appropriate for their clients’particular language needs and cultural background. This editorial paper aims to introduce original research in speech-language therapy and audiology, which has been carried out in South Africa and other developing con...

  12. The Virtual Man Project's CD-ROM "Voice Assessment: Speech-Language Pathology and Audiology & Medicine", Vol.1

    OpenAIRE

    Millena Maria Ramalho Matta Vieira; Giédre Berretin-Felix; Alcione Ghedini Brasolotto

    2009-01-01

    The CD-ROM "Voice Assessment: Speech-Language Pathology and Audiology & Medicine" was developed as a teaching tool for people interested in the production of the spoken or sung human voice. Its content comprises several subjects concerning the anatomy and physiology of spoken and sung voice. A careful assessment becomes necessary in order to ensure the effectiveness of teaching and learning educational materials, whether related to education or health, within the proposal of education mediate...

  13. Ira as a pioneer in audiology: His contributions to the clinical measurement of hearing and hearing impairment

    Science.gov (United States)

    Formby, C.; Gagne, J. P.

    2002-05-01

    Ira Hirsh's contributions to clinical science and research are diverse and significant. In fact, approximately one-third of the 100+ publications that Ira lists in his curriculum vitae (CV) are clinical in nature, dealing with various aspects of audiology, deafness, hearing aids, aural rehabilitation, and speech and language pathology. The majority of these citations, fully one-quarter of his publication list, addresses problems specific to the clinical measurement of hearing and hearing impairment. Undoubtedly, the most influential of these published works appears in his CV under the citation ``The Measurement of Hearing.'' The forward for this publication, his only textbook, was penned in June, 1952 (now precisely half a century past at the time of this session). The aims of this presentation are to (1) provide perspective on the fundamental importance of his virtually timeless text in shaping the fledgling discipline of audiology, and (2) celebrate Ira's many contributions to the profession and practice of audiology. [Preparation for this presentation was supported, in part, by a K24 career development award from NIDCD.

  14. Novas tecnologias educacionais no ensino da Audiologia New educational technologies in Audiology teaching

    Directory of Open Access Journals (Sweden)

    Wanderléia Quinhoneiro Blasca

    2010-12-01

    Full Text Available OBJETIVO: elaborar, aplicar e avaliar um modelo de Teleducação Interativa para o ensino da Audiologia, disciplina de Aparelhos de Amplificação Sonora Individual. MÉTODOS: participaram deste estudo 13 alunos do 2º ano do curso de Fonoaudiologia de uma universidade pública do município de Bauru-SP. O programa de Teleducação Interativa foi elaborado, utilizando um tutor eletrônico, o Cybertutor. Os participantes receberam uma senha de acesso ao conteúdo teórico da disciplina. O prazo estabelecido foi de 30 dias, sendo que o aluno poderia acessar quantas vezes julgasse necessário. Para a avaliação do programa foi realizada a aplicação de dois questionários, sendo um referente ao conteúdo didático-teórico da disciplina de Aparelhos de Amplificação Sonora Individual e outro referente ao objeto de aprendizagem utilizado (Cybertutor. O questionário didático-teórico avaliou a efetividade do programa na aprendizagem do aluno e foi aplicado em dois momentos distintos, ou seja, pré e pós-teste. O questionário referente ao Cybertutor abordou aspectos de aceitação, viabilidade e interatividade. Para a análise dos resultados foi utilizado o teste Wilcoxon (p PURPOSE: to develop, implement and evaluate a model of Interactive Tele-education for teaching Audiology, discipline of hearing aids. METHODS: 13 students from 2nd year of speech-language pathology in a public university of the city of Bauru-SP. The program of Interactive Tele-education was prepared, using a 'Cybertutor' (a website-based educational environment. The students received a password to access the theoretical content of the discipline. The deadline was 30 days, the students could access as often as they deemed being necessary. For evaluating the application, we applied 2 questionnaires, one related to the didactic-theoretical content of the discipline of hearing aids and the other one related to the used learning object (Cybertutor. The questionnaire assessed the

  15. Cochlear Implants in Subjects Over Age 65: Quality of Life and Audiological Outcomes.

    Science.gov (United States)

    Aimoni, Claudia; Ciorba, Andrea; Hatzopoulos, Stavros; Ramacciotti, Giulia; Mazzoli, Manuela; Bianchini, Chiara; Rosignoli, Monica; Skarżyński, Henryk; Skarżyński, Piotr H

    2016-01-01

    BACKGROUND Cochlear implants (CIs) have been recognized as a safe and effective means for profound hearing loss rehabilitation in children and adults and recently their use has been extended to subjects over 65 years of age. The aim of this paper was to assess indices related to changes in the quality of life (QoL) in elderly CI recipients. MATERIAL AND METHODS A case-control paradigm was used to assess the effects of CIs on the QoL. Forty-two subjects were assigned to the Case group and 15 subjects to the Control group. All 57 subjects were affected by profound hearing loss and had received a CI. Audiological data were collected from both groups at: (i) 1 month pre-implantation [T1]; (ii) 1 day pre- implantation [T2]; (iii) 30 days post-implantation, with CI used in free field [T3]; and (iv) 12 months post-implantation, with CI used in a free field [T4]. The QoL was assessed via a Glasgow Benefit Inventory (GBI) questionnaire, adapted to otolaryngology. To compare subjects across different ages with varying degrees of speech development, a perception parameter was used from the Speech Perception Categories test developed by Geers and Moog. RESULTS Hearing performance was considerably improved after CI. In relation to the hearing performance at time T1, statistically significant threshold gains were observed in both groups in the T3 and T4 observation windows. At time T4, a threshold gain of 70 dB HL in the Case group and a gain of 84 dB HL in the Control group were observed. With speech therapy rehabilitation, a perception level of 6 was reached by 80.0% of patients in the Case group and by 100% of patients in the Control group. In terms of QoL, both groups showed improved post-CI scores. Statistical differences were observed between the 2 groups, with the Control group outperforming the Case group in all but the social section. CONCLUSIONS Despite age-related changes in auditory system and prolonged hearing deprivation, CIs offer audiological and QoL benefits in

  16. Audiological findings in patients treated with radio- and concomitant chemotherapy for head and neck tumors

    International Nuclear Information System (INIS)

    To evaluate the functionality of the auditory system in patients who underwent radiotherapy and chemotherapy treatment with cisplatin to treat head and neck tumors. Case series with planned data collection. From May 2007 to May 2008 by the Department of Otorhinolaryngology and the Department of Oncology/Radiotherapy at Faculdade de Medicina de Marília. Audiological evaluation (Pure Tone Audiometry (air and bone conduction), Speech Audiometry, Tympanometry, Acoustic Reflex testing and Distortion Product Otoacoustic Emissions) was performed in 17 patients diagnosed with head and neck neoplasia and treated with chemotherapy, using cisplatin, and radiotherapy. 12 left ears (70.5%) and 11 right ears (64.7%) presented bilateral decreased hearing soon after the treatment for the frequency 1 kHz (mild auditory damage) and for the frequency 8 kHz (more significant auditory damage). Patients with head and neck cancer submitted to the conventional radiotherapy treatment, combined with the chemotherapy with cisplatin, presented a high incidence of decreased hearing by the end of treatment. Strong evidence was observed linking auditory alteration to the amount of radiotherapy treatment

  17. Prevalence of hearing impairment in elderly patients referred to the audiology service in Manaus, Amazon

    Directory of Open Access Journals (Sweden)

    Karla Geovanna Moraes Crispim

    2012-12-01

    Full Text Available Objective: To describe the audiological findings (type, audiometric configuration, degree of hearing loss and its association with gender and age in subjects aged over 60 years, treated at outpatient clinic of specialties of Manaus. Methods: A cross-sectional epidemiological descriptive study conducted with the universe of elderly who underwent audiometry from January to December 2010, with a total of 574 subjects. To classify the type, degree and configuration of hearing loss, we used the criteria adopted by Santos & Russo, Davis & Silverman and Silman & Silverman, respectively. Statistical analysis was performed using measures of central tendency, dispersion and frequency distributions. To check for statistically significant differences, we used the chi-square test, with a significance level of 5% (p ≤ 0.05. Results: The prevalence of 94.4% (n = 542 of hearing loss, sensorineural predominantly (85.5%, n = 491 and mild (60%, n = 188 in females and degree moderate or greater in males (50%, n = 130, downward sloping (54.2%, n = 311 in both sexes. The percentage of normality was low, with 261 (3.4% for men and 313 (7.3% for women. Conclusion: The prevalence of hearing loss increased with age, being equal to 100% in individuals 80 years or older, and men have the worst hearing thresholds. There is need for greater awareness about hearing loss in the elderly, needing additional population-based and multicentric studies in order to support public policies.

  18. Development and evaluation of a linguistically and audiologically controlled sentence intelligibility test.

    Science.gov (United States)

    Uslar, Verena N; Carroll, Rebecca; Hanke, Mirko; Hamann, Cornelia; Ruigendijk, Esther; Brand, Thomas; Kollmeier, Birger

    2013-10-01

    To allow for a systematic variation of linguistic complexity of sentences while acoustically controlling for intelligibility of sentence fragments, a German corpus, Oldenburg linguistically and audiologically controlled sentences (OLACS), was designed, implemented, and evaluated. Sentences were controlled for plausibility with a questionnaire survey. Verification of the speech material was performed in three listening conditions (quiet, stationary, and fluctuating noise) by collecting speech reception thresholds (SRTs) and response latencies as well as individual cognitive measures for 20 young listeners with normal hearing. Consistent differences in response latencies across sentence types verified the effect of linguistic complexity on processing speed. The addition of noise decreased response latencies, giving evidence for different response strategies for measurements in noise. Linguistic complexity had a significant effect on SRT. In fluctuating noise, this effect was more pronounced, indicating that fluctuating noise correlates with stronger cognitive contributions. SRTs in quiet correlated with hearing thresholds, whereas cognitive measures explained up to 40% of the variance in SRTs in noise. In conclusion, OLACS appears to be a suitable tool for assessing the interaction between aspects of speech understanding (including cognitive processing) and speech intelligibility in German. PMID:24116439

  19. AUDIOLOGICAL EVALUATION IN AUTO - IMMUNE SKIN DISEASES : A CLINICAL STUDY OF 124 PATIENTS

    Directory of Open Access Journals (Sweden)

    Sesha Prasad

    2015-04-01

    Full Text Available INTRODUCTION : 124 patients with common dermatological conditions with an auto - immune etiology are evaluated for hearing , irrespective of complaints of hearing loss . Auto - immunity is described as an etiology of Sudden or Progressive Sensory neural Hearing Loss ; similarly auto - immunity is described as an etiology for many skin diseases like Psoriasis , De rmatomyositis etc ., and the present study evaluates hearing thresholds in patients with auto - immune skin disorders . Auto - immunity is the etiology for both these conditions , causes many changes in the micro vasculature of the various organs and produces imm une complexes in the body . Hence evaluation of other organs in the presence of clinically evident autoimmune disease in one organ will guide the clinician for early diagnosis of auto immunity . So the patients with alopecia areata , Dermatomyositis , Psoriasis , Systemic sclerosis , Systemic Lupus Erythematoses , Vitiligo , Epidermolysis Bullosa and scleroderma are included in the present study for hearing evaluation . MATERIALS AND METHODS : 124 Patients attending the department of Dermatology and diagnosed with the following diseases are included in the present study ; 1 . Alopecia areata 2 . Dermatomyositis 3 . Psoriasis 4 . Systemic sclerosis 5 . Systemic Lupus Erythematoses 6 . Vitiligo 7 . Epidermolysis Bullosa . This is a prospective study conducted at GGH , Kur nool , and Andhra Pradesh . The diagnosis of the clinical entities included in this study is done according to clinical and Histopathological findings . The patients are referred from the Department of Dermatology for evaluation . After thorough history taking , the Patients are subjected for ENT examination . Pure Tone Audiometry at 250 , 500 , 1 , 000 , 2 , 000 , 4 , 000 , 6 , 000 and 8 , 000 Hz is done followed by Impedance audiometry ; including tympanometry and acoustic reflexes are done . CONCLUSION : Audiological evaluation in autoimmune skin diseases

  20. Self-esteem in hearing-impaired children: the influence of communication, education, and audiological characteristics.

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    Stephanie C P M Theunissen

    Full Text Available OBJECTIVE: Sufficient self-esteem is extremely important for psychosocial functioning. It is hypothesized that hearing-impaired (HI children have lower levels of self-esteem, because, among other things, they frequently experience lower language and communication skills. Therefore, the aim of this study was to compare HI children's self-esteem across different domains with those of normal hearing (NH children and to investigate the influence of communication, type of education, and audiological characteristics. METHODS: This large (N = 252 retrospective, multicenter study consisted of two age- and gender-matched groups: 123 HI children and 129 NH controls (mean age  = 11.8 years. Self-reports were used to measure self-esteem across four domains: perceived social acceptance by peers, perceived parental attention, perceived physical appearance, and global self-esteem. RESULTS: HI children experienced lower levels of self-esteem regarding peers and parents than NH controls. Particularly HI children who attended special education for the deaf were at risk, even after correcting for their language development and intelligence. Yet, levels of global self-esteem and self-esteem involving physical appearance in HI children equalled those of NH controls. Furthermore, younger age at implantation and longer duration of having cochlear implants (CIs were related to higher levels of self-esteem. CONCLUSION: HI children experience lower levels of self-esteem in the social domains. Yet, due to the heterogeneity of the HI population, there is high variability in levels of self-esteem. DISCUSSION: Clinicians must always be aware of the risk and protective factors related to self-esteem in order to help individual patients reach their full potential.

  1. National survey of paediatric audiological services for diagnosis and intervention in the South African private health care sector

    Directory of Open Access Journals (Sweden)

    Miriam E. Meyer

    2014-06-01

    Full Text Available Objective: A national survey of early hearing detection and intervention services was undertaken to describe the current status of diagnostic and intervention services in the South African private health care sector.Methods: All private hospitals with obstetric units (n = 166 were surveyed telephonically. The data was integrated with data collected from self-administered questionnaires subsequently distributed nationally to private audiology practices providing hearing screening at the respective hospitals reporting hearing screening services (n = 87. Data was analysed descriptively to yield national percentages and frequency distributions.Results: Average reported age at diagnosis was 11 months. Most participants (74% indicated that less than 20% of infants fitted with hearing aids received amplification before the age of 6 months. Most (64% participants indicated that the average period between confirmed diagnosis and hearing aid fitting was 1 month, on par with international benchmarks. Only 16%–23% of participants included all diagnostic procedures recommended by the Health Professions Council of South Africa’s 2007 position statement for minimum diagnostic test batteries for infants and young children.Conclusions: Diagnosis of hearing loss, hearing aid fitting and audiological intervention is delayed significantly in the South African private health care sector. Improved services should include integrated systematic hospital-based screening as part of birthing packages with diagnostic referral to specialist paediatric audiologists for accurate assessment and management of patients in a timely manner.

  2. OTOSCLEROSI S - AN EVALUATION OF CLINICAL AND AUDIOLOGIC FINDINGS; OUTCOME AND COMPLICATIONS OF SMALL FENESTRA STAPEDOTOMY

    Directory of Open Access Journals (Sweden)

    Sunil Kumar

    2015-05-01

    stapedectomy operation for Otosclerosis and replaced the stapes bone with a polyethylene tube prosthesis and vein graft. Small fenestra stapedectomy is a more precise method of creating a hole in footplate rather than total footplate removal. It gives less post - operative vertigo and better high frequency hearing compared to total footplate removal. The present st udy is a longitudinal clinical study on Otosclerosis with emphasis on clinical and audiological features, per operative findings, outcome and complications of stapedectomy. The objective is to study the demographic and clinical features of Otosclerosis in this part of Kerala; to analyze the results of audiometry and operative notes of Otosclerosis; to describe the outcome and incidence of complications of small fenestra stapedectomy in Otosclerosis

  3. Assessment of middle ear effusion and audiological characteristics in young children with adenoid hypertrophy

    Institute of Scientific and Technical Information of China (English)

    REN Dong-dong; WANG Wu-qing

    2012-01-01

    Background Otitis media with effusion is a highly concurrent disease in young children with adenoid hypertrophy.The aim of this study was to assess the middle ear effusion and audiological characteristics in children with adenoid hypertrophy and compare the various assessment methods.@@Methods Two hundred and seven candidates who were to undergo adenoidectomy were analyzed using otoscopy,tympanometry,air-conduction auditory steady-state responses (AC-ASSR),and computerized tomography (CT) before adenoidectomy.@@Results About 73.4% (304/414) of ears were confirmed to have middle ear effusion (MEE) by otoscopy; 75.4% (312/414) of ears revealed MEE by CT.CT scan correctly predicted all the myringotomy results,giving 100% accuracy on the diagnosis of MEE.Additionally,CT revealed two children with inner ear malformations.Type B tracing tympanogram provided a sensitivity of 91.7% and a specificity of 92.2%.Type C tympanogram with peak pressure <-200 daPa indicated effusion; type C tympanogram having acoustic stapedius reflex could exclude MEE.We excluded the AC-ASSR results of the 4 ears with malformation; 54.4% (223/410) of ears were confirmed of hearing loss.Furthermore,5.2%(16/310) of the ears with MEE suffered from severe to profound hearing loss.The average threshold level in the 0.25 kHz frequency of children was found to have poorer hearing thresholds than those in the 0.5,1,2,and 4 kHz (P <0.001) frequencies; 29.7% (92/310) of ears with MEE were regarded as normal hearing level.About 55.8% (173/310) of ears with MEE were classified as having slight-mild hearing loss.@@Conclusions The practitioners should pay much attention to the middle ear condition and be aware of a possible development of severe to profound hearing loss during the course of MEE in young children with adenoid hypertrophy.CT scan is good for the assessment of MEE before ventilation tube insertion.

  4. Salary-Trend Study of Faculty in Audiology and Speech Pathology for the Years 1983-84 and 1986-87.

    Science.gov (United States)

    Howe, Richard D.; Vong, Laurie

    Average salary increases for 805 faculty in the field of audiology and speech pathology are reported for 1983-1984 and 1986-1987, as part of the College and University Personnel Association's annual faculty salary studies. Included are comparative data for 120,580 faculty at 167 public colleges and 235 private colleges, representing 44 academic…

  5. Salary-Trend Study of Faculty in Audiology and Speech Pathology for the Years 1982-83 and 1985-86.

    Science.gov (United States)

    Howe, Richard D.; Carlton, J. Beth

    Average salary increases for 824 faculty in the field of audiology and speech pathology are reported for 1982-1983 and 1985-1986, as part of the College and University Personnel Association's annual faculty salary studies. Included are comparative data for 108,074 faculty at 174 public colleges and 193 private colleges, representing 41 academic…

  6. CONTRIBUTION OF THE AUDIOLOGICAL AND VESTIBULAR ASSESSMENT TO THE DIFFERENTIAL AND ETIOLOGICAL DIAGNOSIS OF PERIPHERIC VESTIBULAR SYNDROMES

    Directory of Open Access Journals (Sweden)

    Loreta Ungureanu

    2012-09-01

    Full Text Available Scope of the study: Vestibular pathology is a complex one, requiring a minute clinical evaluation, as well as numerous paraclinical investigations. The present study analyzes the contribution of the modern methods of vestibular and auditive investigation to the diagnosis of dizziness. Materials and method: The results of the investigations performed on 84 patients with peripheric vestibular syndrome, on whom a complete audiological and vestibular assessment had been also made, have been retrospectively analyzed. Results: Anamnestic data and the results of evaluation permitted classification of peripheric vestibular pathology according to topo-lesional and etiological criteria. The most frequently diagnosed diseases were: benign paroxysmal positional vertigo, Ménière syndrome and vestibular neuronitis. Conclusions: Testing of the vestibulo-ocular and vestibulo-spinal reflexes through videonystagmoscopy and, respectively, computerized dynamic posturography, besides tonal vocal audiometry and precocious auditive potentials, is especially important for a positive diagnosis and etiological differentiation of vestibular syndromes.

  7. Data Acquisition, Management, and Analysis in Support of the Audiology and Hearing Conservation and the Orbital Debris Program Office

    Science.gov (United States)

    Dicken, Todd

    2012-01-01

    My internship at Johnson Space Center, Houston TX comprised of working simultaneously in the Space Life Science Directorate (Clinical Services Branch, SD3) in Audiology and Hearing Conservation and in the Astromaterials Research and Exploration Sciences Directorate in the Orbital Debris Program Office (KX). The purpose of the project done to support the Audiology and Hearing Conservation Clinic (AuHCon) is to organize and analyze auditory test data that has been obtained from tests conducted onboard the International Space Station (ISS) and in Johnson Space Center's clinic. Astronauts undergo a special type of auditory test called an On-Orbit Hearing Assessment (OOHA), which monitors hearing function while crewmembers are exposed to noise and microgravity during long-duration spaceflight. Data needed to be formatted to assist the Audiologist in studying, analyzing and reporting OOHA results from all ISS missions, with comparison to conventional preflight and post-flight audiometric test results of crewmembers. Orbital debris is the #1 threat to manned spacecraft; therefore NASA is investing in different measurement techniques to acquire information on orbital debris. These measurements are taken with telescopes in different parts of the world to acquire brightness variations over time, from which size, rotation rates and material information can be determined for orbital debris. Currently many assumptions are taken to resolve size and material from observed brightness, therefore a laboratory (Optical Measurement Center) is used to simulate the space environment and acquire information of known targets suited to best model the orbital debris population. In the Orbital Debris Program Office (ODPO) telescopic data were acquired and analyzed to better assess the orbital debris population.

  8. Salary-Trend Study of Faculty in Speech-Language Pathology and Audiology for the Years 1995-96 and 1998-99.

    Science.gov (United States)

    Howe, Richard D.

    This report, covering 1,433 speech-language pathology and audiology faculty, is part of an annual national survey of faculty salaries. The survey is in two parts one covering public and one covering private four-year colleges and universities. Data for the l995-96 baseline year and 1998-99 trend year were collected for full-time teaching faculty…

  9. International Collegium of Rehabilitative Audiology (ICRA) recommendations for the construction of multilingual speech tests ICRA Working Group on Multilingual Speech Tests

    OpenAIRE

    Akeroyd, Michael A.; Arlinger, Stig; Bentler, Ruth A.; Boothroyd, Arthur; Dillier, Norbert; Dreschler, Wouter A.; Gagne, Jean-Pierre; Lutman, Mark; Wouters, Jan; Wong, Lena; Kollmeier, Birger

    2015-01-01

    Objective: To provide guidelines for the development of two types of closed-set speech-perception tests that can be applied and interpreted in the same way across languages. The guidelines cover the digit triplet and the matrix sentence tests that are most commonly used to test speech recognition in noise. They were developed by a working group on Multilingual Speech Tests of the International Collegium of Rehabilitative Audiology (ICRA). Design: The recommendations are based on reviews of ex...

  10. The realization of the auditory universal neonatal hearing screening program during 2002-2008 in the Department of Phoniatrics and Audiology at the Medical University in Poznan

    OpenAIRE

    Sekula, A; Obrebowski, A; Jackowska, J; Szyfter-Harris, J; Hashimoto, A; Kaminska, I

    2008-01-01

    Introduction: Since Autumn 2002, a Program of Universal Neonatal Hearing Screening (UNHS) has been introduced to whole Poland. It includes 3 diagnostic levels. The first one takes place in all (c.500) neonatological units in Poland. Over 98% of newborns have been examined (over 1,000,000 ). Infants at about 3 months of age enter the second level of the Program. Over 50 audiological council centres organize this level of the Program. Infants are examined during 1-day hospitalization. The thir...

  11. Analysis of the Audiological Diagnostic Results in 1 667 Infants Referred for Diagnosis Audiological Evaluation%1667例听力筛查转诊婴幼儿听力学诊断结果分析

    Institute of Scientific and Technical Information of China (English)

    林少莲; 叶胜难; 林有辉; 舒博

    2013-01-01

    Objective To study the audiological diagnostic results of 1 667 cases of hearing screening referral infants. Methods We analyzed the audiological diagnostic results including response (ABR) , auditory steady-state response (ASSR) , distortion product otoacoustic emission the (DPOAE) , and the acoustic impedance in 1 667 in lants failed the hearing screening. Results From all 1 667 case,506 cases (506/1 667,30. 35%) of normal hearing, 298 cases (298/1 667,17. 80%) of unilateral hearing loss, 863 cases (863/1 667,51. 77%) of bilateral hearing loss, 646 cases of sensorineural hearing loss, and 217 cases of conductive hearing loss or mixed hearing loss were destndy. There were mild hearing loss in 219 cases, moderate hearing loss in 157 cases, moderate to severe hearing loss in 155 cases, severe hearing loss in 119 cases and proufound hearing loss in 511 cases. Conclusion The hearing loss de tection rate was 69. 65% in these referral infants.%目的 分析1 667例听力筛查转诊婴幼儿的听力学诊断结果.方法 对1 667例听力筛查未通过而转诊的婴幼儿进行听性脑干反应(ABR)、听性稳态反应(ASSR)、畸变产物耳声发射(DPOAE)、声导抗等测试,分析其结果.结果 1 667例转诊婴幼儿中,双侧听力正常506例(30.35%,506/1 667),单侧听力损失298例(17.88%,298/1 667),双侧听力损失863例(51.77%,863/1 667);这1 161例中,听力损失患儿感音神经性听力损失843例,传导性或混合性听力损失318例;轻度听力损失219例,中度听力损失157例,中重度听力损失常155例,重度听力损失119例,极重度听力损失511例.结论 本组听力筛查转诊婴幼儿中听力损失的检出率为69.65%.

  12. Audiological Results and Quality of Life of Sophono Alpha 2 Transcutaneous Bone-Anchored Implant Users in Single-Sided Deafness.

    Science.gov (United States)

    Bernardeschi, Daniele; Russo, Francesca Yoshie; Nguyen, Yann; Vicault, Eric; Flament, Jonathan; Bernou, Deborah; Sterkers, Olivier; Mosnier, Isabelle

    2016-01-01

    Single-sided deafness (SSD) represents one of the most difficult audiological conditions to rehabilitate. The aim of this prospective study was to evaluate the audiological benefits and quality of life of patients affected by SSD who had previously been users of the Alpha 1® when upgrading them to the Sophono Alpha 2® external processor (Boulder, Colo., USA). Nine patients were included in the study. They underwent physical examination, free-field speech audiometry at 40 and 60 dB, a hearing-in-noise test (Hirsch's test and the squelch test), the Glasgow Benefit Inventory (GBI) questionnaire, and a specific questionnaire on patient satisfaction with Alpha 1. Afterwards, the Alpha 2 external processor was delivered to all patients, and the above-mentioned protocol was repeated after 1 month with the Alpha 2. A statistically significant improvement was found in the speech discrimination score at 40 dB and in the squelch test when using the Alpha 2 external processor compared to the Alpha 1. Alpha 2 had a good clinical tolerance and gave similar results in the specific questionnaire and the GBI to Alpha 1. In conclusion, the new Alpha 2 external processor represents a safe and effective device for the rehabilitation of SSD, and there is an audiological benefit to upgrading to the Alpha 2 external processor for patients who had previously been users of the Alpha 1. The improvement in quality of life is similar to that with other bone-anchored hearing devices. PMID:27159973

  13. Diagnosing Patients with Age-Related Hearing Loss and Tinnitus: Supporting GP Clinical Engagement through Innovation and Pathway Redesign in Audiology Services

    Directory of Open Access Journals (Sweden)

    Adrian Davis

    2012-01-01

    Full Text Available The public health challenge of hearing impairment is growing, as age is the major determinant of hearing loss. Almost one in four (22.6% over 75-year olds reports moderate or severe worry because of hearing problems. There is a 40% comorbidity of tinnitus and balance disorders. Good outcomes depend on early presentation and appropriate referral. This paper describes how the NHS Improvement Programme in England used service improvement methodologies to identify referral pathways and tools which were most likely to make significant improvements in diagnosing hearing loss, effective referrals and better patient outcomes. An audiometric screening device was used in GP surgeries to enable thresholds for effective referrals to be measured in the surgery. Revised referral criteria, the use of this device, new “assess and fit” technology in the audiology clinic, and direct access pathways can transform audiology service delivery so that patient outcomes are measurably better. This, in turn, changes the experience of GPs, so they are more likely to refer patients who can benefit from treatment. At the end of 2011, 51 GP practices in one of the audiology pilot areas had bought HearCheck screeners, a substantial development from the 4 practices who first engaged with the pilot.

  14. " Evaluation Of Some Epidemiologic Parameters, Risk Factors, Clinical And Audiological Characteristics Of 48 Patients With Sudden Sensorineural Hearing Loss "

    Directory of Open Access Journals (Sweden)

    M. Amiridavan

    2006-05-01

    Full Text Available Background and Aim: Sudden Sensorineural Hearing Loss (SSNHL is an emergency situation, and is one of the most controversial subjects in domain of otolaryngology. In this article, we have analyzed some Epidemiologic Characteristics, clinical features, audiological Characteristics, and other findings in routine serological tests and MRI of 48 cases with SSNHL ,who came or were referred to us in the past 2 years. Study design: Cross sectional. Materials and Methods: In 48 patients with chief complaint of SSNHL, from June 2003 to Feb. 2005, who were admitted in clinic of otolaryngology- in Kashani Hospital -Isfahan- Iran, physical examination and history taking, audiological evaluation, MRI,and serological tests were performed in a similar way , and data were analyzed by SPSS software. Results: From 48 cases(M:28 ,F:20 with mean age of 40.9(+/-15.9 years, left ear was involved in 26 cases (54.1% ,and right ear in 19 cases (39.5% ,and in 3 cases (6.3%,both sides were involved. The severity of hearing loss was “subjectively” HIGH in 78% of patients, and the mean threshold of hearing had been calculated as 69 dB. The most common pattern in pure tone audiometry curves ,was ‘flat pattern’(75% ,and then ,’down sloping pattern’(16%.The most adjunctive clinical symptom was “tinnitus”(in 78.7%, and 40% of patients had “true vertigo”. 44.4% of our patients had some evidences of upper respiratory tract infections (URIs during recent 2 weeks. Positive family history, smoking, alcohol intake ,oral contraceptive and ototoxic drugs consumption were uncommon. 24% of cases (11 of 39 had increased ESR, and 100% of 39 patients had negative VDRL. Diabetes mellitus was the most common underlying disease (in 6 cases.From 20 patients ,who were succeeded to perform brain and ear MRI, 2 cases had tumor in internal auditory canal and cerebellopontine angle. Conclusion: SSNHL has some limitations in being studied histopathologically or in the form of

  15. Audiologic monitoring of multi-drug resistant tuberculosis patients on aminoglycoside treatment with long term follow-up

    Directory of Open Access Journals (Sweden)

    Sarkar Malay

    2007-11-01

    Full Text Available Abstract Background Multi-drug resistant tuberculosis has emerged as a significant problem with the resurfacing of tuberculosis and thus the need to use the second line drugs with the resultant increased incidence of adverse effects. We discuss the effect of second line aminoglycoside anti-tubercular drugs on the hearing status of MDR-TB patients. Methods Sixty four patients were put on second line aminoglycoside anti-TB drugs. These were divided into three groups: group I, 34 patients using amikacin, group II, 26 patients using kanamycin and group III, 4 patients using capreomycin. Results Of these, 18.75% of the patients developed sensorineural hearing loss involving higher frequencies while 6.25% had involvement of speech frequencies also. All patients were seen again approximately one year after aminoglycoside discontinuation and all hearing losses were permanent with no threshold improvement. Conclusion Aminoglycosides used in MDR-TB patients may result in irreversible hearing loss involving higher frequencies and can become a hearing handicap as speech frequencies are also involved in some of the patients thus underlining the need for regular audiologic evaluation in patients of MDR-TB during the treatment.

  16. Are we there yet? On a journey towards more contextually relevant resources in speech-language therapy and audiology

    Directory of Open Access Journals (Sweden)

    Michelle Pascoe

    2013-12-01

    Full Text Available Audiologists and speech-language therapists working in developing contexts like South Africa have the opportunity to address a range of needs through their research. One of these needs is the development of assessments and therapy materials that are appropriate for their clients’particular language needs and cultural background. This editorial paper aims to introduce original research in speech-language therapy and audiology, which has been carried out in South Africa and other developing contexts and is presented in this volume of the journal. In addition we suggest that while the focus of much research is on the destination or end product that is developed, there is a need to share the methodologies that are used to reach that goal so that more research can be carried out by a wider pool of students, researchers and clinicians. We describe some of the methods that we have used in our research – often in small scale projects with budgetary constraints, which would be feasible for clinicians in their routine clinical contexts. Our hope is that others can build on these approaches, critique and share their own strategies for the ultimate advancement of the professions in southern Africa.

  17. Are we there yet? On a journey towards more contextually relevant resources in speech-language therapy and audiology.

    Science.gov (United States)

    Pascoe, M; Rogers, C; Norman, V

    2013-12-01

    Audiologists and speech-language therapists working in developing contexts like South Africa have the opportunity to address a range of needs through their research. One of these needs is the development of assessments and therapy materials that are appropriate for their clients' particular language needs and cultural background. This editorial paper aims to introduce original research in speech-language therapy and audiology, which has been carried out in South Africa and other developing contexts and is presented in this volume of the journal. In addition we suggest that while the focus of much research is on the destination or end product that is developed, there is a need to share the methodologies that are used to reach that goal so that more research can be carried out by a wider pool of students, researchers and clinicians. We describe some of the methods that we have used in our research--often in small scale projects with budgetary constraints, which would be feasible for clinicians in their routine clinical contexts. Our hope is that others can build on these approaches, critique and share their own strategies for the ultimate advancement of the professions in southern Africa. PMID:25158366

  18. Cochlear and brainstem audiologic findings in normal hearing tinnitus subjects in comparison with non-tinnitus control group.

    Directory of Open Access Journals (Sweden)

    Shadman Nemati

    2014-11-01

    Full Text Available While most tinnitus cases have some degree of hearing impairment, a small percent of the patients admitted to Ear, Nose and Throat Clinics or Hearing Evaluation Centers are those who complain of tinnitus despite having normal hearing thresholds. Present study was performed in order to better understanding of the probable causes of tinnitus and to investigate possible changes in the cochlear and auditory brainstem function in normal hearing patients with chronic tinnitus. Altogether, 63 ears (31 ears with tinnitus and 32 ears without tinnitus were examined. The prevalence of transient evoked otoacoustic emissions and characteristics of the auditory brainstem response components including wave latencies and wave amplitudes was determined in the two groups and analyzed with appropriate statistical methods. There was no difference between the prevalence of transient evoked emissions in the two groups. The mean difference between absolute latencies of waves I, III and V was less than 0.1 ms between the two groups that were not statistically significant. Also, the interpeak latency values of I-III, III-V and I-V in both groups had no significant difference. Only the V/I amplitude ratio in the tinnitus group was significantly larger than the other group (p =0.04. The changes observed in amplitude of waves, especially in the later ones, can be considered as an Audiologic finding in normal hearing tinnitus subjects and its possible role in generation of tinnitus in these patients must be investigated.

  19. Avaliação e acompanhamento audiológico após meningite bacteriana Audiological assessment and follow-up post bacterial meningitis

    Directory of Open Access Journals (Sweden)

    MARIA INÊS VIEIRA COUTO

    1999-09-01

    Full Text Available A deficiência auditiva é uma das sequelas da meningite bacteriana que ocorre com maior frequência em crianças. Este estudo descreve o perfil audiológico (periférico e central de crianças internadas com diagnóstico de meningite bacteriana. Nas 89 crianças que compareceram ao seguimento audiológico após a alta hospitalar e foram submetidas aos testes audiológicos, os resultados evidenciaram que 85,4% apresentaram acuidade auditiva normal em ambas orelhas, 10,1% apresentaram deficiência auditiva neurossensorial bilateral e 4,5% apresentaram deficiência auditiva neurossensorial unilateral. Nos testes que avaliaram as habilidades de processamento auditivo, os resultados mostraram que 10% dessas crianças apresentaram alteração no desempenho de localização auditiva e de reconhecimento de sentenças com mensagem competitiva ipsilateral.Hearing loss is the more frequent sequel of bacterial meningitis in children. This study describes the audiological profile (peripheric and central of 89 children admitted to the hospital wards with the diagnosis of bacterial meningitis. Those children attended audiological follow up, after their hospital descharge, and were submitted to audiological tests. The results showed that 85.4% among them presented normal hearing in both ears 10.1% presented bilateral neurosensorial hearing loss and 4.5% presented unilateral neurosensorial hearing loss. The results from the auditory processing skills assessment showed that 10% of those children presented auditory localization and recognition of sentences with competitive messages (Paediatric Sentences Identification - ipsilateral disorders.

  20. Is the audiologic status of professional musicians a reflection of the noise exposure in classical orchestral music?

    Science.gov (United States)

    Emmerich, Edeltraut; Rudel, Lars; Richter, Frank

    2008-07-01

    The sound in classical orchestral music is louder than noise emissions allowed by national rules in industry. We wanted to assess the audiologic status of professional musicians at different ages of their careers and to look for a coherence of declined hearing ability and the sound emissions in order to substantiate advices for hearing protection and occupational medicine in musicians. Data from questionnaires (anamnestic data on sound exposure in profession and leisure times, use of hearing protection, self-evaluation of hearing function and hearing deficits), audiometric data and amplitudes of OAE were evaluated from 109 professional musicians aged 30-69 years from three major German orchestras and from 110 students of an academy of music (aged 11-19 years). Sound emissions of the whole orchestra and of single instruments/instrument groups were measured at the orchestra stages and pits during rehearsals and performances. None of the musicians was engaged in noisy hobbies and only a few used hearing protectors regularly. More than 50% of the musicians had a hearing loss of 15 dB(A) and more. Highest losses were found among the strings and the brass players. DPOAE amplitudes coincidently declined with the duration of performing music in the orchestras. Professional musicians aged older than 60 years had a significantly greater hearing loss at 4 and 6 kHz than those aged 30-39 years. Among the strings in one orchestra a dominant hearing deficit in the left ears was observed. Musicians need the same health care for their hearing as workers in noisy industry. A better education on the hearing hazards (use of hearing protectors) as well as sound protection in the rehearsal rooms is necessary. Hearing loss in professional musicians should be accepted as an occupational disease. PMID:18034257

  1. Inquéritos de saúde e fonoaudiologia Health surveys and audiology and speech-language science

    Directory of Open Access Journals (Sweden)

    Mariana Sodário Cruz

    2009-03-01

    Full Text Available TEMA: os inquéritos de saúde constituem uma abordagem eficiente para estudos populacionais, sendo tal metodologia ainda pouco difundida entre os fonoaudiólogos brasileiros. Para a realização e análise de um estudo com base em inquéritos de saúde, o profissional deve transcender a visão clínica fonoaudiológica, partindo para uma abordagem social, demográfica, econômica e de saúde geral. OBJETIVO: realizar abordagem teórica acerca dos inquéritos de saúde, seus conceitos, histórico e resultados publicados no campo fonoaudiológico, com enfoque em saúde auditiva. CONCLUSÃO: os inquéritos de saúde constituem-se num método de investigação importante a ser explorado pelos fonoaudiólogos para que passem a recomendar ações relacionadas à saúde auditiva em sintonia com necessidades da população embasadas em dados epidemiológicos fidedignos.BACKGROUND: health surveys make up an efficient approach for population researches, and this methodology is not widely diffused among Brazilian audiologists and speech-language pathologists. In order to carry out a research based on health surveys; the professional should transcend the clinical audiologist and speech-language pathologist view, aiming at a social, demographic and economic view of health. PURPOSE: achieve theoretic approach about health inquiries, their concepts, history and published results in audiology and speech-language science, with emphasis on hearing health. CONCLUSION: health surveys make up an important investigation method to be explored by audiologists and speech-language pathologists, so that they mat recommend actions related to hearing health according with the population needs based on reliable epidemiologic data.

  2. Results of a humanitarian otologic and audiologic project performed outside of the United States: lessons learned from the "Oye, Amigos!" project.

    Science.gov (United States)

    Barrs, D M; Muller, S P; Worrndell, D B; Weidmann, E W

    2000-12-01

    From 1989 to 1993, "Oye, Amigos!" a combined group of hearing health and other medical professionals performed 18 humanitarian medical and audiologic trips to Tepic, Nayarit, Mexico. The group saw 1500 patients, issued over 800 hearing aids, and performed 150 surgeries on 123 patients. Our tympanoplasty success rate, defined as an intact tympanic membrane, was 41% during the first 2 years of the project but increased to 74% during the last 3 years. Two hundred eighteen patients who were candidates for surgery did not return for care. We present the lessons learned from the surgical care and overall management of this project, and present suggestions to improve future projects.

  3. Association of nuclear and mitochondrial genes with audiological examinations in Iranian patients with nonaminoglycoside antibiotics-induced hearing loss

    Directory of Open Access Journals (Sweden)

    Balali M

    2016-01-01

    Full Text Available Maryam Balali,1,2 Behnam Kamalidehghan,3 Mohammad Farhadi,2 Fatemeh Ahmadipour,4 Mahmoud Dehghani Ashkezari,1 Mohsen Rezaei Hemami,2 Hossein Arabzadeh,2 Masoumeh Falah,2 Goh Yong Meng,5 Massoud Houshmand3 1Department of Biology, Islamic Azad University, Ashkezar Branch, Ashkezar, 2Department and Research Centre of ENT and Head & Neck Surgery, Iran University of Medical Sciences, Tehran, Iran; 3Medical Genetics Department, National Institute of Genetic Engineering and Biotechnology, Tehran, Iran; 4Department of Pharmacy, Faculty of Medicine, University of Malaya, Kuala Lumpur, 5Department of Veterinary Preclinical Sciences, Faculty of Veterinary Medicine, Universiti Putra Malaysia, Serdang, Malaysia Abstract: Mitochondrial DNA mutations play an important role in causing sensorineural hearing loss. The purpose of this study was to determine the association of the mitochondrial genes RNR1, MT-TL1, and ND1 as well as the nuclear genes GJB2 and GJB6 with audiological examinations in nonfamilial Iranians with cochlear implants, using polymerase chain reaction, DNA sequencing, and RNA secondary structure analysis. We found that there were no novel mutations in the mitochondrial gene 12S rRNA (MT-RNR1 in patients with and without GJB2 mutation (GJB2+ and GJB2-, respectively, but a total of six polymorphisms were found. No mutations were observed in tRNALeu(UUR (MT-TL1. Furthermore, eight polymorphisms were found in the mitochondrial ND1 gene. Additionally, no mutations were observed in the nuclear GJB6 gene in patients in the GJB2- and GJB2+ groups. The speech intelligibility rating and category of auditory perception tests were statistically assessed in patients in the GJB2- and GJB2+ groups. The results indicated that there was a significant difference (P<0.05 between the categories of auditory perception score in the GJB2- group compared to that in the GJB2+ group. Successful cochlear implantation was observed among individuals with GJB2 mutations

  4. Clinical and audiological features of a syndrome with deterioration in speech recognition out of proportion to pure hearing loss

    Directory of Open Access Journals (Sweden)

    Abdi S

    2007-04-01

    Full Text Available Background: The objective of this study was to describe the audiologic and related characteristics of a group patient with speech perception affected out of proportion to pure tone hearing loss. A case series of patient were referred for evaluation and management to the Hearing Research Center.To describe the clinical picture of the patients with the key clinical feature of hearing loss for pure tones and reduction in speech discrimination out of proportion to the pure tone loss, having some of the criteria of auditory neuropathy (i.e. normal otoacoustic emissions, OAE, and abnormal auditory brainstem evoked potentials, ABR and lacking others (e.g. present auditory reflexes. Methods: Hearing abilities were measured by Pure Tone Audiometry (PTA and Speech Discrimination Scores (SDS, measured in all patients using a standardized list of 25 monosyllabic Farsi words at MCL in quiet. Auditory pathway integrity was measured by using Auditory Brainstem Response (ABR and Otoacoustic Emission (OAE and anatomical lesions Computed Tomography Scan (CT and Magnetic Resonance Image (MRI of brain and retrocochlea. Patient included in the series were 35 patients who have SDS disproportionably low with regard to PTA, absent ABR waves and normal OAE. Results: All patients reported the beginning of their problem around adolescence. Neither of them had anatomical lesion in imaging studies and neither of them had any finding suggestive of conductive hearing lesion. Although in most of the cases the hearing loss had been more apparent in the lower frequencies (i.e. 1000 Hz and less, a stronger correlation was found between SDS and hearing threshold at higher frequencies. These patients may not benefit from hearing aids, as the outer hair cells are functional and amplification doesn’t seem to help; though, it was tried for all. Conclusion: These patients share a pattern of sensory –neural loss with no detectable lesion. The age of onset and the gradual

  5. Preface to the publication of the Chinese Version of the WHO Guidelines for Hearing Aids and Services for Developing Countries (2nd Edition) in the January 2005 issue of the Journal of Audiology and Speech Pathology

    Institute of Scientific and Technical Information of China (English)

    Hearing Aids Working Group

    2005-01-01

    @@ It is a great pleasure to be given this opportunity to write a preface for the publication of the first Chinese version of the World Health Organization (WHO) Guidelines for Hearing Aids and Services for Developing Countries (2nd Edition) in this issue of the Journal of Audiology and Speech Pathology.

  6. Audiologic guidelines for the diagnosis & treatment of otitis media in children%儿童中耳炎的临床诊断和治疗指导方案--美国听力学学会的白皮书

    Institute of Scientific and Technical Information of China (English)

    蒋涛; 邹凌

    2006-01-01

    @@ 美国听力学学会于2000年在其学会刊物上颁布了一个重要的检测和治疗因中耳炎造成的儿童听力损失的指导方案:Audiologic guidelines for the diagnosis & treatment of otitis media in children.

  7. Audiologic features of ethnic chinese patients with turner syndrome%儿童Turner综合征听力学特点

    Institute of Scientific and Technical Information of China (English)

    郝津生; 张杰; 苏畅; 闫洁; 刘冰; 姜苏敏; 张莉; 李靖; 李颖; 刘海红

    2015-01-01

    目的:探讨中国Turner综合征患儿听力学特点及其相关因素。方法收集2013年5月至2015年7月经我院内分泌科确诊为Turner综合征的18例女性患儿,对其进行耳科学检查及听力学检查(纯音测听、声导抗及声反射阈)。结果18例患儿最小年龄5.5岁,最大16岁,中位数12.50岁。听力正常9耳,占25.00%;传导性耳聋15耳,41.67%,感音神经性聋12耳,占33.33%,其中全频感音神经性聋2耳,中频“U”型感音神经性聋6耳,高频听力下降4耳。对单体型/等臂型与嵌顿型不同核型间就听力损失表型进行χ2检验,P=0.988>0.05,差异无统计学意义。骨导PTA及4kHz骨导阈值与年龄进行一元线性相关分析,r值分别为0.564及0.606,相应P值均为0.000<0.01,统计学上具有极其显著差异。结论TS综合征患儿染色体核型与听力损失表型间无相关联系。骨导PTA及4kHz骨导阈值与年龄变化线性相关,即随着年龄增长骨导PTA及4kHz骨导阈值均升高。故随着年龄增长,TS患者相对出现感音神经性聋的风险加大,且听力损失程度增加,建议TS患者长期随访,定期检查听力,及时给予相关治疗。%Objective To report hearing features of a group of Chinese patients with Turner syndrome and possible causative factors. Methods Eighteen patients diagnosed as TS (median age 12.50 years,range 5.5-16years) between May 2013 and Jul 2015, were included in this study. Medical history and karyotypes were recorded and otologic and audiologic evaluation was performed. Results Audiometric data in the 18 cases revealed normal hearing in 9/36 ears (25.00%), con-ductive hearing loss (CHL) in 15/36 ears (41.67%) and sensorineural hearing loss (SNHL) in 12/36 ears (33.33%). Audio-grams among ears with SNHL were“flat”in 2 ears,“u-shaped”in 6 ears and“sloping-down”in 4 ears. Monosomy 45X/isochromosome and mosaicism were not associated with audiogram

  8. Estudo audiológico de uma população idosa brasileira Audiological study of an elderly brazilian population

    Directory of Open Access Journals (Sweden)

    Luís Cláudio do Carmo

    2008-06-01

    Full Text Available A população idosa brasileira cresce e representa 8,6% do total populacional. Fatores ambientais, hábitos de vida, sexo e fatores genéticos interferem na evolução da presbiacusia que reduz a qualidade de vida. OBJETIVO: Investigar queixas audiológicas e vestibulares em idosos, executar audiometria tonal, verificar se há diferenças entre os sexos. FORMA DE ESTUDO: Clínico prospectivo de corte transversal. MATERIAL E MÉTODO: 320 pacientes idosos (160 homens e 160 mulheres foram submetidos a anamnese audiológica e audiometria tonal. Análise estatística dos resultados pelos testes ANOVA, Mann-Whitney e Qui-Quadrado. RESULTADO: As queixas audiológicas e vestibulares (perda auditiva, tinnitus, plenitude auricular, tontura foram similares entre os sexos (exceção, a tontura: pThe Brazilian elderly population is growing, and already represents 8,6% of our total population. Environmental factors, lifestyle, gender and genetics impact the development of presbycusis, which reduces quality of life. AIM: investigate audiologic and vestibular complaints in the elderly; perform tonal audiometry and check to see if there are differences between genders. STUDY: Cross-sectional clinical prospective study. MATERIALS AND METHODS: 320 elderly patients (160 men and 160 women were submitted to audiologic interview and tonal audiometry. The results were statistically analyzed by the following methods: ANOVA, Mann-Whitney and Chi-Squared. RESULTS: audiologic and vestibular complaints (hearing loss, tinnitus, ear fullness, dizziness were similar between the genders (except for dizziness: p<0,05; tonal audiometry showed a significant difference, with hearing loss in the high frequencies among men; and among women the curves were descending and flat. These results were statistically significant (P<0,001. CONCLUSION: our results lead us to conclude that, when the genders are compared, hearing loss in the elderly has similar symptoms; however, there are

  9. American Academy of Audiology

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  10. Ultrasound Application in Audiology

    Directory of Open Access Journals (Sweden)

    Farzad Rahimi

    1992-04-01

    Full Text Available Diagnostic ultrasound is a beneficial technique which can be used the audiologists based on essential instruction. Although there are a lot of barriers in relation to the size of the probe and the resolution of the pictures which are obtained,with this method some kind of information can be gained that is impossible to get by any other method. The ability of real- time A and B modes for direct visualization makes them useful tools to study the changes of the ear structures. Ultrasound system is a useful method to evaluate dizzy patients, which can be potentially used along with vestibular tests.

  11. Achados audiológicos em crianças com fenilcetonúria Audiologic findings in children with phenylketonuria

    Directory of Open Access Journals (Sweden)

    Patrícia Cotta Mancini

    2010-01-01

    Full Text Available OBJETIVO: Investigar a existência de alterações na audição de crianças com fenilcetonúria diagnosticadas e tratadas precocemente e comparar os resultados com os encontrados nas avaliações auditivas de crianças normais de mesma idade. MÉTODOS: Foram realizadas imitanciometria e audiometria tonal e vocal em 63 crianças, sendo 30 no grupo controle, com média de idade de 8,1 anos, e 33 com fenilcetonúria no grupo de estudo, com média de idade de 7,7 anos. O grupo de estudo foi subdividido em 15 crianças com controle adequado da dieta e 18 crianças com controle inadequado da dieta, com médias de idade 8,1 e 7,2, respectivamente. A análise estatística utilizou o Teste t ou ANOVA. RESULTADOS: A audiometria revelou 83,3% de crianças com audição normal no grupo controle e 16,7% de perdas auditivas condutivas uni ou bilaterais. No grupo com fenilcetonúria, 66,7% das crianças apresentaram audição normal e 33,3% com perdas auditivas condutivas. Na imitanciometria, observou-se curvas normais em 91,7% das crianças do grupo controle e em 72,7% das crianças do grupo com fenilcetonúria. Houve diferença na comparação entre grupos para limiares aéreos, reflexos estapedianos, limiares de recepção da fala e índice de reconhecimento de fala. Não foi observada diferença entre os resultados das avaliações auditivas de crianças fenilcetonúricas com dieta adequada e inadequada. CONCLUSÃO: As crianças com fenilcetonúria diagnosticadas e tratadas precocemente apresentaram piores limiares de audibilidade por via aérea, limiares de recepção de fala e índice de reconhecimento de fala evidenciados à audiometria tonal e vocal, quando comparadas com crianças normais.PURPOSE: To investigate the existence of hearing impairments in infants with phenylketonuria with early diagnose and treatment, and to compare the audiological findings with those of their normal peers. METHODS: Vocal and pure-tone audiometry and acoustic immitance

  12. Análise de prontuários de pacientes oncológicos quanto ao monitoramento auditivo Analyzing medical records of oncologic patients for audiological monitoring

    Directory of Open Access Journals (Sweden)

    Juliana Cunha da Costa

    2009-06-01

    Full Text Available OBJETIVO: realizar uma análise retrospectiva dos prontuários de pacientes oncológicos quanto ao monitoramento auditivo. MÉTODOS: foram utilizados os prontuários dos pacientes em atendimento durante os meses de setembro a novembro de 2006. A amostra constituiu-se de 25 prontuários de indivíduos com idade compreendida entre um e 53 anos. Foram analisados os dados quanto aos seguintes aspectos: idade, sexo, classificação do câncer, tempo de apresentação da doença, medicamentos utilizados, tempo de tratamento quimioterápico, doenças associadas, realização de avaliação otorrinolaringológica e audiológica. RESULTADOS: verificou-se a falta de acompanhamento audiológico e otorrinolaringológico. A Vincristina foi o medicamento ototóxico mais utilizado. O tipo de câncer de maior ocorrência no setor foi a Leucemia Linfocítica aguda. O tempo que os indivíduos apresentavam o câncer foi de aproximadamente 16 meses e o tempo de tratamento quimioterápico desses pacientes foi em torno de 11 meses. Observou-se, também, a presença de doenças associadas ao câncer nos indivíduos pesquisados. CONCLUSÃO: constatou-se a necessidade de se instalar programas de monitoramento auditivo nos setores que realizam quimioterapia em pacientes oncológicos, uma vez que este tratamento utiliza medicamentos ototóxicos em diversas patologias.PURPOSE: to accomplish a retrospective analysis for medical records of oncologic patient for audiological monitoring. METHODS: the patients' medical records in attendance were used from September to November, 2006. The sample constituted of 25 medical records of individuals with ages between 1 and 53-year old. The data were analyzed as for the following aspects: age, sex, cancer classification, time having the disease, used drugs, time of chemotherapy treatment, associated diseases, accomplishment of otorhinolaryngologic and audiologic evaluation. RESULTS: we verified the lack of audiologic and

  13. The International Classification of Functioning, Disability and Health as a Framework for Providing Patient- and Family-Centered Audiological Care for Older Adults and Their Significant Others.

    Science.gov (United States)

    Grenness, Caitlin; Meyer, Carly; Scarinci, Nerina; Ekberg, Katie; Hickson, Louise

    2016-08-01

    Hearing impairment is highly prevalent in the older population, and it impacts communication and quality of life for both the people with the hearing difficulties and their significant others. In this article, typical audiological assessment and management of an older adult is contrasted with a best practice approach wherein the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework is applied. The aim of the comparison is to demonstrate how the ICF expands our focus: rather than merely focusing on impairment, we also consider the activities, participation, and contextual factors for both the person with the hearing impairment and his or her family. A case example of an older patient and her spouse is provided, and their shared experience of the patient's hearing impairment is mapped onto the ICF framework. Family-centered hearing care is recommended for individualizing care and improving outcomes for older patients and their families. PMID:27489398

  14. Uma análise do perfil audiológico de estudantes de música An audiological analysis of music students in Brazil

    Directory of Open Access Journals (Sweden)

    Karina Aki Otubo

    2013-06-01

    Full Text Available Tocar um instrumento musical requer a integração das habilidades perceptiva, motora, e cognitiva, desenvolvidas modularmente, de forma gradativa e hierarquicamente coordenada. Na realização de uma obra musical, a audição atua de forma marcante na sua complexa associação com o cérebro, capaz de produzir mudanças comportamentais e emocionais nos humanos. O presente estudo analisa o perfil audiológico de estudantes de graduação em Música, que foram submetidos à Avaliação Audiológica (Entrevista, Audiometria Tonal Liminar, Logoaudiometria, e Imitanciometria, além dos exames complementares de Audiometria Tonal de Altas Frequências (AT-AF e Emissões Otoacústicas Evocadas por Estímulo Transiente (EOAT. Os resultados indicaram que os estudantes apresentam audição dentro da normalidade. Entretanto, ações educativas e preventivas são essenciais para promover a conscientização sobre alterações auditivas nesse grupo de risco.Playing a musical instrument demands integration of perceptive, motor and cognitive skills, modularly and gradually developed and in a hierarchically coordinated fashion. In music performance, the complex association between hearing and the brain is central, one capable of producing behavioral and emotional changes in human beings. The present study analyzes audiological profiles of music students, who were submitted to Audiological Assessment (Interview, Threshold Tonal Audiometry, Logoaudiometry and Imitanciometry, besides the complementary examinations of High Frequencies Tonal Audiometry and Transient Evoked Otoacustic Emissions. The results indicated normal hearing for the students. Nevertheless, preventive and educative actions are essential to promote awareness of auditory alterations within this risk group.

  15. 国家助听器验配师体系下听力学本科教育探索%The Audiology Undergraduate Programme within the Framework of the National Hearing Aid Acoustician Qualiifcation System

    Institute of Scientific and Technical Information of China (English)

    徐飞

    2015-01-01

    This article discusses the current status and challenges of audiology personnel training in China based on the requirements of hearing aid acoustician qualification system and summarizes the experiences in audiology teaching in recent years. It points out that integration of the personnel training mode and qualification system will promote mutual development.%本文从我国助听器验配师体系要求出发,探讨了听力学人才培养的现状和挑战,总结了近年来在听力学教学中取得的经验,指出我国听力学人才培养模式应当与助听器验配师职业体系相互促进发展。

  16. Diagnostic significance of audiological and vestibular function examination in the pontocerebellar angle tumor%听力学及前庭功能检查在桥小脑角肿瘤诊断中的意义

    Institute of Scientific and Technical Information of China (English)

    蔡艺; 汤建国; 赵慧萍

    2001-01-01

    Objective:To study the diagnostic value of audiological and vestibular function examination in the pontocerebellar angle tumor.Method:The data of audiological and vestibular function test were analized retrospectively in 20 subjects with tumors of the pontocerebellar angle.Result:Pure tone and ABR waveforms were abnormal in 20 subjects (21 ears),moreover acoustic stapedius reflex and the vestibular function were abnormal in 19 subjects.Conclusion:It′s valuable that audiological and vestibular function examinations are able to diagnosis the pontocerebellar angle tumor.%目的:探讨听力学及前庭功能检查在桥小脑角肿瘤诊断中的意义。方法:回顾性分析20例(21耳)桥小脑角肿瘤患者的听力学及前庭功能资料。结果:20例(21耳)纯音测听、听觉诱发电位均异常,19例镫骨肌声反射及前庭功能异常。结论:听力学及前庭功能检查有助于桥小脑角肿瘤的诊断。

  17. Audiologic analysis of patients with Turner syndrome%Turner综合征患者的听力学特点分析

    Institute of Scientific and Technical Information of China (English)

    郝津生; 张杰

    2016-01-01

    Turner综合征( Turner syndrome,TS)由X染色体异常所导致。其临床特点主要不仅是由于卵巢发育异常和雌激素分泌减少或缺如导致的不孕不育、身材矮小,而且常常存在听力异常。在不同基因型的患者中听力损失形式差异有统计学意义。本文就Turner综合征患者的耳部和听力学特点及相关因素进行综述。%Tuner syndrome ( TS ) is one of the most frequently encountered sex chromosomal abnormalities. The features of the syndrome include infertility due to lack of ovaries and low or absent estrogen production, short stature and hearing problems. The association between auditory phenotype and karyotype remains inconsistent among TS patients. The purpose of the present study is to review the otologic and audiologic features among TS patients and to identify probable associated causative factors for hearing loss.

  18. Triagem auditiva neonatal: das alterações auditivas à análise molecular Newborn hearing screening: from audiological alterations to molecular analyses

    Directory of Open Access Journals (Sweden)

    Jaqueline Medeiros de Mello

    2011-10-01

    Otoacoustic (EOA-T and cochlear palpebral reflex. For newborns, those who failed the hearing screening in one or both ears, were referred to a second evaluation. In the retest, while the EOA-T test result in not passing on one or both ears, the child was referred for evaluation and otorhinolaringology management. After completing the Auditory Evoked Potential test, the team of evaluators decided whether it should refer the child to investigate the mutation. When there was suspicion of hearing impairment we collected 3 mL of peripheral venous blood for the detection of mutation in the connexin 26 gene. RESULTS: we observed the presence of conductive hearing loss in 2 neonates (0.22% and sensorineural in 1 (0.11%. In children with sensorineural hearing loss we detected the presence of 35delG mutation. CONCLUSION: the audiological assessment in conjunction with molecular tests of the main GJB2 gene mutations in newborns with suspected hearing loss contributed to the rapid audiological diagnostic, seeking early intervention, educational and genetic counseling and prognosis of the child.

  19. Perfil audiológico de pacientes com diabetes mellitus tipo II Audiologic profile of patients with diabetes mellitus type II

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    Juliana Mota Ferreira

    2007-12-01

    Full Text Available OBJETIVO: Pacientes acometidos por Diabetes Mellitus (DM do tipo II constituem uma população de risco para alterações auditivas, uma vez que alterações metabólicas podem afetar tecidos nervosos e vasculares, que atingem diretamente os órgãos responsáveis pela audição. O presente estudo buscou investigar o perfil audiológico de pacientes com DM do tipo II. MÉTODOS: Foi realizado um estudo descritivo, no qual foram avaliados 44 sujeitos (88 orelhas. A população selecionada encontrava-se na faixa etária de 25 a 65 anos de idade. Todos os sujeitos realizaram avaliação audiológica, sendo submetidos a audiometria tonal liminar, audiometria vocal e imitância acústica. RESULTADOS: A prevalência de pacientes com DM do tipo II foi maior no sexo feminino (77,3%. Trinta e um (70,4% pacientes apresentavam DM tipo do II a um período inferior a 10 anos. Trinta e três orelhas (37,5% apresentaram perda auditiva neurossensorial de grau leve ou moderado, com predomínio em freqüências altas. Na imitância acústica, 71 orelhas (80,7% apresentaram curva do tipo A, e 83 orelhas (94,3% tiveram presença de reflexo estapediano. CONCLUSÃO: Observou-se a ocorrência de perda auditiva em pacientes portadores de DM do tipo II, conseqüentemente, a avaliação audiológica desses pacientes é importante para o acompanhamento das alterações auditivas.PURPOSE: People that suffer from Diabetes Mellitus (DM type II constitute a risk population for hearing disorders, since metabolic disease can affect nerve and vascular tissues that attain directly the auditory system. The present study investigated the audiologic profile of patients with DM type II. METHODS: A descriptive study was carried out, where 44 patients (88 ears were evaluated. The ages of the subjects ranged from 25 to 65 years. All subjects underwent an audiological evaluation that included pure tone audiometry, speech audiometry and acoustic immittance measures. RESULTS: The prevalence

  20. Síndrome de Waardenburg: achados audiológicos em 2 irmãos Waardenburg's syndrome: audiological findings in 2 brothers

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    Carlos Henrique F. Martins

    2003-01-01

    Full Text Available A síndrome de Waardenburg foi inicialmente descrita em 1951 por P.J. Waardenburg, como uma condição autossômica dominante que apresenta penetrância e expressividade variáveis de seus caracteres. Os sinais clínicos mais frequentes são: deslocamento lateral dos cantos internos dos olhos (telecanto, hiperplasia da porção medial dos supercílios (sinofris, base nasal proeminente e alargada, alterações na pigmentação da íris e da pele, surdez congênita, mecha branca frontal ou encanecimento precoce. Este estudo foi realizado em dois irmãos de uma família, que apresentavam características clínicas da síndrome de Waardenburg, entre elas a deficiência auditiva. Os pacientes foram submetidos à uma avaliação otorrinolaringológica, audiológica e genética.Waardenburg's Syndrome, first described in 1951 by P.J. Waardenburg, is an autossomal dominant condition with variable penetrance and expressivity of its features. The clinical signs are lateral displacement of the inner canthi of the eyes, confluent eyebrows, broad and prominent nasal root, pigmentation changes of the irises and skin, sensorineural deafness, white forelock or early graying of the hair. This study was based on two brothers who presented a typical clinical picture of Waardenburg's Syndrome, including hearing loss. Otolaryngological, audiological and genetical evaluations were conducted.

  1. Perfil audiológico de indivíduos portadores da síndrome de Goldenhar Audiology profile in patients with Goldenhar's syndrome

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    Karina Costa Brosco

    2004-10-01

    's syndrome is a rare congenital anomaly, of which the etiology is yet unknown, and characterized by a classical triad of ocular, auricular and vertebral abnormalities. FORMA DE ESTUDO: Serie report. MATERIAL AND METHOD: This study used 30 individuals presenting Goldenhar's syndrome, that were regularly enrolled in the Craniofacial Anomaly Rehabilitation Hospital (HRAC, of both sexes, varying from 8 to 34 years old. AIM: The goal was to characterize the audiologic profile to the individuals presenting this syndrome, thus, assuring a better treatment and orientation for them, and also the establishment of the frequency of contra-lateral auditory commitment in individual with the classical unilateral involvement. RESULTS: The auditory assessment of this study showed ATL, tympanometry, EOA-T and BERA. According to the results, we concluded that 35% (N=10 of the individuals presented, as a characteristic of the audiologic profile, loss of hearing type sensorioneural, mixed with varied levels from moderate to deep (7 uni and 3 bilateral; 13% (n=4 presented conductive loss (bilaterally with levels mild to severe and 3% (n=1 presented a unilateral deep type of sensorioneural loss. This study showed 40% n=12 with normal bilateral hearing and in 10% (n=3 it wasn't possible to establish the characteristic of the audiologic profile, since only the BERA was used as an assessment tool for establishing the electro-physiologic threshold. Of the twelve (12 individuals presenting unilateral malformations of the left ear, only two (02 presented contra-lateral auditory commitment of the ear, one type mixed with a severe level and one conductive of a moderate level. Considering the sex variable, the mayor predominance of the Goldenhar's syndrome was for females (57% compared to the males (43%, but these results weren't statistically significant, as well as for the unaffected anatomical side, that was predominantly the right side.

  2. ICRA noises: artificial noise signals with speech-like spectral and temporal properties for hearing instrument assessment. International Collegium for Rehabilitative Audiology.

    Science.gov (United States)

    Dreschler, W A; Verschuure, H; Ludvigsen, C; Westermann, S

    2001-01-01

    Current standards involving technical specification of hearing aids provide limited possibilities for assessing the influence of the spectral and temporal characteristics of the input signal, and these characteristics have a significant effect on the output signal of many recent types of hearing aids. This is particularly true of digital hearing instruments, which typically include non-linear amplification in multiple channels. Furthermore, these instruments often incorporate additional non-linear functions such as "noise reduction" and "feedback cancellation". The output signal produced by a non-linear hearing instrument relates to the characteristics of the input signal in a complex manner. Therefore, the choice of input signal significantly influences the outcome of any acoustic or psychophysical assessment of a non-linear hearing instrument. For this reason, the International Collegium for Rehabilitative Audiology (ICRA) has introduced a collection of noise signals that can be used for hearing aid testing (including real-ear measurements) and psychophysical evaluation. This paper describes the design criteria, the realisation process, and the final selection of nine test signals on a CD. Also, the spectral and temporal characteristics of these signals are documented. The ICRA noises provide a well-specified set of speech-like noises with spectra shaped according to gender and vocal effort, and with different amounts of speech modulation simulating one or more speakers. These noises can be applied as well-specified background noise in psychophysical experiments. They can also serve as test signals for the evaluation of digital hearing aids with noise reduction. It is demonstrated that the ICRA noises show the effectiveness of the noise reduction schemes. Based on these initial measurements, some initial steps are proposed to develop a standard method of technical specification of noise reduction based on the modulation characteristics. For this purpose, the

  3. Salary-Trend Studies of Faculty for the Years 1985-86 and 1988-89 in the Following Disciplines/Major Fields: Accounting; Agricultural Production; Anthropology; Architecture and Environmental Design; Area and Ethnic Studies; Audiology and Speech Pathology; Business Administration and Management; Business and Management; Business Economics; Chemistry; Communication Technologies; Communications; Computer and Information Sciences; Curriculum and Instruction; and Dramatic Arts.

    Science.gov (United States)

    Howe, Richard D.; And Others

    This volume provides comparative data for faculty salaries in public and private colleges, based on an annual survey of over 700 colleges and universities. Data cover the following 15 disciplines: accounting, agribusiness and agricultural production, anthropology, architecture and environmental design, area and ethnic studies, audiology and speech…

  4. Audiologic changes after pinna augmentation.

    Science.gov (United States)

    Amin, Kavit; Hone, Robert; Kanegaonkar, Rahul

    2016-08-01

    No studies to date have objectively assessed whether pinna morphology affects sound intensity detected within the external auditory canal (EAC). Commonly performed procedures on the EAC are carried out for acquired and congenital pathology, together with correction of ear deformities. Our aim was to use an experimental model to identify whether a relationship exists between pinna shape and its subsequent effect on the hearing subject. An anatomically accurate and life-size model made of rubber composite was used for this study. Serial sections (small wedge, defect open; small wedge, defect closed; large wedge, defect open; large wedge, defect closed [equivalent to a protruding ear]; and pinnectomy) were undertaken, and the sound intensity changes assessed at the junction between the EAC and middle ear (tympanic membrane position) using an AURICAL Plus (Otometrics; Taastrup, Denmark) sound processor. A statistically significant loss was demonstrated for wedge-excised models, which was greatest at 180° azimuth. This loss was significantly reduced when the wedge defects were closed. A statistically significant improvement was demonstrated in the protruding ("bat") ear model compared with the normal ear at 0° azimuth. In this model, gain in sound intensity is adversely affected by pinna wedge resection. Because this change may be increased in those with protruding ears, this factor is important to consider for all cosmetic and noncosmetic operations to the pinna, and it supports the notion that the pinna is not a simple funnel. PMID:27551847

  5. Audiological rehabilitation in sociological perspectives

    DEFF Research Database (Denmark)

    Hindhede, Anette Lykke

    as the 'truth'. By building on a sociological approach to hearing impairment that reaches beyond the medical definition, we see another picture emerging. Some patients embark on the process of getting a hearing aid and come to the hearing aid fitting as a response to social pressure from relatives or colleagues......, or they can relate to particular situations. On entering the hearing clinic for the first time, many patients express discomfort when confronted with becoming partners in decision-making concerning the choice of hearing aid type. In the fitting room, the audiologist operates within a dominant medical...

  6. Application of Ultrasound in Audiology

    OpenAIRE

    Farzad Rahimi

    1993-01-01

    Diagnostic ultrasound is a beneficial technique which can be used the audiologists based on essential instruction. Although there are a lot of barriers in relation to the size of the probe and the resolution of the pictures which are obtained, with this method some kind of information can be gained that is impossible to get by any other method. The ability of real- time A and B modes for direct visualization makes them useful tools to study the changes of the ear structures. Ultrasound system...

  7. Audiology Services in the Schools

    Science.gov (United States)

    Brannen, Susan J.; Huffman, Nancy P.; Marttila, Joan; Williams, Evelyn J.

    2004-01-01

    The American Speech-Language-Hearing Association (ASHA) is the professional, scientific, and credentialing association for more than 109,000 audiologists, speech-language pathologists, and speech, language, and hearing scientists. ASHA's mission is to ensure that all people with speech, language, and hearing disorders have access to quality…

  8. Application of Ultrasound in Audiology

    Directory of Open Access Journals (Sweden)

    Farzad Rahimi

    1993-03-01

    Full Text Available Diagnostic ultrasound is a beneficial technique which can be used the audiologists based on essential instruction. Although there are a lot of barriers in relation to the size of the probe and the resolution of the pictures which are obtained, with this method some kind of information can be gained that is impossible to get by any other method. The ability of real- time A and B modes for direct visualization makes them useful tools to study the changes of the ear structures. Ultrasound system is a useful method to evaluate dizzy patients, which can be potentially used along with vestibular tests.

  9. Avaliação audiológica em trabalhadores expostos a ruído e praguicida Audiological evaluation in workers exposed to noise and pesticide

    Directory of Open Access Journals (Sweden)

    Heraldo Lorena Guida

    2010-08-01

    Full Text Available A perda auditiva induzida por ruído é estudada há muitos anos, e atualmente a literatura especializada estuda também a ação sinérgica dos produtos químicos, uma vez que eles podem ser potencialmente ototóxicos. OBJETIVO: Pesquisar os achados audiológicos em trabalhadores expostos ao ruído ocupacional e a praguicidas e comparar com os dados obtidos em trabalhadores expostos ao ruído. FORMA DE ESTUDO: Clínico retrospectivo. MATERIAL E MÉTODO: Foram analisados os prontuários de indivíduos que foram expostos ao praguicida e ao ruído (grupo I, e indivíduos que foram somente expostos ao ruído (grupo II. RESULTADOS: A classificação dos achados audiométricos revelou para o grupo I: 35% orelhas normais, 53,75% com perda auditiva de grau 1 e 11,25% com perda de grau 2. Enquanto que o grupo II apresentou 57,5% de orelhas normais, 40% com perda auditiva de grau 1 e apenas 2,5% com perda de grau 2. A análise dos achados audiométricos demonstrou também uma piora significativa após a comparação entre os limiares do grupo I e grupo II, na frequência de 3 kHz orelha esquerda e na frequência de 4kHz em ambas as orelhas. CONCLUSÃO: A análise mostrou que o grupo I tem limiares audiométricos piores comparado ao grupo II.Noise-induced hearing loss has been studied for many years and today many experts also investigate the synergic action of chemical products, since they can be potentially ototoxic. AIM: to investigate the audiological findings in workers exposed to occupational noise and pesticide and to compare it to data from noise-exposed workers. STUDY DESIGN: Clinical retrospective. MATERIAL AND METHOD: individuals that had been exposed to pesticide and noise (group I, and individuals that had been exposed to noise only (group II. RESULTS: The classification of the audiometric findings showed in that group I: 35% had normal hearing thresholds, 53.75% had degree 1 hearing loss and 11.25% had degree 2 hearing loss; and group II had

  10. Avaliação audiológica em pacientes portadores de hipotireoidismo Audiologic evaluation in patients with acquired hypothyroidism

    Directory of Open Access Journals (Sweden)

    Karlos Thiago Pinheiro dos Santos

    2010-08-01

    Full Text Available Surdez no hipotireoidismo já foi descrita por diversos autores, porém a fisiopatologia é incerta. OBJETIVOS: Realizar avaliações audiológicas de pacientes com hipotireoidismo adquirido. MATERIAL E MÉTODOS: Grupos de estudo: hipotireoidismo (GH, n-30 e controle (GC, n-30. Parâmetros estudados: gênero, tempo do hipotireoidismo, co-morbidades, sintomas cócleo-vestibulares, exames bioquímicos e hormonais, limiares audiométricos, PEATE e EOAT. RESULTADOS: Todos os participantes eram mulheres; em GH 70% dos pacientes apresentavam tireoidite de Hashimoto e 60% tinham diagnóstico de hipotireoidismo há mais de 5 anos. Depressão e hipertensão foram as principais co-morbidades do grupo GH. Todos os pacientes de GH tinham valores elevados de TSH e 50% deles apresentavam diminuição de T4 livre. Surdez neurossensorial foi detectada em 22 orelhas de GH e em 7 de GC. PEATE mostrou-se normal nos participantes do GC e alterado em 10 orelhas do GH, havendo predomínio do aumento de L-V. EOAT estiveram ausentes em 12 orelhas de GH e em 4 de GC. CONCLUSÕES: Os pacientes com hipotireoidismo apresentaram mais sintomas cócleo-vestibulares, limiares audiométricos mais elevados, prolongamento das latências absolutas de L-V no PEATE e ausência ou redução as amplitudes das emissões otoacústicas. Tais alterações não estavam associadas aos níveis de TSH e T4 livre.Hearing loss in hypothyroidism has been reported by many authors but its pathophysiology is unclear. AIMS: to study the audiological evaluation of patients with acquired hypothyroidism. MATERIALS AND METHODS: two groups were included: a hypothyroidism group (HG, n-30, and a control group (CG, n-30. Parameters studied: gender, time of hypothyroidism, comorbidities, cochleovestibular symptoms, biochemistry and hormonal exams (TSH, T4, tonal audiometry, TOAEs and BERA. RESULTS: all participants were women, 70% of the HG had Hashimoto thyroiditis, 60% of the HG had had the diagnostic of

  11. Audiometria de alta freqüência: estudo com indivíduos audiologicamente normais High-frequency audiometry: study with normal audiological subjects

    Directory of Open Access Journals (Sweden)

    Daniela R. Sahyeb

    2003-01-01

    practicability and, sometimes, lack of reliable results. According to the literature, a suitable methodology for such assessment, as well as values indicated as normal reference, are still needed. STUDY DESIGN: Clinical prospective. MATERIAL AND METHOD: The present research study observed auditory thresholds in young and audiologically normal individual with HFA and assessed some variables that could have an influence upon the results. CONCLUSION: Based on the collected data, we were able to established values for mean, standard deviation and median, besides minimum and maximum values for each frequency, for the entire population. Statistical analyses did not identify significant differences between gender and the ears. Moreover, questions related to inter-and intra-individual variability are discussed.

  12. 儿童分泌性中耳炎的听力学分析%The Audiological Characteristics of Children with Secretory Otitis Media

    Institute of Scientific and Technical Information of China (English)

    高胜利; 邹宇; 罗仁忠; 孙昌志; 陈彦球; 彭桥琛; 谢小赳

    2012-01-01

    目的 分析儿童分泌性中耳炎的听力学特征,探讨不同听力学测试方法在儿童分泌性中耳炎诊断中的作用和准确性,为儿童分泌性中耳炎的诊断提供理论依据.方法 回顾性分析2010年1月~2011年6月诊断为分泌性中耳炎住院治疗的46例(81耳)患儿的资料.所有患儿均行中耳鼓膜切开,将声导抗、畸变产物耳声发射(DPOAE)、听性脑干反应(ABR)、纯音测听(pure tone audiometry,PTA)结果与术中所见进行比较分析,了解不同听力学测试方法在评估儿童分泌性中耳炎中的作用和准确性.结果 ①46例(81耳)患儿的DPOAE检查结果均提示双耳未通过,声导抗检查均为B型导抗图.鼓膜切开证实70耳有分泌物(86.42%),11耳无明显分泌物(13.58%).②34例(59耳)行ABR测试的患儿,鼓膜切开证实49耳(83.05%)有积液,其中6耳ABR反应阈正常,43耳ABR反应阈升高;46耳ABRⅠ波潜伏期延长,3耳Ⅰ波潜伏期正常.鼓膜切开证实无积液的10耳(16.95%),5耳ABR反应阈正常,5耳ABR反应阈升高;4耳ABRⅠ波潜伏期延长,6耳Ⅰ波潜伏期正常.③12例(22耳)行PTA测试的患儿,所有耳的听阈值均异常,气骨导差均大于10 dB,鼓膜切开证实22耳均有积液.④统计学分析结果显示,ABR气导反应阈值(Kappa=0.364,P<0.01)、Ⅰ波潜伏期(Kappa=0.561,P<0.01)与中耳积液有相关性.结论 声导抗测试对评估儿童分泌性中耳炎有较高的敏感性,PTA气导听阈及气骨导差、ABR气导反应阈值、ABRⅠ波潜伏期及DPOAE亦可较好地反映儿童中耳功能.%Objective To analyze the audiological characteristics of children with secretoryotitis media (SOM) and to validate different hearing tests in the diagnosis of SOM. Methods Theaudiological data of 46 SOM patients (81 ears) were retrospectively studied. All the childrenreceived the tympanotomy.The acoustic immittance measurement, distortion product otoacousticemission (DPOAE), auditory brainstem response (ABR

  13. 不同听力损失类型及年龄突发性耳聋患者的治疗效果分析%Treatment Outcomes Analysis in Sudden Sensorineural Hearing Loss among Different Ages and Audiological Types

    Institute of Scientific and Technical Information of China (English)

    樊新; 修世国

    2015-01-01

    目的:探讨突发性耳聋患者的不同听力损失类型和年龄与疗效的相关性。方法90例(98耳)突发性耳聋患者根据年龄不同分为两组:青中年组15-60岁(42例,47耳)和老年组60-81岁(48例,51耳),分析比较不同听力损失类型和年龄突发性耳聋患者的治疗效果。结果不同听力损失类型突发性耳聋患者的疗效分别为低频型85.71%、高频型65.52%、平坦和全聋型80.49%,低频型或平坦和全聋型分别与高频型比较差异均有统计学意义(P<0.05),低频型与平坦和全聋型比较无明显差异(P>0.05);青中年组与老年组的疗效比较差异有统计学意义(P<0.05)。结论低频型的疗效最好,平坦型及全频型其次,高频型的疗效最差,临床上可依据听力损失类型判断疗效。%Objective To discuss the correlation between different audiological types and different ages in Sudden Sensorineu-ral Hearing Loss.Methods Analysis treatment results in patients of different ages with sudden sensorineural hearing loss of different audiology patterns. Methods Treatment outcomes in relation to age and audiometric pattern were reviewed in 90 patients (98ears) with sudden sensorineural hearing loss who were divided into three age groups:15—60 years (42patients,47 ears),60—81years (48 pa-tients,51 ears).Result Effective rates of low frequency hearing loss、high frequency hearing loss、All—frequency hearing loss were 85.71%、65.52%and 80.49%,The differences were statistically significant.Conclusion Low frequency hearing loss responded best to treatment, followed by all-frequency hearing loss, whereas high frequency hearing loss yielded poorest response,we can predict prognosis According to different audiological types.

  14. 儿童分泌性中耳炎听力学检查结果分析及意义探讨%An Analysis of Audiological Results in Children with Otitis Media with effusion

    Institute of Scientific and Technical Information of China (English)

    廖剑绚; 周芝芳; 李明

    2015-01-01

    目的:探讨听力学相关检查对分泌性中耳炎患儿的诊断的临床意义方法57例患儿,男30例、女27例,年龄5岁至9岁,平均年龄7岁4个月。每位患儿均进行纯音测听,鼓室声导抗测试、镫骨肌声反射测试、畸变产物耳声发射、听性脑干反应测试。结果57例患儿(114耳)中99耳证实有分泌性中耳炎,99耳中C型鼓室图42耳(42.4%),B型鼓室图53耳(53.5%),A型鼓室图4耳(4.04%)。纯音测听有气骨导差89耳(89.9%),听力正常10耳(10.1%)。听性脑干反应正常26耳(26.3%)。在鼓室图异常的95耳中,33耳(34.7%)能引出声反射,有声反射组患儿与无声反射组患儿及DPOAE通过组与未通过组分别进行纯音听阈进行t检验统计学分析,两者阈值均具有显著统计学差异(P<0.01)。结论听力学的相关综合检查对于儿童分泌性中耳炎的诊断有一定的临床意义。%Objective To investigate the value of audiology testing in assessing hearing in children with otitis media with effusion. Methods Audiology testing was conducted in 57 children (30 boys and 27girls, aver-age age=7.33 years, ranging from 5 to 9 years), including paediatric audiometry, tympanometry, acoustic re-flex threshold, distortion product otoacoustic emissions (DPOAE) and auditory brainstem responses (ABR). Results Of the 99 ears tested, tympanometry showed normal type A results in 4 ears (4.04%), type C results in 42 ears (42.4%), and type B results in 53 ears (53.5%). Audiometry results were abnormal in 89 ears (89.9%), and ABR results were normal in 26 ears (26.3%). In the 95 ears showing abnormal tympanometry, acoustic re-flex was present in 33 ears (34.7%). Audiometric thresholds showed significant differences when compared be-tween children with or without acoustic reflex and between children passing or failing DPOAE testing (P<0.01). Conclusion Audiology testing is a very important tool in assessing hearing in

  15. Avaliação audiológica e eletrofisiológica em crianças com transtornos psiquiátricos Audiologic and electrophysiologic evaluation in children with psychiatric disorders

    Directory of Open Access Journals (Sweden)

    Carla Gentile Matas

    2009-02-01

    Full Text Available Indivíduos com transtornos psiquiátricos podem apresentar distúrbios perceptuais, de atenção e memória, questionando-se a presença de perdas auditivas periféricas e/ou centrais. Assim, o objetivo deste trabalho é descrever os resultados obtidos nas avaliações audiológica e eletrofisiológica, verificando a ocorrência de alterações auditivas periféricas e/ou centrais nesta população. CASUÍSTICA E MÉTODOS: Foram avaliados 20 indivíduos com autismo e síndrome de Asperger, e 20 indivíduos em desenvolvimento típico, entre oito e 19 anos. RESULTADOS: Todos os indivíduos apresentaram resultados normais na avaliação audiológica. No PEATE, 50% dos indivíduos com autismo e 30% com síndrome de Asperger apresentaram alterações, havendo diferença estatisticamente significante na análise dos dados quantitativos em ambos os grupos. Em todos os grupos verificaram-se alterações no PEAML e P300. No PEAML, não houve diferença estatisticamente significante entre os grupos na análise dos dados quantitativos e qualitativos. No P300, observou-se diferença estatisticamente significante quando comparados os grupos controle e síndrome de Asperger na análise dos dados quantitativos. CONCLUSÃO: Verificou-se grande ocorrência de alterações nos potenciais evocados auditivos em crianças autistas e com síndrome de Asperger, embora em algumas análises realizadas não tenha sido constatada diferença estatisticamente significante. Enfatiza-se a importância da investigação minuciosa da função auditiva em indivíduos com transtornos psiquiátricos.Individuals with psychiatric disorders can present perception, attention and memory deficits, raising doubts about peripheral and/or central hearing loss. Thus, the aim of this study is to describe the audiological and electrophysiological results of individuals with psychiatric disorders, looking for peripheral and/or central auditory disorders. METHODS: 20 individuals with autism

  16. The Follow-up Study on Audiological Characteristics of Auditory Neuropathy Spectrum Disorder%听神经病谱系障碍患者听力学特征随访研究

    Institute of Scientific and Technical Information of China (English)

    谢林怡; 刘穹; 王秋菊; 兰兰; 王大勇; 于澜; 史伟; 张秋静; 韩冰; 王洪阳; 关静

    2015-01-01

    Objective To analyse the audiological characteristics of patients with auditory neuropathy spectrum disorder (ANSD) for gaining a better understanding of the audiological characteristics prognosis of ANSD patients. As well as to make a scheme for patients’further consulation, facilitating the patients’further consulation. Methods 22 patients (40ears) with ANSD were enrolled, all of whom had received further consulation within 17 years after the first consulation. Pure tone test, speech-discrimination score test (SDS), distortion product otoacoustic emission (DPOAE), acoustic immitance testingand au⁃ditory brainstem response (ABR) were performed on these patients. Results The differences between the first consulation and the further consulation are as follows:①There were no significant changes in pure tone average(P>0.05).②The SDS of the patients who came back for further consulation in 3 years differ from the ones who came back in 7 years(P0.05);②随访期1-3年组与随访期>7年组间言语识别率有统计学意义(P<0.05);③首诊患者的DPOAE均正常或大部分正常引出,复诊中低频DPOAE的引出率降低,其中随访期为1-3年的患者全频DPOAE引出率下降;④镫骨肌反射引出率由20%下降为5%;⑤ABR波形无明显变化,均为2耳(5%)引出V波。结论①随着随访期的延长,ANSD患者言语识别率、DPOAE引出率、镫骨肌反射引出率下降,部分患者将表现出感音神经性耳聋的临床听力学特征。患者中主诉有言语识别障碍的,仍有可能为ANSD;②随访方案仍需继续完善,以更好地为患者提供帮助,并在一定程度上提高复诊率。

  17. Perfil mercadológico do fonoaudiólogo atuante na área de Audiologia Clínica Market profile of speech and language therapist in the area of Audiology Clinic

    Directory of Open Access Journals (Sweden)

    Cleiciane Martins Braga

    2012-01-01

    Full Text Available OBJETIVO: investigar o perfil mercadológico do fonoaudiólogo atuante na área de audiologia clínica da cidade de Fortaleza, buscando identificar a formação em nível de pós-graduação, quantificar a faixa salarial, analisar o nível de satisfação do profissional e avaliar a jornada de trabalho e o vínculo empregatício desse profissional. MÉTODO: estudo transversal, realizado no período de fevereiro a abril de 2010, tendo-se aplicado um questionário acerca da atuação fonoaudiológica na área de Audiologia Clínica em 30 fonoaudiólogos, 29 (96,7% do gênero feminino e um (3,3% do gênero masculino, com idade média de 31,4 anos, variando entre 24 e 44 anos de idade, na cidade de Fortaleza, Ceará. O questionário abrangeu os seguintes itens: dados de formação acadêmica, remuneração, área de atuação, setor de atuação, jornada de trabalho em horas semanais, vínculo empregatício e nível de satisfação com a área de atuação. Os dados foram organizados e analisados estatisticamente por meio do teste de igualdade de duas proporções. RESULTADOS: treze (43,3% dos fonoaudiólogos que atuam com Audiologia Clínica recebem entre quatro a seis salários mínimos. Vinte e quatro (80% fonoaudiólogos atuantes na área da Audiologia Clínica são autônomos, quatro (13,3% tem Carteira de Trabalho assinada e dois (6,7% são pessoas jurídicas. Dezesseis (53,3% dos fonoaudiólogos estão satisfeitos com a sua profissão. CONCLUSÃO: o fonoaudiólogo atuante na área de Audiologia Clínica na cidade de Fortaleza apresenta, predominantemente, curso de especialização, renda salarial entre quatro e seis salários mínimos, com jornada de trabalho de 10 a 20 horas semanais. A maioria são profissionais autônomos e sentem-se satisfeitos com sua atuação profissional.PURPOSE: to investigate the market profile of speech therapist professional working in the area of clinical audiology in Fortaleza, identifying the postgraduate level

  18. An integrated knowledge translation experience: use of the Network of Pediatric Audiologists of Canada to facilitate the development of the University of Western Ontario Pediatric Audiological Monitoring Protocol (UWO PedAMP v1.0).

    Science.gov (United States)

    Moodie, Sheila T; Bagatto, Marlene P; Miller, Linda T; Kothari, Anita; Seewald, Richard; Scollie, Susan D

    2011-01-01

    Pediatric audiologists lack evidence-based, age-appropriate outcome evaluation tools with well-developed normative data that could be used to evaluate the auditory development and performance of children aged birth to 6 years with permanent childhood hearing impairment. Bagatto and colleagues recommend a battery of outcome tools that may be used with this population. This article provides results of an evaluation of the individual components of the University of Western Ontario Pediatric Audiological Monitoring Protocol (UWO PedAMP) version 1.0 by the audiologists associated with the Network of Pediatric Audiologists of Canada. It also provides information regarding barriers and facilitators to implementing outcome measures in clinical practice. Results indicate that when compared to the Parents' Evaluation of Aural/Oral Performance of Children (PEACH) Diary, audiologists found the PEACH Rating Scale to be a more clinically feasible evaluation tool to implement in practice from a time, task, and consistency of use perspective. Results also indicate that the LittlEARS(®) Auditory Questionnaire could be used to evaluate the auditory development and performance of children aged birth to 6 years with permanent childhood hearing impairment (PCHI). The most cited barrier to implementation is time. The result of this social collaboration was the creation of a knowledge product, the UWO PedAMP v1.0, which has the potential to be useful to audiologists and the children and families they serve. PMID:22194315

  19. Audiometria de altas frequências no diagnóstico complementar em audiologia: uma revisão da literatura nacional High-frequency audiometry in audiological complementary diagnosis: a revision of the national literature

    Directory of Open Access Journals (Sweden)

    Karlin Fabianne Klagenberg

    2011-03-01

    Full Text Available A audiometria de altas frequências (AAF é um exame audiológico importante na detecção precoce de perdas auditivas por lesões na base do ducto coclear. Nos últimos anos, a sua utilização foi facilitada pelo fato de os audiômetros comercializados passarem a incorporar frequências superiores a 8 kHz. Porém, existem diferenças relacionadas aos equipamentos utilizados, às metodologias empregadas e/ou aos resultados e interpretação. Assim, o objetivo deste artigo foi analisar a produção científica nacional sobre a aplicação clínica com AAF, para compreender sua utilização atual. Foram pesquisados textos publicados e indexados nas bases de dados LILACS, SciELO e Medline, num período de tempo de dez anos, utilizando como descritor "audiometria de altas frequências/high-frequency audiometry". Encontraram-se 24 artigos científicos nacionais utilizando AAF, cuja população avaliada, em sua maioria, apresentava de 18 a 50 anos de idade; 13 dos estudos determinaram os limiares utilizando como referência decibel nível de audição (dBNA; alguns estudos realizaram a comparação dos limiares auditivos tonais entre grupos para definir a normalidade; os autores relataram diferenças significativas nos limiares auditivos de altas frequências entre as idades. A AAF é utilizada na clínica audiológica para identificação precoce de alterações auditivas e no acompanhamento da audição de sujeitos expostos a drogas ototóxicas e/ou agentes otoagressores.High-frequency audiometry (HFA is an important audiological test for early detection of hearing losses caused by leasions in the base of the cochlear duct. In recent years, its use was facilitated because audiometers began to identify frequencies higher than 8 kHz. However, there are differences related to the equipment used, the methodologies followed, and/or to the results and their interpretation. Therefore, the aim of this study was to analyze the national scientific production

  20. 脑性瘫痪伴听力损失儿童的听力学特点及高危因素分析%The Audiology Characteristics and High Risk Factors of Hearing Loss Infants with Cerebral Palsy

    Institute of Scientific and Technical Information of China (English)

    唐向荣; 黄丽辉; 李红辉; 杨艳; 林楠; 周雪燕

    2011-01-01

    目的 探讨脑性瘫痪伴听力损失儿童的听力学特点及高危因素.方法 对2009年1月~2010年12月诊断为脑性瘫痪的120例患儿进行听力学诊断,包括ABR、诊断型DPOAE测试,明确是否伴有听力损伤及听损伤的程度和部位,并对听力损伤的高危因素进行分析.结果 120例脑性瘫痪儿童中,双耳ABR反应阈正常82例(68.33%,82/120),其DPOAE均正常;38例(31.67%,38/120)ABR异常,其中,双耳35例,3例轻度、5例中度、3例重度、24例极重度;单耳3例,2例极重度、1例中度听力损失;23例双耳、3例单耳DPOAE未引出,与ABR检查结果一致,符合感音神经性聋诊断;12例双耳DPOAE正常,而ABR波形异常,符合蜗后聋诊断.38例听损伤脑瘫患儿的高危因素主要有高胆红素血症13例(34.21%)、窒息8例(21.05%)、早产低体重8例(21.05%),母孕期感染7例(18.42%)、伴其它新生儿疾病(先天性甲状腺机能低下症、败血症、化脓性脑膜炎、面神经麻痹等)6例(15.79%),脑瘫或耳聋家族史2例(5.26%),有两种或两种以上高危因素者11例.结论 本组脑性瘫痪伴听力损失儿童以双耳极重度感音神经性聋为主,其次为双耳极重度蜗后聋,多数脑瘫伴听力损失儿童具有听力损伤高危因素.%Objective To study the audiological characteristics and high risk factors of hearing loss infants with cerebral palsy. Methods 120 infants with cerebral palsy received audiological diagnostic tests, including auditory brainstem response (ABR), distortion product otoacoustic emission (DPOAE). The injured parts and degrees were analyzed while high risk factors of hearing loss were analyzed. Results Among 120 cases,38 cases sensorineu-ral hearing loss were found ,including 35 cases bilateral hearing loss,3 cases unilateral hearing loss. There were 24 cases of profound hearing loss,3 cases of severe hearing loss,3 cases of mild and 5 cases of moderate hearing loss. According to the result

  1. AUDIOLOGICAL EVALUATION IN GERIATRIC AGE GROUP

    OpenAIRE

    Satheesh; Sunil Kumar; Muneeruddin Ahmed

    2015-01-01

    INTRODUCTION: Age Related Hearing Loss (ARHL) is defined as loss of hearing in elderly persons not influe nced by the extraneous factors like noise trauma etc or intrinsic like CVS related diseases or endocrinal disorders like Diabetes. Also termed as Presbycusis it is defined as the loss of hearing due to age related changes taking place in the auditory syste m starting from the pinna to the cortical centers in the brain. It does not include any other factor contributing...

  2. AUDIOLOGICAL EVALUATION IN GERIATRIC AGE GROUP

    Directory of Open Access Journals (Sweden)

    Satheesh

    2015-05-01

    Full Text Available INTRODUCTION: Age Related Hearing Loss (ARHL is defined as loss of hearing in elderly persons not influe nced by the extraneous factors like noise trauma etc or intrinsic like CVS related diseases or endocrinal disorders like Diabetes. Also termed as Presbycusis it is defined as the loss of hearing due to age related changes taking place in the auditory syste m starting from the pinna to the cortical centers in the brain. It does not include any other factor contributing or initiating the pathological changes in the auditory system resulting in hearing loss. All these changes in the tissues are not pathological but truly age related. The threshold of hearing is defined as the pure tone average across the frequencies of 0.5 to 8 kHz. The severity of hearing loss is graded as profound hearing loss : more than 90dB , severe to severe loss : 71 - 90 dB or more ; Moderate to severe hearing loss : 56 - 70 , Moderate hearing loss : 41 - 55 dB HL ; Mild hearing loss : 26 - 40 dB HL. Present study is to evaluate hearing loss in persons aged above 65 years both of those attending the Hospital for loss of hearing and those screened in a sur vey. AIM: To evaluate the hearing thresholds in individuals aged above 65 years attending the Government General Hospital and among the people attending the hearing screening done in the city of Warangal. The study also includes the review of the literature on ARHL. MATERIALS AND METHODS: 185 individuals aged above 65 years are evaluated for hearing thresholds with the help of pure tone audiometry and speech audiometry. Among the 185 individuals 102 are patients attending the Department of ENT for the compla ints of loss of hearing. The remaining 83 individuals are from the survey conducted to screen for hearing loss in the city of Warangal for the population aged above 65 years. Demographic data about the 185 individuals is collected. Pure tone audiogram and speech audiometry is done in all the patients. CONCLUSIONS: PTA and SRT values are similar in both the groups. Early old age groups presented with mild to severe types of deafness and loss in lower frequencies. Late old aged people showed profound hearing l oss and increased thresholds in higher frequencies. SRT estimation seemed more sensitive than calculating PTA in the persons above 85 years. Females showed 5 to 10 dB lower PTA values than males in all ages.

  3. Applying experiential learning to audiology curricula.

    Science.gov (United States)

    Stiles, Derek J

    2013-05-01

    In my quest to become a better professor, I have been searching for the instructional paradigms that best facilitate the educational process between me and my students. To support this endeavor, I opted to study learning diversity. The results of my investigation led me to reflect upon whether my teaching strategies inadvertently engaged only a subset of my students. I believe that was the case. In this article, I will describe the experiential learning model, how I used it to measure my students' learning styles, and how I used the model to make my teaching more holistic. PMID:23739057

  4. Audiological Management of Patients Receiving Aminoglycoside Antibiotics

    Science.gov (United States)

    Konrad-Martin, Dawn; Wilmington, Debra J.; Gordon, Jane S.; Reavis, Kelly M.; Fausti, Stephen A.

    2005-01-01

    Aminoglycoside antibiotics, commonly prescribed for adults and children to treat a wide range of bacterial infections, are potentially ototoxic, often causing irreversible damage to the auditory and vestibular systems. Ototoxic hearing loss usually begins at the higher frequencies and can progress to lower frequencies necessary for understanding…

  5. Estudo das latências e amplitudes dos potenciais evocados auditivos de média latência em indivíduos audiologicamente normais Middle latency response study of auditory evoked potentials’ amplitudes and lantencies audiologically normal individuals

    Directory of Open Access Journals (Sweden)

    Ivone Ferreira Neves

    2007-02-01

    Full Text Available Estudo de coorte contemporânea com corte transversal. O Potencial Evocado Auditivo de Média Latência (PEAML é gerado entre 10 e 80ms e possui múltiplos geradores, com maior contribuição da região tálamo-cortical. O estabelecimento de critérios de normalidade para os valores de latência e amplitude é necessário para uso clínico. OBJETIVOS: Analisar a latência e amplitude do PEAML em indivíduos sem alterações audiológicas, e verificar a confiabilidade da amplitude Pa-Nb. MATERIAL E MÉTODO: Foram coletados os PEAML de 25 indivíduos durante o ano de 2005 e analisados os componentes Na, Pa, Nb para cada orelha testada (A1 e A2, e posicionamento de eletrodo (C3 e C4. RESULTADOS: Observou-se diferença estatisticamente significante entre os valores médios de latência para C3A1 e C4A1 com relação aos componentes Na e Pa, não sendo encontrada esta diferença para o componente Nb e valores médios das amplitudes Na-Pa e Pa-Nb. CONCLUSÃO: Foram estabelecidos os valores das médias e desvios padrão para os parâmetros latência e amplitude dos componentes Na, Pa, Nb, e Na-Pa e Pa-Nb, nas condições C3A1, C4A1, C3A2, C4A2, proporcionando os parâmetros para a análise e interpretação deste potencial.Contemporary cohort cross-sectional study. Introduction: The auditory middle latency response (AMLR is generated between 10 and 80 ms and has multiple generators, with a greater contribution from the thalamus-cortical pathways. The establishment of normality criteria for latency and amplitude values is necessary for clinical use. AIM: to analyze the latency and amplitude of the AMLR in individuals without audiological disorders, and verify the reliability of Pa-Nb amplitude. MATERIALS AND METHODS: The AMLR of 25 individuals was collected during 2005 and the Na, Pa, Nb components were analyzed for each tested ear (A1 and A2, and electrode positioning (C3 and C4. RESULTS: A statistically significant difference was noticed among middle

  6. 基于医院信息化管理网络下的听力诊断系统的研发与临床应用%Development and Clinical Utility of an Audiologic Diagnosis System Based on a Hospital Information Network

    Institute of Scientific and Technical Information of China (English)

    兰兰; 王大勇; 保鹏飞; 蒲卫; 王秋菊; 韩冰; 史伟; 李倩; 张超; 丁海娜; 王卉; 李娜

    2012-01-01

    Objective To analyze the requirements of medical center of clinical audiology information system(MC-CAIS) based on the hospital information system(HIS) and, establish the protocols in order to understand the problems and targets for which the MCCAIS is to solve. Methods The requirements analysis involve clinical audiology technicians frequent communicated with otolaryngology specialists , the project managers and hospital software engineers to familiar the facilities and to determine specific feature expectations. These features and details should be directed towards ensuring that the MCCAIS conforms to expectative needs. Results The main problems and requirements include that patients' information could not be shared with HIS, existing manual processes urgent to record and analyze automatically, and total 10 different equipment pursue to connect with HIS. Managements of hardware and software, system security, test report style, data input and output format, data manage and analysis, all of these aspects need to be improved and standardized. Conclusion Requirements analysis is the process of determining what are clinical audiology center's expectations for existing net service. These requirements must be quantifiable, relevant and realizable. Requirements analysis is an important aspect of informa-tionization of clinical audiology center and hospital.%目的 调研在医院信息系统下建立临床听力诊断系统基本功能需求,分析作为医院子系统与医院信息系统集成建设存在的问题并确立要实现的目标.方法 通过对临床听力诊断业务的整体评价和分析,确定与医院信息系统集成的标准与方法;通过文献查询和专家咨询了解系统研发现状及研发经验、工作流程,同时采集信息化建设所需的各种信息和数据资料.结果 临床听力医学中心业务现状及目前面临的主要问题包括:耳聋患者基本信息不能与HIS系统共享;听力学资料手工绘制并以纸

  7. Processos educativos em saúde vocal do professor: análise da literatura da Fonoaudiologia brasileira Educative processes in the vocal health of teachers: a literature review of Brazilian studies in Speech-Language Pathology and Audiology

    Directory of Open Access Journals (Sweden)

    Regina Zanella Penteado

    2011-06-01

    teachers discussed in Speech-Language Pathology and Audiology literature produced in Brazil. Our corpus consisted of 63 studies on collective intervention published between 1994 and 2008. The analysis emphasizes the distribution of publications over time; the characterization of the type of educative process (unilateral or dialogic, democratic, participatory and problem-based; the themes/content addressed; the form of development (precise or procedural; and the organization of actions (individually centered or expanded towards working issues. It was observed that 74% of the actions were developed in processes, such as courses, workshops or voice training. The average length of each meeting ranged from 20 minutes to four hours. Seventy nine percent of the educative strategies employed were characterized as unilateral and inconsistent with proposals based on healthcare promotion. The most common themes and topics were: vocal habits/behaviors and vocal hygiene/health (71%; warming up and cooling down, vocal exercises and techniques (50%; anatomy and physiology of vocal production and oral sensorimotor system (44%; vocal parameters (23%; work environment (22%, and use of voice, communication and expression (20%. The focus of the educative process is the individual (100% and it is generally conducted without considering work conditions, health and quality of life. Work environment aspects were contemplated in only 17% of the publications, teachers' work organization, in 6%, and school community, in 1%. It was identified the need for organization and revision of forms of development, dynamics, strategies, themes and contents, type and focus of the educative process of public healthcare actions aiming at teachers' vocal health, according to the perspective of health promotion.

  8. Indication criteria for cochlear implants and hearing aids: impact of audiological and non-audiological findings

    Directory of Open Access Journals (Sweden)

    Sabine Haumann

    2012-08-01

    Full Text Available Owing to technological progress and a growing body of clinical experience, indication criteria for cochlear implants (CI are being extended to less severe hearing impairments. It is, therefore, worth reconsidering these indication criteria by introducing novel testing procedures. The diagnostic evidence collected will be evaluated. The investigation includes postlingually deafened adults seeking a CI. Prior to surgery, speech perception tests [Freiburg Speech Test and Oldenburg sentence (OLSA test] were performed unaided and aided using the Oldenburg Master Hearing Aid (MHA system. Linguistic skills were assessed with the visual Text Reception Threshold (TRT test, and general state of health, socio-economic status (SES and subjective hearing were evaluated through questionnaires. After surgery, the speech tests were repeated aided with a CI. To date, 97 complete data sets are available for evaluation. Statistical analyses showed significant correlations between postsurgical speech reception threshold (SRT measured with the adaptive OLSA test and pre-surgical data such as the TRT test (r=-0.29, SES (r=-0.22 and (if available aided SRT (r=0.53. The results suggest that new measures and setups such as the TRT test, SES and speech perception with the MHA provide valuable extra information regarding indication for CI.

  9. Interação entre audiologia e genética no estudo de uma família: a complexidade do diagnóstico molecular e do aconselhamento genético Interaction between audiology and genetics in the study of a family: the complexity of molecular diagnosis and genetic counseling

    Directory of Open Access Journals (Sweden)

    Flavia Maria Rodrigues Hoffmann

    2008-10-01

    Full Text Available A deficiência auditiva como déficit sensorial mais comum tem dentre suas diferentes etiologias as alterações genéticas. Assim, é importante que a investigação audiológica se associe à busca do diagnóstico etiológico. OBJETIVO: Relatar o perfil audiológico e genético de três irmãos portadores de deficiência auditiva neurossensorial não-sindrômica. MATERIAL E MÉTODO: Estudo de caso de três irmãos, do sexo masculino, com 3, 5 e 16 anos, respectivamente, submetidos à avaliação audiológica comportamental e eletrofisiológica, e estudo molecular. RESULTADOS: Os achados audiológicos mostraram: audiometria do tipo neurossensorial, bilateral, simétrica, de grau moderado a moderadamente severo e configuração descendente acentuada. EOAT e EOAPD ausentes nos dois irmãos mais novos. PEATE compatível com perda auditiva moderadamente severa a severa. Presença do P300 com latências dentro da normalidade bilateralmente no irmão mais velho. Os achados do exame molecular mostraram que as duas crianças mais novas eram heterozigotos para a mutação 35delG no gene GJB2 e o mais velho não apresentava essa mutação. CONCLUSÃO: A associação das avaliações fonoaudiológicas e genéticas permite o diagnóstico etiológico de perdas auditivas que à primeira vista são semelhantes, mas que não obedecem à mesma estrutura genética. Os estudos moleculares devem ser abrangentes, evitando diagnósticos precipitados que prejudiquem o aconselhamento genético.Hearing loss is a multifaceted condition with many etiologies, among which genetic mutation is. Therefore, it is important to connect audiological investigation to etiological diagnosis. AIM: this study aims to establish the audiological and genetic profiles of three non-syndromic children with sensorineural hearing loss. MATERIALS AND METHOD: three brothers aged 3, 5 and 16 were enrolled in this study. They were submitted to behavioral and electrophysiological hearing tests and

  10. A produção do conhecimento em Distúrbios da Comunicação: análise de periódicos (2000-2005 Knowledge production in Speech-Language Pathology and Audiology: analysis of peer-reviewed journals (2000-2005

    Directory of Open Access Journals (Sweden)

    Ana Paula Berberian

    2009-01-01

    Full Text Available OBJETIVO: Analisar parte da produção de conhecimento da área dos Distúrbios da Comunicação. MÉTODOS: Análise dos artigos publicados nos periódicos: Revista de Distúrbios da Comunicação; Revista da Sociedade Brasileira de Fonoaudiologia; Revista Fonoatual e Revista Pró-fono, no período de 2000 a 2005. Variáveis examinadas: temática, faixa etária do público alvo, tipo de intervenção e contexto institucional. RESULTADOS: Foram publicados 724 artigos. A temática mais pesquisada, de forma isolada ou combinada, foi Linguagem Oral (282, seguida de Audiologia (232, Motricidade Oral (91 e Voz (62. A faixa etária mais estudada foi de três a dez anos (145. A atuação de diagnosticar e/ou avaliar foi a mais relatada (547, em contexto clínico (542, escolar (63 e hospitalar (32. CONCLUSÃO: Esses números refletem o aumento das publicações desses periódicos. Há necessidade de uma distribuição mais equilibrada das temáticas, faixas etárias, tipos de intervenções e contextos institucionais nas produções da área. Novos estudos em torno da produção do conhecimento devem ser realizados visando o registro histórico do que tem sido pesquisado e a definição de ações e campos estratégicos para o implemento da pesquisa na área.PURPOSE: To analyze part of the knowledge production in the field of Speech-Language Pathology and Audiology. METHODS: The articles published in the following journals from the year 2000 to 2005 were analyzed: Revista de Distúrbios da Comunicação; Revista da Sociedade Brasileira de Fonoaudiologia; Revista Fonoatual and Revista Pró-fono. The studied variables were: topic, age range of the studied population, type of intervention, and institutional context. RESULTS: Seven hundred and twenty four articles were published during the period analyzed. The prevailing subject, either individually or in combination with other topics, was Oral Language (282, followed by Audiology (232, Orofacial Myology (91

  11. Audiological outcomes of cochlear implantation in Waardenburg Syndrome

    OpenAIRE

    Magalhães, Ana Tereza de Matos; Samuel, Paola Angélica; Goffi-Gomez, Maria Valeria Schimdt; Tsuji, Robinson Koji; Brito, Rubens; Bento, Ricardo Ferreira

    2013-01-01

    Summary Introduction: The most relevant clinical symptom in Waardenburg syndrome is profound bilateral sensorioneural hearing loss. Aim: To characterize and describe hearing outcomes after cochlear implantation in patients with Waardenburg syndrome to improve preoperative expectations. Method: This was an observational and retrospective study of a series of cases. Children who were diagnosed with Waardenburg syndrome and who received a multichannel cochlear implant between March 1999 and July...

  12. Osteogenesis imperfecta: the audiological phenotype lacks correlation with the genotype.

    NARCIS (Netherlands)

    Swinnen, F.K.R.; Coucke, P.J.; Paepe, A.M. De; Symoens, S.; Malfait, F.; Gentile, F.V.; Sangiorgi, L.; D'Eufemia, P.; Celli, M.; Garretsen, T.J.; Cremers, C.W.R.J.; Dhooge, I.J.; Leenheer, E. de

    2011-01-01

    ABSTRACT: BACKGROUND: Osteogenesis Imperfecta (OI) is a heritable connective tissue disorder mainly caused by mutations in the genes COL1A1 and COL1A2 and is associated with hearing loss in approximately half of the cases. The hearing impairment usually starts between the second and fourth decade of

  13. Audiological outcomes of cochlear implantation in Waardenburg Syndrome

    Directory of Open Access Journals (Sweden)

    Magalhães, Ana Tereza de Matos

    2014-01-01

    Full Text Available Introduction: The most relevant clinical symptom in Waardenburg syndrome is profound bilateral sensorioneural hearing loss. Aim: To characterize and describe hearing outcomes after cochlear implantation in patients with Waardenburg syndrome to improve preoperative expectations. Method: This was an observational and retrospective study of a series of cases. Children who were diagnosed with Waardenburg syndrome and who received a multichannel cochlear implant between March 1999 and July 2012 were included in the study. Intraoperative neural response telemetry, hearing evaluation, speech perception, and speech production data before and after surgery were assessed. Results: During this period, 806 patients received a cochlear implant and 10 of these (1.2% were diagnosed with Waardenburg syndrome. Eight of the children received a Nucleus 24® implant and 1 child and 1 adult received a DigiSonic SP implant. The mean age at implantation was 44 months among the children. The average duration of use of a cochlear implant at the time of the study was 43 months. Intraoperative neural responses were present in all cases. Patients who could use the speech processor effectively had a pure tone average of 31 dB in free-field conditions. In addition, the MUSS and MAIS questionnaires revealed improvements in speech perception and production. Four patients did not have a good outcome, which might have been associated with ineffective use of the speech processor. Conclusion: Despite the heterogeneity of the group, patients with Waardenburg syndrome who received cochlear implants were found to have hearing thresholds that allowed access to speech sounds. However, patients who received early intervention and rehabilitation showed better evolution of auditory perception.

  14. Demographic and audiological factors as predictors of hearing handicap

    OpenAIRE

    Leposavić Ljubica; Leposavić Ivana; Jašović-Gašić Miroslava; Nikolić-Balkoski Gordana; Milovanović Srđan

    2006-01-01

    INTRODUCTION Currently available evidence reveals comparatively few studies of psychological effects of hearing impairments, in spite of the fact that clinicians have for a long time been aware of a connection between the acquired hearing impairment and mental disorders. They are focused on the investigation of dysfunction in general. Thus, three domains of the auditory imbalance may be distinguished: disorder, disability and handicap. 'Handicap', according to the definition of the World Heal...

  15. Introduction to Conversation Analysis with examples from audiology

    DEFF Research Database (Denmark)

    Egbert, Maria; Deppermann, Arnulf

    2012-01-01

    In this brief presentation of Conversation Analysis (“CA”), we take up some of the communication problems associated with hearing loss and link them to conversation analytic concepts. We explain how attempts to control the conversation, embarrassment and miscommunication can be analyzed as intera......In this brief presentation of Conversation Analysis (“CA”), we take up some of the communication problems associated with hearing loss and link them to conversation analytic concepts. We explain how attempts to control the conversation, embarrassment and miscommunication can be analyzed...... as interactional achievements in the areas of turn-taking, repair and nonverbal actions. The chapter also explains which kinds of data are used in CA, how the participants’ perspective is analyzed and some of the theoretical assumptions underlying the analysis. Examples of transcribed interactional sequences...... with hearing loss illustrate how turn-taking, eye gaze and trouble in hearing/understanding (“repair”) are sensitive to this communication disorder....

  16. Speech, Language, and Audiology Services in Public Schools

    Science.gov (United States)

    Sunderland, L.C.

    2004-01-01

    The prevalence of communication disorders (speech, language, and hearing) among school-age children continues to increase, making it imperative that the classroom teacher be able to identify children in need of services. This article provides information that will enable all teachers to recognize when a child is exhibiting signs of a communication…

  17. Clinical and audiological evaluation of hearing impaired children

    OpenAIRE

    Zafarullah Beigh; Malik, Manzoor A.; Mudasir ul Islam; Aamir Yousuf; Rafiq A Pampori

    2012-01-01

    Daily activities, interpersonal relationship, employment, and general well being; among such skills, communication skills are essential to a successful life for all individuals. Such skills affect education, adequate hearing acuity is of paramount importance and acts as a prerequisite in the overall personality development of an individual. Hearing impairment at any age has serious effects on the day to day life of an individual and he/she feels handicapped socially, emotionally, and scholast...

  18. Investigation of Tinnitus Patients in Italy: Clinical and Audiological Characteristics

    OpenAIRE

    Francesco Martines; Daniela Bentivegna; Fabiola Di Piazza; Enrico Martines; Vincenzo Sciacca; Gioacchino Martinciglio

    2010-01-01

    Objective. 312 tinnitus sufferers were studied in order to analyze: the clinical characteristics of tinnitus; the presence of tinnitus-age correlation and tinnitus-hearing loss correlation; the impact of tinnitus on subjects' life and where possible the etiological/predisposing factors of tinnitus. Results. There is a slight predominance of males. The highest percentage of tinnitus results in the decades 61–70. Of the tinnitus sufferers, 197 (63.14%) have a hearing deficit (light hearing loss...

  19. Audiological screening in people with diabetes. First results

    Directory of Open Access Journals (Sweden)

    E. Vesperini

    2011-03-01

    Full Text Available The relationship between diabetes mellitus (DM and hypoacusia has been discussed since the work of Jordao, in 1857. Type II diabetes was considered a prevalent age-related medical condition, resulting in subclinical pathological changes. It was estimated that the incidence is about 9.6% of people in USA. (Cowie et al. 2006. Some studies has shown that the magnitude of hearing loss in patients with DM is related to the duration of the disease, age, and affects the auditory threshold to high frequencies. (Frisina et al. 2006. In a study of Tay HL et al. (1995 was found that there is a possible correlation between the duration of diabetes and hearing loss. The auditory system requires glucose and high-energy utilization for its complex signal processing. This suggests that the cochlea may also be a target organ for the ill effects of hyperglycemias. (Cullen and Cinnamond, 1993. Increased glucose exposure, even for short periods, initiates a metabolic cascade that could disrupt the cochlea both anatomically and physiologically (Jorgensen, 1961. Hearing depends on small blood vessels and nerves of the inner ear that are affected by high blood sugar level in diabetic patients. Outer hair cells modulate auditory reception in the inner ear: consequently, OAEs are commonly considered a useful index of cochlear function...

  20. Estudo retrospectivo de crianças e jovens com deficiência auditiva: caracterização das etiologias e quadro audiológico Retrospective study of hearing impaired children and teenager: characterizing the etiologies and audiological aspects

    Directory of Open Access Journals (Sweden)

    Altair Cadrobbi Pupo

    2008-03-01

    São Paulo, Brazil - DERDIC PUC-SP, that took part in a rehabilitation program from 1999 to 2002. METHODS: a retrospective study of 162 files of hearing impaired children between 12mo and 17:6 yrs old, the questionnaire elaborated by The Aural Rehabilitation Forum which occurs annually during the International Audiology Meeting in Brazil was used. RESULTS: the results showed 54% male and 46% female subjects; 60% between 3 and 8:11 years old; 43% had the suspicions of the hearing loss in the first year of life; for 25% of the subjects the diagnostic was carried out just after the suspicions; 34% finished the diagnostic one year after the suspicions; 11% began rehabilitation just after the diagnostic, 54% after a year and 27% more than a year. 32% had unknown etiology, 18% genetic causes, 17% presumed multiple factors, 15% meningitis, 9% congenital rubella. CONCLUSION: the prevalence of unknown etiology shows the need for deepening the diagnosis, and as a routine, carry out genetics, images and laboratories studies, in order to know the etiologies of the hearing loss. Even though after implementing immunization campaigns, rubella was the most prevalent cause of the congenital hearing loss and meningitis was the most prevalent cause of acquired hearing loss. A precious time for the child development was lost because of the time gap between suspicions, diagnostic and rehabilitation.

  1. Aleitamento materno em prematuros: atuação fonoaudiológica baseada nos pressupostos da educação para promoção da saúde Breastfeeding in premature babies: speech-language and audiology performance based on education for health promotion concepts

    Directory of Open Access Journals (Sweden)

    Maria da Conceição Carneiro Pessoa de Santana

    2010-03-01

    Full Text Available O artigo relata experiência de atuação fonoaudiológica baseada nos pressupostos da educação em saúde direcionada à promoção do aleitamento exclusivo em prematuros internados em uma maternidade de referência em alto risco. No trabalho desenvolvido, estratégias multiprofissionais realizadas com grupos e de forma individualizada foram combinadas, criando espaços dialógicos com as puérperas e seus familiares e a prevalência de aleitamento materno exclusivo aumentou nos últimos três anos na enfermaria. Houve grande participação dos envolvidos nas atividades propostas, desde a admissão da puérpera na enfermaria ao processo da alta hospitalar. A estratégia adotada permitiu detectar as intervenções mais efetivas e as que deverão ser reformuladas com toda equipe. Do ponto de vista teórico e metodológico, a experiência também permitiu observar os limites e potencialidades de ações que aproximam a área do saber científico e a promoção do aleitamento materno efetiva em atividades transdisciplinares. Considerar a educação em saúde como disciplina de ação significa dizer que o trabalho é dirigido para atuar sobre o conhecimento das pessoas, para que elas desenvolvam juízo crítico e capacidade de intervenção sobre suas próprias vidas e sobre o ambiente com o qual interagem e, assim, criarem condições para se apropriarem de sua própria existência.This paper reports an experience of a speech-language and audiology (SLP team based on health promotion and education to contribute for the maintainance of exclusive breastfeeding in premature newborns in a high-risk maternity. In the process, a multiprofessional group and individual strategies were combined, producing dialogic settings along with puerperals and their families. Exclusive breastfeeding increased comparing with the last three years before these approach and greater participation of the team and relatives involved in these activities since the pregnant

  2. AUDIOLOGY AND EDUCATION OF THE DEAF, A RESEARCH PROJECT AND TRAINING MANUAL SPONSORED BY THE JOINT COMMITTEE ON AUDIOLOGY AND EDUCATION OF THE DEAF.

    Science.gov (United States)

    VENTRY, IRA M.

    TO IMPROVE UNDERSTANDING BETWEEN AUDIOLOGISTS AND EDUCATORS OF THE DEAF, THE AMERICAN SPEECH AND HEARING ASSOCIATION AND THE CONFERENCE OF EXECUTIVES OF AMERICAN SCHOOLS FOR THE DEAF SPONSORED A TWO YEAR PROJECT. FIVE DIFFERENT QUESTIONNAIRES WERE SENT TO SPEECH AND HEARING CENTERS, SCHOOLS FOR THE DEAF, TEACHERS OF THE DEAF, AND AUDIOLOGISTS. THE…

  3. Audiology Training in Germany%德国的听力学培训

    Institute of Scientific and Technical Information of China (English)

    Marianne Frickel; Malte Roberz; Andreas Blöß

    2015-01-01

    德国听力学培训具有显著的职业教育特征,主要分两个阶段进行。第一阶段,培训者在专业听力公司接受3年的初步培训,期间参加吕贝克职业培训学校的学习及助听器声学学会的实践;培训期一半后参加中期考核,培训期结束时参加结业考试,通过者可获得文凭及结业证。第一阶段通过后,才有资格接受第二阶段培训。助听器声学学会和德国职业培训学校结合最新的教学方法和技术,提供良好的学习设施,教学有明显的实践导向,确保培训者获得良好的职业技能、学习方法和社会技能。专业知识分13个主题进行传授,涉及助听系统中各方面的细节;强调沟通交流和手工操作的重要性,要求培训者能够决定如何才能为个人定制外观及声学特征最合适的助听系统;最终的考核也要求培训者能够完整实现助听系统的验配过程。实践证明,这种听力学职业教育行之有效,在世界范围享有盛誉。

  4. Evaluation of Hearing Functions with Audiological Tests in Patients with Rheumatoid Arthritis

    Directory of Open Access Journals (Sweden)

    Selma Evran Uzun

    2016-03-01

    Full Text Available Objective: Aim of this study was to show the effects of rheumatoid arthritis (RA on auditory system using pure tone audiometer and tympanometric assessments and to compare these values with healthy controls. Methods: This study included 107 subjects: 57 RA pa­tients who were being followed at our clinic with a RA diagnosis and 50 healthy controls who had similar age and gender properties. Besides clinical and laboratory findings audiometric, and tympanometric tests and sta­pes reflex measurements were compared for all patients. Results: Results of this study showed statistically signifi­cant differences in air conduction thresholds at 0.5, 1, 2, 4, and 6 kHz frequencies between RA patients and con­trols. In RA patients, bone conduction was affected only at 4 kHz and more in left ear. Additionally, air-bone conduc­tion differences were significant except at 2 kHz. Although air-bone conduction difference was higher in the study group than the control group, this was not statistically sig­nificant. Similarly no significant difference was detected in stapes reflex and tympanometric measurements between RA patients and healthy controls statistically. Conclusion: This study showed that conduction type hearing loss is seen more frequently in RA patients and bone conduction is affected at high frequencies in particu­lar. Moreover, No significant differences were seen in sta­pes reflex, compliance and pressure measures between groups. J Clin Exp Invest 2016; 7 (1: 63-68

  5. Audiological evidence of therapeutic effect of steroid treatment in neuromyelitis optica with hearing loss.

    Science.gov (United States)

    Takanashi, Yoshitaka; Misu, Tatsuro; Oda, Kazuha; Miyazaki, Hiromitsu; Yahata, Izumi; Hidaka, Hiroshi; Fujihara, Kazuo; Kawase, Tetsuaki; Kobayashi, Toshimitsu; Katori, Yukio

    2014-12-01

    Neuromyelitis optica (NMO) is an autoimmune astrocytopathy caused by anti-aquaporin 4 antibody. Only two patients with NMO have been reported presenting with hearing disorders to our knowledge. We recently treated a 40-year-old woman with NMO complaining of right hearing loss. Audiometry showed minimal asymmetry, but the auditory brainstem responses (ABR) were severely attenuated on the right. The attenuated ABR and her aural symptoms (hearing loss and fullness) improved after steroid treatment. The present case shows that the retrocochlear-type hearing loss may be associated with NMO.

  6. Hearing loss in the elderly : Consequences of hearing loss and considerations for audiological rehabilitation

    OpenAIRE

    2011-01-01

    Presbyacusis is the most common cause of hearing loss and is considered to be among the three most commonly reported chronic health problems of the elderly. In future years, the problem is predicted to be aggravated as the expected life span of the population increases. The psychological and social consequences of hearing impairment have been the subject of several texts. Numerous articles have been published expressing concerns involving the considerable number of hearing aids that are not b...

  7. Importance of “Process Evaluation” in Audiological Rehabilitation: Examples from Studies on Hearing Impairment

    OpenAIRE

    Vinaya Manchaiah; Berth Danermark; Jerker Rönnberg; Thomas Lunner

    2014-01-01

    The main focus of this paper is to discuss the importance of “evaluating the process of change” (i.e., process evaluation) in people with disability by studying their lived experiences. Detailed discussion is made about “why and how to investigate the process of change in people with disability?” and some specific examples are provided from studies on patient journey of persons with hearing impairment (PHI) and their communication partners (CPs). In addition, methodological aspects in process...

  8. Radiologic and Audiologic Findings in the Temporal Bone of Patients with CHARGE Syndrome

    Science.gov (United States)

    Ha, Jennifer; Ong, Frederick; Wood, Bradley; Vijayasekaran, Shyan

    2016-01-01

    Background: CHARGE syndrome is a common congenital anomaly. Hearing loss affects 60%-90% of these children. As temporal bone computed tomography (CT) has become more sophisticated, more abnormalities of the middle and inner ear have been found. We present the detailed CT findings for children with CHARGE syndrome and the correlation of the CT findings with audiograms. Methods: We performed a retrospective medical records review of 12 patients with CHARGE syndrome, identified between 1990-2011 at Princess Margaret Hospital for Children in Western Australia, who underwent temporal bone CT for evaluation of hearing loss. Results: We present our findings for the 24 ears in terms of the cochlear, semicircular canal, middle ear, facial nerve, external auditory canal, venous, and jugular anomalies. The internal auditory canal was normal in 83.3% (n=20) of ears. Three (12.5%) ears had enlarged basal turns, and 4 (16.7%) each had hypoplastic and incompletely partitioned apical turns. The majority (n=13, 56.5%) of the vestibules were dysplastic. Up to 70.8% had abnormalities of the semicircular canal. The middle ear cavity was normal in 55% (n=11) of ears; however, up to 80% of the ears had some abnormality of the ossicles, and up to 70% had an abnormality of the facial nerve (7th cranial nerve) segments, especially in the labyrinthine segment. CT findings did not correlate with the audiograms. Conclusion: The management of children with CHARGE syndrome is complex, requiring early evaluation and close attention of the multidisciplinary team. Early identification of hearing deficits is vital for patients' linguistic development. PMID:27303220

  9. The Bases of Speech Pathology and Audiology: Selecting a Therapy Model

    Science.gov (United States)

    Schultz, Martin C.; Carpenter, Mary A.

    1973-01-01

    Described is the basis for therapeutic relationships in speech and hearing and presented are two models of clinical interaction, one directed to behavior change and the other directed to attitude change. (Author)

  10. Speech-language pathology and audiology: transformation in teaching, research and service delivery

    OpenAIRE

    Isabel C Uys; Rene Hugo

    1997-01-01

    Tins article aims at a presentation of transformation in communication pathology.

    Opsomming
    Die doel van hierdie artikel is om transformasie in kommunikasiepatologie voor te hou. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

  11. Expanding Use of Telepractice in Speech-Language Pathology and Audiology

    Science.gov (United States)

    Edwards, Marge; Stredler-Brown, Arlene; Houston, K. Todd

    2012-01-01

    Recent advances in videoconferencing technology have resulted in a substantial increase in the use of live videoconferencing--referred to here as telepractice--to diagnose and treat speech, language, and hearing disorders. There is growing support from professional organizations for use of this service delivery model, as videoconferencing…

  12. Perceptions of Speech-Pathology and Audiology Students Concerning Death and Dying: A Preliminary Study

    Science.gov (United States)

    Rivers, Kenyatta O.; Perkins, Rosalie A.; Carson, Cecyle P.

    2009-01-01

    Background: Formal training in dealing with death and dying issues is not a standard content area in communication sciences and disorders programmes' curricula. At the same time, it cannot be presumed that pre-professional students' personal background equips them to deal with these issues. Aim: To investigate the perceptions of pre-professional…

  13. Remote hearing aid fitting: Tele-audiology in the context of Brazilian Public Policy

    OpenAIRE

    Penteado, Silvio Pires; Ramos, Sueli de Lima; Battistella, Linamara Rizzo; Marone, Silvio Antonio Monteiro; Bento, Ricardo Ferreira

    2012-01-01

    Summary Introduction: Currently, the Brazilian government has certificated nearly 140 specialized centers in hearing aid fittings through the Brazilian National Health System (SUS). Remote fitting through the Internet can allow a broader and more efficient coverage with a higher likelihood of success for patients covered by the SUS, as they can receive fittings from their own homes instead of going to the few and distant specialized centers. Aim: To describe a case of remote fitting between 2...

  14. Data mining of audiology patient records: factors influencing the choice of hearing aid type

    OpenAIRE

    Anwar Muhammad N; Oakes Michael P

    2012-01-01

    Abstract Background This paper describes the analysis of a database of over 180,000 patient records, collected from over 23,000 patients, by the hearing aid clinic at James Cook University Hospital in Middlesbrough, UK. These records consist of audiograms (graphs of the faintest sounds audible to the patient at six different pitches), categorical data (such as age, gender, diagnosis and hearing aid type) and brief free text notes made by the technicians. This data is mined to determine which ...

  15. Medidas de biossegurança em audiologia Biosafety precautions in audiology

    OpenAIRE

    Patrícia Cotta Mancini; Letícia Caldas Teixeira; Luciana Macedo de Resende; Adriana Martins Gomes; Laélia Cristina Caseiro Vicente; Patrícia Marques de Oliveira

    2008-01-01

    TEMA: Biossegurança na atuação audiológica. OBJETIVO: rever as medidas de precaução-padrão na literatura para o controle de infecção na audiologia. As medidas de biossegurança sugeridas para diversos profissionais de saúde foram adaptadas para as atividades inerentes à prática audiológica no Serviço de Audiologia do Hospital das Clínicas da UFMG. CONCLUSÃO: as medidas de precaução-padrão apresentadas podem ser consideradas e viabilizadas nas diversas instituições, hospitais ou clínicas, nas q...

  16. Find a Professional: Online Directory of Audiology and Speech-Language Pathology Programs

    Science.gov (United States)

    ... Advocacy Continuing Education Practice Management Research Home / ProFind ASHA ProFind Communication Help Near You. Find a Professional ... Professional Find a Professional For Certified Professionals Join ASHA ProFind If you are looking to grow your ...

  17. AUDIOLOGICAL EVALUATION OF PREGNANT WOMEN WITH GESTATIONAL DIABETES MELLITUS: A CLINICAL STUDY

    Directory of Open Access Journals (Sweden)

    Aruna Kumari

    2015-10-01

    Full Text Available Gestational Diabetes Mellitus ( GDM is defined as an abnormal glucose metabolism with varying severity, recognized first during pregnancy. GDM usually occurs during 2 nd and 3 rd trimesters of pregnancy. The pathological changes caused by it are same as Diabetes Mellitus affecting various organs including eyes and ears. The high fluctuations in blood glucose levels are known to produce micro vascular changes in kidney, retina, coc hlea and peripheral nerves. WHO prescribed criterion for Glucose Tolerance Test ( GTT helps in diagnosing the condition. The aim of diagnosis of GDM is to prevent complications of High fluctuating blood levels in the mother. A clinical study is conducted t o assess the effect of GDM on hearing acuity of the patients diagnosed with GDM in 2 nd and 3 rd trimesters of pregnancies in a tertiary Hospital. MATERIALS AND METHODS: 39 pregnant women with GDM during their antenatal checkups at the OPD of OBG department of Government General Hospital attached to Gandhi Medical College, Secunderabad are randomly selected for this study are termed as study group. 43 Subjects without GDM, with Body mass Index ( BMI above 25Kg/m² are included as control group. GTT is done as prescribed by the American Association of Dialectologists to confirm the diagnosis. The hearing acuity is assessed by pure tone audiometry by a trained audiologist in a sound proof room. Air conduction thresholds and PTA are recorded in both the groups aft er a preliminary ENT examination. RESULTS: There was no decrease in air or bone conduction thresholds of lower frequencies and SRT in both the groups. There was decrease in air conduction threshold levels in mid frequencies, but no decrease in bone conduct ion thresholds ( 4K , 6K of study group. There was statistically significant fall in Air conduction thresholds of higher frequencies ( 10K , 12K, and 14K in the study group. CONCLUSIONS: Gestational Diabetes Mellitus is a Pregnancy risk factor causing hearing loss in women affecting the mid and high frequency air conduction thresholds.

  18. Hemispheric specialization in partial epilepsy role of dichotic listening cv task and central audiological evaluation in the neuropsychological assessment

    Directory of Open Access Journals (Sweden)

    Mauro Muszkat

    1991-12-01

    Full Text Available We studied 49 patients with partial epilepsy divided into lesional cases (i.e. with lesions on CT scan and non-lesional cases (i.e. without CT scan lesions, in relation to the Wechsler Intelligence Scale subtests (Coding, Digit span, dichotic listening CV task and Central Auditory Test (SSI, PSI. The aim of this paper was to study the hemispheric prevalence in dichotic listening task with regard to cognitive perforamance, as well as the presence or absence of central auditory dysfunction. Lesional cases presented a hemisphere prevalence in dichotic listening task with regard to cognitive performance, as well as the non-lesional cases tend to report the stimuli in the same side of EEC focus. Significant differences were found among the lesional and non lesional cases in relation to the digit span score and Coding subtest in right lesional cases versus right non-lesional cases. Both lesional and non-lesional group showed signs of central auditory dysfunction. We suggest that the dichotic listening and SSI and PSI test can be useful for a best comprehension of asymmetric neuropsychological performance in partial epilepsy.

  19. Contextually-relevant resources in Speech-language Therapy and Audiology in South Africa: Are there any?

    Directory of Open Access Journals (Sweden)

    Michelle Pascoe

    2011-11-01

    Full Text Available In this editorial introduction we aim to explore the notion of contextually-relevant resources. We argue that it is the responsibility of Speech Language Therapists (SLTs and Audiologists (As working in South Africa to develop contextually relevant resources, and not to rely on the countries or cultures where the professions originated to do so. Language is often cited as the main barrier to contextually relevant resources: most SLTs and As are aware of the need for more resources in the indigenous local languages. However, the issue is not as straightforward as translating resources from English into other languages. The challenges related to culture, e.g. formal education, familiarity with the test situation, have to be considered; as well as the population on which norms were obtained; the nature of vocabulary or picture items. This paper introduces four original research papers that follow in this edition of the journal, and showcases them as examples of innovative development in our field. At the same time we call for the further development of assessment materials, intervention resources, and contributions to the evidence base in our context. We emphasise the importance of local knowledge to drive the development of these resources in innovative and perhaps unexpected ways, and suggest that all clinicians have an important role to play in this process.

  20. Achados audiológicos em crianças com fenilcetonúria Audiologic findings in children with phenylketonuria

    OpenAIRE

    Patrícia Cotta Mancini; Ana Lúcia Pimenta Starling; Letícia Macedo Penna; Camila Alexandra Vilaça Ramos; Michelle Imaculada Otaviani Ferreira; Maria Cecília Martinelli Iório

    2010-01-01

    OBJETIVO: Investigar a existência de alterações na audição de crianças com fenilcetonúria diagnosticadas e tratadas precocemente e comparar os resultados com os encontrados nas avaliações auditivas de crianças normais de mesma idade. MÉTODOS: Foram realizadas imitanciometria e audiometria tonal e vocal em 63 crianças, sendo 30 no grupo controle, com média de idade de 8,1 anos, e 33 com fenilcetonúria no grupo de estudo, com média de idade de 7,7 anos. O grupo de estudo foi subdividido em 15 c...

  1. Electronic Clinic Journaling: The Use of Weblogs to Support Evidence-Based Practice in Doctor of Audiology Students

    Science.gov (United States)

    Neldon, Gayle B.

    2009-01-01

    Evidence-based practice (EBP) is a strategy for the provision of high quality health care. The use of journals to document clinical experiences and reflection has been used in speech-language pathology as well as nursing and psychology. This study uses qualitative analysis to study what AuD students learn about evidence-based practice from writing…

  2. 42 CFR 482.56 - Condition of participation: Rehabilitation services.

    Science.gov (United States)

    2010-10-01

    ... provides rehabilitation, physical therapy, occupational therapy, audiology, or speech pathology services...-language pathology or audiology services, if provided, must be provided by qualified physical...

  3. 78 FR 65653 - Proposed Data Collections Submitted for Public Comment and Recommendations

    Science.gov (United States)

    2013-11-01

    ... Detection and Intervention--Pediatric Audiology Links to Service (EHDI-PALS) Survey (OMB No. 0920-0955... by 3 months of age and intervention by 6 months of age. Many states cite the lack of audiology... audiology resource distribution within their state, particularly audiology facilities that are equipped...

  4. Síndrome de Waardenburg: achados audiológicos em 2 irmãos Waardenburg's syndrome: audiological findings in 2 brothers

    OpenAIRE

    Carlos Henrique F. Martins; Fabiana R. Yoshimoto; Priscila Z. Freitas

    2003-01-01

    A síndrome de Waardenburg foi inicialmente descrita em 1951 por P.J. Waardenburg, como uma condição autossômica dominante que apresenta penetrância e expressividade variáveis de seus caracteres. Os sinais clínicos mais frequentes são: deslocamento lateral dos cantos internos dos olhos (telecanto), hiperplasia da porção medial dos supercílios (sinofris), base nasal proeminente e alargada, alterações na pigmentação da íris e da pele, surdez congênita, mecha branca frontal ou encanecimento preco...

  5. 45例听神经病的临床与听力学分析%Clinical and Audiological Analysis of 45 Cases of Auditory Neuropathy

    Institute of Scientific and Technical Information of China (English)

    刘丽岱; 丁春

    2012-01-01

      Objective  To study the clinical and auditory characteristics of auditory neuropathy. Methods The clinic signs,pure tone audiometry,stapedial reflex, auditory brainstem response (ABR),40Hz auditory event related potential (40Hz AERP) and otoacoustic emissions(OAEs), and contralateral suppression of white noise. Results  The pure tone audiogram showed a sensor ineural hearing loss at low frequencies 250Hz.stapedial reflex was absent in 84 ears, and threshold elevated in 6 ears. Auditory brainstem responese can’t be recorded from wave I. 87 ears had normal 40Hz-AERP. all of the patients were evoked a distortion product OAE, which can’t be suppressed by contratateral while noise. Conclusion Lose of the pure tone threshold primarily in kow frequency SNHL unparalld pure tone threshold tispeech eudiomertry,abnormal ABR, normal EOAE, loss of stapedial acoustic reflex and OAE contra acoustic supperssionare are important feaioures of AN which shows thatlesionsd site may lie at the cochlear inter hair cells or acoustic nerve.%  目的探讨听神经病的临床与听力学特征.方法分析45例听神经病患者的临床资料、纯音听阈、声导抗测试、听性脑干反应ABR、40Hz-听觉相关电位、瞬态耳声发射和畸变产物耳声发射及对侧白噪声抑制试验的检查结果.结果纯音听阈示低频下降型感音神经性听力损失,以250Hz 处听力损失最重.声导抗鼓室图全部正常,镫骨肌声反射84耳未引出,6耳部分反射阈提高.ABR 波Ⅰ全部未引出.40Hz-听相关电位87耳正常引出,阈值升高.全部病例可记录到 OAE,不能被对侧噪声抑制,个别高频幅值 DPOAE 升高.结论听力图多为上升型,低频损失为主,EOAE 正常,而 ABR 严重异常,言语分辨力差与纯音听阈不成比例,镫骨肌声反射及 EOAE 交叉抑制异常,是听神经病的重要听功能特征.提示病变位于内毛细胞或听神经.

  6. [Risk of noise-induced hearing loss caused by radio communication? Audiologic findings in helicopter crews and pilots of propeller airplanes].

    Science.gov (United States)

    Matschke, R G

    1987-12-01

    The affects of noise on the human inner ear have been well known for a long time, and measures to prevent occupational noise-induced hearing loss show a clear reduction in the statistics of morbidity. Nevertheless, there are working environments in which the use of ear protection seems to be inapplicable, because communication by speech is indispensable, for example in the cockpit of aircraft. Noise exposure measurements were performed on pilots of helicopters and propeller-machines of the German Federal Navy during realistic flight situations. The ambient noise levels during regular flight service were maintained at levels between 89 dB and 120 dB. Sound protection by flight-helmets and headphones is not only neutralised while using radio and intercom, but the noise during radio-communication is even louder than the noise of the engines. The use of ear protection to avoid excessive noise exposure is only of limited effectiveness. While pilots with normal hearing show only little impairment of speech intelligibility, those with noise-induced hearing loss show substantial impairment that varies in proportion to their hearing loss. Communication abilities may be drastically reduced which may compromise the reliability of radio-communication. The problem may be possibly solved in future by an electronic compensation system for noise. PMID:3429278

  7. Washington University School of Medicine: A Distinctive Program in Deaf Education Studies at the Program in Audiology and Communication Sciences (PACS)

    Science.gov (United States)

    Hayes, Heather

    2010-01-01

    Developments in universal newborn hearing screening programs and assistive hearing technology have had considerable effects on the speech, language, and educational success of children who are deaf or hard of hearing. Several recent research studies of children who are deaf or hard of hearing and who use spoken language as their primary method of…

  8. Salary-Trend Study of Faculty in Speech Pathology and Audiology for the Years 1996-97 and 1999-00.

    Science.gov (United States)

    Howe, Richard D.

    This report is part of an annual national survey that examines salaries of full-time teaching faculty in 54 selected academic disciplines. Data for the study were collected from a total of 296 public and 390 private four-year institutions from the baseline year of 1996-97 to the trend year of 1999-2000. A data table lists average salaries for both…

  9. Diagnosing Patients with Age-Related Hearing Loss and Tinnitus: Supporting GP Clinical Engagement through Innovation and Pathway Redesign in Audiology Services

    OpenAIRE

    Adrian Davis; Smith, Pauline A.; Michelle Booth; Margaret Martin

    2012-01-01

    The public health challenge of hearing impairment is growing, as age is the major determinant of hearing loss. Almost one in four (22.6%) over 75-year olds reports moderate or severe worry because of hearing problems. There is a 40% comorbidity of tinnitus and balance disorders. Good outcomes depend on early presentation and appropriate referral. This paper describes how the NHS Improvement Programme in England used service improvement methodologies to identify referral pathways and tools whi...

  10. A Demographic Study of Speech-Language Pathologists and Audiologists in Canada and Canadian Students in Speech Language Pathology and Audiology Programs.

    Science.gov (United States)

    Canadian Association of Speech-Language Pathologists and Audiologists, Ottawa (Ontario).

    This report presents findings of a demographic study of speech-language pathologists (SLPs) and audiologists (AUDs) in Canada and of students studying in these fields. Two surveys were developed which examined: the numbers, types, and distribution of SLPs and AUDs; their characteristics; the types of services they provide; and differences between…

  11. Salary-Trend Study of Faculty in Speech Pathology and Audiology for the Years 1997-98 and 2000-01.

    Science.gov (United States)

    Howe, Richard D.

    This report is part of an annual national survey that examines salaries of full-time teaching faculty in 54 selected disciplines. Data for the study as a whole were collected from 305 public and 403 private institutions for the baseline year of 1997-1998 and the trend year of 1999-2000. This portion of the study covers salary data for Speech…

  12. Uma análise do perfil audiológico de estudantes de música An audiological analysis of music students in Brazil

    OpenAIRE

    Karina Aki Otubo; Andréa Cintra Lopes; José Roberto Pereira Lauris

    2013-01-01

    Tocar um instrumento musical requer a integração das habilidades perceptiva, motora, e cognitiva, desenvolvidas modularmente, de forma gradativa e hierarquicamente coordenada. Na realização de uma obra musical, a audição atua de forma marcante na sua complexa associação com o cérebro, capaz de produzir mudanças comportamentais e emocionais nos humanos. O presente estudo analisa o perfil audiológico de estudantes de graduação em Música, que foram submetidos à Avaliação Audiológica (Entrevista,...

  13. The initial evaluation of an Internet-based support system for audiologists and first-time hearing aid clients

    Directory of Open Access Journals (Sweden)

    K. Jonas Brännström

    2016-05-01

    Conclusions: An Internet-based support system can be used in audiologic rehabilitation. Both audiologists and clients recognized the system's potential value to offer an online support to the provision of audiologic services.

  14. Dizziness and Balance

    Science.gov (United States)

    AUDIOLOGY Dizziness and Balance Inform ation Seri es Our balance system helps us walk, run, and move ... known as nystagmus) • Complaints of vertigo or dizziness Audiology Information Series © ASHA 2015 10802 • Balance dysfunction • Difficulty ...

  15. Types of Hearing Loss

    Science.gov (United States)

    ... on this topic can be found in our Audiology Information Series [PDF]. Hearing loss can be categorized ... speech-language pathologists; speech, language, and hearing scientists; audiology and speech-language pathology support personnel; and students. ...

  16. Cochlear Implants

    Science.gov (United States)

    ... on this topic can be found in our Audiology Information Series [PDF]. How does a cochlear implant ... speech-language pathologists; speech, language, and hearing scientists; audiology and speech-language pathology support personnel; and students. ...

  17. Measurement and investigation of audiology in 114 language and speech disorder children%114例言语发育延迟儿童听力学检测分析

    Institute of Scientific and Technical Information of China (English)

    刘清明; 赖碧云; 朱蓉; 周炎荣; 郭幸; 郑巧娥; 陈田

    2007-01-01

    目的:分析言语发育延迟患儿听功能改变特点,听觉脑干诱发电位(ABR)、畸变产物耳声发射(DPOAE)测试的意义及应用价值.方法:对5岁以下114例言语发育延迟患儿进行ABR测试,与各年龄组正常标准值比较,并对异常ABR患儿同时进行DPOAE测试,与标准值比较.结果:ABR测试显示语迟患儿V波反应阈在正常范围者78例(68.4%),异常升高者36例(31.6%).在36例听力障碍患儿中双耳听力障碍者33例,单耳听力障碍者3例.双耳听力障碍者中有17例(14.9%)无反应,10例(8.8%)重度听力障碍,中度、轻度听力障碍者各3例(2.6%).3例(2.6%)单耳均为轻度听力障碍.对36例ABR测试异常患儿行DPOAE检查,其中双耳听力障碍的33例患儿共66耳中,有62耳DPOAE反应缺失,与ABR检查结果一致,考虑为耳蜗性聋;1例双耳DPOAE正常,而ABR无反应,该患儿有围产期重度窒息史,考虑为蜗后性聋,另1例轻度听力障碍患儿双耳和其它3例单耳轻度听力障碍患儿DPOAE幅值、信噪比(SNR)低频区正常,中高频区(3~8KHz)下降、SNR<6.结论:言语发育延迟患儿听功能改变以双耳重度神经性耳聋为特点,ABR、DPOAE对于言语和语言障碍儿童的听力损害提供客观定位和频率特性.

  18. Position paper of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery and the German Society of Phoniatrics and Pediatric Audiology – Current state of clinical and endoscopic diagnostics, evaluation, and therapy of swallowing disorders in children

    Science.gov (United States)

    Arens, Christoph; Herrmann, Ingo F.; Rohrbach, Saskia; Schwemmle, Cornelia; Nawka, Tadeus

    2015-01-01

    Swallowing disorders are frequent. The main concern is mortality due to aspiration-induced pneumonia and malnutrition. In addition, quality of life is severely affected. The demographic trend indicates an increase of dysphagia in the future. Neurodegenerative diseases, tumors of the digestive tract, and sequelae of tumor treatment in the head and neck region are the main pathologic entities. Predominantly ENT physicians and phoniatricians are asked for diagnostics and therapy, and will coordinate the interdisciplinary treatment according to the endoscopic findings. A differentiated approach in history, diagnostics, and symptom-oriented treatment is necessary for these mostly complex disorders. Integration of non-medical staff such as speech therapists, physiotherapists, and occupational therapists in planning and executing an effective therapy expands and completes the patient-oriented care. Conservative treatment by these therapists is an important pillar in the treatment. Parts of the specific diagnostics can be taken over in close cooperation. In particular, an interdisciplinary cooperation with the staff of intensive care medicine is essential. The diagnostic procedures of specific endoscopy as described in this position paper are part of the primary and fundamental tasks of ENT specialists and phoniatrists. Endoscopy is a medical service that is basically not delegable. Consequently, substitution of the physician is excluded. PMID:26770277

  19. Position paper of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery and the German Society of Phoniatrics and Pediatric Audiology - Current state of clinical and endoscopic diagnostics, evaluation, and therapy of swallowing disorders in children.

    Science.gov (United States)

    Arens, Christoph; Herrmann, Ingo F; Rohrbach, Saskia; Schwemmle, Cornelia; Nawka, Tadeus

    2015-01-01

    Swallowing disorders are frequent. The main concern is mortality due to aspiration-induced pneumonia and malnutrition. In addition, quality of life is severely affected. The demographic trend indicates an increase of dysphagia in the future. Neurodegenerative diseases, tumors of the digestive tract, and sequelae of tumor treatment in the head and neck region are the main pathologic entities. Predominantly ENT physicians and phoniatricians are asked for diagnostics and therapy, and will coordinate the interdisciplinary treatment according to the endoscopic findings. A differentiated approach in history, diagnostics, and symptom-oriented treatment is necessary for these mostly complex disorders. Integration of non-medical staff such as speech therapists, physiotherapists, and occupational therapists in planning and executing an effective therapy expands and completes the patient-oriented care. Conservative treatment by these therapists is an important pillar in the treatment. Parts of the specific diagnostics can be taken over in close cooperation. In particular, an interdisciplinary cooperation with the staff of intensive care medicine is essential. The diagnostic procedures of specific endoscopy as described in this position paper are part of the primary and fundamental tasks of ENT specialists and phoniatrists. Endoscopy is a medical service that is basically not delegable. Consequently, substitution of the physician is excluded.

  20. Estudo das latências e amplitudes dos potenciais evocados auditivos de média latência em indivíduos audiologicamente normais Middle latency response study of auditory evoked potentials’ amplitudes and lantencies audiologically normal individuals

    OpenAIRE

    Ivone Ferreira Neves; Isabela Crivellaro Gonçalves; Renata Aparecida Leite; Fernanda Cristina Leite Magliaro; Carla Gentile Matas

    2007-01-01

    Estudo de coorte contemporânea com corte transversal. O Potencial Evocado Auditivo de Média Latência (PEAML) é gerado entre 10 e 80ms e possui múltiplos geradores, com maior contribuição da região tálamo-cortical. O estabelecimento de critérios de normalidade para os valores de latência e amplitude é necessário para uso clínico. OBJETIVOS: Analisar a latência e amplitude do PEAML em indivíduos sem alterações audiológicas, e verificar a confiabilidade da amplitude Pa-Nb. MATERIAL E MÉTODO: For...

  1. The Different Audiological Methods to Assess the Results of the Glycerol Test%不同听力检测方法甘油试验的结果比较

    Institute of Scientific and Technical Information of China (English)

    刘金萍; 周慧芳; 张静

    2012-01-01

    目的 比较纯音测听甘油试验、耳蜗电图甘油试验、畸变产物耳声发射(DPOAE)甘油试验对梅尼埃病的诊断价值.方法 选择63例梅尼埃病和63例非梅尼埃病眩晕患者,分为A、B、C三组,每组包括21例梅尼埃病患者和21例非梅尼埃病眩晕患者,在服用甘油前和服用甘油后1、2、3 h分别观察三组患者纯音测听(A组)、耳蜗电图(B组)和DPOAE(C组)的变化,比较三组间甘油试验阳性率.结果 A组梅尼埃病患者纯音测听甘油试验阳性率最高为38.10%(18/21),B组耳蜗电图甘油试验阳性率最高为52.38%(11/21),C组DPOAE甘油试验阳性率最高为57.14%(12/21).结论 耳蜗电图和DPOAE的甘油试验较纯音测听的甘油试验更为准确,能在一定程度上提高对梅尼埃病的诊断率.%Objective To investigate the diagnostic application of pure tone audiometry test,EcochG glycerine test and distortion product otoacoustic emission(DPOAE) glycerine test in patients with Meniere's disease(MD). Methods A total of 126 patients were included in this study. 63 patients had MD and the remaining 63 patients with vertigo diseases. The patients were divided into 3 groups (group A,B,C). Each patient underwent glycerol test,and patients in group A,B,C were tested with conventional pure tone audiomety,ECochG and DPOAE, respectively, be fore and 1,2,3 hours after oral administration of glycerol. Results The positive rates of glycerol test in MD were significantly higher than that in other vertigo diseases. The positive incidence of pure tone audiometry glycerol test, ECochG glycerol test and DPOAE glycerol test in MD patients were 38.1%, 52. 4% and57.1%, respectively. All were dected within 2 hours after glycerol test. Conclusion The study shows that the glycerol test has diagnostic value for MD. Futhermore, ECochG glycerol test and DPOAE glycerol test are more accurate for the diagnosis of MD compared with pure tone audiometry glycerol test. We can add ECochG or/and DPOAE during the glycerol test to improve the diagnosis rate of MD.

  2. Position paper of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery and the German Society of Phoniatrics and Pediatric Audiology – Current state of clinical and endoscopic diagnostics, evaluation, and therapy of swallowing disorders in children

    OpenAIRE

    Arens, Christoph; Herrmann, Ingo F.; Rohrbach, Saskia; Schwemmle, Cornelia; Nawka, Tadeus

    2015-01-01

    Swallowing disorders are frequent. The main concern is mortality due to aspiration-induced pneumonia and malnutrition. In addition, quality of life is severely affected. The demographic trend indicates an increase of dysphagia in the future. Neurodegenerative diseases, tumors of the digestive tract, and sequelae of tumor treatment in the head and neck region are the main pathologic entities. Predominantly ENT physicians and phoniatricians are asked for diagnostics and therapy, and will coordi...

  3. Position paper of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery and the German Society of Phoniatrics and Pediatric Audiology - Current state of clinical and endoscopic diagnostics, evaluation, and therapy of swallowing disorders in children

    OpenAIRE

    Arens, C.; Herrmann, IF; Rohrbach, S.; Schwemmle, C; Nawka, T

    2015-01-01

    Swallowing disorders are frequent. The main concern is mortality due to aspiration-induced pneumonia and malnutrition. In addition, quality of life is severely affected. The demographic trend indicates an increase of dysphagia in the future. Neurodegenerative diseases, tumors of the digestive tract, and sequelae of tumor treatment in the head and neck region are the main pathologic entities.Predominantly ENT physicians and phoniatricians are asked for diagnostics and therapy, and will coordin...

  4. Position paper of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery and the German Society of Phoniatrics and Pediatric Audiology – Current state of clinical and endoscopic diagnostics, evaluation, and therapy of swallowing disorders in children

    Directory of Open Access Journals (Sweden)

    Arens, Christoph

    2015-12-01

    Full Text Available Swallowing disorders are frequent. The main concern is mortality due to aspiration-induced pneumonia and malnutrition. In addition, quality of life is severely affected. The demographic trend indicates an increase of dysphagia in the future. Neurodegenerative diseases, tumors of the digestive tract, and sequelae of tumor treatment in the head and neck region are the main pathologic entities.Predominantly ENT physicians and phoniatricians are asked for diagnostics and therapy, and will coordinate the interdisciplinary treatment according to the endoscopic findings.A differentiated approach in history, diagnostics, and symptom-oriented treatment is necessary for these mostly complex disorders. Integration of non-medical staff such as speech therapists, physiotherapists, and occupational therapists in planning and executing an effective therapy expands and completes the patient-oriented care. Conservative treatment by these therapists is an important pillar in the treatment. Parts of the specific diagnostics can be taken over in close cooperation.In particular, an interdisciplinary cooperation with the staff of intensive care medicine is essential.The diagnostic procedures of specific endoscopy as described in this position paper are part of the primary and fundamental tasks of ENT specialists and phoniatrists.Endoscopy is a medical service that is basically not delegable. Consequently, substitution of the physician is excluded.

  5. Perfil mercadológico do fonoaudiólogo atuante na área de Audiologia Clínica Market profile of speech and language therapist in the area of Audiology Clinic

    OpenAIRE

    Cleiciane Martins Braga; Kelly Vasconcelos Chaves Martins; Moisés Andrade dos Santos de Queiroz; Marília Fontenele e Silva Câmara

    2012-01-01

    OBJETIVO: investigar o perfil mercadológico do fonoaudiólogo atuante na área de audiologia clínica da cidade de Fortaleza, buscando identificar a formação em nível de pós-graduação, quantificar a faixa salarial, analisar o nível de satisfação do profissional e avaliar a jornada de trabalho e o vínculo empregatício desse profissional. MÉTODO: estudo transversal, realizado no período de fevereiro a abril de 2010, tendo-se aplicado um questionário acerca da atuação fonoaudiológica na área de Aud...

  6. Erratum: Correction to Table 3, in: Equivalent threshold sound pressure levels (ETSPL) for Sennheiser HDA 280 supra-aural audiometric earphones in the frequency range 125 Hz to 8000 Hz (International Journal of Audiology (2009) 48 (271-276))

    DEFF Research Database (Denmark)

    Poulsen, Torben

    2014-01-01

    The main results in Poulsen & Oakley (2009) are given as the equivalent threshold sound pressure level, ETSPL, measured in an acoustic coupler specifi ed in IEC 60318-3. These results are all correct. The ETSPL values for the ear simulator specifi ed in IEC 60318-1 were calculated from acoustic l...

  7. The development and standardization of Self-assessment for Hearing Screening of the Elderly

    OpenAIRE

    Han, Woojae

    2016-01-01

    Gibbeum Kim,1 Wondo Na,1 Gungu Kim,1 Woojae Han,2 Jinsook Kim2 1Department of Speech Pathology and Audiology, Hallym University Graduate School, Chuncheon, Republic of Korea; 2Division of Speech Pathology and Audiology, Research Institute of Audiology and Speech Pathology, College of Natural Sciences, Hallym Universtiy, Chuncheon, Republic of Korea Purpose: The present study aimed to develop and standardize a screening tool for elderly people who wish to check for themselves their level of ...

  8. 42 CFR 136.370 - Pregraduate scholarship grants.

    Science.gov (United States)

    2010-10-01

    ..., audiology, medical technology, dental hygiene, dental technicians, engineering, radiologic technology, dietitian, nutritionist, social work, health education, physical therapy, occupational therapy and...

  9. Editorial

    OpenAIRE

    G. Tognola

    2011-01-01

    It is our pleasure to announce the first issue of Audiology Research. This new journal was designed to be a place where the readers will quickly and clearly find up-to-date and highquality information related to the audiology field in a broad sense, ranging from the medical/clinical perspective to the basic and experimental research...

  10. Guest Editorial: New opportunities and challenges for teleaudiology within Department of Veterans Affairs

    OpenAIRE

    Peter G. Jacobs, PhD; Gabrielle H. Saunders, PhD

    2014-01-01

    Teleaudiology is the delivery of audiology services and information via telecommunications technologies. In recent years, techchnological advances have resulted in a dramatic increase in the possibilities offered by teleaudiology—from diagnostic audiology and remote hearing aid fittings to downloadable hearing aid applications and real-time rehabilitation interventions.

  11. Audiological assessment value of click-evoked auditory brainstem response combined with single stimulation of the auditory steady-state evoked response on normal young people%听性脑干诱发电位结合单刺激听觉稳态诱发反应对正常青年人听阈正常值评估的探讨

    Institute of Scientific and Technical Information of China (English)

    李倩庆; 宋江顺; 刘文婷

    2013-01-01

    目的 分析正常青年人多频刺激听觉稳态诱发电位(multiple stimuli auditory steady-state response,m-ASSR)、单频刺激听觉稳态诱发电位(single stimulusauditory steady-state response,s-ASSR)、听性脑干诱发电位(click-evoked auditory brain stem response,CABR)、纯音听力测试(pure tone auditory,PTA)阈值,探讨C-ABR结合0.5、1 kHz s-ASSR在正常青年人中反应阈的正常值.方法 对听力正常青年人(43人,共86耳)分别行PTA、m-ASSR、0.5、1.0 kHz s-ASSR、C-ABR检查.将PTA、m-ASSR、听力测试组合(C-ABR结合0.5、1 kHzs-ASSR反应阈)结果行f检验、线性回归分析等统计学分析.结果 ①0.5、1、2、4 kHz处,听力测试组合反应阈高于PTA;除1 kHz外其他频率均较m-ASSR反应阈接近PTA;②0.5、1、2、4 kHz处,听力测试组合反应阈预测PTA的回归方程分别为:y=0.75x-4.53,y=0.56x-4.46,y=0.62x-7.70和y=0.92x-12.66.结论 正常青年人中ASSR反应阈与PTA、C-ABR V波反应阈有一定的差值;听力测试组合较m-ASSR更接近PTA;听力测试组合可以更准确、更可靠评估正常成年人听阈水平.

  12. Construção do conceito de promoção da saúde: comparação entre estudantes ingressantes e concluintes de Fonoaudiologia Construction of the health promotion concept: comparative study between freshmen and senior Speech-Language Pathology and Audiology students

    OpenAIRE

    Lidiane Gonçalves dos Santos; Stela Maris Aguiar Lemos

    2011-01-01

    OBJETIVO: Caracterizar e comparar o conhecimento de ingressantes (estudantes do 1º período) e concluintes (estudantes do 8º período) de um curso de Fonoaudiologia acerca do tema promoção da saúde. MÉTODOS: Estudo descritivo transversal realizado por meio da aplicação de 92 formulários em estudantes de Fonoaudiologia ingressantes e concluintes. A análise dos dados obtidos foi realizada em três etapas: análise descritiva das questões fechadas, análise estatística da associação entre as resposta...

  13. 77 FR 16244 - Request for Comments on the Update of the Scholarships for Disadvantaged Students Program

    Science.gov (United States)

    2012-03-20

    ... health (baccalaureate and graduate degree programs of dental hygiene, medical laboratory technology, radiology technology, speech pathology, audiology, registered dieticians, and occupational therapy and physical therapy); mental and behavioral health (graduate degree programs in clinical psychology,...

  14. 42 CFR 433.56 - Classes of health care services and providers defined.

    Science.gov (United States)

    2010-10-01

    ... defined to include facility services only and do not include surgical procedures; (10) Dental services...) Psychological services; (15) Therapist services, defined to include physical therapy, speech therapy, occupational therapy, respiratory therapy, audiological services, and rehabilitative specialist services;...

  15. 34 CFR 386.1 - What is the Rehabilitation Long-Term Training program?

    Science.gov (United States)

    2010-07-01

    ...; (5) Rehabilitation social work; (6) Rehabilitation psychiatry; (7) Rehabilitation psychology; (8) Rehabilitation dentistry; (9) Physical therapy; (10) Occupational therapy; (11) Speech pathology and audiology... programs; (23) Rehabilitation administration; (24) Vocational evaluation and work adjustment; (25)...

  16. Auditory Assessment of Visually Impaired Preschoolers: A Team Effort.

    Science.gov (United States)

    Gleason, Deborah

    1984-01-01

    The paper provides an overview of audiological terms and types of hearing impairments to help teachers of visually impaired preschoolers work more effectively with audiologists. Both functional auditory assessment and formal audiometric evaluations are discussed. (Author/CL)

  17. Balance (or Vestibular) Rehabilitation

    Science.gov (United States)

    ... for the Public / Hearing and Balance Balance (or Vestibular) Rehabilitation Audiologic (hearing), balance, and medical diagnostic tests help indicate whether you are a candidate for vestibular (balance) rehabilitation. Vestibular rehabilitation is an individualized balance ...

  18. 77 FR 76492 - Agency Forms Undergoing Paperwork Reduction Act Review

    Science.gov (United States)

    2012-12-28

    ...-Hearing Association (ASHA), American Academy of Audiology (AAA), Joint Committee on Infant Hearing (JCIH... younger. Based on calculation from ASHA's biannual membership survey (available in ASHA.org ) we...

  19. Social representation of “hearing loss”: cross-cultural exploratory study in India, Iran, Portugal, and the UK

    OpenAIRE

    Manchaiah, Vinaya

    2015-01-01

    Vinaya Manchaiah,1 Berth Danermark,2 Tayebeh Ahmadi,3 David Tomé,4 Fei Zhao,5 Qiang Li,6 Rajalakshmi Krishna,7 Per Germundsson8 1Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA; 2Swedish Institute for Disability Research, Örebro University, Örebro, Sweden; 3Department of Audiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; 4Department of Audiology, School of Allied Health Sciences, Polytechnic Institute...

  20. Social representation of “hearing loss”: cross-cultural exploratory study in India, Iran, Portugal, and the UK

    OpenAIRE

    Manchaiah V; Danermark B; Ahmadi T; Tomé D; Zhao F; Li Q; Krishna R; Germundsson P

    2015-01-01

    Vinaya Manchaiah,1 Berth Danermark,2 Tayebeh Ahmadi,3 David Tomé,4 Fei Zhao,5 Qiang Li,6 Rajalakshmi Krishna,7 Per Germundsson8 1Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA; 2Swedish Institute for Disability Research, Örebro University, Örebro, Sweden; 3Department of Audiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; 4Department of Audiology, School of Allied Health Sciences, Polytechnic Institute of Porto, V...

  1. Audit from preschool developmental surveillance of vision, hearing, and language referrals.

    OpenAIRE

    Rona, R J; Reynolds, A; Allsop, M; Morris, R. W.; Morgan, M.; Mandalia, S

    1991-01-01

    Referrals from preschool medical examinations were followed up for two years to assess attendance rate, waiting time for appointment, appropriateness of the referral, the diagnosis and management of the condition. Altogether 184 children were referrals for ophthalmology, 285 for audiology, and 195 for speech therapy. The median waiting time for an appointment was 46 days in ophthalmology, 175 days in audiology, and 83 days in speech therapy. The poorest attendance rate was identified in speec...

  2. Objective Audio Quality Assessment Based on Spectro-Temporal Modulation Analysis

    OpenAIRE

    Guo, Ziyuan

    2011-01-01

    Objective audio quality assessment is an interdisciplinary research area that incorporates audiology and machine learning. Although much work has been made on the machine learning aspect, the audiology aspect also deserves investigation. This thesis proposes a non-intrusive audio quality assessment algorithm, which is based on an auditory model that simulates human auditory system. The auditory model is based on spectro-temporal modulation analysis of spectrogram, which has been proven to be ...

  3. Categorization of tinnitus in view of history and medical discourse

    OpenAIRE

    Erlandsson, Soly; Dauman, Nicholas

    2013-01-01

    The foremost, dominant, and influential scientific discourse of how to define tinnitus states that tinnitus is the perception of sound(s) in the absence of an external sound source. This is the most common statement among researchers in audiology and related fields, stemming from basic neurosciences (Kaltenbach, 2011) to applied psychophysiology (Kropp et al., 2012), audiology (Caffier et al., 2006), and behavioural psychology (Westin et al., 2008). It is puzzling that scientific affiliation ...

  4. Low Frequency Fluctuated Hearing Loss in a Case with Vestibular Schwannomas

    OpenAIRE

    Mahin Sedaei

    1998-01-01

    A 34-year-old female with a history of a sudden mild left-sided hearing loss and high-pitched tinnitus along with fullness in the same ear was referred to the audiology clinic. Hearing fluctuation and variability in other symptoms were also reported. Although no complain of any vertigo or balance disorder was mentioned, light headedness was implied. Differential diagnosis of endolymphatic Fistula and retro cochlear lesion was demanded. Audiologic and radiologic findings of this patient are pr...

  5. Early definition of type, degree and audiogram shape in childhood hearing impairment.

    Science.gov (United States)

    Conti, G; Gallus, R; Fetoni, A R; Martina, B M; Muzzi, E; Orzan, E; Bastanza, G

    2016-02-01

    In the context of permanent childhood hearing loss, early audiological diagnosis is a prerequisite for activation of an adequate rehabilitation program to prevent or limit the known effects that auditory deprivation determines on language development and cognitive skills in neonates. Audiological diagnosis consists schematically of three phases: identification of subjects at risk, definition of hearing loss and/or children features, verification of appropriateness of diagnosis itself and a rehabilitation programme. Strategies and methods of audiological diagnosis are well defined and include an integration of data coming from objective methods with clinical and behavioural data. Although the substantial effectiveness of procedures and a general consensus on their use and interpretation have been defined, there are several critical issues concerning the achievement of this objective, which will be discussed in this paper.

  6. Low Frequency Fluctuated Hearing Loss in a Case with Vestibular Schwannomas

    Directory of Open Access Journals (Sweden)

    Mahin Sedaei

    1998-09-01

    Full Text Available A 34-year-old female with a history of a sudden mild left-sided hearing loss and high-pitched tinnitus along with fullness in the same ear was referred to the audiology clinic. Hearing fluctuation and variability in other symptoms were also reported. Although no complain of any vertigo or balance disorder was mentioned, light headedness was implied. Differential diagnosis of endolymphatic Fistula and retro cochlear lesion was demanded. Audiologic and radiologic findings of this patient are presented in the article to discuss findings regarding the diagnosis of the suspected disorder.

  7. [Spectral analysis of sounds produced by musical instruments and other sounding bodies for hearing screening of children].

    Science.gov (United States)

    Ptok, M; Sesterhenn, G; Ptok, A; Arold, R

    1993-01-01

    Some time ago audiological screening in infants was mostly performed using musical instruments or equivalents. The use of acoustic evoked potentials and oto-acoustic emissions changed the strategies of hearing assessment in newborns and infants, however, musical instruments are still in use. An adequate interpretation of screening results obtained with musical instruments necessitates a profound knowledge of frequencies and intensities derived from these instruments. In this study spectral analyses of sounds from these instruments were performed. The results may be of value for those using musical instruments as a tool for audiological screening. In addition, the results show that with some instruments intensities able to cause inner ear damage can be generated.

  8. Decision support system for the selection of an ITE or a BTE hearing aid

    OpenAIRE

    Anwar, Naveed; Oakes, Michael

    2013-01-01

    The purpose of this research is to mine a large set of heterogeneous audiology data to create a decision support system (DSS) to choose between two hearing aid types (ITE and BTE aid). This research is based on the data analysis of audiology data using various statistical and data mining techniques. It uses the data of a large NHS (National Health Services, UK) facility. It uses 180,000 records (covering more than 23,000 different patients) from a hearing aid clinic. The developed system u...

  9. Decision support system to help choose between an ITE or a BTE hearing aid

    OpenAIRE

    Anwar, Naveed; Oakes, Michael

    2011-01-01

    A decision support system (DSS) is used for analysing a situation and making decisions. The goal of this research is to mine a large set of heterogeneous audiology data and create a DSS to help audiology technicians to choose between an ITE or BTE hearing aid. Although, in many cases such a choice is clear cut, but at other times this system could be used as a second opinion to predict the hearing aid type. A number of data mining techniques, such as clustering of audiograms, association anal...

  10. Situations of Choice: Configuring the Empowered Consumer of Hearing Technologies

    DEFF Research Database (Denmark)

    Hindhede, Anette Lykke

    2013-01-01

    . The paper shows how recent changes in perception of the hearing impaired patient relate to the introduction of a new health care reform that turns audiological rehabilitation into a consumer issue. Ethnographic and interview data from hearing clinics provides evidence that the hearing technologies...... that are on offer stabilise in specific forms through processes of negotiation among a variety of social actors representing the interests of science, industry, government, and hearing-impaired people. The discussion critically considers the emergence of an ‘‘informed consumer’’ in audiological practices....

  11. 34 CFR 674.51 - Special definitions.

    Science.gov (United States)

    2010-07-01

    ... allied health professional (working in fields such as therapy, dental hygiene, medical technology, or... language pathology and audiology; (ii) Physical therapy; (iii) Occupational therapy; (iv) Psychological and counseling services; or (v) Recreational therapy. (z) Teaching in a field of expertise: The majority...

  12. 78 FR 7787 - Loan Repayment Program for Repayment of Health Professions Educational Loans

    Science.gov (United States)

    2013-02-04

    ..., social work, marriage and family therapy, chiropractic medicine, environmental health and engineering, an...: DDS and DMD. (i) Dental Hygiene. (j) Dental Assistant: Certified. (k) Pharmacy: B.S., Pharm.D. (l...: Physical Therapy, Occupational Therapy, Speech-Language Pathology, and Audiology: M.S. and D.P.T....

  13. 34 CFR 222.50 - What definitions apply to this subpart?

    Science.gov (United States)

    2010-07-01

    ... services (including speech pathology and audiology, psychological services, physical and occupational therapy, recreation, including therapeutic recreation, social work services, counseling services... in 20 U.S.C. 1401 or 34 CFR § 77.1 apply to this subpart: Children with disabilities means...

  14. Is hearing loss a feature of Joubert syndrome, a ciliopathy?

    NARCIS (Netherlands)

    Kroes, Hester Y.; Van Zanten, Bert G. A.; De Ru, Sander A.; Boon, Maartje; Mancini, Grazia M. S.; Van der Knaap, Marjo S.; Poll-The, Bwee Tien; Lindhout, Dick

    2010-01-01

    Objective To assess if hearing loss is a feature of Joubert syndrome (JBS). one of the ciliopathies and therefore possibly associated with hearing loss Design: Retrospective case series. Setting University Children's Hospital Patients Dutch patients with JBS. Main outcome measures Audiological data.

  15. From Nothing to Something: The Nuts and Bolts of Building a Mentoring Program in a Health Sciences College

    Science.gov (United States)

    Franko, Debra L.

    2016-01-01

    In this paper, I report the development of a mentoring program in a College of Health Sciences comprised of schools of nursing, pharmacy, and health professions (which include physical therapy, speech pathology and audiology, applied psychology, and physician assistant programs) at a large private university. Although university-wide mentoring…

  16. Autism and Hearing Loss.

    Science.gov (United States)

    Rosenhall, Ulf; Nordin, Viviann; Sandstrom, Mikael; Ahlsen, Gunilla; Gillberg, Christopher

    1999-01-01

    Children and adolescents (N=199) with autistic disorder were audiologically evaluated. Mild to moderate hearing loss was diagnosed in 7.9 percent, with deafness diagnosed in 3.5 percent of all cases, which represented a prevalence considerably above that in the general population and comparable to the prevalence found in populations with mental…

  17. Supporting Families with Deaf Children under Five: Policy, Practice, and Collaboration between Education and Social Services Departments.

    Science.gov (United States)

    Turner, Susan; Lynas, Wendy; Pumfrey, Peter

    1998-01-01

    Discusses the results of a survey in England of 89 local education agencies (LEAs) and 89 social service departments (SSDs), that investigated the audiological support to young children with hearing impairments. Results indicated interagency collaboration and that LEAs were more likely to provide separate services for children with hearing…

  18. 77 FR 19273 - National Advisory Committee on Institutional Quality and Integrity (NACIQI)

    Science.gov (United States)

    2012-03-30

    ... Reports 1. American Speech-Language-Hearing Association, Council on Academic Accreditation in Audiology... Authority In accordance with the ``Federal Policy Governing the Granting of Academic Degrees by Federal... should be submitted as a Microsoft Word document or in a medium compatible with Microsoft Word (not a...

  19. Hearing Impairment in Adults with an Intellectual Disability: epidemiology and rehabilitation

    NARCIS (Netherlands)

    J. Meuwese-Jongejeugd (Anneke)

    2006-01-01

    textabstractIn this thesis, the results are presented of an epidemiological study of hearing impairment in adults with an intellectual disability (ID), as well as the results of a study on the implementation of an audiological rehabilitation protocol in centres for persons with an ID. It is prece

  20. Re-Engineering the Curriculum at a Rural Institution: Reflection on the Process of Development

    Science.gov (United States)

    Naude, A.; Wium, A. M.; du Plessis, S.

    2011-01-01

    The Department of Speech-Language Pathology and Audiology at the University of Limpopo (Medunsa Campus) redesigned their curriculum at the beginning of 2010. The template that was developed shows the horizontal and vertical integration of outcomes. Although the outcomes of the entire process met the requirements of the Health Professions Council…

  1. Hearing Problems in the Learning Disability Population: Is Anybody Listening?

    Science.gov (United States)

    McClimens, Alex; Brennan, Siobhan; Hargreaves, Pauline

    2015-01-01

    We undertook this project because we believed that hearing loss experienced by the target population was greater than the referral figures suggested. Therefore, we set up a trial service initiative designed to examine the efficacy of different referral routes into audiology services for adults with learning disability. This retrospective analysis…

  2. 75 FR 16139 - Request For Public Comment: 30-Day Proposed Information Collection: Indian Health Service Medical...

    Science.gov (United States)

    2010-03-31

    ... published in the Federal Register (74 FR 63754) on December 4, 2009 and allowed 60 days for public comment... (20 mins) 7 Psychology Privileges 30 1 0.17 (10 mins) 5 Audiology Privileges 7 1 0.08 (5 mins)...

  3. 77 FR 37050 - Proposed Data Collections Submitted for Public Comment and Recommendations

    Science.gov (United States)

    2012-06-20

    ... programs and CDC-EHDI team's goal of timely diagnosis by 3 months of age and intervention by 6 months of... Detection and Intervention--Pediatric Audiology Links to Service (EHDI-PALS) Survey--New--National Center on..., promotes the health of babies, children, and adults, with a focus on preventing birth defects...

  4. The bone-anchored hearing aid

    DEFF Research Database (Denmark)

    Foghsgaard, Søren

    2014-01-01

    The bone-anchored hearing aid (Baha) was introduced in 1977 by Tjellström and colleagues and has now been used clinically for over 30 years. Generally, the outcomes are good, and several studies have shown improved audiological- and quality of life outcomes. The principle of the Baha is, that sound...

  5. Tinnitus

    NARCIS (Netherlands)

    Hoekstra, Carlijn; Venekamp, Roderick; van Zanten, Bert

    2015-01-01

    In this article, a number of common questions about the diagnosis and treatment of tinnitus are discussed, based on the first author’s PhD thesis. It is hoped that this will help general practitioners when deciding whether to refer a patient with tinnitus to an otorhinolaryngologist or an audiologic

  6. How Hearing Impairment Affects Sentence Comprehension: Using Eye Fixations to Investigate the Duration of Speech Processing

    DEFF Research Database (Denmark)

    Wendt, Dorothea; Kollmeier, Birger; Brand, Thomas

    2015-01-01

    The main objective of this study was to investigate the extent to which hearing impairment influences the duration of sentence processing. An eye-tracking paradigm is introduced that provides an online measure of how hearing impairment prolongs processing of linguistically complex sentences; this...... capacity or susceptibility to interference). These findings are discussed with respect to audiological applications....

  7. Individual Hearing Loss: Characterization, Modelling, Compensation Strategies

    DEFF Research Database (Denmark)

    Santurette, Sébastien; Dau, Torsten; Christensen-Dalsgaard, Jakob;

    2016-01-01

    account for such individual differences, which make it challenging to find adequate compensation strategies in hearing devices. How to characterize, model, and compensate for individual hearing loss were the main topics of the fifth International Symposium on Auditory and Audiological Research (ISAAR...

  8. GJB2 (Connexin-26) mutations are not frequent among hearing impaired patients in East Greenland

    DEFF Research Database (Denmark)

    Homoe, P.; Koch, A.; Rendtorff, Nanna Dahl;

    2012-01-01

    for GJB2 sequencing from DNA, were selected from 166 East Greenlanders by specialist audiology examination, including pure-tone air and bone conduction audiometry from 125 Hz to 8000 Hz. Controls were 108 East- and 109 West-Greenlanders. Results: Forty-five patients with HI were included, 24 males and...

  9. Hearing assessment after meningitis and meningococcal disease.

    OpenAIRE

    Riordan, A; Thomson, A; Hodgson, J.

    1995-01-01

    A method to increase audiology referral after meningitis or meningococcal disease was audited in 89 children. A standardised proforma increased referrals from 78% to 96% over a two year period. However, only 73% of children had a hearing test. The major reason for hearing not being tested changed from non-referral to non-attendance.

  10. Hearing aid and Noise

    OpenAIRE

    Ahmad Reza Nazeri

    1999-01-01

    Prescription of hearing aid is an extensive special category of knowledge in the field of audiology. This article is aimed at discussing the function of hearing aid and also management of patients in the noisy environments and presenting solutions to overcome problems regarding to this issue along with taking a look to the equipments prepared nowadays to cope with noisy situations.

  11. Fornyelse af høreapparater er en lægelig opgave

    DEFF Research Database (Denmark)

    Linnebjerg, Linda Busk; Wetke, Randi

    2012-01-01

    A 67 year-old man was known to have a right-sided hearing loss with a normal discrimination score (DS) and was treated with a hearing aid (HA) in the right ear. An MRI-scan was normal. In 2006 and 2010 the HA was renewed at a private hearing aid clinic. No DS was performed. At the audiology clini...

  12. Hunters syndrom og hørenedsaettelse

    DEFF Research Database (Denmark)

    Kiaer, Eva Kirkegaard; Møller, Troels Reinholdt; Wetke, Randi

    2010-01-01

    A 30 month-old boy with delayed language development was referred to the Department of Audiology in Aarhus. At the time of referral he had had 19 cases of acute otitis media and had been tubulated four times. Furthermore, the boy had not developed according to age in several respects: his motor...

  13. 20 CFR 404.1519n - Informing the medical source of examination scheduling, report content, and signature requirements.

    Science.gov (United States)

    2010-04-01

    ... medical source of examination scheduling, report content, and signature requirements. The medical sources... examinations that are not thorough. (b) Report content. The reported results of your medical history... ventilatory function tests, treadmill exercise tests, or audiological tests. The medical report must...

  14. Risk factors of sensorineural hearing loss in preterm infants.

    Science.gov (United States)

    Borradori, C; Fawer, C L; Buclin, T; Calame, A

    1997-01-01

    Among 547 preterm infants of Ototoxicity appeared closely related to a prolonged administration and higher total dose of ototoxic drugs, particularly aminoglycosides and furosemide. Finally, we strongly recommend to prospectively and regularly perform audiologic assessment in sick preterm children as hearing loss is of delayed onset and in most cases bilateral and severe.

  15. Ear and hearing problems in relation to karyotype in children with Turner syndrome

    NARCIS (Netherlands)

    Verver, E.J.; Freriks, K.; Thomeer, H.G.X.M.; Huygen, P.L.M.; Pennings, R.J.E.; Alfen-van der Velden, A.A.E.M. van; Timmers, H.J.L.M.; Otten, B.J.; Cremers, C.W.R.J.; Kunst, H.P.M.

    2011-01-01

    The aim of the study was to report otologic and audiologic characteristics in a group of children with Turner syndrome (TS) and correlate these findings to karyotype. Additionally, we give recommendations for the otologic care of these children. Sixty children (age 1.7-21.2 years) were included in t

  16. Activities of the Institute of Sound and Vibration Research

    Science.gov (United States)

    Research in fluid dynamics, acoustics, automotive engineering, audiology, noise and vibration effects (on human beings), and structural response to noise and vibration was carried out. Aircraft noise, acoustics of flow duct systems and enclosures, acoustic modeling, sound propagation, and acoustic measurement techniques were studied. Auditory and vestibular functions and electrophysiology were investigated.

  17. 大前庭水管综合征的相关研究进展%The research progress of large vestibular aqueduct syndrome

    Institute of Scientific and Technical Information of China (English)

    阿布利克木·依明; 唐亮

    2012-01-01

    Large vestibuiar aqueduc syndrome (LVAS) is one of common non-syndromic hearing disorders. With the rapid development of medical imaging, audiology, molecular biology , genetics, cochlear implant surgery, we have made remarkable achievements in the diagnosis and treatment of large vestibular aqueduct syndrome. This article reviewed related researches of the large vestibular aqueduct syndrome.

  18. Predictors of hearing loss in school entrants in a developing country

    Directory of Open Access Journals (Sweden)

    Olusanya Bola

    2004-07-01

    Full Text Available Background: Hearing loss is a prevalent and significant disability that impairs functional development and educational attainment of school children in developing countries. Lack of a simple and practical screening protocol often deters routine and systematic hearing screening at school entry. Aim: To identify predictors of hearing loss for a practical screening model in school-aged children. Settings and Design: Community-based, retrospective case-control study of school entrants in an inner city. Methods: Results from the audiologic and non-audiologic examination of 50 hearing impaired children in randomly selected mainstream schools were compared with those of a control group of 150 normal hearing children, matched for age and sex from the same population. The non-audiologic evaluation consisted of medical history, general physical examination, anthropometry, motor skills, intelligence and visual acuity while the audiologic assessment consisted of otoscopy, audiometry and tympanometry. Statistical Analysis: Multiple logistic regression analysis of significant variables derived from univariate analysis incorporating student t-test and chi-square. Results: Besides parental literacy (OR:0.3; 95% CI:0.16-0.68, non-audiologic variables showed no association with hearing loss. In contrast, most audiologic indicators, enlarged nasal turbinate (OR:3.3; 95% CI:0.98-11.31, debris or foreign bodies in the ear canal (OR:5.4; 95% CI:1.0-36.03, impacted cerumen (OR:6.2; 95% CI:2.12-14.33, dull tympanic membrane (OR:2.2; 95% CI:1.10-4.46, perforated ear drum (OR:24.3; 95% CI:2.93-1100.17 and otitis media with effusion OME (OR:14.2; 95% CI:6.22-33.09, were associated with hearing loss. However, only parental literacy (OR:0.3; 95% CI:0.16-0.69, impacted cerumen (OR:4.0; 95% CI:1.66-9.43 and OME (OR:11.0; 95% CI:4.74-25.62 emerged as predictors. Conclusion: Selective screening based on the identification of impacted cerumen and OME will facilitate the

  19. Perfil dos limiares audiométricos e curvas timpanométricas de idosos Profile of audiometric thresholds and tympanometric curve of elderly patients

    Directory of Open Access Journals (Sweden)

    Tatiana Marques Guerra

    2010-10-01

    Full Text Available OBJETIVO: Traçar o perfil audiológico dos idosos atendidos em uma clínica escola da cidade de Belo Horizonte. MÉTODOS: Foram analisados todos os prontuários de pacientes que realizaram avaliação audiológica no período de Abril de 2004 a Agosto de 2007 em um Centro Clínico de Fonoaudiologia da cidade de Belo Horizonte. RESULTADOS: Foram analisados 313 exames audiológicos de pacientes acima de 60 anos de idade. Os resultados das avaliações audiológicas quanto ao tipo da perda auditiva foram: limiares auditivos dentro dos padrões de normalidade - 22,28%; perda auditiva neurossensorial - 60,62%; perda auditiva mista - 14,70%, perda auditiva condutiva - 2,40%. O grau variou de normal a profundo. Quanto à timpanometria, prevaleceu com 83,22% a curva tipo A, sendo que os demais tipos de curvas obtiveram um total de 16,3%. A porcentagem dos indivíduos que não realizou o exame foi de 0,48%. Dos pacientes que apresentaram perda auditiva foram unilaterais 1,76% e 98,24% bilaterais. CONCLUSÕES: Foi constatada uma maior prevalência de perda auditiva do tipo neurossensorial, sendo que o grau de perda variou de leve a profundo, com maior prevalência do grau moderado.AIM: to analyze the audiological profile of elderly patients seen in a clinic from an audiology school clinic in the city of Belo Horizonte. METHODS: we studied all the charts from the patients who underwent audiologic assessment from April of 2004 and August of 2007 in an audiology clinic in the city of Belo Horizonte. RESULTS: We studied the 313 audiological tests from patients 60 years of age or over. The results from the audiological evaluations as to the type of hearing loss were: auditory thresholds within normal standards - 22.28%; sensorineural hearing loss - 60.62%; mixed hearing loss - 14.70%, conductive hearing loss - 2.40%. The level varied between normal and profound. As to the tympanometry, 83.22% had the type A curve, and the other types of curves obtained made

  20. Signal Processing in High-End Hearing Aids: State of the Art, Challenges, and Future Trends

    Directory of Open Access Journals (Sweden)

    U. Rass

    2005-11-01

    Full Text Available The development of hearing aids incorporates two aspects, namely, the audiological and the technical point of view. The former focuses on items like the recruitment phenomenon, the speech intelligibility of hearing-impaired persons, or just on the question of hearing comfort. Concerning these subjects, different algorithms intending to improve the hearing ability are presented in this paper. These are automatic gain controls, directional microphones, and noise reduction algorithms. Besides the audiological point of view, there are several purely technical problems which have to be solved. An important one is the acoustic feedback. Another instance is the proper automatic control of all hearing aid components by means of a classification unit. In addition to an overview of state-of-the-art algorithms, this paper focuses on future trends.

  1. A 16-year longitudinal study of hearing in very old Australians

    Directory of Open Access Journals (Sweden)

    L. Sanchez

    2011-03-01

    Full Text Available Hearing impairment is recognised for its prominence among the chronic conditions of ageing, being more prevalent in Australia than all other national health priorities except musculo-skeletal conditions (Australian Institute of Health and Welfare, 2004. However despite its prevalence, there have been fewer epidemiological studies of hearing impairment than for other chronic diseases and disorders. Epidemiological data based on audiological evaluations are scant and a rigorously defined burden of illness for hearing impairment at a population or community level using both audiological and self-report types of estimate is still only available from a few studies world-wide (Gates et al., 1990; Davis, 1995; Wilson et al., 1998; Cruikshanks et al., 1998. Longitudinal studies are particularly valuable in providing information about patterns of ageing, about cohort differences in age-related physical, sensory and psychological functioning and for the services which an ageing population might require...

  2. A novel missense mutation of the paired box 3 gene in a Turkish family with Waardenburg syndrome type 1

    OpenAIRE

    Hazan, Filiz; Ozturk, A. Taylan; Adibelli, Hamit; Unal, Nurettin; Tukun, Ajlan

    2013-01-01

    Purpose Screening of mutations in the paired box 3 (PAX3) gene in three generations of a Turkish family with Waardenburg syndrome type 1 (WS1). Methods WS1 was diagnosed in a 13-month-old girl according to the WS Consortium criteria. Detailed family history of the proband revealed eight affected members in three generations. Routine clinical and audiological examination and ophthalmologic evaluation were performed on eight affected and five healthy members of the study family. Dystopia cantho...

  3. Editorial

    Directory of Open Access Journals (Sweden)

    Michelle Pascoe

    2012-12-01

    Full Text Available This edition of the showcases some of the best research currently being carried out in the field of communication sciences and disorders, both locally and abroad. You will find here a stimulating mix of audiology and speech pathology papers – linked together by the developing contexts in which the work was carried out, and the desire to build the evidence base for our work in this context.

  4. Prevalence and Nature of Hearing Loss in 22q11.2 Deletion Syndrome

    Science.gov (United States)

    Van Eynde, Charlotte; Swillen, Ann; Lambeens, Elien; Verhaert, Nicolas; Desloovere, Christian; Luts, Heleen; Vander Poorten, Vincent; Devriendt, Koenraad; Hens, Greet

    2016-01-01

    Purpose: The purpose of this study was to clarify the prevalence, type, severity, and age-dependency of hearing loss in 22q11.2 deletion syndrome. Method: Extensive audiological measurements were conducted in 40 persons with proven 22q11.2 deletion (aged 6-36 years). Besides air and bone conduction thresholds in the frequency range between 0.125…

  5. Vocal aging and adductor spasmodic dysphonia: Response to botulinum toxin injection

    OpenAIRE

    Cannito, Michael

    2008-01-01

    Michael P Cannito, Joel C Kahane, Lesya ChornaSchool of Audiology and Speech-Language Pathology, The University of Memphis, Memphis, TN, USAAbstract: Aging of the larynx is characterized by involutional changes which alter its biomechanical and neural properties and create a biological environment that is different from younger counterparts. Illustrative anatomical examples are presented. This natural, non-disease process appears to set conditions which may influence the effectiveness of botu...

  6. Auditory Neuropathy Spectrum Disorder Masquerading as Social Anxiety

    OpenAIRE

    Behere, Rishikesh V.; Rao, Mukund G.; Mishra, Shree; Varambally, Shivarama; Nagarajarao, Shivashankar; Bangalore N Gangadhar

    2015-01-01

    The authors report a case of a 47-year-old man who presented with treatment-resistant anxiety disorder. Behavioral observation raised clinical suspicion of auditory neuropathy spectrum disorder. The presence of auditory neuropathy spectrum disorder was confirmed on audiological investigations. The patient was experiencing extreme symptoms of anxiety, which initially masked the underlying diagnosis of auditory neuropathy spectrum disorder. Challenges in diagnosis and treatment of auditory neur...

  7. Individual Differences in Effectiveness of Cochlear Implants in Children Who Are Prelingually Deaf: New Process Measures of Performance

    OpenAIRE

    Pisoni, David B.; Cleary, Miranda; Geers, Ann E.; Tobey, Emily A.

    1999-01-01

    The efficacy of cochlear implants in children who are deaf has been firmly established in the literature. However, the effectiveness of cochlear implants varies widely and is influenced by demographic and experiential factors. Several key findings suggest new directions for research on central auditory factors that underlie the effectiveness of cochlear implants. First, enormous individual differences have been observed in both adults and children on a wide range of audiological outcome measu...

  8. Middle latency response hos barn med mistenkte auditive prosesseringsvansker

    OpenAIRE

    Wennberg, Siri

    2013-01-01

    Background: International research has shown that middle latency responses (MLR) are sensitive to auditory processing disorders. It seems to be a useful measurement for evaluation of the central auditory system and in the diagnosis of Auditory Processing Disorder (APD), but the MLR has not yet been established in a test battery for APD in Norway.Purpose: The main purpose of this study was to examine the components of MLR in a sample of children referred to the audiological department at St. O...

  9. Middle latency response hos barn med mistenkte auditive prosesseringsvansker

    OpenAIRE

    Wennberg, Siri

    2013-01-01

    Background: International research has shown that middle latency responses (MLR) are sensitive to auditory processing disorders. It seems to be a useful measurement for evaluation of the central auditory system and in the diagnosis of Auditory Processing Disorder (APD), but the MLR has not yet been established in a test battery for APD in Norway. Purpose: The main purpose of this study was to examine the components of MLR in a sample of children referred to the audiological department at St. ...

  10. DEVELOPING ‘STANDARD NOVEL ‘VAD’ TECHNIQUE’ AND ‘NOISE FREE SIGNALS’ FOR SPEECH AUDITORY BRAINSTEM RESPONSES FOR HUMAN SUBJECTS

    OpenAIRE

    Ranganadh Narayanam*

    2016-01-01

    In this research as a first step we have concentrated on collecting non-intra cortical EEG data of Brainstem Speech Evoked Potentials from human subjects in an Audiology Lab in University of Ottawa. The problems we have considered are the most advanced and most essential problems of interest in Auditory Neural Signal Processing area in the world: The first problem is the Voice Activity Detection (VAD) in Speech Auditory Brainstem Responses (ABR); The second problem is to identify the best De-...

  11. EFFICIENT DE-NOISING PERFORMANCE OF A COMBINED ALGORITHM OF “TRANSLATION INVARIANT (TI) WAVELETS AND INDEPENDENT COMPONENT ANALYSIS” OVER “TI WAVELETS” FOR SPEECH-AUDITORY BRAINSTEM RESPONSES

    OpenAIRE

    Ranganadh Narayanam*

    2015-01-01

    In this paper we have presented a research for de-noising the EEG collected Brainstem Speech Evoked Potentials data collected in an audiology lab in University of Ottawa, from 10 different human subjects. Here the de-noising techniques we have considered are Yule-Walker Multiband Filter, Cascaded Yule-Walker-Comb Filter, Conventional Wavelet Transform estimation filters: Daubechies, Symlet, Coiflet Wavelet families, Translation Invariant (TI) Wavelet Transform estimation filter, F...

  12. Otologic Problems in Turner Syndrome

    OpenAIRE

    Ahmadreza Okhovat; Dr. Mahin Hashemipour; Dr. Alireza Majlesi; Mehdi Salek; Masoumeh Raufi; Dr. Saied Hanif Okhovat

    2011-01-01

    Background and Aim: Turner syndrome is the most common sex chromosome abnormality in females, affecting an estimated 3% of all conceiving females. Otologic disease is a common problem in Turner syndrome patients that is due to a combination of small dysfunction Eustachian tube, palatal dysfunction and cochlear malformation.Methods: This study assessed the otologic and audiologic characteristics of a group of Turner syndrome patients. We studied 40 Turner patients aged 10 to 20 years (mean age...

  13. Social representation of “hearing loss”: cross-cultural exploratory study in India, Iran, Portugal, and the UK

    OpenAIRE

    Manchaiah, Vinaya; Danermark, Berth; Ahmadi, Tayebeh; Tomé, David; Zhao, Fei; Li, Qiang; Krishna, Rajalakshmi; Germundsson, Per

    2015-01-01

    Background Hearing loss is one of the most common chronic conditions in older adults. In audiology literature, several studies have examined the attitudes and behavior of people with hearing loss; however, not much is known about the manner in which society in general views and perceives hearing loss. This exploratory study was aimed at understanding the social representation of hearing loss (among the general public) in the countries of India, Iran, Portugal, and the UK. We also compared the...

  14. Oral communication in individuals with hearing impairment—considerations regarding attentional, cognitive and social resources

    OpenAIRE

    Lemke, Ulrike; Scherpiet, Sigrid

    2015-01-01

    Traditionally, audiology research has focused primarily on hearing and related disorders. In recent years, however, growing interest and insight has developed into the interaction of hearing and cognition. This applies to a person’s listening and speech comprehension ability and the neural realization thereof. The present perspective extends this view to oral communication, when two or more people interact in social context. Specifically, the impact of hearing impairment and cognitive changes...

  15. Hearing Impairment in Adults with an Intellectual Disability: epidemiology and rehabilitation

    OpenAIRE

    Meuwese-Jongejeugd, Anneke

    2006-01-01

    textabstractIn this thesis, the results are presented of an epidemiological study of hearing impairment in adults with an intellectual disability (ID), as well as the results of a study on the implementation of an audiological rehabilitation protocol in centres for persons with an ID. It is preceded in chapter 1 by a review of literature on epidemiology and rehabilitation of hearing impairment in persons with an ID. Moreover in this chapter is explained why these studies were established. In ...

  16. Social representation of hearing aids: Cross-cultural study in India, Iran, Portugal, and the United Kingdom

    OpenAIRE

    Manchaiah V; Danermark B; Vinay; Ahmadi T; Tomé D; Krishna R; Germundsson P

    2015-01-01

    Vinaya Manchaiah,1 Berth Danermark,2 Vinay,3 Tayebeh Ahmadi,4 David Tomé,5 Rajalakshmi Krishna,6 Per Germundsson7 1Department of Speech and Hearing Sciences, Lamar University, Beaumont, Texas, USA; 2Swedish Institute for Disability Research, Örebro University, Örebro, Sweden; 3Department of Clinical Medicine, University of Tromsø, Tromsø, Norway; 4Department of Audiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; 5Department of Audi...

  17. Hearing Screening in the Elderly and Evaluating the Need for Hearing Aid

    OpenAIRE

    Leyla Jalilvand Karimi; Majid Ashrafi; Elham Khosravi; Zahra Shahidipour; Fatemeh Vafaee

    2008-01-01

    Background and Aim: Hearing loss is one of the most prevalent chronic conditions affecting the elderly. The impacts of hearing loss are depression, social isolation, and functional disability, particularly for those who have not yet been evaluated or treated for hearing loss. The aim of this study was audiologic screening and assessing candidacy for hearing aid in the elderly people.Materials and Methods: This analytic-cross sectional study was performed on 52 older adults aged from 51 to 97...

  18. Comparing Analog and Digital Hearing Aids in Reducing Hearing Disability

    OpenAIRE

    Ghassem Mohammad Khani; Mohammad Hassan Khalesi; Soghrat Faghih Zadeh; Bahieh Kohansal; Zahra Jafari

    2004-01-01

    Objective: Comparing analog and digital hearing aids reducing disability caused by hearing deficiency among moderate to severe sensorineural hearing-impaired persons. Method and Material: This descriptive-analytic study was carried out on two groups of subjects participated in this study in some audiology clinics of hearing aid since May 2002 to October 2003. Twenty subjects wore analog hearing aids and twenty one subjects wore digital hearing aids. In this study , no subject had previous mid...

  19. Internet Access and Use in Adults With Hearing Loss

    OpenAIRE

    Thorén, Elisabet Sundewall; Öberg, Marie; Wänström, Gunilla; Andersson, Gerhard; Lunner, Thomas

    2013-01-01

    Background The future rehabilitation of adults with hearing loss is likely to involve online tools used by individuals at home. Online tools could also be useful for people who are not seeking professional help for their hearing problems. Hearing impairment is a disability that increases with age, and increased age is still associated with reduced use of the Internet. Therefore, to continue the research on online audiological rehabilitative tools for people with hearing loss, it is important ...

  20. Determinants of objective and subjective auditory disability in patients with normal hearing

    OpenAIRE

    Saunders, Gabrielle H.

    1989-01-01

    A proportion of individuals consulting audiology clinics complain of difficulties discriminating speech in noisy environments but have clinically 'normal' hearing, do not have signs of middle ear pathology, nor any other obvious basis for their complaints. The syndrome was named 'Obscure Auditory Dysfunction (OAD)'. Following a small scale study, a Special Investigative Clinic was started to investigate factors underlying OAD. Patients' performance on psychoacoustic, central/cognitive and per...

  1. Chronic pain in hypermobility syndrome and Ehlers–Danlos syndrome (hypermobility type): it is a challenge

    OpenAIRE

    Scheper MC; de Vries JE; Verbunt J; Engelbert RHH

    2015-01-01

    Mark C Scheper,1,2 Janneke E de Vries,1–3 Jeanine Verbunt,3,4 Raoul HH Engelbert1,2 1School of Physiotherapy, Amsterdam University of Applied Sciences, Amsterdam, 2Department of Rehabilitation, Academic Medical Center, University of Amsterdam, Amsterdam, 3Department of Rehabilitation Medicine, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht; 4Adelante, Center of expertise in Rehabilitation and Audiology, Hoensbroek, the Netherlands Abstract: Gene...

  2. Hearing Aids Communication

    DEFF Research Database (Denmark)

    impacted by hearing loss and (non-) use of hearing technologies. The researchers report on pilot studies from Australia, Denmark, Finland, Germany, Switzerland and the USA. Using Conversation Analysis, the studies identify problems and serve as points of departure for possible solutions. Researchers...... and practitioners from the different disciplines (medicine, audiology, hearing rehabilitation, User Centered Design, Conversation Analysis, change business) as well as users of hearing technologies comment on this approach....

  3. Schooling Relates to Mental Health Problems in Adolescents with Cochlear Implants—Mediation by Hearing and Family Variables

    OpenAIRE

    Huber, Maria; Pletzer, Belinda; Giourgas, Alexandros; Nickisch, Andreas; Kunze, Silke; Illg, Angelika

    2015-01-01

    Aim of this multicenter study was to investigate whether schooling relates to mental health problems of adolescents with cochlear implants (CI) and how this relationship is mediated by hearing and family variables. One hundred and forty secondary school students with CI (mean age = 14.7 years, SD = 1.5), their hearing parents and teachers completed the Strengths and Difficulties Questionnaire (SDQ). Additional audiological tests (speech comprehension tests in quiet and noise) were performed. ...

  4. Frequency-specific association of antibodies against heat shock proteins 60 and 70 with noise-induced hearing loss in Chinese workers

    OpenAIRE

    Yang, Miao; Zheng, Jianru; Yang, Qiaoling; Yao, Huiling; Chen, Yongwen; Tan, Hao; Jiang, Changzheng; Wang, Feng; He, Meian; Chen, Sheng; Wei, Qingyi; Tanguay, Robert M.; Wu, Tangchun

    2004-01-01

    Noise exposure may result in production of auto-antibodies against heat shock proteins (Hsps), which might be of significance in the pathogenesis or prognosis (or both) of auto-immune ear diseases. However, it is not known whether these antibodies are associated with noise-induced hearing loss (NIHL) in workers exposed to noise in occupational settings. Using immunoblotting with human recombinant Hsps, audiological assessment, and multivariate logistic regression models, we investigated the p...

  5. Eustachian tube lumen opening into an abnormally pneumatized sphenoid bone.

    OpenAIRE

    Bosschaert, P; Hiel, AL; Vilain, J

    2012-01-01

    Morphological abnormalities of left temporal and sphenoid bone were discovered in a 17-year-old boy during a post-traumatic cranial CT scan examination. The patient had not suffered from audiological disorders previously. He did not complain of hearing loss, vertigo or autophony. Further clinical investigations were normal including micro-otoscopy and nasopharyngeal endoscopy. The Valsalva maneuver was correctly performed. Audiometry and tympanometry were without any particularity.

  6. Hearing in young adults, part II: the effects of recreational noise exposure

    OpenAIRE

    Hannah Keppler; Ingeborg Dhooge; Bart Vinck

    2015-01-01

    Great concern arises from recreational noise exposure, which might lead to noise-induced hearing loss in young adults. The objective of the current study was to evaluate the effects of recreational noise exposure on hearing function in young adults. A questionnaire concerning recreational noise exposures and an audiological test battery were completed by 163 subjects (aged 18-30 years). Based on the duration of exposure and self-estimated loudness of various leisure-time activities, the weekl...

  7. Disability, Technology and Politics: The entangled experience of being hard of hearing.

    OpenAIRE

    Irene Olaussen

    2011-01-01

    About 10 % of a population have a hearing loss. Combining analytical resources from two interdisciplinary field – Science and Technology Studies and Disability Studies - this thesis investigates the complex interplay between people, technologies and material surroundings. The aim is to learn about how hearing disability becomes ordered in policy making, audiological practice, and everyday life. Disability has traditionally been treated as a physical defect, a problem that can be compens...

  8. Effect of aging on oral and swallowing function after meal consumption

    OpenAIRE

    Hiramatsu T; Kataoka H; Osaki M; Hagino H

    2015-01-01

    Tetsuya Hiramatsu,1,2 Hideyuki Kataoka,3 Mari Osaki,4 Hiroshi Hagino3,4 1Department of Speech Pathology and Audiology, Matsue Co-medical College, Matsue, Japan; 2Graduate School of Medical Sciences, Tottori University, 3School of Health Science, Faculty of Medicine, Tottori University, 4Rehabilitation Division, Tottori University Hospital, Yonago, Japan Background/purpose: Dysphagia may worsen due to fatigue of the infrahyoid and suprahyoid muscle groups as a result of repetitive swallowing...

  9. Do you know where your fillers go? An ultrastructural investigation of the lips

    OpenAIRE

    Vent J; Lefarth F; Massing T; Angerstein W

    2014-01-01

    Julia Vent,1 Florian Lefarth,2 Thomas Massing,3 Wolfgang Angerstein2 1Department of Otorhinolaryngology, Head and Neck Surgery, University of Heidelberg Medical Center at Mannheim, Mannheim, Germany; 2Department of Phoniatrics and Pedaudiology, University of Düsseldorf Medical Center, Düsseldorf, Germany; 3Research Laboratory for Medical Acoustics and Audiology, Department of Phoniatrics and Pedaudiology, University of Düsseldorf Medical Center, Düsseldorf,...

  10. Relevance of Pure Tone Average (PTA) as a Predictor for Incus Erosion

    OpenAIRE

    Mohanty, Sanjeev; Gopinath, M.; Subramanian, Mukundan; Vijayan, Nisha

    2011-01-01

    Between 40 and 90% of tympanoplasty require middle ear ossicular chain reconstruction. Ossicular discontinuity usually cannot be determined unless an operation is performed. The main objective was to determine the predictive value of pre-operative audiological factors in diagnosing incudal necrosis in patients with tubotympanic chronic suppurative otitis media. A retrospective clinical study of 20 patients who underwent ossicular reconstruction with autologous incus over a period of two years...

  11. Auditory assessment of children with severe hearing loss using behavioural observation audiometry and brainstem evoked response audiometry

    OpenAIRE

    Rakhi Kumari; Priyanko Chakraborty; Jain, R K; Dhananjay Kumar

    2016-01-01

    Background: Early detection of hearing loss has been a long-standing priority in the field of audiology. Currently available auditory testing methods include both behavioural and non-behavioural or objective tests of hearing. This study was planned with an objective to assess hearing loss in children using behavioural observation audiometry and brain stem evoked response audiometry. Methods: A total of 105 cases suffering from severe to profound hearing loss were registered. After proper h...

  12. Auditory characteristics of individuals with temporomandibular dysfunctions and dentofacial deformities

    Directory of Open Access Journals (Sweden)

    Tatiane Totta

    2013-10-01

    Full Text Available OBJECTIVE: To investigate whether there is any relationship between otological as well as vestibular symptoms, audiological findings and type of temporomandibular disorder (articular, muscular and mixed; and to check the distribution of the temporomandibular disorders (TMD dysfunction degree in the research population. METHODS: A retrospective study involving 30 patients of both sexes, aged between 18 and 49 years old, diagnosed with TMD and dentofacial deformities, who were subject to clinical evaluation (muscle palpation, auscultation of temporomandibular joint during mandibular motion and measurement of jaw movement, audiological testing (pure tone audiometry and immittance testing and two questionnaires, one on otological and vestibular symptoms and the other on TMD anamnesis. Based on both the anamnesis questionnaire and the clinical assessment, the subjects were divided according to the type and degree of TMD dysfunction (mild, moderate and severe, and compared regarding the occurrence of auditory signs and symptoms, vestibular symptoms and audiological findings according to TMD type. RESULTS: The anamnesis questionnaire demonstrated higher prevalence (83.33% of severe TMD. Subjects with mixed TMD had more complaints about hypoacusis than those with muscular TMD (p < 0.05. The results showed no change in either audiological and immittance testing for all assessed individuals. CONCLUSION: Otological symptoms are present in subjects with TMD and dentofacial deformities, regardless of the classification of TMD (articular, muscular or mixed. Those with mixed TMD may have higher incidence of complaints about hypoacusis than subjects with muscular TMD. Further studies are needed to investigate the relationship between otological symptoms and the different types of TMD.

  13. The Rules of Hearing Conservation Program and One Sample Study in Pars- Minoo Company

    OpenAIRE

    Ahmad Keshani; Saeed Farahani

    1996-01-01

    Hearing conservation is one of the useful programs in industrial audiology. Few studies have been reported on this issue. Performing this program is always accompanied with some problems, In a way that lacking enough attention can cause deviation from the main instructions in the program. In the current study we will first of all, have a look on the academic foundations of a hearing conservation program and then will discuss performing such a program in Pars- Minoo Company which have been pe...

  14. Connecting Cultures Through Communication: A Speech Language and Hearing Science Journey

    OpenAIRE

    O'Connell, Megan

    2014-01-01

    Purdue University launched its inaugural Speech Language and Hearing Science study abroad program to Zambia, Africa, in summer 2013. Twelve students, both undergraduate and graduate, were carefully selected to participate in the program after applications were sent in January of the same year. The overall goal was to aid several medical centers and schools through work in audiology. Students, in turn, would receive clinical experience as well as having the opportunity to learn about a vastly ...

  15. Audiometry in Young Children

    OpenAIRE

    Muller, George

    1987-01-01

    The author of this article reviews various techniques in the auditory assessment of infants and young children. The success of these tests depends on the overall functioning of the child, and not on chronological age alone. Any significant deviation from the normal auditory behaviour should raise suspicion of possible auditory impairment. Diagnostic audiology involves more than mere testing of the peripheral auditory mechanism in isolation. It necessitates investigation of possible neurologic...

  16. Medical physics 2013. Abstracts; Medizinische Physik 2013. Abstractband

    Energy Technology Data Exchange (ETDEWEB)

    Treuer, Harald (ed.) [Koeln Univ. (Germany). Klinik fuer Stereotaxie und Funktionelle Neurochirurgie

    2013-07-01

    The proceedings of the medical physics conference 2013 include abstract of lectures and poster sessions concerning the following issues: Tele-therapy - application systems, nuclear medicine and molecular imaging, neuromodulation, hearing and technical support, basic dosimetry, NMR imaging -CEST (chemical exchange saturation transfer), medical robotics, magnetic particle imaging, audiology, radiation protection, phase contrast - innovative concepts, particle therapy, brachytherapy, computerized tomography, quantity assurance, hybrid imaging techniques, diffusion and lung NMR imaging, image processing - visualization, cardiac and abdominal NMR imaging.

  17. Studying the Difference in the Effect of Noise and Pure Tone on the Residual Inhibition in Patients Suffering Tinnitus

    OpenAIRE

    Majid Norouzi; Abdollah Mousavi; Masoumeh Rouzbehani

    1998-01-01

    Objectives: we were aimed at studying the difference in the effect of noise and pure tone on the residual inhibition in patients suffering tinnitus. "nMethod: patients were selected among whom referred to audiology clinic in Ran faculty of rehabilitation sciences and aged between 20-70 years old. Our method in studying patients was experimental- masking with pure tone was performed in patients who had experienced partial residual inhibition with noise. Results; the differences between the mas...

  18. Editorial

    OpenAIRE

    Michelle Pascoe

    2012-01-01

    This edition of the showcases some of the best research currently being carried out in the field of communication sciences and disorders, both locally and abroad. You will find here a stimulating mix of audiology and speech pathology papers – linked together by the developing contexts in which the work was carried out, and the desire to build the evidence base for our work in this context.

  19. Medical physics 2013. Abstracts

    International Nuclear Information System (INIS)

    The proceedings of the medical physics conference 2013 include abstract of lectures and poster sessions concerning the following issues: Tele-therapy - application systems, nuclear medicine and molecular imaging, neuromodulation, hearing and technical support, basic dosimetry, NMR imaging -CEST (chemical exchange saturation transfer), medical robotics, magnetic particle imaging, audiology, radiation protection, phase contrast - innovative concepts, particle therapy, brachytherapy, computerized tomography, quantity assurance, hybrid imaging techniques, diffusion and lung NMR imaging, image processing - visualization, cardiac and abdominal NMR imaging.

  20. Distortion Product Otoacoustic Emissions: A Tool for Hearing Assessment and Scientific Study

    OpenAIRE

    Abdala, Caroline; Visser-Dumont, Leslie

    2001-01-01

    Distortion product otoacoustic emissions (DPOAEs) reflect outer hnir cell integrity and cochlear function. When used appropriately in the audiology clinic, they are an effective diagnostic tool and can detect hearing loss with accuracy. DPOAEs are easily and rapidly recorded in newborns and children, and provide basic hearing screening information as well as detailed diagnostic information in cases of suspected hearing loss. In the past decade, solid guidelines hnve been established to select...

  1. RESONANCE THEORY OF HEARING

    OpenAIRE

    Husnija Hasanbegović

    2014-01-01

    The processes of hearing the sounds and speech are not yet explicable enough, and therefore rehabilitation audiology is continuously facing practical problems of hearing and speech stimulation with heavy out of hearing children. Hearing successes with children who have implanted cochlear apparatus may indicate to resonance problem, rather than damaged nerve cells problem with deaf children, as it is alleged today. This paper presents a new theory (the theory of resonance rehabilit...

  2. Conductive and Mixed Hearing Losses: A Comparison between Summer and Autumn

    OpenAIRE

    Nickbakht, Mansoureh; Borzoo, Samira

    2014-01-01

    Background and Objectives Conductive hearing loss is common among children and adults. This study aims at comparing the results of conductive hearing loss in summer and autumn. Subjects and Methods Puretone audiometry and tympanometry tests were done for all patients who referred to the Iranian-based audiology center of Imam Khomeini Hospital in Ahvaz. Data on the patients with conductive or mixed hearing loss were analyzed. The impacts of season, age, and etiology of the disease were analyze...

  3. Characterizing sensory and cognitive factors of human speech processing through eye movements

    OpenAIRE

    Wendt, Dorothea Christine

    2013-01-01

    The primary goal of this thesis is to gain a better insight into any impediments in speech processing that occur due to sensory and cognitive factors. To achieve this, a new audio-visual paradigm based on the analysis of eye-movements is developed here which allows for an online analysis of the speech understanding process with possible applications in the field of audiology. The proposed paradigm is used to investigate the influence of background noise and linguistic complexity on the proces...

  4. A Review of Hearing Loss in Cleft Palate Patients

    OpenAIRE

    Bilal Gani; Kinshuck, A. J.; Sharma, R.

    2012-01-01

    Background. Cleft palate is associated with recurrent otitis media with effusion and hearing loss. This study analysed the way these patients' hearing is managed in Alder Hey Children's Hospital. Method. A retrospective audit was carried out on cleft palate patients in Alder Hey Children's Hospital. Audiology assessment and treatment options were reviewed. Comparisons were made between the use of ventilation tubes (VTs) and hearing aids (HAs). The types of cleft, types of hearing loss, and th...

  5. MEDICAL DIAGNOSIS AND THERAPEUTIC SERVICES AND PERFORMANCE LEVEL OF SPECIAL CHILDREN

    OpenAIRE

    Adelaila Jurado-Leaño

    2016-01-01

    The study exposed performance level of special children and Medical Diagnosis and Therapeutic Related Services of SPED schools in Isabela province, Northern Philippines such as Medical /Diagnostic and Evaluative services, Audiology services, Psychological services, Occupational Therapy, Physical Therapy and Speech-Language Pathology. Null hypothesis of no significant difference on assessment was tested at 0.05 level of significance. Randomly selected respondents were 19 SPED teachers and 80 p...

  6. Establishing a pharmacotherapy induced ototoxicity programme within a service-learning approach

    OpenAIRE

    Natalie Schellack; Anna M. Wium; Katerina Ehlert; Yolande van Aswegen; Andries Gous

    2015-01-01

    Pharmacotherapy-induced ototoxicity is growing, especially in developing countries such as South Africa. This highlights the importance of ototoxicity monitoring and management of hearing loss. This article focuses on the establishment of an ototoxicity clinic as a site for the implementation of a service-learning module in the Audiology programme. The clinic offers a unique opportunity of collaboration between pharmacists and an audiologist where pharmacotherapy-induced ototoxicity is unique...

  7. Correlation analysis of the long latency auditory evoked potential N2 and cognitive P3 with the level of lead poisoning in children

    Directory of Open Access Journals (Sweden)

    Alvarenga, Kátia de Freitas

    2013-01-01

    Full Text Available Introduction: The effects of lead on children's health have been widely studied. Aim: To analyze the correlation between the long latency auditory evoked potential N2 and cognitive P3 with the level of lead poisoning in Brazilian children. Methods: This retrospective study evaluated 20 children ranging in age from 7 to 14 years at the time of audiological and electrophysiological evaluations. We performed periodic surveys of the lead concentration in the blood and basic audiological evaluations. Furthermore, we studied the auditory evoked potential long latency N2 and cognitive P3 by analyzing the absolute latency of the N2 and P3 potentials and the P3 amplitude recorded at Cz. At the time of audiological and electrophysiological evaluations, the average concentration of lead in the blood was less than 10 ug/dL. Results: In conventional audiologic evaluations, all children had hearing thresholds below 20 dBHL for the frequencies tested and normal tympanometry findings; the auditory evoked potential long latency N2 and cognitive P3 were present in 95% of children. No significant correlations were found between the blood lead concentration and latency (p = 0.821 or amplitude (p = 0.411 of the P3 potential. However, the latency of the N2 potential increased with the concentration of lead in the blood, with a significant correlation (p = 0.030. Conclusion: Among Brazilian children with low lead exposure, a significant correlation was found between blood lead levels and the average latency of the auditory evoked potential long latency N2; however, a significant correlation was not observed for the amplitude and latency of the cognitive potential P3.

  8. A retrospective study of cochlear implant outcomes in children with residual hearing

    OpenAIRE

    McCrae Rosemary; Fitzpatrick Elizabeth; Schramm David

    2006-01-01

    Abstract Background There has been increasing demand for the cochlear implantation of children who demonstrate some auditory capacity with conventional hearing aids. The purpose of this study was to examine speech recognition outcomes in a group of children who were regarded as borderline candidates for cochlear implantation as their residual hearing and/or auditory functioning levels exceeded typical audiologic candidacy criteria. Methods A retrospective chart review was undertaken at one Ca...

  9. Speech-Language and swallowing manifestations and rehabilitation in an 11-year-old girl with MELAS syndrome.

    Science.gov (United States)

    Vandana, V P; Bindu, Parayil Sankaran; Sonam, Kothari; Taly, Arun B; Gayathri, N; Madhu, N; Sinha, S

    2015-01-01

    Mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome is a rare mitochondrial disease. The available studies on MELAS syndrome are limited to evaluation of radiological, audiological, genetic, and neurological findings. Among the various neurological manifestations, speech-language and swallowing manifestations are less discussed in the literature. This report describes the speech-language and swallowing function in an 11-year-old girl with MELAS syndrome. The intervention over a period of 6 months is discussed.

  10. Hvordan kan mindfulness-basert behandling hjelpe for pasienter med tinnitus?

    OpenAIRE

    Valle, Linda

    2014-01-01

    Tinnitus is a common and severe disorder presenting big health issues for the many people affected. The fact that not all people are affected by their tinnitus, have been a puzzle for scientists. This has led to an expanded psychological view of tinnitus over time. Tinnitus as a functional disorder, is first of all a medical disorder, and treatment has been oriented from an audiological perspective. Studies and neurophysiology has shown tinnitus to be a transdiagnostic disorder, which mean th...

  11. Hypoacusis in vitiligo

    OpenAIRE

    Sharma Lata; Bhawan R; Jain R

    2004-01-01

    BACKGROUND: Vitiligo affects melanocytes in the skin. Since melanocytes are present in other organs as well, it is plausible that they may be similarly affected. METHODS: A comparative study of audiological functions was carried out in 180 patients of vitiligo and 60 non-vitiligo controls in the age group of 5-40 years. RESULTS: In vitiligo patients sensorineural hypoacusis of mild degree was found in 18, moderate in 13 and mild conductive hypoacusis in 3. In controls sensorineural hypoacusis...

  12. Guidance to the user of the hearing aid: retention of information

    Directory of Open Access Journals (Sweden)

    Geraldo, Tatiane

    Full Text Available Introduction: Different informations are transmitted to the new user of the hearing aid, in a short period of time. The user needs to understand and retain the information to subsequent recovery and action, ensuring the proper use of the device. Objective: check the information retention about the hearing loss and use/care with the hearing aid in new users of these devices. Examine whether there is influence of demographic data and audiologic. Method: Prospective study. Participants: 30 hearing impaired (18 women and 12 men, aged between 18 and 88 years. Were offered verbal orientation supported with ilustrations at the time of audiological diagnosis and adaptation of the hearing aid. There was practice for manipulation of the prosthesis. Three weeks after the adaptation, was performed a evaluation of the retention of information about hearing loss (free recall and use/care with the prosthesis (aided recall. The manipulation of the prosthesis was also evaluated. The responses and comments of the evaluator were noted in a specific protocol and scored. Results: On average the participants retained, respectively, 31,6% and 83,6% of informations about hearing loss in adults and elderly. There was no correlation between the retention of information with the degree in hearing loss, education and socioeconomic level. Conclusion: It's necessary the use of strategies that facilitate and improve the retention of the information about the audiological diagnosis, use and care with the hearing aid for new users of this device.

  13. Surveillance for work-related hearing loss in the UK: OSSA and OPRA 1997-2000

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, J.D.; Chen, Y.; McDonald, J.C.; Cherry, N.M. [University of Manchester, Manchester (United Kingdom)

    2002-03-01

    Surveillance data on occupational audiological disorders have been collected by the Occupational Surveillance Scheme for Audiological Physicians (OSSA) since October 1997 and by the Occupational Physicians Reporting Activity (OPRA) from January 1996. During the 3 years ending in September 2000, a total of 1620 new cases were received from consultant audiological physicians; 988 new cases were estimated from reports by occupational physicians in the period from October 1997 to September 2000. The annual incidence of occupational noise-induced hearing loss (NIHL) was 1.94 and 1.23 per 100 000 workers for the OSSA and OPRA schemes, respectively. The median age at diagnosis with NIHL was 59 years in OSSA reports and 50 years in OPRA; nearly all cases were seen in men (95.6 and 92.5% male cases for OSSA and OPRA, respectively). High incidence rates based on OSSA reports were seen in foundry labourers (64.0 per 100 000 employed), coal gas and coke oven furnace workers (54.6), workers in transport and communication (43.1), metal workers (31.3), and members of the armed forces (28.3). Data from occupational physicians point to high rates in sawyers and woodworking machinists, metal furnace workers, coach and carriage builders, maintenance fitters, and engineering labourers. Among workers aged less than or equal to45 years, those in manufacturing and the armed forces were prominent. The long latency of occupational hearing loss makes surveillance difficult, but consistent patterns in occupational risk suggest targets for preventive efforts.

  14. Establishing a pharmacotherapy induced ototoxicity programme within a service-learning approach.

    Science.gov (United States)

    Schellack, Natalie; Wium, Anna M; Ehlert, Katerina; van Aswegen, Yolande; Gous, Andries

    2015-01-01

    Pharmacotherapy-induced ototoxicity is growing, especially in developing countries such as South Africa. This highlights the importance of ototoxicity monitoring and management of hearing loss. This article focuses on the establishment of an ototoxicity clinic as a site for the implementation of a service-learning module in the Audiology programme. The clinic offers a unique opportunity of collaboration between pharmacists and an audiologist where pharmacotherapy-induced ototoxicity is uniquely monitored. The Sefako Makgatho Health Sciences University (SMU) provides training to both the disciplines, audiology and pharmacy. The main aim of this article is to describe how ototoxicity monitoring is implemented in the curriculum within such an academic service-learning approach. Through service learning students develop a deeper understanding of course content, acquire new knowledge and engage in civic activity. It simultaneously provides a unique opportunity for interdisciplinary collaboration between the disciplines of audiology and pharmacy. The objectives for this programme are therefore to facilitate learning and to provide a service to the local community by identifying, preventing and monitoring medicine-induced hearing loss in in-hospital and out-patients; as well as to establish inter-disciplinary collaboration between the disciplines and stakeholders for more effective service delivery. The constant interdisciplinary teamwork between the audiologist, pharmacist, physician and nursing staff in the wards results in best practice and management of patients with ototoxic damage. PMID:26304216

  15. Establishing a pharmacotherapy induced ototoxicity programme within a service-learning approach

    Directory of Open Access Journals (Sweden)

    Natalie Schellack

    2015-02-01

    Full Text Available Pharmacotherapy-induced ototoxicity is growing, especially in developing countries such as South Africa. This highlights the importance of ototoxicity monitoring and management of hearing loss. This article focuses on the establishment of an ototoxicity clinic as a site for the implementation of a service-learning module in the Audiology programme. The clinic offers a unique opportunity of collaboration between pharmacists and an audiologist where pharmacotherapy-induced ototoxicity is uniquely monitored. The Sefako Makgatho Health Sciences University (SMU provides training to both the disciplines audiology and pharmacy. The main aim of this article is to describe how ototoxicity monitoring is implemented in the curriculum within such an academic service-learning approach. Through service learning students develop a deeper understanding of course content, acquire new knowledge and engage in civic activity. It simultaneously provides a unique opportunity for interdisciplinary collaboration between the disciplines of audiology and pharmacy. The objectives for this programme are therefore to facilitate learning and to provide a service to the local community by identifying, preventing and monitoring medicine-induced hearing loss in in-hospital and out-patients; as well as to establish inter-disciplinary collaboration between the disciplines and stakeholders for more effective service delivery. The constant interdisciplinary teamwork between the audiologist, pharmacist, physician and nursing staff in the wards results in best practice and management of patients with ototoxic damage.

  16. 英国听力学教育概况——兼谈南安普顿大学的听力学教育

    Institute of Scientific and Technical Information of China (English)

    李国平; 郭莹; 胡红梅; Mark Lutman

    2011-01-01

    @@ 各个国家的听力学教育实施有所不同.英国最早的听力学硕士教学1970年始于南安普敦大学,曼彻斯特大学、伦敦大学随后分别开展了听力学硕士教育.随着听力学工作的发展,英国听力学家协会(British Association of Audiological Scientist,BAAS)于1978年正式成立[后来和其他机构合并为英国听力学学会BAA(british Academy of Audiology)],与此同时为了规范听力学从业人员的执业,BAAS规定在硕士毕业以后,学生需要经过临床听力资格认证(Certificate of Audiological Competence)的培训才可以独立从业,这一认证过程为英国之后几十年从事听力学职业的规范化打下了坚实的基础.

  17. Clinical and Genetic Characteristics Analysis of Auditory Neuropathy Acompanying Peripheral Nervous System Disease%以听神经病为首发病伴周围神经病家系的听力学及遗传学特征分析

    Institute of Scientific and Technical Information of China (English)

    齐悦; 兰兰; 史伟; 张秋静; 纵亮; 李娜; 王大勇; 李倩; 王秋菊

    2012-01-01

    目的 分析以听神经病为首发病伴周围神经病家系的临床听力学及遗传学特征.方法 对3个以听神经病为首发病伴周围神经病的家系进行病史采集、专科体检、听力学检查及相关的神经系统检查,从患者的临床表型、听力学检测、家系谱图及家系遗传学特征进行分析.结果 3个家系中的患者均以听神经病为首发病,其中,2个家系中的患者伴发Charcot-Marie-Tooth(CMT)综合征、1个家系中的患者伴发运动神经元病.3个家系中患者的表型特点均为青少年期发病的低频下降为主的双侧感音神经性聋,多伴局部感觉及运动障碍.家系谱分析显示两个伴发CMT综合征家系分别具有常染色体隐性及X连锁隐性遗传特征,而伴发运动神经元病家系则表现出常染色体隐性遗传特征.结论 部分听神经病可表现为周围神经病的首发病,青少年期发病,双耳低频下降型感音神经性聋;具有为常染色体隐性或X连锁隐性遗传特征.%Objective To analysis the clinical and genetic characteristics of three Chinese families with auditory neuropathy and peripheral nervous system disease. Methods The three Chinese families with auditory neuropathy and peripheral nervous system disease were investigated by history collectioning, physical examinationing, audiologi-cal examinationing and drawing the family trees. The systematic examination of audiology including audiological examination, such as pure tone testing, OAE, ABR,and neurologic examination. Results The three families had been diagnosed with bilateral sensorineural hearing loss mainly at low frequency. The hearing loss ranged from mild to serves. Patients all had tinnitus, sensory and movement disorders, partly had ataxia, optic atrophy and other symptoms. Among them, seven of the eight patients accepted systematic examination of audiology. All the audiological diagnostic results showed typical characters of auditory neuropathy

  18. Opportunistic hearing screening in elderly inpatients

    Directory of Open Access Journals (Sweden)

    Krishan Ramdoo

    2014-04-01

    Full Text Available Objective: To determine the prevalence of occult hearing loss in elderly inpatients, to evaluate feasibility of opportunistic hearing screening and to determine subsequent provision of hearing aids. Materials and methods: Subjects (>65 years were recruited from five elderly care wards. Hearing loss was detected by a ward-based hearing screen comprising patient-reported assessment of hearing disability and a whisper test. Subjects failing the whisper test or reporting hearing difficulties were offered formal audiological assessment. Results: Screening was performed on 51 patients aged between 70 and 95 years. Of the patients, 21 (41% reported hearing loss and 16 (31% failed the whisper test. A total of 37 patients (73% were referred for audiological assessment with 17 (33% found to have aidable hearing loss and 11 were fitted with hearing aids (22%. Discussion: This study highlights the high prevalence of occult hearing loss in elderly inpatients. Easy two-step screening can accurately identify patients with undiagnosed deafness resulting in significant proportions receiving hearing aids. Key sentences Approximately 14% of the elderly population use hearing aids despite a reported prevalence of deafness in up to 55%. The use of hearing aids is associated with an improvement in physical, emotional, mental and social well-being. An easy screening test for hearing loss consists of patient-reported hearing loss and a whisper test. Opportunistic screening of elderly inpatients resulted in referral of 73% of screened patients for formal audiology. Of the screened patients, 22% were provided with hearing aids.

  19. Recognition of Speech of Normal-hearing Individuals with Tinnitus and Hyperacusis

    Directory of Open Access Journals (Sweden)

    Hennig, Tais Regina

    2011-01-01

    Full Text Available Introduction: Tinnitus and hyperacusis are increasingly frequent audiological symptoms that may occur in the absence of the hearing involvement, but it does not offer a lower impact or bothering to the affected individuals. The Medial Olivocochlear System helps in the speech recognition in noise and may be connected to the presence of tinnitus and hyperacusis. Objective: To evaluate the speech recognition of normal-hearing individual with and without complaints of tinnitus and hyperacusis, and to compare their results. Method: Descriptive, prospective and cross-study in which 19 normal-hearing individuals were evaluated with complaint of tinnitus and hyperacusis of the Study Group (SG, and 23 normal-hearing individuals without audiological complaints of the Control Group (CG. The individuals of both groups were submitted to the test List of Sentences in Portuguese, prepared by Costa (1998 to determine the Sentences Recognition Threshold in Silence (LRSS and the signal to noise ratio (S/N. The SG also answered the Tinnitus Handicap Inventory for tinnitus analysis, and to characterize hyperacusis the discomfort thresholds were set. Results: The CG and SG presented with average LRSS and S/N ratio of 7.34 dB NA and -6.77 dB, and of 7.20 dB NA and -4.89 dB, respectively. Conclusion: The normal-hearing individuals with or without audiological complaints of tinnitus and hyperacusis had a similar performance in the speech recognition in silence, which was not the case when evaluated in the presence of competitive noise, since the SG had a lower performance in this communication scenario, with a statistically significant difference.

  20. Initial results from the newborn hearing screening programme in Ireland.

    LENUS (Irish Health Repository)

    O'Connor, A

    2013-03-02

    INTRODUCTION: Hearing screening programmes aim to detect hearing loss in the neonate. The Health Service Executive (HSE) South was the first phase of a national roll-out of a neonatal hearing screening programme in Ireland, going live on 28 April 2011. RESULTS: Over 11,738 babies have been screened for permanent childhood hearing impairment (PCHI) during the first 12 months. The percentage of eligible babies offered hearing screening was 99.2 %. Only 0.2 % (n = 25) of those offered screening declined. 493 (4 %) were referred for immediate diagnostic audiological assessment. The average time between screen and diagnostic audiology appointment was 2 weeks. 15 (1.3\\/1,000) babies have been identified with a PCHI over the 12-month period. 946 (4 %) babies screened were admitted to the neonatal intensive care unit (NICU) for >48 h. The prevalance of PCHI is 7.3\\/1,000 in the NICU population compared to 0.6\\/1000 in the well baby population. 214 (1.8 % of total babies screened) had a clear response in the screening programmes, but were deemed to be at risk of an acquired childhood hearing impairment. These babies will be reassessed with a diagnostic audiology appointment at 8-9 months of age. To date, there is one case of acquired hearing impairment through this targeted follow-up screen. Of the 15 cases of PCHI identified, 8 (53 %) of these had one or more risk factors for hearing loss and 7 (37 %) were admitted to the NICU for >48 h. Four babies were referred for assessment at the National Cochlear Implant Centre.

  1. General and disease-specific quality of life in patients with chronic suppurative otitis media - a prospective study

    Directory of Open Access Journals (Sweden)

    Plinkert Peter K

    2011-06-01

    Full Text Available Abstract Background Chronic suppurative otitis media (CSOM is frequently associated with symptoms of inflammation like discharge from the ear or pain. In many cases, patients suffer from hearing loss causing communication problems and social withdrawal. The objective of this work was to collect prospective audiological data and data on general and disease-specific quality of life with validated quality of life measurement instruments to assess the impact of the disease on health-related quality of life (HR-QOL. Methods 121 patients were included in the study. Patients were clinically examined in the hospital before and 6 months after surgery including audiological testing. They filled in the quality of life questionnaires SF-36 and Chronic Otitis Media Outcome Test 15 (COMOT-15 pre-operatively and 6 and 12 months post-operatively, respectively. Results Complete data records from 90 patients were available for statistical analysis. Disease-specific HR-QOL in patients with CSOM improved after tympanoplasty in all the scales of the COMOT-15. There was no difference in HR-QOL assessment between patients with mesotympanic respectively epitympanic CSOM. However, we did find the outcome to be worse in patients who received revision surgery compared with those receiving primary surgery. Audiometric findings correlated very well with the subscale hearing function from the COMOT-15 questionnaire. General HR-QOL measured with the SF-36 was not significantly changed by tympanoplasty. Conclusions Tympanoplasty did lead to a significant improvement of disease-specific HR-QOL in patients with CSOM while general HR-QOL did not change. Very well correlations were found between the subscale hearing function from the COMOT-15 questionnaire and audiological findings. Revision surgery seems to be a predictor for a worse outcome.

  2. Cochlear implantation in children with "CHARGE syndrome": surgical options and outcomes.

    Science.gov (United States)

    Ricci, Giampietro; Trabalzini, Franco; Faralli, Mario; D'Ascanio, Luca; Cristi, Cristina; Molini, Egisto

    2014-03-01

    CHARGE syndrome is a rare, polymalformative disease, representing one of the major causes of associated blindness and deafness. Bilateral, severe-profound, sensorineural hearing loss is common in CHARGE children. Aim of this study is to present our results in children with "CHARGE syndrome" submitted to cochlear implantation (CI). The frequency of anatomic anomalies, possible variations in the surgical technique of CI, and the audiological/rehabilitative benefits attained in our patients are reported. we submitted 5 children affected by CHARGE syndrome with profound, bilateral, sensorineural hearing loss to CI. Otoacoustic emissions, auditory brainstem response, acoustic impedance testing, cranial computed tomography and magnetic resonance were carried out preoperatively in all children. CI was performed using the mastoidotomy-posterior tympanotomy approach in two cases, and the suprameatal approach in three children. Infant toddler-meaningful auditory integration scale was used to evaluate kid's audiological performance before and after CI. Intra-operatory findings and postsurgical complications were evaluated. Among our patients, intraoperative anatomical malformations were cochlear hypoplasia (100 %), ossicles malformations (100 %), semicircular canals aplasia (100 %), oval window atresia (60 %), round window atresia (40 %), widening of the aqueduct of the vestibule (20 %), and aberrant course of the facial nerve (20 %). No intra- or postoperative complication was recorded in relation to implant positioning. After a follow-up ranging from 1 to 4.5 years, only 2/5 patients used oral language as the sole mean of communication, 1 started utilizing oral language as the main mean of communication, while 2 patients did not develop any linguistic ability. In conclusion, CI in patients with CHARGE association is feasible and, despite results variability, it should be carried out in CHARGE children with severe hearing loss as soon as possible. Although the selection of a

  3. Neonatal hearing screening of high-risk infants using automated auditory brainstem response: a retrospective analysis of referral rates.

    LENUS (Irish Health Repository)

    McGurgan, I J

    2013-10-07

    The past decade has seen the widespread introduction of universal neonatal hearing screening (UNHS) programmes worldwide. Regrettably, such a programme is only now in the process of nationwide implementation in the Republic of Ireland and has been largely restricted to one screening modality for initial testing; namely transient evoked otoacoustic emissions (TEOAE). The aim of this study is to analyse the effects of employing a different screening protocol which utilises an alternative initial test, automated auditory brainstem response (AABR), on referral rates to specialist audiology services.

  4. Self-Fitting Hearing Aids

    OpenAIRE

    Keidser, Gitte; Convery, Elizabeth

    2016-01-01

    A self-contained, self-fitting hearing aid (SFHA) is a device that enables the user to perform both threshold measurements leading to a prescribed hearing aid setting and fine-tuning, without the need for audiological support or access to other equipment. The SFHA has been proposed as a potential solution to address unmet hearing health care in developing countries and remote locations in the developed world and is considered a means to lower cost and increase uptake of hearing aids in develo...

  5. User Centered Design

    DEFF Research Database (Denmark)

    Egbert, Maria; Matthews, Ben

    2012-01-01

    The interdisciplinary approach of User Centered Design is presented here with a focus on innovation in the design and use of hearing technologies as well as on the potential of innovation in interaction. This approach is geared towards developing new products, systems, technologies and practices...... based on an understanding of why so few persons with hearing loss use the highly advanced hearing technologies. In integrating Conversation Analysis (“CA”), audiology and User Centered Design, three disciplines which are collaborating together for the first time, we are addressing the following...

  6. Isolated deafness following recovery from neurologic injury and adult respiratory distress syndrome. A sequela of intercurrent aminoglycoside and diuretic use.

    Science.gov (United States)

    Lynn, A M; Redding, G J; Morray, J P; Tyler, D C

    1985-05-01

    We report two children who survived neurologic injury (near-drowning and Reye's syndrome) and adult respiratory distress syndrome and who required prolonged ventilatory support. Follow-up examination in both children showed steady neurologic recovery, but five months following discharge from their acute illness, profound hearing loss was diagnosed in both children. A review of the literature is reported and the hypothesis that combined aminoglycoside antibiotic and loop diuretic therapy caused the hearing loss is presented. Recommendation is made for audiologic assessment within six months of recovery from critical illness of pediatric patients in whom therapy has included loop diuretic and aminoglycoside antibiotic therapy.

  7. Functional Neurochemistry of the Auditory System

    Directory of Open Access Journals (Sweden)

    Nourollah Agha Ebrahimi

    1993-03-01

    Full Text Available Functional Neurochemistry is one of the fields of studies in the auditory system which has had an outstanding development in the recent years. Many of the findings in the mentioned field had led not only the basic auditory researches but also the clinicians to new points of view in audiology.Here, we are aimed at discussing the latest investigations in the Functional Neurochemistry of the auditory system and have focused this review mainly on the researches which will arise flashes of hope for future clinical studies

  8. Genotype-phenotype correlation for DFNA22: characterization of non-syndromic, autosomal dominant, progressive sensorineural hearing loss due to MYO6 mutations

    DEFF Research Database (Denmark)

    Tranebjærg, Lisbeth; Rendtorff, Nanna D; Topsakal, Vedat;

    2010-01-01

    Clinical and audiological examination was done in 2 Belgian families with autosomal dominant sensorineural hearing loss (SNHL) linked to DFNA22. Nineteen subjects in family 1 had mild to moderate SNHL starting in the third decade. The hearing loss was characterized by a flat audiogram affecting all...... tested frequencies with statistically significant progression. In family 2 eleven subjects were affected with mild to moderate SNHL starting in the second decade. Most of them showed a flat audiogram, but some had mid-frequency hearing loss. Significant progression of thresholds was present at 4 and 8 k...

  9. Esophageal atresia: long-term interdisciplinary follow-up

    Directory of Open Access Journals (Sweden)

    Lidia B. Giúdici

    2016-07-01

    Full Text Available Background: We provide protocolized interdisciplinary follow-up to babies born with Esophageal Atresia (EA. There are few reports in Argentina about follow-up of EA patients.Objective: To describe outcomes in follow-up of EA patients at 1, 3 and 6 years old and to compare outcomes at age 1 with those at age 6.Methods: Prospective, longitudinal, analytic study of the cohort of babies born with EA, admitted to the follow-up program from 11/01/03 to 10/31/14. Follow-up includes: growth (weight > 10th centile, WHO, neurology-psychomotor development, audiology, vision, genetic, mental health, surgical reintervention, phonostomatology, language, pulmonology, re-hospitalization for clinical causes, lost to follow-up. Outcomes were described at age 1, 3 and 6. We included all EA patients who had reached age 1 at the start of this study.Results: 27 babies were admitted; 30% had long-gap EA; 18% presented VACTERL association; 23 children met inclusion criteria. Genetics  was assessed in 18 newborns (78%; a chromosomal map was performed in 11 babies; 3 had an abnormal karyotype. Mental health: 5/14 of the assessed children showed problems. Phonostomatology: 11 newborns checked (6 required treatment, 4 recovered at age 1. Pulmonologist evaluated 18 babies (7 with recurrent wheezing, 6 with moderate tracheomalacia. Gastroenterology and endoscopy: 80% presented gastroesophageal reflux (GER grade 3-4, and 50% showed a pathologic pHmetry. Lost to follow-up: age 1, 2 (8%; age 3, 3 (17%; age 6, 3 (23%. Normal outcomes observed are the following. Age 1 – growth: 81%; neurologic-psychomotor developmental index (NPDI: 76%; audiology: 95%; vision: 85%; language: 62%; re-hospitalization for clinical causes: 38%; surgical reinterventions: 47%. Age 3 – growth: 78%; NPDI: 50%; audiology: 93%; vision: 93%; language: 43%; re-hospitalization: 35%; surgical reinterventions: 14%. Age 6 – growth: 50%; NPDI: 30%; audiology: 90%; vision: 40%; language: 50%; re

  10. A Child With Learning Disability:A Case Study

    Directory of Open Access Journals (Sweden)

    Mahin Sedaie

    2003-09-01

    Full Text Available This case can be placed in a neurologic classification. The patient is a child with learning disability in school activities. He was first referred to an audiological clinic because of a central auditory processing disorder (CAPD. His mother has noticed several hearing problems and this led us to the evaluations for his central auditory processing disorder. He has problems in hearing speech in noise and speech processing and need his friends repeat words during communication. no vestibular disorder was noticed nor any localization problem. The child has a good progress in school and only suffered problems in reading tasks. Intelligence quotient(IQ was also normal.

  11. Fitting model of ABR age dependency in a clinical population of normal hearing children

    OpenAIRE

    Coenraad, Saskia; Immerzeel, Tabitha; Hoeve, Hans; Goedegebure, Andre

    2010-01-01

    textabstractThe purpose of this study was to present a simple and powerful fitting model that describes age-dependent changes of auditory brainstem responses (ABR) in a clinical population of normal hearing children. A total of 175 children (younger than 200 weeks postconceptional age) were referred for audiologic assessment with normal ABR results. ABR parameters of normal hearing children between 2003 and 2008 were included. The results of the right ears recorded at 90 dB nHL were analyzed....

  12. 46. Annual meeting of the German Society for Medical Physics. Abstracts

    International Nuclear Information System (INIS)

    The abstracts volume of the 46th annual meeting of the German Society for Medical Physics includes abstracts on the following issues: audiology; particle therapy: dosimetric and biological aspects; functional and molecular imaging; computerized tomography; dosimetry: 2D dosimetry and clinical dosimetry; MR imaging: cardio and lungs imaging; quality assurance in radiation therapy; brachytherapy/IORT; irradiation planning; functional and molecular imaging: methodic principles; dosimetry: dosimetric base data and Monte Carlo; adaptive and guided radiation therapy; irradiation planning; laser accelerated protons; brachytherapy/IORT: dosimetry; particle therapy: irradiation planning and imaging; stereotaxis and radiosurgery; radiation protection; dosimetry: detectors and small photon fields; MRT and MRS - neuroimaging; particle therapy: in vivo verification.

  13. Demographic data, referral patterns and interventions used for children and adolescents with tinnitus and hyperacusis in Denmark

    DEFF Research Database (Denmark)

    Rosing, Susanne Nemholt; Kapandais, Anestis; Schmidt, Jesper Hvass;

    2016-01-01

    /or hyperacusis found in Educational- Psychological Advisory services (EPAs) and Centres for special Education for Adults (CEAs) and to identify the referral patterns and interventions used for the children in each of these settings. METHODS: A prospective study within 15 ENT clinics was conducted from June 2014...... designed for adult audiological rehabilitation. Counselling, including explanations and discussion of coping strategies was the most commonly reported intervention. Intervention methods corresponding with guidelines for tinnitus management in adults were used in 11 cases (15.9%). CONCLUSION: Overall only...

  14. Enfermedades del aparato cócleo vestibular en el adulto mayor. Un problema de salud en la atención primaria.

    OpenAIRE

    Myra M. Guerra Castro; Diancys Barrera Rivera; Carmen L Peña Casal; Elsa Boyero Palenzuela

    2010-01-01

    Se realizó una investigación observacional, descriptiva, prospectiva, longitudinal de desarrollo. El universo de estudio lo conformaron todos los pacientes que acudieron a la consulta de Audiología del Hospital Faustino Pérez, los ancianos del Hogar de Matanzas, Colón y San Miguel desde Enero del 2007 a Enero 2008, con síntomas de origen cócleo vestibular. Las enfermedades del sistema cócleo vestibular en el adulto mayor constituyen actu...

  15. 46. Annual meeting of the German Society for Medical Physics. Abstracts; 46. Jahrestagung der Deutschen Gesellschaft fuer Medizinische Physik. Abstractband

    Energy Technology Data Exchange (ETDEWEB)

    Fiebich, Martin [Technische Hochschule Mittelhessen, Giessen (Germany). Inst. fuer Medizinische Physik und Strahlenschutz; Zink, Klemens (ed.) [Technische Hochschule Mittelhessen, Giessen (Germany). Inst. fuer Medizinische Physik und Strahlenschutz; Universitaetsklinikum Giessen-Marburg, Marburg (Germany). Klinik fuer Strahlentherapie und Radioonkologie

    2015-07-01

    The abstracts volume of the 46th annual meeting of the German Society for Medical Physics includes abstracts on the following issues: audiology; particle therapy: dosimetric and biological aspects; functional and molecular imaging; computerized tomography; dosimetry: 2D dosimetry and clinical dosimetry; MR imaging: cardio and lungs imaging; quality assurance in radiation therapy; brachytherapy/IORT; irradiation planning; functional and molecular imaging: methodic principles; dosimetry: dosimetric base data and Monte Carlo; adaptive and guided radiation therapy; irradiation planning; laser accelerated protons; brachytherapy/IORT: dosimetry; particle therapy: irradiation planning and imaging; stereotaxis and radiosurgery; radiation protection; dosimetry: detectors and small photon fields; MRT and MRS - neuroimaging; particle therapy: in vivo verification.

  16. Relevance of Pure Tone Average (PTA) as a Predictor for Incus Erosion.

    Science.gov (United States)

    Mohanty, Sanjeev; Gopinath, M; Subramanian, Mukundan; Vijayan, Nisha

    2012-12-01

    Between 40 and 90% of tympanoplasty require middle ear ossicular chain reconstruction. Ossicular discontinuity usually cannot be determined unless an operation is performed. The main objective was to determine the predictive value of pre-operative audiological factors in diagnosing incudal necrosis in patients with tubotympanic chronic suppurative otitis media. A retrospective clinical study of 20 patients who underwent ossicular reconstruction with autologous incus over a period of two years was performed. The mean pre-operative pure tone average was 49.18 dB HL.The minimum value being 45 dB HL and the maximum value being 64 dB HL. PMID:24294583

  17. Two new cases of chronic tuberculous otomastoiditis in children

    OpenAIRE

    SCORPECCI, A.; Bozzola, E.; Villani, A.; MARSELLA, P.

    2015-01-01

    SUMMARY This report focuses on tuberculous otomastoiditis treated at a third level Italian paediatric hospital. We reviewed the clinical charts of 4077 children who underwent middle ear surgery at the Audiology and Otology Unit of the Institution's ENT Department from January 1995 to December 2011. A tubercular aetiology was identified in 2 cases: a 4-year old boy who presented with primary ear involvement, i.e. with no other infected sites but the middle ear, and a 5-year old girl with secon...

  18. Direct hearing aid referral: the effect upon outpatient waiting times in a district general hospital.

    OpenAIRE

    Fox, G C; Sharp, J F

    1994-01-01

    One hundred elderly patients referred for hearing aids have been assessed with a view to setting up a direct hearing aid referral system, based upon the criteria laid down by the liaison group for Technicians, Therapists and Scientists in Audiology (TTSA). Sixty-three per cent of the patients could have been fitted with a hearing aid directly. Adequate prior wax removal, could increase this figure to 84%, with a reduction in the waiting time for a hearing aid of 6.1 months.

  19. INTRODUCTION IN OTOACUSTIC EMISSIONS AND THEIR APPLICATION

    OpenAIRE

    Elena BOGESKA; Marina CAKAR; E. KAJA

    1998-01-01

    One of the most exciting recent findings in Audiology are the otoacustic emissions. The fenomen of the cochlear echo, based on an active mechanism in the cochlea (most probably in the hair cell system) was first described by Kemp 20 years ago. Since then a lot of research has been directed towards a detailed description of the otoacustic emissions and towards the implications of an active cochlea for the theory of hearing. As a result of these efforts some remarkable findings have been publis...

  20. Functional Neurochemistry of the Auditory System

    OpenAIRE

    Nourollah Agha Ebrahimi

    1993-01-01

    Functional Neurochemistry is one of the fields of studies in the auditory system which has had an outstanding development in the recent years. Many of the findings in the mentioned field had led not only the basic auditory researches but also the clinicians to new points of view in audiology.Here, we are aimed at discussing the latest investigations in the Functional Neurochemistry of the auditory system and have focused this review mainly on the researches which will arise flashes of hope f...

  1. CAVERNOUS HEMANGIOMA OF THE INTERNAL AUDITORY CANAL

    Directory of Open Access Journals (Sweden)

    Mohammad Hossein Hekmatara

    1993-06-01

    Full Text Available Cavernous hemangioma is a rare benign tumor of the internal auditory canal (IAC of which fourteen cases have been reported so far."nTinnitus and progressive sensorineural hearing loss (SNHL are the chief complaints of the patients. Audiological and radiological planes, CTScan, and magnetic resonance image (MRI studies are helpful in diagnosis. The only choice of treatment is surgery with elective transmastoid trans¬labyrinthine approach. And if tumor is very large, the method of choice will be retrosigmoid approach.

  2. Speech-Language and swallowing manifestations and rehabilitation in an 11-year-old girl with MELAS syndrome

    Directory of Open Access Journals (Sweden)

    V P Vandana

    2015-01-01

    Full Text Available Mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS syndrome is a rare mitochondrial disease. The available studies on MELAS syndrome are limited to evaluation of radiological, audiological, genetic, and neurological findings. Among the various neurological manifestations, speech-language and swallowing manifestations are less discussed in the literature. This report describes the speech-language and swallowing function in an 11-year-old girl with MELAS syndrome. The intervention over a period of 6 months is discussed.

  3. Aging of vestibular function evaluated using correlational vestibular autorotation test

    OpenAIRE

    Hsieh LC; Lin HC; Lee GS

    2014-01-01

    Li-Chun Hsieh,1,2 Hung-Ching Lin,2,3 Guo-She Lee4,5 1Institute of Brain Science, School of Medicine, National Yang-Ming University, Taipei, Taiwan; 2Department of Otolaryngology, Mackay Memorial Hospital, Taipei, Taiwan; 3Department of Audiology and Speech Language Pathology, Mackay Memorial Medical College, Taipei, Taiwan; 4Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan; 5Department of Otolaryngology, Taipei City Hospital, Ren-Ai Branch, Taipei, Taiwa...

  4. Music Perception of Cochlear Implant Recipients with Implications for Music Instruction: A Review of Literature.

    Science.gov (United States)

    Hsiao, Feilin; Gfeller, Kate

    2012-03-23

    This review of literature presents a systematic analysis of the capabilities and limitations of cochlear implant recipients regarding music perception. Specifically, it a) analyzes individual components of music (e.g., rhythm, timbre, and pitch) as they interface with the technical characteristics of cochlear implants and the perceptual abilities of cochlear implant recipients; and b) describes accommodations for music instruction that support successful participation of children with cochlear implants. This article consolidates research studies from various disciplines (audiology, hearing science, speech-language pathology, cochlear implants, and music therapy) to provide practical recommendations for educators in fostering the musical growth of children with cochlear implants. PMID:23469365

  5. Is All Human Hearing Cochlear?

    Directory of Open Access Journals (Sweden)

    Seyede Faranak Emami

    2013-01-01

    Full Text Available The objective of this cross-sectional study was to investigate the possibility that the saccule may contribute to human hearing. The forty participants included twenty healthy people and twenty other subjects selected from patients who presented with benign paroxysmal positional vertigo to Audiology Department of Hazrat Rasoul Akram hospital (Tehran, Iran. Assessments comprised of audiological evaluations, cervical vestibular evoked myogenic potentials (cVEMPs, recognition of spoken phonemes in white noise (Rsp in wn, and auditory brainstem response to 500 Hz tone burst (ABR500 HZ. Twenty affected ears with decreased vestibular excitability as detected by abnormal cVEMPs revealed decreased scores of Rsp in wn and abnormal findings of ABR500 HZ. Both unaffected and normal ears had normal results. Multiple comparisons of mean values of cVEMPs and ABR500 HZ between three groups were significant (P<0.05, ANOVA. The correlation between RSP in wn and p13 latencies was significant. The peak-to-peak amplitudes showed significant correlation to RSP in wn. The correlation between RSP in wn and the latencies of n23 was significant. In high-level of noisy competing situations, healthy human saccular sensation can mediate the detection of low frequencies and possibly help in cochlear hearing for frequency and intensity discrimination. So, all human hearing is not cochlear.

  6. Experiences with bimodal hearing and bilateral cochlear implantation in the elderly

    Directory of Open Access Journals (Sweden)

    E.M. Schedlbauer

    2011-03-01

    Full Text Available With the geriatric population being the fastest growing segment of our society the number of elderly people with different levels of hearing impairments is increasing. According to the German Society of Hearing Impaired there are concerned 37% of the 60-69-year-old and 54% of the over 70-year-old. Furthermore the needs of the elderly are changing with augmented social activity and agility compared to former times: 80 is the new 70. After initial concerns about poor audiologic performance and added peri- and postoperative risks because of comorbidities, cochlear implantation is becoming more and more the method of choice also for postlingually deaf people of higher age. With the demographic shift there can be observed a trend reversal: the proportion of implantees is sliding from the young to the senior and duration of deafness at the time of implantation is declining (Battmer 2010. It is therefore necessary to investigate the impact of cochlear implantation on audiologic performance and quality of life in this growing age group.

  7. Empowering the family during the first months after identification of permanent hearing impairment in children.

    Science.gov (United States)

    Ciciriello, E; Bolzonello, P; Marchi, R; Falzone, C; Muzzi, E; Orzan, E

    2016-02-01

    The latest international guidelines highlight the importance of involving the family in the diagnostic and rehabilitation process of children affected by permanent hearing impairment. This emphasises how meaningful this approach is for the development of the deaf child. So far, there is very little evidence about this approach in Italy, and there are still some barriers to its practical management. The aim of this paper is to report the results of a strategic analysis, which identifies the strengths, weaknesses, opportunities and threats of the family empowerment process during early auditory diagnosis and rehabilitation. The audiology programme should have the goal to offer information and support to families in order to achieve a conscious decision about the use and type of auditory prosthesis and rehabilitation choice within three months after audiologic diagnosis. Within the framework of the Ministry of Health project CCM 2013 "Preventing Communication Disorders: a Regional Program for Early Identification, Intervention and Care of Hearing Impaired Children", a group of professionals identified three main recommendations that can be useful to foster the natural communicative development of the child by strengthening the therapeutic alliance and empowerment of the family. The recommendations obtained with this analysis can help to develop new Italian guidelines with the aim to foster natural communicative development of the child by strengthening the therapeutic alliance and empowerment of the family. PMID:27054393

  8. Myringoplasty for anterior and subtotal perforations using KTP-532 laser.

    Science.gov (United States)

    Gerlinger, Imre; Ráth, Gábor; Szanyi, István; Pytel, József

    2006-09-01

    A retrospective study was performed on patients who underwent myringoplasty for either anterior or subtotal perforations over an 8-year period (from 1994 till 2004). We used the KTP-laser assisted anterior anchoring technique combining with anterior "pull-back" method. Patients' ages ranged from 6-62 years (median 36.5). The mean follow-up period was 2.8 years (minimum 6 months). The audiological results were analysed with the "Pytel software", which was developed in our department. As for the procedure, the drum remnant was freed from the malleus handle with the use of the laser and elevated out of it's sulcus anterior-superiorly. Large fascia graft was fashioned with a split of 4-5 mm in the middle of one edge. The graft was placed using the underlay technique medial to the handle of the malleus. A pull-back tunnel was created at the border of the anterior quadrants to further facilitate the survival of the graft. In this series the graft taking rate was 100%. Reperforation due to an undersized fascia was observed in one case. Post-operative audiological results indicated no bone conduction threshold elevation in any frequencies. Using the laser, cochlear trauma can be prevented, double fixation of the drum prevents lateralisation and blunting. Wide canalplasty makes both the approach and the follow-up very easy. Thorough soft tissue and bone work is advantageous from the fascia taking rate point of view.

  9. Hypersensitivity of Vestibular System to Sound and Pseudoconductive Hearing Loss in Deaf Patients

    Science.gov (United States)

    2014-01-01

    The objective of this cross-sectional study is to compare bone-conducted low-frequency hearing thresholds (BClf) to cervical vestibular evoked myogenic potentials (cVEMPs) findings in prelingual adult deaf patients. The fifty participants (100 ears) included twenty healthy controls and thirty other subjects selected from patients who presented with bilateral prelingual deafness to Department of Audiology of Hamadan University of Medical Sciences and Health Services (Hamadan, Iran). Assessments comprised of audiological evaluations, cVEMPs, and computerized tomography scans. Twenty deaf patients (forty affected ears) with bilateral decreased vestibular excitability as detected by abnormal cVEMPs revealed that BClf hearing thresholds were completely absent. Ten deaf patients (twenty unaffected ears) with normal cVEMPs reported a sensation of the sound at BClf hearing thresholds (the mean for 250 Hz=41 dBHL and for 500 Hz=57.75 dBHL). Multiple comparisons of mean p 13 latencies, mean n23 latencies and peak-to-peak amplitudes between three groups were significant (P = 0.01 for all, one-way ANOVA test). Multiple Comparisons of mean BClf between three groups were significant (P = 0.00, One-way ANOVA test). Conclusion. Hypersensitivity of vestibular system to sound augments BClf hearing thresholds in deaf patients. The sensation of the sound at low frequencies may be present in patients with total deafness and normal vestibular function (predominantly saccule). This improvement disappears when saccular function is lost. PMID:24729901

  10. Unilateral tinnitus as a single symptom of unusually large vestibular schwannoma

    Directory of Open Access Journals (Sweden)

    Komazec Zoran

    2014-01-01

    Full Text Available Introduction. Vestibular schwannomas are relatively rare tumors whose symptoms are based on its location and as the tumor grows, the symptoms usually advance. Case Report. An 18-year old patient was examined by an otolaryngologist due to buzzing in her right ear that had lasted for about 1 month. Her pure-tone audiometry findings showed slight asymmetry; a slight ascendant type sensorineural hearing loss was found in the right ear (25 dB HL at 125 Hz, 20 dB HL at 250 Hz, and 10 dB HL at other frequencies, while the threshold in the left ear was 15 dBHL at 125 Hz and 10 dB HL at other frequencies. Electronystagmography, otoacoustic emissions and auditory brain-stem responses suggested retrocochlear etiology of tinnitus. Magnetic resonance imaging examination revealed a large right cerebellopontine angle tumor, measuring 5 x 3 x 3 cm, which had shifted the brain stem laterally. Conclusion. Every case of unilateral tinnitus, asymmetric sensorineural hearing loss, or hypotonia of labyrinth not strictly accompanied by vertigo, needs to be further evaluated using a battery of audiologic tests whose findings may be normal. Audiologic tests should be repeated in cases of persistent symptoms and accompanied by cranial magnetic resonance imaging, which is today considered the gold standard for diagnosis of vestibular schwannoma.

  11. Implantable Prosthesis of Osseous Conduction (BAHA: Case Report

    Directory of Open Access Journals (Sweden)

    Stumpf, Claudia Mittelmann

    2011-04-01

    Full Text Available Introduction: The implantable prosthesis of osseous conduction (BAHA is deemed to be an excellent option in the auditory rehabilitation of patients with conductive and mixed hearing loss, unilaterally or bilaterally, and unilateral sensorineural hearing loss. It has been a good advantage over the conservative bone conduction apparatus and those of individual sound-amplifier apparatus (ISAA, when their usage becomes unfeasible because of chronic otitis externa, which has a hard clinic control. Objective: To introduce the first BAHA case performed in Brazil, as duly authorized by ANVISA (National Agency for Sanitary Surveillance, to rehabilitate the mixed hearing loss with occurrences of chronic otitis externa. Method: 50-year-old female patient with right-ear moderate and left-ear severe hearing loss, bilateral tinnitus derived from otosclerosis, was submitted to 04 surgeries of stapedotomy and unable to use ISAA as a result of otorrhea and bilateral otalgia. The medical and audiological evaluation indicated the benefit of using BAHA. Having surgery been performed and BAHA implemented, the patient showed a significant improvement in audiometric thresholds, speech perception and distinction, as well as she declared to be extremely satisfied with the esthetic factor. Final commentaries: BAHA surgical process is safe, simple and swift, thus providing excellent audiological results and a higher degree of satisfaction to patients.

  12. Cochlear re-implantation: lessons learnt and the way ahead.

    Science.gov (United States)

    Patnaik, Uma; Sikka, Kapil; Agarwal, Shivani; Kumar, Rakesh; Thakar, Alok; Sharma, Suresh C

    2016-06-01

    Conclusion A cochlear re-implantation procedure is undesirable; however, the cochlear implant surgeon may have to perform a re-implantation procedure occasionally for various reasons. Following standard techniques, implant performance comparable with primary implantation may be achieved. Objective To study the causes and outcomes of cochlear re-implantation in an Asian Indian population. Study design Retrospective analysis of clinical charts over an 18-year period with prospective follow-up of patients. Methods The charts of 534 patients, who underwent cochlear implant, at an Otorhinolaryngology institutional Centre, from January 1997 to January 2015 were studied. Of these, the charts of 18 patients who underwent cochlear re-implantation were studied. The causes and audiological and speech outcomes were analysed. Results Eighteen patients (3.4%) underwent cochlear re-implantation for various reasons. The commonest indication was device failure in seven patients (39%), followed by electrode extrusion in five (28%), trauma in three (11%), electrode migration in two (11%) and improper electrode placement in one (6%) patient. The audiological performance tests and speech tests either remained the same or improved from those achieved for patients undergoing primary implantation, in 87% patients. PMID:26898701

  13. Neurotological Findings at a Health Unit for Adults with Cervicalgia.

    Science.gov (United States)

    Zeigelboim, Bianca Simone; Fonseca, Vinicius Ribas; Mesti, Juliana Cristina; Gorski, Leslie Palma; Faryniuk, João Henrique; Marques, Jair Mendes

    2016-04-01

    Introduction The cervical spine is a flexible link between the sensory platform of the skull and torso. The fundamental principle of its operation is due to the balance between muscle strength and flexibility, and any dysfunction of this balance causes neck pain, known as cervicalgia. Objective The objective of this study is to analyze the most prevalent neurotological findings in adults with neck pain. Method A cross-sectional study in which 33 adults from 50 to 83 years of age with neck pain were evaluated and underwent the following procedures: anamnesis, as well as ENT, audiological, and vestibular exams. Results The most evident neurotological symptoms were dizziness (75.7%), tinnitus, neck cracking, tingling in the extremities, and auditory problems (36.3% for each). The most frequently reported clinical symptoms were related to cardiovascular (69.7%), endocrine-metabolic (48.5%), and rheumatic (30.3%) systems. In the audiological assessment, 30 subjects (91.0%) presented hearing impairment in at least one ear, with sensorineural impairment being the most prevalent (88.0%). In the vestibular assessment, there were alterations in 13 subjects (39.0%) found in the caloric test. There was a prevalence of alterations in the peripheral vestibular system with a predominance of irritative peripheral vestibular dysfunction. Conclusion Neurotological complaints were frequent in this population, verifying the importance of these tests in the dysfunctions of the cervical region or the craniocervical junction. PMID:27096014

  14. The national protocol for paediatric amplification in Australia.

    Science.gov (United States)

    King, Alison M

    2010-01-01

    This document describes the national protocol for the selection, fitting, verification, and evaluation of amplification for hearing-impaired children in Australia. It also outlines the approach to management of children who have auditory neuropathy spectrum disorder, children who have mild and unilateral hearing loss, and children who require cochlear implantation. Audiological management of all Australian citizens and permanent residents under twenty-one years of age who have a hearing loss is carried out by the national hearing service provider, Australian Hearing. It is funded by the Australian Government's Hearing Services Program to provide fully subsidised hearing aids, frequency modulated (FM) systems and ongoing audiological management. All hearing aids for children are multi-channel devices that offer wide dynamic range compression, directional microphone technology and feedback cancellation as well as access to multiple listening programs, telecoil and audio-input facilities. Hearing aid gain, frequency response and maximum power output are derived according to the NAL-NL1 prescription procedure and verified using real ear measurements. Amplification benefit is evaluated using a range of speech perception tests and functional assessment questionnaires. PMID:19919326

  15. [A totally implantable hearing aid for inner ear deafness: TICA LZ 3001].

    Science.gov (United States)

    Leysieffer, H; Baumann, J W; Mayer, R; Müller, D; Müller, G; Schön, T; Volz, A; Zenner, H P

    1998-10-01

    Recently, Zenner et al. implanted the first totally implantable electronic hearing devices in patients with SNHL (HNO 46 [1998] 844-852). In the present report, technical and audiological features of the implant TICA are published. The development of the piezoelectric transducer and the microphone for implantation in the posterior wall of the auditory canal as components for the present fully implantable hearing system has already been described (HNO 45, 1997, 792-880). Here we report about our experience with the electronic main module that completes the TICA LZ 3001 system. This module is suited for implantation in the mastoid bone and contains the signal-processing electronics and an integrated battery that can be recharged transcutaneously with a portable charger. The recharging time is around 2 h for an implant operating time of 50 h. The microphone and transducer connectors allow for easy replacement of the main module when the battery lifetime is reached. This lifetime is around 3-5 years. A small wireless remote control allows volume adjustment, contains an on/off switch, and permits selection of four different individual hearing programs. The basic audiological features are provided by a flexible, digitally programmable 3-channel-AGC-system with a peak clipping function. The total bandwidth is around 10 kHz. To our knowledge this is the first fully implantable hearing system that has been in implanted in humans.

  16. Hearing Screening in the Elderly and Evaluating the Need for Hearing Aid

    Directory of Open Access Journals (Sweden)

    Leyla Jalilvand Karimi

    2008-12-01

    Full Text Available Background and Aim: Hearing loss is one of the most prevalent chronic conditions affecting the elderly. The impacts of hearing loss are depression, social isolation, and functional disability, particularly for those who have not yet been evaluated or treated for hearing loss. The aim of this study was audiologic screening and assessing candidacy for hearing aid in the elderly people.Materials and Methods: This analytic-cross sectional study was performed on 52 older adults aged from 51 to 97. Subjects were evaluated according to ASHA guidelines for audiologic screening in adults (1997. Using HHIE-S as hearing disability screening instrument, the need for hearing aid use was evaluated.Results: About 86 percent of subjects had some degree of hearing loss. There were significant correlation between PTA(0.5, 1, 2 KHz>26 and HHIE-S>10. According to these two factors 21.2 percent of subjects needed to use hearing aid while 18 percent of this group had hearing aids.Conclusion: There is high prevalence of hearing loss among older adults, thus it's necessary to evaluate the need for hearing aid in this rapidly growing population. Among different factors affecting hearing aid candidacy the most correlated were PTA(0.5, 1, 2KHz>26 and HHIE-S>10. Therefore according to this study by combination of these two evaluation of hearing aid candidacy would be more appropriate.

  17. Science.gov (United States)

    De Vito, A.; Bruschini, L.; Fortunato, S.; Forli, F.

    2016-01-01

    SUMMARY A retrospective chart review was used for 31 patients with sudden, progressive or fluctuating sensorineural hearing loss (SHL) in the only hearing ear who had been consecutively evaluated at the ENT, Audiology and Phoniatrics Unit of the University of Pisa. The group of patients was evaluated with a complete history review, clinical evaluation, imaging exam (MRI, CT), audiologic tests (tone and speech audiometry, tympanometry, study of stapedial reflexes, ABR and otoacoustic emission) evaluation. In order to exclude genetic causes, patients were screened for CX 26 and CX30 mutations and for mitochondrial DNA mutation A1555G. Patients with sudden or rapidly progressive SHL in the only hearing ear were treated with osmotic diuretics and corticosteroids. In patients who did not respond to intravenous therapy we performed intratympanic injections of corticosteroid. Hearing aids were fitted when indicated and patients who developed severe to profound SHL were scheduled for cochlear implant surgery. The aim of this study is to report and discuss the epidemiology, aetiopathogenesis, therapy and clinical characteristic of patients affected by SHL in the only hearing hear and to discuss the issues related to the cochlear implant procedure in some of these patients, with regard to indications, choice of the ear to implant and results. PMID:27196076

  18. Idiopathic sensorineural hearing loss in the only hearing ear.

    Science.gov (United States)

    Berrettini, S; De Vito, A; Bruschini, L; Fortunato, S; Forli, F

    2016-04-01

    A retrospective chart review was used for 31 patients with sudden, progressive or fluctuating sensorineural hearing loss (SHL) in the only hearing ear who had been consecutively evaluated at the ENT, Audiology and Phoniatrics Unit of the University of Pisa. The group of patients was evaluated with a complete history review, clinical evaluation, imaging exam (MRI, CT), audiologic tests (tone and speech audiometry, tympanometry, study of stapedial reflexes, ABR and otoacoustic emission) evaluation. In order to exclude genetic causes, patients were screened for CX 26 and CX30 mutations and for mitochondrial DNA mutation A1555G. Patients with sudden or rapidly progressive SHL in the only hearing ear were treated with osmotic diuretics and corticosteroids. In patients who did not respond to intravenous therapy we performed intratympanic injections of corticosteroid. Hearing aids were fitted when indicated and patients who developed severe to profound SHL were scheduled for cochlear implant surgery. The aim of this study is to report and discuss the epidemiology, aetiopathogenesis, therapy and clinical characteristic of patients affected by SHL in the only hearing hear and to discuss the issues related to the cochlear implant procedure in some of these patients, with regard to indications, choice of the ear to implant and results.

  19. MEDICAL DIAGNOSIS AND THERAPEUTIC SERVICES AND PERFORMANCE LEVEL OF SPECIAL CHILDREN

    Directory of Open Access Journals (Sweden)

    Adelaila Jurado-Leaño

    2016-01-01

    Full Text Available The study exposed performance level of special children and Medical Diagnosis and Therapeutic Related Services of SPED schools in Isabela province, Northern Philippines such as Medical /Diagnostic and Evaluative services, Audiology services, Psychological services, Occupational Therapy, Physical Therapy and Speech-Language Pathology. Null hypothesis of no significant difference on assessment was tested at 0.05 level of significance. Randomly selected respondents were 19 SPED teachers and 80 parents. SPED teachers and parents of special children from one private and two government SPED institutions were the target groups of the research study. Experts validated the data gathering tool, being translated in local languages. Statistical tools include Percentage, and Weighted Mean. Respondents rated said services as “satisfactorily attained”, denoted by the Overall Composite Means 3.32 and 2.97, respectively. Null hypothesis was rejected on audiology, occupational therapy, psychological, and speech-language pathology; but was accepted on physical therapy, and medical/diagnostic and evaluative services. In contrast, parents’ appraisal signified significance of said related services to functioning of subject children. To benefit from Special Education, recommended is continues availability of improved services based on Individualized Educational Program of each child. School Board should advocate SPED related services for special children for them to benefit from Special Education Program.

  20. Hearing disorders in Turner's syndrome: a survey from Iran.

    Science.gov (United States)

    Bakhshaee, Mehdi; Vakili, Rahim; Nourizadeh, Navid; Rajati, Mohsen; Ahrari, Asma; Movahed, Rahman

    2015-12-01

    Turner syndrome (TS) is one of the most frequently encountered sex-linked chromosomal abnormalities, occurring in one per 2,000 female births. These patients present with short stature and failure to begin puberty. In this syndrome, there are multiple organ abnormalities, including auditory disorders. TS patients were referred to the ENT clinic by a pediatric endocrinologist. A questionnaire was filled out and the patients went through a complete otologic examination. They were then referred to the audiology clinic to undergo audiologic test battery plus high-frequency pure tone audiometry. From a total of 48 ears examined, 11 (22.9 %) had a normal audiometry. Mid-frequency sensorineural hearing loss (SNHL), high-frequency SNHL, combined and mixed hearing loss were diagnosed in 6 (12/5 %), 20 (41/7 %), 6 (12/5 %) and 1 (2/1 %) ear, respectively. Tympanogram results showed normal compliance (A, As, Ad) in the majority of cases. B and C patterns were found in a few cases. Speech discrimination score was normal in all patients whereas speech reception threshold was normal in 92 % of the ears. Audiometry abnormality especially SNHL is common in TS patients, with the high-frequency pattern being the most frequent. PMID:25534285

  1. Presbycusis, part 1: can you hear the music of life?

    Science.gov (United States)

    Hutchison, Barbara; Covan, Eleanor K; Bogus, Janet C

    2012-01-01

    We used a novel approach allowing participants in this study to self-monitor their hearing sensitivity to familiar sounds in the environment. The objective of this approach was to establish whether participants in the 80-89 and 90-99 age groups would recognize the degree of their hearing impairment. It was our hope that participants would value audiology treatment and that it would improve their quality of life over a short period. The pilot study took place in a clinical environment where participants answered survey questions before and after audiology treatment, which pertained to their hearing impairment, morale, social support, and life satisfaction. Caregivers were included in the research to rate and record participants' problem behaviors (e.g., shouting, anger, agitation, repetitive speech dialog, and depression) before, during, and after treatment. This research validates other scientists' findings that annoying problem behaviors may actually be the result of hearing loss because of a person's inability to recognize speech. The pilot study shows that participants with mild dementia adapted well to speech and sounds in the natural environment without agitation as well as to management of hearing aids within a 30-day period. The participants with moderate dementia were slower to adapt. All participants with dementia required the cooperation of their caregivers to maintain hygiene of ear canals and hearing aids and insertion. This study suggests that the sooner people receive treatment for hearing loss, the quicker they are to recognize speech and to master hearing aid technology. PMID:23072178

  2. 探讨听神经病的临床表现和听力学特征

    Institute of Scientific and Technical Information of China (English)

    余开华

    2012-01-01

    目的探讨听神经病(AN)的临床表现以及听力学特征,分析听力学检测在AN诊断中的意义。方法回顾性分析26例AN患者的临床表现、纯音听阈、声导抗、言语识别率、听性脑干反应(ABR)、畸变产物耳声发射(DPOAE)的结果。结果听神经病多发于青少年,女性多于男性。纯音听阈呈轻、中度升高,以双耳对称的上升型听阈图为主。言语识别率显著下降,且与纯音听阈不成比例。同侧、对侧镫骨肌反射引不出,ABR表现明显异常,DPOAE正常或基本正常。结论 AN的临床表现和系统的听力学检查对认识和明确诊断有重要的意义。%Objective To investigate auditory neuropathy ( AN ) showed clinical and audiological characteristics, analysis of audiological tests in the diagnosis of AN. Methods a retrospective analysis of 26 cases of AN patients with clinical manifestations, pure tone audiometry, acoustic impedance, speech recognition, auditory brainstem response (ABR), distortion product otoacoustic emission ( DPOAE ) results. The results of auditory neuropathy in multiple in adolescents, more women than men. Pure tone audiometry showed mild, moderate elevation, to binaural symmetrical rising threshold figures. Speech recognition rate decreased significantly, and the disproportionate and pure tone audiometry. Ipsilateral, contralateral stapedial reflex was absent, ABR was abnormal, normal or nearly normal DPOAE. Conclusions the clinical manifestations of AN and systematic audiologic examination on the understanding and diagnosis has important significance.

  3. A CLINICAL STUDY TO ASSESS THE POST-OPERATIVE OUTCOME IN TYMPANOPLASTY USING COMOT-15 IN INDIAN SCENARIO

    Directory of Open Access Journals (Sweden)

    Mahendra Kumar

    2014-07-01

    Full Text Available : Functional and subjective evaluation of 96 patients with CSOM following Tympanoplasty was conducted to assess health-related quality of life (HR-QOL. Many instruments are tried by various authors in evaluating relevant dimensions of HR-QOL. A prospective study was conducted to know the patient satisfaction and it is correlated with the Graft healing and audiological measurement.COMOT-15 parameter described by Baumann I, Kurpiers B, Plinkert PK, Praetorius M et al. was used in Indian scenario. It showed good correlation between the subscale hearing function from the COMOT-15 questionnaire and audiological findings. AIM: To prospectively evaluate subjective improvement in Health related Quality of Life and Disease specific Quality of Life in patients undergoing surgery for CSOM. To evaluate the relation between audiometric and psychometric measurements in post Tympanoplasty patients. The study also aims to audit the results of surgery in a surgeon’s perspective of integration of the graft, prosthesis function and objective audiological improvement. MATERIALS AND METHODS: 110 patients who underwent surgery for CSOM at Government General Hospital, Kurnool, attached to Kurnool Medical College, Kurnool, Andhra Pradesh were assessed with Chronic Otitis Media Outcome Test (COMOT-15, Visual Analogue Scale, PTA, Closure of AB gap and otoscopic examination for evidence of graft healing and prosthesis function. The study was conducted between September 2011 and January 2014 and the patients were assessed at 6 months 12 months statistically analyzed to calculate the overall benefit to the patient. RESULTS: Use of multiple parameters like COMOT-15, Visual Analogue Scale, PTA and Closure of AB gap in assessing Tympanoplasty patients showed an easy and practicable method of evaluation with reliability. The test reliability coefficients was (all r>0.6. Content validity was determined by a study of the literature. These tests can distinguish CSOM patients

  4. The development and standardization of Self-assessment for Hearing Screening of the Elderly

    Directory of Open Access Journals (Sweden)

    Kim G

    2016-06-01

    Full Text Available Gibbeum Kim,1 Wondo Na,1 Gungu Kim,1 Woojae Han,2 Jinsook Kim2 1Department of Speech Pathology and Audiology, Hallym University Graduate School, Chuncheon, Republic of Korea; 2Division of Speech Pathology and Audiology, Research Institute of Audiology and Speech Pathology, College of Natural Sciences, Hallym Universtiy, Chuncheon, Republic of Korea Purpose: The present study aimed to develop and standardize a screening tool for elderly people who wish to check for themselves their level of hearing loss. Methods: The Self-assessment for Hearing Screening of the Elderly (SHSE consisted of 20 questions based on the characteristics of presbycusis using a five-point scale: seven questions covered general issues related to sensorineural hearing loss, seven covered hearing difficulty under distracting listening conditions, two covered hearing difficulty with fast-rated speech, and four covered the working memory function during communication. To standardize SHSE, 83 elderly participants took part in the study: 25 with normal hearing, and 22, 23, and 13 with mild, moderate, and moderate-to-severe sensorineural hearing loss, respectively, according to their hearing sensitivity. All were retested 3 weeks later using the same questionnaire to confirm its reliability. In addition, validity was assessed using various hearing tests such as a sentence test with background noise, a time-compressed speech test, and a digit span test. Results: SHSE and its subcategories showed good internal consistency. SHSE and its subcategories demonstrated high test–retest reliability. A high correlation was observed between the total scores and pure-tone thresholds, which indicated gradually increased SHSE scores of 42.24%, 55.27%, 66.61%, and 78.15% for normal hearing, mild, moderate, and moderate-to-severe groups, respectively. With regard to construct validity, SHSE showed a high negative correlation with speech perception scores in noise and a moderate negative

  5. Comparative analysis of the post caloric nystagmus with two and four stimulations by means of the vectoeletronistagmography - doi:10.5020/18061230.2004.p135

    Directory of Open Access Journals (Sweden)

    Renata Parente de Almeida

    2012-01-01

    Full Text Available Vertigo is one of the most common symptoms nowadays and its diagnosis is based on the patient’s clinical history and on the otoneurological exam. This study aimed at analyzing the vestibular dysfunction diagnosis efficacy by using only cold caloric irrigation in vectoeletronistagmography. A retrospective survey of 174 vectoeletronistagmography exams from patients of the Audiology sector of Nucleo de Atenção Médica Integrada (NAMI in the University of Fortaleza was done, by comparing the results with two and four irrigations. From the analysed exams, 64 (36,78 % were symmetrical only with the single caloric irrigation (cold water and 110 (63,22 % were not. This kind of procedure is not efficient for the diagnosis, but it can be useful for screening, although a new study is necessary for validation

  6. Model of components in a process of acoustic diagnosis correlated with learning

    International Nuclear Information System (INIS)

    Using Linden's functional scheme as a theoretical reference framework, we define a matrix of component for clinical and field applications in the acoustic diagnostic process and correlations with audiologic, learning and behavioral problems. It is expected that the model effectively contributes to classify and provide a greater knowledge about this multidisciplinary problem. Although the exact nature of this component is at present a matter to be defined, its correlation can be hypothetically established. Applying this descriptive and integral approach in the diagnostic process it is possible if not to avoid, at least to decrease, the uncertainties and assure the proper solutions becoming a powerful tool applicable to environmental studies and/or social claims. (author). 8 refs, 2 figs

  7. Newborn hearing screening: a regional example for national care.

    LENUS (Irish Health Repository)

    Adelola, O A

    2010-05-01

    Congenital Permanent Childhood Hearing Impairment (PCHI) is known to have a negative effect on language acquisition, cognitive development and social integration. Since 2000 our department has implemented a UNHS program in the West of Ireland. We describe our experience and detail our results to date. All neonates born from October 2000 to November 2007 were screened using a 2-stage protocol. Transient evoked oto-acoustic emissions (TEOAEs) were used to screen all neonates, followed by automated auditory brainstem response (AABR) in those who did not pass TEOAE, and all neonates at audiological risk. 26,281 babies were born over the eight year period. 25,742 underwent the screening process, achieving a coverage rate of 98%. The prevalence of PCHI in the population tested was 1.21\\/1000 live births (31\\/25,731). Our results show that a hospital based 2-stage UNHS protocol using TEOAEs and AABR is accurate, feasible and effective.

  8. Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis.

    Science.gov (United States)

    Kuhn, Maggie; Heman-Ackah, Selena E; Shaikh, Jamil A; Roehm, Pamela C

    2011-09-01

    Sudden sensorineural hearing loss (SSNHL) is commonly encountered in audiologic and otolaryngologic practice. SSNHL is most commonly defined as sensorineural hearing loss of 30 dB or greater over at least three contiguous audiometric frequencies occurring within a 72-hr period. Although the differential for SSNHL is vast, for the majority of patients an etiologic factor is not identified. Treatment for SSNHL of known etiology is directed toward that agent, with poor hearing outcomes characteristic for discoverable etiologies that cause inner ear hair cell loss. Steroid therapy is the current mainstay of treatment of idiopathic SSNHL in the United States. The prognosis for hearing recovery for idiopathic SSNHL is dependent on a number of factors including the severity of hearing loss, age, presence of vertigo, and shape of the audiogram.

  9. Assessment of speech intelligibility in background noise and reverberation

    DEFF Research Database (Denmark)

    Nielsen, Jens Bo

    Reliable methods for assessing speech intelligibility are essential within hearing research, audiology, and related areas. Such methods can be used for obtaining a better understanding of how speech intelligibility is affected by, e.g., various environmental factors or different types of hearing...... impairment. In this thesis, two sentence-based tests for speech intelligibility in Danish were developed. The first test is the Conversational Language Understanding Evaluation (CLUE), which is based on the principles of the original American-English Hearing in Noise Test (HINT). The second test...... is a modified version of CLUE where the speech material and the scoring rules have been reconsidered. An extensive validation of the modified test was conducted with both normal-hearing and hearing-impaired listeners. The validation showed that the test produces reliable results for both groups of listeners...

  10. Enhancing the development of infants and toddlers with dual diagnosis of autism spectrum disorder and deafness.

    Science.gov (United States)

    Thompson, Nanette; Yoshinaga-Itano, Christine

    2014-11-01

    Children diagnosed with autism spectrum disorder (ASD) are often referred for audiological diagnostic evaluation. This article provides some strategies for preparing children for a successful diagnostic evaluation. Children who are deaf or hard of hearing with a dual diagnosis of ASD may have difficulty learning to demonstrate detection or imitation of the Ling 6 sounds. The Ling 6 sounds are used to determine what a child with a dual diagnosis can hear and discriminate with amplification (hearing aids or cochlear implants). Because children with ASD may not look at the conversational partner and may have difficulty with imitation, adaptive strategies may be necessary to teach these children with dual diagnosis their first words. Strategies for teaching children with dual diagnosis through sign language will also be discussed. PMID:25321856

  11. Characterization of tinnitus in different age groups: A retrospective review

    Directory of Open Access Journals (Sweden)

    Jamil Al-Swiahb

    2016-01-01

    Full Text Available Objectives: The aim of this study was to characterize tinnitus in affected patients. Methods: A retrospective review of medical records from 470 consecutive patients who visited a tertiary care hospital for evaluation of chronic subjective tinnitus between January 2009 and June 2010 was performed. Patients were divided into three subgroups based on age. Clinical, audiological, and psychological characteristics of each subgroup were analyzed. Results: Of the 470 patients evaluated, 85 were less than 40, 217 between 40 and 60, and 168 above 60 years of age. Most patients were men and complained of unilateral, acute high-pitched tinnitus. Most patients above the age of 40 years complained of loud and annoying tinnitus and had worse stress and severity scores. Conclusions: Chronic tinnitus in older adults is subjectively louder, more annoying, and more distressing than that found in younger patients. We recommend considering age in the patient management plan.

  12. An “Uncrimped” SMart Stapes Prosthesis: A Cause of Late Hearing Deterioration in Otosclerosis

    Directory of Open Access Journals (Sweden)

    Premjit S. Randhawa

    2012-01-01

    Full Text Available Statement of Problem. Stapedotomy is the treatment of choice for otosclerosis. Numerous techniques and prosthesis are available to perform this procedure. Success rates of surgery vary from 17% to 80%, and revision surgery carries an increased risk of complications as well as poorer hearing outcomes. Method of Study. Case report. Results. We report the first case of uncrimping of a SMart stapes prosthesis with no lateral displacement as a cause of late failure despite successful crimping and improvement in audiological outcomes after initial surgery. Conclusion. The SMart stapes prosthesis is widely used and has been shown to be safe and provide good hearing outcomes. Displacement of a stapes prosthesis is the commonest cause of failure. Our case shows that deterioration of hearing thresholds can occur from uncrimping of the prosthesis with no displacement. It is important to improve our understanding of stapedotomy failure as revision procedures are associated with poorer outcomes.

  13. Digital Interactive Narrative Tools for Facilitating Communication with Children During Counseling

    DEFF Research Database (Denmark)

    Baceviciute, Sarune; Albæk, Katharina R.R.; Arsovski, Aleksandar;

    2012-01-01

    In this article we explore the means by which state-of-the-art knowledge on children counseling techniques can be combined with digital interactive narrative tools to facilitate communication with children during counseling sessions. The field of “narrative play therapy” could profit from...... the reconciliation between free-play and narratives afforded by interactive digital tools in order to promote children‟s engagement. We present a digital interactive narrative application integrated with a “step-by-step” guide to the counselor, which could be adapted to many different situations and contexts where...... an adult professional counselor (or therapists) needs to establish a trustful and efficient communication with children. Furthermore, the tool was specifically customized to pediatric audiology counseling. Our evaluation shows that the tool maintains the centrality of the child‟s perspective thanks...

  14. Choroidal Thickness and En Face Optical Coherence Tomography Imaging in Autoimmune Retinopathy.

    Science.gov (United States)

    Polascik, Breanna A; Grewal, Dilraj S; Jiramongkolchai, Kim; Fekrat, Sharon

    2016-04-01

    A 57-year-old white woman developed autoimmune retinopathy (AIR) in both eyes associated with bilateral autoimmune sensorineural hearing loss. Laboratory testing was positive for 68kDa (heat-shock protein) and 136kDa (human interstitial retinoid-binding protein). Extensive cancer screening was negative. Spectral-domain optical coherence tomography enhanced depth imaging demonstrated a markedly thickened choroid in both eyes. En face imaging showed a distinctive pattern of granular hyperreflective foveal dots. The concurrent sensorineural hearing loss was thought to be of autoimmune origin and also responded to immunosuppressive treatment. Eyes with non-paraneoplastic, seropositive AIR may have associated increased choroidal thickness. Audiology testing should be considered. PMID:27065377

  15. Psychoacoustics Facts and Models

    CERN Document Server

    Fastl, Hugo

    2007-01-01

    Psychoacoustics – Facts and Models offers a unique, comprehensive summary of information describing the processing of sound by the human hearing system. It includes quantitative relations between sound stimuli and auditory perception in terms of hearing sensations, for which quantitative models are given, as well as an unequalled collection of data on the human hearing system as a receiver of acoustic information. In addition, many examples of the practical application of the results of basic research in fields such as noise control, audiology, or sound quality engineering are detailed. The third edition includes an additional chapter on audio-visual interactions and applications, plus more on applications throughout. Reviews of previous editions have characterized it as "an essential source of psychoacoustic knowledge," "a major landmark ," and a book that "without doubt will have a long-lasting effect on the standing and future evolution of this scientific domain."

  16. An "Uncrimped" SMart Stapes Prosthesis: A Cause of Late Hearing Deterioration in Otosclerosis.

    Science.gov (United States)

    Randhawa, Premjit S; Hamilton, Nicholas; Narula, Antony A

    2012-01-01

    Statement of Problem. Stapedotomy is the treatment of choice for otosclerosis. Numerous techniques and prosthesis are available to perform this procedure. Success rates of surgery vary from 17% to 80%, and revision surgery carries an increased risk of complications as well as poorer hearing outcomes. Method of Study. Case report. Results. We report the first case of uncrimping of a SMart stapes prosthesis with no lateral displacement as a cause of late failure despite successful crimping and improvement in audiological outcomes after initial surgery. Conclusion. The SMart stapes prosthesis is widely used and has been shown to be safe and provide good hearing outcomes. Displacement of a stapes prosthesis is the commonest cause of failure. Our case shows that deterioration of hearing thresholds can occur from uncrimping of the prosthesis with no displacement. It is important to improve our understanding of stapedotomy failure as revision procedures are associated with poorer outcomes.

  17. An “Uncrimped” SMart Stapes Prosthesis: A Cause of Late Hearing Deterioration in Otosclerosis

    Science.gov (United States)

    Randhawa, Premjit S.; Hamilton, Nicholas; Narula, Antony A.

    2012-01-01

    Statement of Problem. Stapedotomy is the treatment of choice for otosclerosis. Numerous techniques and prosthesis are available to perform this procedure. Success rates of surgery vary from 17% to 80%, and revision surgery carries an increased risk of complications as well as poorer hearing outcomes. Method of Study. Case report. Results. We report the first case of uncrimping of a SMart stapes prosthesis with no lateral displacement as a cause of late failure despite successful crimping and improvement in audiological outcomes after initial surgery. Conclusion. The SMart stapes prosthesis is widely used and has been shown to be safe and provide good hearing outcomes. Displacement of a stapes prosthesis is the commonest cause of failure. Our case shows that deterioration of hearing thresholds can occur from uncrimping of the prosthesis with no displacement. It is important to improve our understanding of stapedotomy failure as revision procedures are associated with poorer outcomes. PMID:22431926

  18. Springer handbook of acoustics

    CERN Document Server

    2014-01-01

    Acoustics, the science of sound, has developed into a broad interdisciplinary field encompassing the academic disciplines of physics, engineering, psychology, speech, audiology, music, architecture, physiology, neuroscience, and electronics. The Springer Handbook of Acoustics is also in his 2nd edition an unparalleled modern handbook reflecting this richly interdisciplinary nature edited by one of the acknowledged masters in the field, Thomas Rossing. Researchers and students benefit from the comprehensive contents. This new edition of the Handbook features over 11 revised and expanded chapters, new illustrations, and 2 new chapters covering microphone arrays  and acoustic emission.  Updated chapters contain the latest research and applications in, e.g. sound propagation in the atmosphere, nonlinear acoustics in fluids, building and concert hall acoustics, signal processing, psychoacoustics, computer music, animal bioacousics, sound intensity, modal acoustics as well as new chapters on microphone arrays an...

  19. Springer Handbook of Acoustics

    CERN Document Server

    Rossing, Thomas D

    2007-01-01

    Acoustics, the science of sound, has developed into a broad interdisciplinary field encompassing the academic disciplines of physics, engineering, psychology, speech, audiology, music, architecture, physiology, neuroscience, and others. The Springer Handbook of Acoustics is an unparalleled modern handbook reflecting this richly interdisciplinary nature edited by one of the acknowledged masters in the field, Thomas Rossing. Researchers and students benefit from the comprehensive contents spanning: animal acoustics including infrasound and ultrasound, environmental noise control, music and human speech and singing, physiological and psychological acoustics, architectural acoustics, physical and engineering acoustics, signal processing, medical acoustics, and ocean acoustics. This handbook reviews the most important areas of acoustics, with emphasis on current research. The authors of the various chapters are all experts in their fields. Each chapter is richly illustrated with figures and tables. The latest rese...

  20. Corticosteroids In Infections Of Central Nervous System

    Directory of Open Access Journals (Sweden)

    Meena AK

    2003-01-01

    Full Text Available Infections of central nervous system are still a major problem. Despite the introduction of newer antimicrobial agents, mortality and long-term sequelace associated with these infections is unacceptably high. Based on the evidence that proinflammtory cytokines have a role in pathophysiology of bacterial and tuberculous meningitis, corticosteroids with a potent anti-inflammatory and immunomodulating effect have been tested and found to be of use in experimental and clinical studies, Review of the available literature suggests steroid administration just prior to antimicrobial therapy is effective in decreasing audiologic and neurologic sequelae in childern with H. influenzae nenigitis. Steroid use for bacterial meningitis in adults is found to be beneficial in case of S. pneumoniae. The value of adjunctive steroid therapy for other bacterial causes of meningitis remains unproven. Corticocorticoids are found to be of no benefit in viral meningitis, Role of steroids in HIV positive patients needs to be studied.

  1. Vestibular myogenic and acoustical brainstem evoked potentials in neurological practice

    Directory of Open Access Journals (Sweden)

    O. S. Korepina

    2012-01-01

    Full Text Available Along with the inspection of acoustical cortex and brainstem EP in neurologic, otoneurologic and audiologic practice recently start to use so-called vestibular evoked myogenic potentials (VEMP. It is shown, that at ear stimulation by a loud sound and record of sterno-cleidomastoid contraction is possible to estimate function of the inferior vestibular nerve and vestibulospinal pathways, a sacculo-cervical reflex. In article some methodical and clinical questions of application of these kinds are presented. Combine research acoustic brainstem EP and VEMP allows to confirm effectively lesions of acoustical and vestibular ways at brainstem. The conclusion becomes, that this kind of inspection is important for revealing demielinisation and defeats in vestibulospinal tract, that quite often happens at MS, and at estimation of efficiency of treatment

  2. Acoustics lecturing in Mexico

    Science.gov (United States)

    Beristain, Sergio

    2002-11-01

    Some thirty years ago acoustics lecturing started in Mexico at the National Polytechnic Institute in Mexico City, as part of the Bachelor of Science degree in Communications and Electronics Engineering curricula, including the widest program on this field in the whole country. This program has been producing acoustics specialists ever since. Nowadays many universities and superior education institutions around the country are teaching students at the B.Sc. level and postgraduate level many topics related to acoustics, such as Architectural Acoustics, Seismology, Mechanical Vibrations, Noise Control, Audio, Audiology, Music, etc. Also many institutions have started research programs in related fields, with participation of medical doctors, psychologists, musicians, engineers, etc. Details will be given on particular topics and development.

  3. Occupational noise, smoking, and a high body mass index are risk factors for age-related hearing impairment and moderate alcohol consumption is protective: A European population-based multicenter study

    DEFF Research Database (Denmark)

    Fransen, E.; Topsakal, V.; Hendrickx, J.J.;

    2008-01-01

    A multicenter study was set up to elucidate the environmental and medical risk factors contributing to age-related hearing impairment (ARHI). Nine subsamples, collected by nine audiological centers across Europe, added up to a total of 4,083 subjects between 53 and 67 years. Audiometric data (pure......-tone average [PTA]) were collected and the participants filled out a questionnaire on environmental risk factors and medical history. People with a history of disease that could affect hearing were excluded. PTAs were adjusted for age and sex and tested for association with exposure to risk factors. Noise...... better hearing on average with a more pronounced effect at low sound frequencies (Moderate alcohol consumption was inversely correlated with hearing loss. Significant associations were found in the high...

  4. Multidisciplinary treatment approach in Treacher Collins syndrome.

    Science.gov (United States)

    Hylton, Joseph B; Leon-Salazar, Vladimir; Anderson, Gary C; De Felippe, Nanci L O

    2012-01-01

    Treacher Collins syndrome (TCS) is a common genetic disorder with high penetrance and phenotypic variability. First and second branchial arches are affected in TCS, resulting in craniofacial and intraoral anomalies such as: severe convex facial profile; mid-face hypoplasia; microtia; eyelid colobomas; mandibular retrognathism; cleft palate; dental hypoplasia; heterotopic teeth; maxillary transverse hypoplasia; anterior open bite; and Angle Class II molar relationship. A high incidence of caries is also a typical finding in TCS patients. Nonetheless, even simple dental restorative procedures can be challenging in this patient population due to other associated medical conditions, such as: congenital heart defects; decreased oropharyngeal airways; hearing loss; and anxiety toward treatment. These patients often require a multidisciplinary treatment approach, including: audiology; speech and language pathology; otorhinolaryngology; general dentistry; orthodontics; oral and maxillofacial surgery; and plastic and reconstructive surgeries to improve facial appearance. This paper's purpose was to present a current understanding of Treacher Collins syndrome etiology, phenotype, and current treatment approaches.

  5. Genetic mutation susceptibility of hearing loss in child with severe neonatal jaundice

    International Nuclear Information System (INIS)

    This case report demonstrates a case of 5-year-old non-syndromic Malay boy who passed the hearing screening test however he was confirmed has bilateral profound sensorineural hearing loss diagnosed at 3 months of age by brain stem evoked response (BSER). He has background history of severe neonatal jaundice and male siblings of hearing impairment. The antenatal and birth history was uneventful apart from maternal hypothyroidism. His other two elder brothers have bilateral sensorineural hearing loss and history of severe neonatal jaundice as well. The ear examinations, computed tomography scan and magnetic resonance imaging revealed normal findings. Right sided cochlear implantation was done at the age of 3 years old and he is still under audiology follow-up. Conclusion: Genetic studies are important to determine the cause of genetic mutation in susceptibility to hearing impairment that run in his family after severe neonatal jaundice. Those baby with risk of developing hearing loss required diagnostic hearing assessment. (author)

  6. Screening for neonatal and infant deafness in Europe in 1992.

    Science.gov (United States)

    François, M; Bonfils, P; Narcy, P

    1995-03-01

    Many methods of screening for hearing impairment are available. The aim of our study was to determine which ones were really used in 1992. At the request of the British Audiology Society, we conducted an inquiry into the organization of screening for deafness in neonates and infants in Europe. In practice all 6-9 month-old infants are tested with behavioural tests in every country. For the neonates, generally only those at risk for hearing-impairment (about 5%) were tested. The most widely used tests were behavioural ones. Only specialized centers used transient evoked otoacoustic emissions (TEOAEs). This last test assesses the active mechanical properties of the cochlea and allows detection of even mild or unilateral sensorineural deafness.

  7. Results of Stapes Surgery in Our Clinic

    Directory of Open Access Journals (Sweden)

    Reşit Murat Açıkalın

    2015-12-01

    Full Text Available Aim: The aim of this study was to analyze the results of stapes surgery, which is done to improve the air-bone gap in otosclerosis, and to show its benefit in hearing. Methods: We retrospectively analyzed 42 patients in terms of audiologic evaluation results, smoking status, tinnitus and complications. Air-bone gap closure was classified as successful (gap 10 dB and unsuccessful (no gap closure or worse. Results: The mean preoperative air-bone gap was 37.43 dB. Air-bone gap closure was successful or partially successful in 39 patients (92.86% and unsuccessful in two patients (4.76. There was no relationship between the success of the surgery and smoking. All 42 had tinnitus preoperatively. Tinnitus healed in 28 patients postoperatively. One patient had tympanic membrane perforation postoperatively. Conclusion: Although there are some complications, stapes surgery in patients with otosclerosis is a reliable and effective option.

  8. Classroom Materials from the Acoustical Society of America

    Science.gov (United States)

    Adams, W. K.; Clark, A.; Schneider, K.

    2013-09-01

    As part of the new education initiatives of the Acoustical Society of America (ASA), an activity kit for teachers that includes a variety of lessons addressing acoustics for a range of students (K-12) has been created. The "Sound and Music Activity Kit" is free to K-12 teachers. It includes materials sufficient to teach a class of 30 students plus a USB thumb drive containing 47 research-based, interactive, student-tested lessons, laboratory exercises, several assessments, and video clips of a class using the materials. ASA has also partnered with both the Optical Society of America (OSA) and the American Association of Physics Teachers. AAPT Physics Teaching Resource Agents (PTRA) have reviewed the lessons along with members of the ASA Teacher Activity Kit Committee. Topics include basic learning goals for teaching the physics of sound with examples and applications relating to medical imaging, animal bioacoustics, physical and psychological acoustics, speech, audiology, and architectural acoustics.

  9. Factors associated with the occurrence of hearing loss after pneumococcal meningitis

    DEFF Research Database (Denmark)

    Worsøe, Lise Lotte; Caye-Thomasen, P.; Brandt, C.T.;

    2010-01-01

    Background. On the basis of a nationwide registration during a 5-year period (1999-2003), the frequency and severity of hearing loss was investigated retrospectively in 343 consecutive Danish patients who survived pneumococcal meningitis, to identify important risk factors (including the pneumoco...... is common after pneumococcal meningitis, and audiometry should be performed on all those who survive pneumococcal meningitis. Important risk factors for hearing loss are advanced age, female sex, severity of meningitis, and bacterial serotype......Background. On the basis of a nationwide registration during a 5-year period (1999-2003), the frequency and severity of hearing loss was investigated retrospectively in 343 consecutive Danish patients who survived pneumococcal meningitis, to identify important risk factors (including...... the pneumococcal serotype) for development of hearing loss. Methods. Results of blood and cerebrospinal fluid (CSF) biochemistry, bacterial serotyping, follow-up audiological examinations, and medical records were collected, and disease-related risk factors for hearing loss were identified. The mean pure...

  10. Audiovestibular involvement in systemic sclerosis.

    Science.gov (United States)

    Berrettini, S; Ferri, C; Pitaro, N; Bruschini, P; Latorraca, A; Sellari-Franceschini, S; Segnini, G

    1994-01-01

    In order to evaluate the nature and association of audiovestibular disturbances and systemic sclerosis (SSC), 37 unselected SSC patients were studied with a detailed audiological and vestibular examination since November, 1987. Pure-tone audiometry, speech audiometry, impedance audiometry, brainstem response audiometry and vestibular function using electronystagmographic recording were performed. We found a rather frequent audiovestibular involvement (41%). A hearing loss was found in 14 SSC patients; hearing loss was sensorineural in 10 cases and mixed in 4 cases. The latter revealed a finding similar to tympanosclerosis. Four patients showed altered vestibular test values and only one of these had normal hearing. Sensorineural deafness was the more frequent pathological finding and in all cases the site of lesion was cochlear. SSC appears to be directly responsible for audiovestibular damage, since in 12 out of 15 patients with such involvement, no other apparent cause could be revealed. SSC may be included among the autoimmune diseases which may cause audiovestibular disturbances. PMID:8078672

  11. Baha solutions for patients with severe mixed hearing loss.

    Science.gov (United States)

    Flynn, Mark C; Sadeghi, Andre; Halvarsson, Glenn

    2009-01-01

    Patients with a mixed hearing loss present special challenges. The amplification demands of mixed hearing loss can drive powerful digital hearing aids to their limits and introduce distortion through saturation. Conversely, the Baha System effectively bypasses the conductive component and focuses on compensating for the sensorineural component of the hearing loss. Ten patients with a mixed hearing loss participated in the present study. Results indicate that Baha provided significant benefits (p < 0.01) over conventional air conduction hearing instruments across the dimensions of audibility, speech understanding and sound quality. Given the increased output force of the latest Baha instruments, once the conductive component of a severe mixed hearing loss becomes greater than 30 dB, a Baha should be considered and evaluated on audiological grounds alone to provide optimal amplification. PMID:19195004

  12. Partial Oculocutaneous Albinism: Two Siblings with Features of both Hermansky Pudlak and Waardenburg's Syndrome.

    Science.gov (United States)

    Ishaq, Mazhar; Niazi, Muhammad Khizar; Khan, Muhammad Saim; Nadeem, Yasser

    2015-04-01

    Albinism is an inherited abnormality of melanin synthesis with incidence of one per 20,000 births. Its clinical manifestations are related to the reduction or absence of pigmentation in the visual system and/or the skin and teguments. The clinical spectrum of Oculocutaneous Albinism (OCA) has four types ranging from OCA 1 - 4, of which OCA 1, A-1 is the most severe form. Partial cutaneous albinism which is a subtype of OCA is associated with systemic immunodeficiency disorders like Chediak Higashi (CHS), Griscelli (GS) and Hermansky-Pudlak (HPS) syndromes. A7 years boy was labeled initially as a case of Hermansky Pudlak syndrome at the age of 01 year. He as well as his 4 years old younger brother when examined in detail along with audiological investigations were diagnosed as a rare presentation of both Hermansky Pudlak and Waardenburg's syndrome.

  13. Pneumolabyrinth secondary to temporal bone fracture: a case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Bacciu A

    2014-09-01

    Full Text Available Andrea Bacciu,1 Vincenzo Vincenti,1 Sampath Chandra Prasad,1 Daniela Tonni,1 Elisa Ventura,2 Salvatore Bacciu,1 Enrico Pasanisi1 1Department of Clinical and Experimental Medicine, Unit of Audiology and Paediatric Otolaryngology, 2Department of Neuroradiology, University Hospital of Parma, Parma, Italy Abstract: Pneumolabyrinth following temporal bone fracture is an extremely rare condition. It results from air entering the inner ear when a communication between the air-filled middle ear spaces and inner ear is established. The imaging modality of choice for pneumolabyrinth is high-resolution computed tomography of the temporal bone. Treatment options include conservative management (bed rest, antibiotics, corticosteroids or surgery (exploratory tympanotomy. We present the case of a 31-year-old female who had pneumolabyrinth secondary to a temporal bone fracture. The patient was treated surgically and made a full clinical recovery. Keywords: pneumolabyrinth, temporal bone fractures, head trauma

  14. Auditorily-induced illusory self-motion: a review.

    Science.gov (United States)

    Väljamäe, Aleksander

    2009-10-01

    The aim of this paper is to provide a first review of studies related to auditorily-induced self-motion (vection). These studies have been scarce and scattered over the years and over several research communities including clinical audiology, multisensory perception of self-motion and its neural correlates, ergonomics, and virtual reality. The reviewed studies provide evidence that auditorily-induced vection has behavioral, physiological and neural correlates. Although the sound contribution to self-motion perception appears to be weaker than the visual modality, specific acoustic cues appear to be instrumental for a number of domains including posture prosthesis, navigation in unusual gravitoinertial environments (in the air, in space, or underwater), non-visual navigation, and multisensory integration during self-motion. A number of open research questions are highlighted opening avenue for more active and systematic studies in this area.

  15. Syringocystadenoma Papilliferum of the Bony External Auditory Canal: A Rare Tumor in a Rare Location

    Directory of Open Access Journals (Sweden)

    Anastasija Arechvo

    2013-01-01

    Full Text Available Tumors originating from ceruminous glands are rare lesions of the external auditory canal. The lack of specific clinical and radiological signs makes their diagnosis challenging. We report the case of an exceptionally rare benign tumor, a syringocystadenoma papilliferum (SCAP, in an atypical location in the bony segment of the external auditory canal with uncommon clinical signs. The special traits of the case included the following: the most lateral component of the tumor was macroscopically cystic and a granular myringitis with an obstructing keratin mass plug was observed behind the mass. The clinical, audiological, radiological, and histological characteristics of the neoplasm are consequently presented. Intraoperative diagnosis of the epidermal cyst was proposed. The final diagnosis of SCAP was determined only by histological analysis after the surgical excision. The educational aspects of the case are critically discussed.

  16. From pillars to posts: some reflections on community service six years on.

    Science.gov (United States)

    Penn, Claire; Mupawose, Anniah; Stein, Jennifer

    2009-01-01

    Speech-Language Therapy and Audiology graduates have worked in community service for 6 years. An evaluation of the impact of this strategy is now seen as important. In this discussion paper we report on the content and process of feedback sessions with 132 graduates from the University of the Witwatersrand during their community service placements from 2003-2008. Experiences and perceptions of these graduates are discussed in relation to a model as well as in relation to additional research conducted with our profession and other community service professions. Themes discussed include professional and technical issues, systemic and managerial issues, interpersonal issues and ethical issues. Perceptions on the adequacy of training are also described. The overall goals of community service are considered as well as indices for measuring success. Implications are considered for training institutions, for the Department of Health and for the profession.

  17. Application of transient evoked otoacoustic emissions to pediatric populations.

    Science.gov (United States)

    Norton, S J

    1993-02-01

    Transient evoked otoacoustic emissions (TEOAEs) occur after presentation of brief acoustic stimuli such as clicks and tone pips. They represent physiological activity from within the cochlea, specifically from normal functioning outer hair cells. TEOAEs are frequency specific in that their spectra are determined by the spectra of the evoking stimulus and the audiometric configuration. TEOAEs are sensitive to mild to moderate degrees of cochlear hearing loss up to about 40 to 50 dB HL. They can be measured rapidly and noninvasively in infants and children. Among the potential applications in pediatric audiology are screening for hearing impairment in neonates, separating peripheral hearing loss and central auditory dysfunction, and monitoring cochlear status in children receiving ototoxic drugs.

  18. Prevalência de sequelas auditivas pós meningite piogênica em crianças Prevalence of auditory sequelae after pyogenic meningitis in children

    Directory of Open Access Journals (Sweden)

    Luzia Poliana Anjos da Silva

    2009-01-01

    prevalent type of meningitis as cause of hearing impairment. METHODS: Two hundred and eighty nine caregivers of children who were diagnosed with pyogenic meningitis between 28 days and 24 months, and had been admitted at Hospital Couto Maia (HC Maia between January 2002 and December 2003 were contacted. The sample was composed of 55 children that survived with or without evident sequelae, who attended audiological and neurological evaluation. A complete audiological evaluation was carried out, including a subjective and objective battery of evaluation tests, using standardized instruments for investigation of children's hearing. RESULTS: The age range of the subjects when the audiological evaluation was carried out varied from two to five years. Hearing impairment was detected in 29% of the sample, characterizing, mostly, a profound bilateral neurosensory hearing loss. The main neurological sequelae found were: epilepsy, hemiparesy, hydrocephaly, dysphasia, and hyperactivity. CONCLUSION: The results indicate the need for audiological monitoring and neurological follow-up in children with previous history of pyogenic meningitis, especially those infected in early ages, seeking to identify possible hearing impairments and to intervene as soon as possible, through specialized intervention, prothetization, and oral language rehabilitation.

  19. Resting Heart Rate and Auditory Evoked Potential

    Directory of Open Access Journals (Sweden)

    Simone Fiuza Regaçone

    2015-01-01

    Full Text Available The objective of this study was to evaluate the association between rest heart rate (HR and the components of the auditory evoked-related potentials (ERPs at rest in women. We investigated 21 healthy female university students between 18 and 24 years old. We performed complete audiological evaluation and measurement of heart rate for 10 minutes at rest (heart rate monitor Polar RS800CX and performed ERPs analysis (discrepancy in frequency and duration. There was a moderate negative correlation of the N1 and P3a with rest HR and a strong positive correlation of the P2 and N2 components with rest HR. Larger components of the ERP are associated with higher rest HR.

  20. Aplicación de las nuevas tecnologías en audiómetros de tonos puros de altas prestaciones

    OpenAIRE

    Ruiz González, Mariano

    2002-01-01

    En esta tesis doctoral se propone una solución para la implementación, utilización, verificación y calibración, de un audiómetro tipo I (denominado como audiómetro clínico o de investigación), destinado a la realización de audiometrías en grandes colectivos afectados por ruido laboral (audiología industrial). Esta solución se basa en la utilización de las tecnologías hardware y software aparecidas en los últimos años posibilitando, por tanto, la actualización tecnológica de estos equipos. Los...

  1. A representative study of hearing ability in North West Germany

    Directory of Open Access Journals (Sweden)

    I. Holube

    2011-03-01

    Full Text Available The estimated hearing ability of German citizens is based on a comprehensive study published by von Stackelberg in 1986. At that time, 26.8% of West-Germany citizens were rated as hearing impaired. Because of the analyzing procedure used, these data cannot be used for comparison purposes with more recent international studies carried out e.g. by Uimonen et al. (1999, Wilson et al. (1999, Quaranta et al. (1996, and Johansson and Arlinger (2003. Other German data are based on non-representative evaluations or on subjective assessments. Therefore, the Institute of Hearing Technology and Audiology started HÖRSTAT, a two-year research project designed to fill this gap.

  2. Self-Fitting Hearing Aids: Status Quo and Future Predictions.

    Science.gov (United States)

    Keidser, Gitte; Convery, Elizabeth

    2016-01-01

    A self-contained, self-fitting hearing aid (SFHA) is a device that enables the user to perform both threshold measurements leading to a prescribed hearing aid setting and fine-tuning, without the need for audiological support or access to other equipment. The SFHA has been proposed as a potential solution to address unmet hearing health care in developing countries and remote locations in the developed world and is considered a means to lower cost and increase uptake of hearing aids in developed countries. This article reviews the status of the SFHA and the evidence for its feasibility and challenges and predicts where it is heading. Devices that can be considered partly or fully self-fitting without audiological support were identified in the direct-to-consumer market. None of these devices are considered self-contained as they require access to other hardware such as a proprietary interface, computer, smartphone, or tablet for manipulation. While there is evidence that self-administered fitting processes can provide valid and reliable results, their success relies on user-friendly device designs and interfaces and easy-to-interpret instructions. Until these issues have been sufficiently addressed, optional assistance with the self-fitting process and on-going use of SFHAs is recommended. Affordability and a sustainable delivery system remain additional challenges for the SFHA in developing countries. Future predictions include a growth in self-fitting products, with most future SFHAs consisting of earpieces that connect wirelessly with a smartphone and providers offering assistance through a telehealth infrastructure, and the integration of SFHAs into the traditional hearing health-care model. PMID:27072929

  3. Assesment of Hearing Loss in Patients with Psoriasis

    Directory of Open Access Journals (Sweden)

    Serdar Cenk Güvenç

    2012-03-01

    Full Text Available Background and Design: Psoriasis is an autoimmune chronic inflammatory skin disease characterized by T-cell mediated hyperproliferation of keratinocytes. Sensorineural hearing loss accompanied by autoimmune diseases was first described by McCabe in 1979. Cases of hearing loss associated with various autoimmune diseases have been reported. However, the number of studies evaluating the hearing loss in patients with psoriasis is insufficient. In this study, we aimed to assess hearing loss in psoriasis patients. Material and Methods: Fifty-one psoriasis patients, who were admitted to our outpatient clinic in 2010, and 51 healthy volunteers were included in the study. All participants underwent a complete ear, nose and throat examination before audiological assessment followed by, pure-tone audiometry in a sound-isolated audiology laboratory. Statistical analysis was performed using PASW Statistics version 18.0.0. A p-value less than 0.05 was considered statistically significant. Results: The mean bone and hearing thresholds were higher for all frequencies in patients than in controls. The values reached statistical significance at all frequencies except for right ear air conduction at 1000 Hz, bone conduction at 500 and 1000 Hz, left ear air conduction at 500 Hz, and bone conduction at 500 Hz (p<0.05. We compared the Psoriasis Area and Severity Index (PASI scores adjusted for age and disease duration and thresholds matched with frequencies and found a significant correlation between PASI score and hearing loss at medium and high frequencies. Conclusion: In psoriasis, chronic inflammation is thought to be the main pathological process destroying structure and functions of skin, nails and joints. We think that the same process may affect the cochlea in a similar way. The correlation between high PASI scores and hearing loss at medium and high frequencies may be an unexpected result of increased inflammatory mediators responsible from the disease in

  4. External ear canal cholesteatoma after ventilation tube insertion and mastoidectomy

    Directory of Open Access Journals (Sweden)

    Đerić Dragoslava

    2012-01-01

    Full Text Available Introduction. Etiopathogenetically, there are two types of chollesteatomas: congenital, and acquired. Numerous theories in the literature try to explain the nature of the disease, however, the question about cholesteatomas remain still unanswered. The aim of the study was to present a case of external ear canal cholesteatoma (EEC developed following microsurgery (ventilation tube insertion and mastoidectomy, as well as to point ant possible mechanisms if its development. Case report. A 16-yearold boy presented a 4-month sense of fullness in the ear and otalgia on the left side. A year before, mastoidectomy and posterior atticotomy were performed with ventilation tube placement due to acute purulent mastoiditis. Diagnosis was based on otoscopy examination, audiology and computed tomography (CT findings. CT showed an obliterative soft-tissue mass completely filled the external ear canal with associated erosion of subjacent the bone. There were squamous epithelial links between the canal cholesteatoma and lateral tympanic membrane surface. They originated from the margins of tympanic membrane incision made for a ventilation tube (VT insertion. The position of VT was good as well as the aeration of the middle ear cavity. The tympanic membrane was intact and of normal appearance without middle ear extension or mastoid involvement of cholesteatoma. Cholesteatoma and ventilation tube were both removed. The patient recovered without complications and shortly audiology revealed hearing improving. Follow-up 2 years later, however, showed no signs of the disease. Conclusion. There could be more than one potential delicate mechanism of developing EEC in the ear with VT insertion and mastoidectomy. It is necessary to perform routine otologic surveillance in all patients with tubes. Affected ear CT scan is very helpful in showing the extent of cholesteatoma and bony defects, which could not be assessed by otoscopic examination alone.

  5. Self-Fitting Hearing Aids

    Directory of Open Access Journals (Sweden)

    Gitte Keidser

    2016-04-01

    Full Text Available A self-contained, self-fitting hearing aid (SFHA is a device that enables the user to perform both threshold measurements leading to a prescribed hearing aid setting and fine-tuning, without the need for audiological support or access to other equipment. The SFHA has been proposed as a potential solution to address unmet hearing health care in developing countries and remote locations in the developed world and is considered a means to lower cost and increase uptake of hearing aids in developed countries. This article reviews the status of the SFHA and the evidence for its feasibility and challenges and predicts where it is heading. Devices that can be considered partly or fully self-fitting without audiological support were identified in the direct-to-consumer market. None of these devices are considered self-contained as they require access to other hardware such as a proprietary interface, computer, smartphone, or tablet for manipulation. While there is evidence that self-administered fitting processes can provide valid and reliable results, their success relies on user-friendly device designs and interfaces and easy-to-interpret instructions. Until these issues have been sufficiently addressed, optional assistance with the self-fitting process and on-going use of SFHAs is recommended. Affordability and a sustainable delivery system remain additional challenges for the SFHA in developing countries. Future predictions include a growth in self-fitting products, with most future SFHAs consisting of earpieces that connect wirelessly with a smartphone and providers offering assistance through a telehealth infrastructure, and the integration of SFHAs into the traditional hearing health-care model.

  6. Using Bioacoustical Methodologies to Evaluate Equine Hearing Capabilities and Cognition

    Science.gov (United States)

    Makepeace, Shawn

    The field of Bioacoustics is an emerging field of science that investigates various aspects of animal audiology and communication. More recently, audiological means have been used to evaluate the cognitive abilities of animals using event related brain potentials (ERP's). The Mismatch Negativity (MMN) component of the ERP is considered a cognitive neuroelectric phenomenon since it is generated in the area of the cortex that is responsible for evaluating sound stimuli including the ability to discriminate. Such discrimination produces a negative-going waveform with a relative latency of about 150-250 msec when elicited with auditory stimuli in human adults. The MMN response is elicited by use of the oddball paradigm in which two different tones are presented in pseudo-random order. The purpose of this study was to determine if elicitation of the MMN is achievable in the horse by use of current equipment in a non-clinical setting such as a barn. During the course of this experiment, it became obvious that the major challenge was the excessive amount of noise that inundated the waveforms thereby making any specific waves even remotely discernible. Attempts were made to improve the signal-to-noise ratio (SNR) by modifications to the testing unit and the addition of several in-line and digital filters. However, even with these modifications, the MMN response still could not be identifiable within the noise of the waveforms. Therefore, the matter of whether or not the horse elicits a MMN response should be revised to if it is even feasible to elicit a MMN response in these animals.

  7. Self-Fitting Hearing Aids: Status Quo and Future Predictions.

    Science.gov (United States)

    Keidser, Gitte; Convery, Elizabeth

    2016-04-12

    A self-contained, self-fitting hearing aid (SFHA) is a device that enables the user to perform both threshold measurements leading to a prescribed hearing aid setting and fine-tuning, without the need for audiological support or access to other equipment. The SFHA has been proposed as a potential solution to address unmet hearing health care in developing countries and remote locations in the developed world and is considered a means to lower cost and increase uptake of hearing aids in developed countries. This article reviews the status of the SFHA and the evidence for its feasibility and challenges and predicts where it is heading. Devices that can be considered partly or fully self-fitting without audiological support were identified in the direct-to-consumer market. None of these devices are considered self-contained as they require access to other hardware such as a proprietary interface, computer, smartphone, or tablet for manipulation. While there is evidence that self-administered fitting processes can provide valid and reliable results, their success relies on user-friendly device designs and interfaces and easy-to-interpret instructions. Until these issues have been sufficiently addressed, optional assistance with the self-fitting process and on-going use of SFHAs is recommended. Affordability and a sustainable delivery system remain additional challenges for the SFHA in developing countries. Future predictions include a growth in self-fitting products, with most future SFHAs consisting of earpieces that connect wirelessly with a smartphone and providers offering assistance through a telehealth infrastructure, and the integration of SFHAs into the traditional hearing health-care model.

  8. Neurotology findings in patients with diagnosis of vascular loop of cranial nerves VIII in magnetic resonance imaging

    Directory of Open Access Journals (Sweden)

    Grocoske, Francisco Luiz Busato

    Full Text Available Introduction: The vascular compression by redundant vessels under the VIII cranial nerves has been studied since the 80's, and many authors proposed correlations between the compression and the otoneurological findings (vertigo, tinnitus, hypoacusis, audiometry and electrophysiological findings. Objective: Analyze and correlate the different signs and otoneurological symptoms, the audiological findings and its incidence over individuals with Vascular Loop (VL diagnosis of VIII cranial nerves by magnetic resonance imaging (MRI. Method: Retrospective study through the analysis of medical records of 47 patients attended in the otoneurology clinic of Clinical Hospital of UFPR. All the patients have MRI exams with compatible pictures of VL of the VIII cranial nerves. Results: The tinnitus was the most frequent symptom, in 83% of the patients, followed by hypoacusis (60% and vertigo (36%. The audiometry presented alterations in 89%, the brainstem evoked auditory potential in 33% and the vecto-electronystagmography in 17% of the patients. Was not found statistically significant relation between the buzz or hypoacusis, and the presence of VL in MRI. Only 36% of patients had complaints of vertigo, the main symptom described in theory of vascular compression of the VIII pair of nerve. As in the audiometry and in brainstem evoked auditory potential was not found a statistically significant relation between the exam and the presence of the VL in the RMI. Conclusion: The results show independence between the findings of the RMI, clinical picture and audiological results (p>0,05 suggesting that there are no exclusive and direct relation between the diagnosis of vascular loop in the MRI and the clinical picture matching.

  9. [New methods of type II tympanoplasty in erosion of the long incus process].

    Science.gov (United States)

    Maassen, M M; Lüdtke, R; Lehner, R; Reischl, G; Zenner, H P

    1997-03-01

    Reliable methods of reconstruction of the ossicular chain in the situation of an isolated errosion of the long process of the incus using a tympanoplasty type II have not been available until recently. Instead, the tympanoplasty type III has been generally performed with the interposition of an autologous incus. In this presentation, we are describing two methods for reconstruction of the ossicular chain between the in-situ residing incus and the stapes on the other side so that the direct connection eventually will result in a tympanoplasty type II. In the first case, we used ionomeric cement in a way that features two characteristics: the direct connection between the stapes and the long process of the incus could be achieved as well as an articulation that was created on the head of the stapes. Hence, a too stiff connection between the head of the stapes and the long process of the incus could be avoided. In addition, a new method for precise microapplication of cooled bone cement (IONOCAP LV) with a syringe will be presented. In the second method titanium-gold-angle prostheses have been crimped to the long process of the incus and positioned onto the head of the stapes in the way of an articulation. So far, comparison of the audiological results of those two methods of a tympanoplasty type II reveal in average better results than postoperative conductive hearing thresholds of the conventional tympanoplasty type III. If the achieved results can be reproduced on a larger number of patients, the expected audiological results are likely to resemble those of stapes surgery. PMID:9417436

  10. Social representation of hearing aids: cross-cultural study in India, Iran, Portugal, and the United Kingdom

    Directory of Open Access Journals (Sweden)

    Manchaiah V

    2015-10-01

    Full Text Available Vinaya Manchaiah,1 Berth Danermark,2 Vinay,3 Tayebeh Ahmadi,4 David Tomé,5 Rajalakshmi Krishna,6 Per Germundsson7 1Department of Speech and Hearing Sciences, Lamar University, Beaumont, Texas, USA; 2Swedish Institute for Disability Research, Örebro University, Örebro, Sweden; 3Department of Clinical Medicine, University of Tromsø, Tromsø, Norway; 4Department of Audiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; 5Department of Audiology, School of Allied Health Sciences, Polytechnic Institute of Porto, Vila Nova de Gaia, Portugal; 6All India Institute of Speech and Hearing, University of Mysore, Mysore, India; 7The Department of Health and Welfare Studies, Malmö University, Malmö, Sweden Background: The current study was aimed at understanding the social representation of hearing aids in India, Iran, Portugal, and the United Kingdom. We also compared these results to explore the cross-cultural differences and similarities among these countries. Methods: The study involved a cross-sectional design, and the data were collected from four different countries using the snowball sampling method. Data were analyzed using a content analysis to identify the most-similar categories of responses reported, a co-occurrences analysis to see which of these categories are reported commonly, and a chi-square analysis to study if there was any association between positive, neutral, and negative connotations among participants in different countries. Results: The current study revealed four different social representations of hearing aids from India, Iran, Portugal, and the United Kingdom, and also a global index. Conclusion: The study results provide very useful insights into how hearing aids are represented in the society. These findings may have important implications for public education and also for manufacturers from the viewpoint of designing and marketing hearing aids in different countries. Keywords: hearing aids

  11. Evaluation of auditory brain-stem evoked response in middle: Aged type 2 diabetes mellitus with normal hearing subjects

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    Debadatta Mahallik

    2014-01-01

    Full Text Available Background: Diabetes mellitus (DM is commonly metabolic disorders of carbohydrate in which blood glucose levels are abnormally high due to relative or absolute insulin deficiency. In addition, it is characterized by abnormal metabolism of fat, protein resulting from insulin deficit or insulin action, or both. There are two broad categories of DM are designated as type 1 and type 2. Type 2 diabetes is due to predominantly insulin resistance with relative insulin deficiency noninsulin-dependent DM. Type 2 diabetes is much more common than insulin-dependent DM. Objectives: The aim of this study was to assess, if there is any abnormality in neural conduction in auditory brain-stem pathway in type 2 DM patients having normal hearing sensitivity when compared to age-matched healthy populations. Materials and Methods: This study included middle - aged 25 subjects having normal hearing with diabetes type 2 mellitus. All were submitted to the full audiological history taking, otological examination, basic audiological evaluation and auditory brain-stem response audiometry which was recorded in both ears, followed by calculation of the absolute latencies of wave I, III and V, as well as interpeak latencies I-III, III-V, I-V. Results: Type 2 DM patients showed significant prolonged absolute latencies of I, III (P = 0.001 and interpeak latencies I-III, III-V and I-V in left ear (P = 0.001 and absolute latencies of I, V (P = 0.001, interpeak latencies III-V was statistically significant in right ear. Conclusions: The prolonged absolute latencies and interpeak latencies suggests abnormal neural firing synchronization or in the transmission in the auditory pathways in normal hearing type 2 diabetes mellitus patients.

  12. The use of research questionnaires with hearing impaired adults: online vs. paper-and-pencil administration

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    Thorén Elisabet

    2012-10-01

    Full Text Available Abstract Background When evaluating hearing rehabilitation, it is reasonable to use self-report questionnaires as outcome measure. Questionnaires used in audiological research are developed and validated for the paper-and-pencil format. As computer and Internet use is increasing, standardized questionnaires used in the audiological context should be evaluated to determine the viability of the online administration format. The aim of this study was to compare administration of questionnaires online versus paper- and pencil of four standardised questionnaires used in hearing research and clinic. We included the Hearing Handicap Inventory for the Elderly (HHIE, the International Outcome Inventory for Hearing Aids (IOI-HA, Satisfaction with Amplification in Daily Life (SADL, and the Hospital Anxiety and Depression Scale (HADS. Methods A cross-over design was used by randomly letting the participants complete the questionnaires either online or on paper. After 3 weeks the participants filled out the same questionnaires again but in the other format. A total of 65 hearing-aid users were recruited from a hearing clinic to participate on a voluntary basis and of these 53 completed both versions of the questionnaires. Results A significant main effect of format was found on the HHIE (p Conclusions For three of the four included questionnaires the participants’ scores remained consistent across administrations and formats. For the fourth included questionnaire (HHIE a significant difference of format with a small effect size was found. The relevance of the difference in scores between the formats depends on which context the questionnaire is used in. On balance, it is recommended that the administration format remain stable across assessment points.

  13. Retrosigmoid Craniotomy for Auditory Brainstem Implantation in Adult Patients with Neurofibromatosis Type 2.

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    Puram, Sidharth V; Herrmann, Barbara; Barker, Fred G; Lee, Daniel J

    2015-12-01

    Objective To report our technique and experience using a retrosigmoid craniotomy approach for auditory brainstem implantation (ABI) placement in adult neurofibromatosis type 2 (NF2) patients. Design Retrospective case series. Setting Single-center study, Boston, Massachusetts, United States. Participants All NF2 patients who underwent evaluation at Massachusetts Eye and Ear Infirmary and surgery at Massachusetts General Hospital from 2009 to 2013 were reviewed. Six cases of retrosigmoid craniotomy for ABI surgery in five adult NF2 patients were identified. The clinical history, operative course, and outcomes in these patients were reviewed. Main Outcome Measures Postoperative complications and audiological outcomes. Results Indications for ABI surgery were profound hearing loss associated with growth or treatment of bilateral vestibular schwannomas. In all cases, a retrosigmoid craniotomy was performed for tumor resection and ABI placement without complication. Electrode placement was confirmed intraoperatively using electrical-evoked auditory brainstem responses. The ABI was activated in the awake patient 4 to 6 weeks postoperatively. Audiological testing was used to evaluate sound detection and speech perception with the ABI. There were no cases of cerebrospinal fluid leak. Conclusion Retrosigmoid craniotomy is a safe and effective means to provide access to the cochlear nucleus for ABI placement following tumor resection in the adult NF2 patient. Preliminary data indicate that this approach has few complications while offering benefits for hearing. The retrosigmoid craniotomy should be considered a reasonable alternative to the traditional translabyrinthine approach for placement of the ABI in deaf patients who are not candidates for the cochlear implant. PMID:27054058

  14. Evasão dos pacientes nos acompanhamentos nos serviços de saúde auditiva: identificação sobre o motivo e resultados pós-adaptação de aparelho de amplificação sonora individual Evasion of patients in hearing health services: research on the reason and outcomes after adaptation of hearing aids

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    Pricila Reis Jokura

    2013-01-01

    Full Text Available OBJETIVO: identificar o motivo da ausência no acompanhamento audiológico dos usuários de aparelhos de amplificação sonora individual do Sistema Único de Saúde e analisar o resultado da adaptação do dispositivo nesta população. MÉTODO: entrevista com 27 pacientes faltosos, realizando questões abertas sobre o motivo da ausência no atendimento e aplicação do Questionário Internacional de Aparelho de Amplificação Sonora Individual, para avaliação dos resultados pós-adaptação. A comparação dos resultados pós-adaptação dos pacientes faltosos foi realizada a partir da seleção aleatória de 30 questionários, de pacientes que compareceram no acompanhamento audiológico da Instituição, cadastrados em um banco de dados. Para análise dos resultados foi aplicada estatística descritiva e inferencial. RESULTADOS: a maioria dos faltosos (25,92% refere não ter lembrado da data do retorno. Os resultados comparativos do questionário entre os grupos de faltosos e não faltosos evidenciam diferenças estatisticamente significantes em quase todos os domínios do questionário de auto-avaliação, exceto nos itens benefício, restrição da participação e qualidade de vida. CONCLUSÃO: dentre os motivos do não comparecimento ao serviço, destacam-se: esquecimento do atendimento, problemas de saúde e motivos de trabalho. Foi observado que os pacientes que não compareceram ao acompanhamento audiológico apresentam resultados pós-adaptação de aparelho de amplificação sonora individual aquém aos resultados dos pacientes que compareceram ao acompanhamento, de forma estatisticamente significante.PURPOSE: to identify the reason for absence of the patients from the Unified Health System who use hearing aids at the audiology follow up and analyze the the device adaptation in this population. METHOD: 27 absent patients were interviewed with opened questions about their absence and the implementation of the International Outcome

  15. Questionário Hearing Handicap Inventory for the Elderly - Screening version (HHIE-S: estudo da sensibilidade e especificidade Questionnaire Hearing Handicap Inventory for the Elderly - Screening version (HHIE-S: sensitivity and specificity study

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    Ana Carolina Argondizo de Rosis

    2009-01-01

    Full Text Available OBJETIVO: Investigar a sensibilidade e especificidade do questionário Hearing Handicap Inventory for the Elderly - Screening version (HHIE-S na triagem auditiva de idosos que procuram diferentes serviços de atenção à saúde (clínica audiológica e outras clínicas. MÉTODOS: Foi avaliada a audição de 78 idosos - 23 atendidos na disciplina de Geriatria e Gerontologia da instituição de origem, que não tinham, necessariamente, queixas relacionadas à audição, e 55 atendidos no Ambulatório de Audiologia da mesma instituição, com queixas relacionadas aos sistemas auditivo e/ou vestibular. Foi aplicado o HHIE-S, cujo escore total foi dividido em três categorias, de acordo com a percepção do handicap. RESULTADOS: Houve relação estatisticamente significante entre handicap e grau de perda auditiva no grupo de pacientes do Ambulatório de Audiologia (p=0,009, e no grupo de pacientes do Ambulatório de Geriatria (p=0,002. No primeiro grupo, o questionário HHIE-S revelou baixa sensibilidade (23,5% e alta especificidade (73,7%. No grupo de pacientes do setor de Geriatria, foram altos os valores de sensibilidade (94,7% e de especificidade (75%. CONCLUSÕES: Há associação positiva entre o grau de perda auditiva e o handicap referido em ambos os grupos. O questionário HHIE-S é um instrumento de triagem auditiva com alta especificidade e sensibilidade na identificação de perdas auditivas em idosos que procuram serviços de saúde que não são específicos para atendimentos relacionados às alterações auditivas.PURPOSE: To investigate the sensitivity and specificity of the questionnaire Hearing Handicap Inventory for the Elderly - Screening version (HHIE-S in the hearing screening of elderly people who seek for different health care services (audiological clinic and other clinics. METHODS: The hearing of 78 elderly - 23 attended at the Discipline of Geriatrics and Gerontology of the institution who did not, necessarily, have

  16. The effect of tympanoplasty on tinnitus and analysis of possible influencing factors in patients with chronic otitis media%慢性中耳炎患者鼓室成形术后耳鸣变化及影响因素

    Institute of Scientific and Technical Information of China (English)

    郭平; 王武庆

    2014-01-01

    目的:了解慢性中耳炎患者鼓室成形术后耳鸣改变情况,分析慢性中耳炎患者术后听力提高程度、中耳炎分型与术后耳鸣改变的关系。方法记录106例慢性中耳炎病人术前及术后6个月的耳鸣严重程度的变化及听力改变情况,分析耳鸣改变与中耳炎分型以及听力提高的关系。使用配对t检验、独立样本t检验、卡方检验和确切概率法进行统计分析。结果慢性中耳炎患者的耳鸣发生率为46%。术前伴有耳鸣的40例病人,术后有15例病人的耳鸣治愈;18例病人耳鸣治疗有效;7例耳鸣治疗无效,鼓室成形术对耳鸣治疗有效率为82%;术后有1例新发耳鸣。术后耳鸣改善明显组的气导听力提高较耳鸣改善不良组的明显(p0.05)。结论对慢性中耳炎伴耳鸣的患者,手术可使多数患者耳鸣缓解。其中低频气导听力的提高对其耳鸣的缓解作用较显著,鼓室成形术诱发新的耳鸣不常见。%Objective The purpose of this paper is to investigate the effect of tympanoplasty on tinnitus in patients with chronic otitis media(COM), and to determine the effect of audiologic outcome, different types of chronic otitis media influenc-ing on tinnitus changes. Methods Our study consisted of 106 patients who were operated between March 2012 and January 2013. Audiologic evaluation by pure tone audiometry and assessment of tinnitus scores were conducted 3 months before and after surgery. We analysed the data with Paired t test, Student’s t test and Fisher's exact test by stata software. Results The pre-operative incidence of tinnitus in patients with chronic otitis media was 46%. After tympanoplasty, tinnitus reduced in 82%of patients. There was a very significant difference between audiological gain and reduced tinnitus scores (p0.05). There was one patient having new tinnitus after surgery. Conclusions Following tympanoplasty, most patients experienced a reduction in

  17. Social representation of “hearing loss”: cross-cultural exploratory study in India, Iran, Portugal, and the UK

    Directory of Open Access Journals (Sweden)

    Manchaiah V

    2015-11-01

    Full Text Available Vinaya Manchaiah,1 Berth Danermark,2 Tayebeh Ahmadi,3 David Tomé,4 Fei Zhao,5 Qiang Li,6 Rajalakshmi Krishna,7 Per Germundsson8 1Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA; 2Swedish Institute for Disability Research, Örebro University, Örebro, Sweden; 3Department of Audiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; 4Department of Audiology, School of Allied Health Sciences, Polytechnic Institute of Porto, Vila Nova de Gaia, Portugal; 5Centre for Speech Language Therapy and Hearing, Cardiff Metropolitan University, Cardiff, UK; 6Department of Social Science and Law, Tianjin University of Technology, Tianjin, People’s Republic of China; 7All India Institute of Speech and Hearing, University of Mysore, Mysore, India; 8Department of Health and Welfare Studies, Malmö University, Malmö, Sweden Background: Hearing loss is one of the most common chronic conditions in older adults. In audiology literature, several studies have examined the attitudes and behavior of people with hearing loss; however, not much is known about the manner in which society in general views and perceives hearing loss. This exploratory study was aimed at understanding the social representation of hearing loss (among the general public in the countries of India, Iran, Portugal, and the UK. We also compared these social representations.Materials and methods: The study involved a cross-sectional design, and participants were recruited using the snowball sampling method. A total of 404 people from four countries participated in the study. Data were collected using a free-association task where participants were asked to produce up to five words or phrases that came to mind while thinking about hearing loss. In addition, they were also asked to indicate if each word they presented had positive, neutral, or negative associations in their view. Data were analyzed using various qualitative and quantitative

  18. Effects and tolerability of betahistine in patients with vestibular vertigo: results from the Romanian contingent of the OSVaLD study

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    Băjenaru O

    2014-12-01

    Full Text Available Ovidiu Băjenaru,1 Adina Maria Roceanu,2 Silviu Albu,3 Viorel Zainea,4 Alexandru Pascu,4 Mădălina Gabriela Georgescu,4 Sebastian Cozma,5 Luigi Mărceanu,6 Dafin Fior Mureşanu7 1Department of Neurology, Carol Davila University of Medicine and Pharmacy, 2Department of Neurology, University Hospital, Bucharest, 3IInd Department of Otolaryngology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, 4Institute of Phono-Audiology and ENT Functional Surgery Prof Dr Dorin Hociota, Carol Davila University of Medicine and Pharmacy, Bucharest, 5ENT Department, University of Medicine and Pharmacy Grigore T Popa, Audiology and Vestibulogy Department, Rehabilitation Clinical Hospital, Iasi, 6Transilvania University, Faculty of Medicine, Department: Doctoral Program (PhD, Brasov, 7"RoNeuro" Institute for Neurological Research and Diagnostic Cluj-Napoca, University of Medicine and Pharmacy "Iuliu Haţieganu", Department of Clinical Neurosciences, Cluj-Napoca, Romania Background and methods: An efficacy population of 245 patients with vertigo of peripheral vestibular origin was recruited in Romania as part of a 3-month multinational, post-marketing surveillance study of open-label betahistine 48 mg/day (OSVaLD. Endpoints were changes in the Dizziness Handicap Index (primary endpoint, Medical Outcome Study Short-Form 36 (SF-36v2®, and the Hospital Anxiety and Depression Scale. Results: During treatment, the total Dizziness Handicap Index score improved by 41 points (on a 100-point scale. Statistically significant improvements of 12–14 points were recorded in all three domains of the Dizziness Handicap Index scale (P<0.0001. Betahistine therapy was also accompanied by progressive improvements in mean Hospital Anxiety and Depression anxiety and depression scores (P<0.0001 and significant improvements in both the physical and mental component summary of the SF-36v2 (P<0.0001. Betahistine was well tolerated, with only one suspected adverse drug

  19. Treatment options for subjective tinnitus: Self reports from a sample of general practitioners and ENT physicians within Europe and the USA

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    Hall Deborah A

    2011-11-01

    Full Text Available Abstract Background Tinnitus affects about 10-15% of the general population and risks for developing tinnitus are rising through increased exposure to leisure noise through listening to personal music players at high volume. The disorder has a considerable heterogeneity and so no single mechanism is likely to explain the presence of tinnitus in all those affected. As such there is no standardized management pathway nor singly effective treatment for the condition. Choice of clinical intervention is a multi-factorial decision based on many factors, including assessment of patient needs and the healthcare context. The present research surveyed clinicians working in six Westernized countries with the aims: a to establish the range of referral pathways, b to evaluate the typical treatment options for categories of subjective tinnitus defined as acute or chronic, and c to seek clinical opinion about levels of satisfaction with current standards of practice. Methods A structured online questionnaire was conducted with 712 physicians who reported seeing at least one tinnitus patients in the previous three months. They were 370 general practitioners (GPs and 365 ear-nose-throat specialists (ENTs from the US, Germany, UK, France, Italy and Spain. Results Our international comparison of health systems for tinnitus revealed that although the characteristics of tinnitus appeared broadly similar across countries, the patient's experience of clinical services differed widely. GPs and ENTs were always involved in referral and management to some degree, but multi-disciplinary teams engaged either neurology (Germany, Italy and Spain or audiology (UK and US professionals. For acute subjective tinnitus, pharmacological prescriptions were common, while audiological and psychological approaches were more typical for chronic subjective tinnitus; with several specific treatment options being highly country specific. All therapy options were associated with low levels

  20. Monitoramento auditivo na ototoxidade Auditory monitoring in ototoxicity

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    Lilian Cassia Bornia Jacob

    2006-12-01

    Full Text Available Algumas drogas, denominadas ototóxicas, têm a capacidade de lesar os sistemas auditivo e vestibular. O avanço tecnológico tem disponibilizado inúmeros recursos para realizar o monitoramento da audição, porém, apesar da disponibilização de protocolos de avaliação internacionais, existem controvérsias quanto à escolha do procedimento de maior sensibilidade e especificidade para este fim. OBJETIVO: Analisar os procedimentos audiológicos utilizados no monitoramento auditivo dos indivíduos expostos à medicação ototóxica. METODOLOGIA: Realizou-se busca eletrônica nas bases de dados MEDLINE e LILACS, a partir da combinação entre os descritores que caracterizaram as temáticas monitoramento auditivo, ototoxicidade e câncer. A literatura apontou dois principais procedimentos efetivos no monitoramento: a audiometria de altas freqüências e as emissões otoacústicas. Ambos permitem que a alteração no sistema auditivo seja identificada antes que haja um comprometimento dos limiares tonais na faixa de freqüências convencional, e conseqüentemente na habilidade de compreensão da fala. CONCLUSÃO: O protocolo de monitoramento auditivo foi sugerido considerando a capacidade do paciente em responder aos testes comportamentais e a etapa do monitoramento (primeira avaliação ou subseqüentes. No caso de portadores de câncer, o monitoramento auditivo deve ser disponibilizado no local de tratamento do indivíduo.Some pharmaceutical products are capable of damaging the human auditory system. Technological progress has provided numerous resources to monitor hearing but there still is some controversy regarding the selection of the most sensitive and specific tests. OBJECTIVE: to analyze audiological procedures used in the auditory monitoring of individuals exposed to ototoxic medication. METHODS: we searched the MEDLINE and LILACS literature databases, using terms pertinent to audiological monitoring, ototoxicity and cancer. The

  1. A new grafting technique for tympanoplasty: tympanoplasty with a boomerang-shaped chondroperichondrial graft (TwBSCPG).

    Science.gov (United States)

    Dündar, Rıza; Soy, Fatih Kemal; Kulduk, Erkan; Muluk, Nuray Bayar; Cingi, Cemal

    2014-10-01

    The aim of this study was to introduce a new grafting technique in tympanoplasty that involves use of a boomerang-shaped chondroperichondrial graft (BSCPG). The anatomical and functional results were evaluated. A new tympanoplasty with boomerang-shaped chondroperichondrial graft (TwBSCPG) technique was used in 99 chronic otitis media patients with central or marginal perforation of the tympanic membrane and a normal middle ear mucosa. All 99 patients received chondroperichondrial cartilage grafts with a boomerang-shaped cartilage island left at the anterior and inferior parts. Postoperative follow-ups were conducted at months 1, 6, and 12. Preoperative and postoperative audiological examinations were performed and air-bone gaps were calculated according to the pure-tone averages (PTAs) of the patients. In the preoperative period, most (83.8%) air-bone gaps were ≥ 16 dB; after operating using the TwBSCPG technique, the air-bone gaps decreased to 0-10 dB in most patients (77.8%). In the TwBSCPG patients, the mean preoperative air-bone gap was 22.02 ± 6.74 dB SPL. Postoperatively, the mean postoperative air-bone gap was 8.70 ± 5.74 dB SPL. The TwBSCPG technique therefore decreased the postoperative air-bone gap compared to that preoperatively (p = 0.000, z = -8.645). At the 1-month follow-up, there were six graft perforations and one graft retraction. At the 6-month follow-up, there were nine graft perforations and three graft retractions. At 12 months, there were seven graft perforations and four graft retractions. During the first year after the boomerang tympanoplasty surgery, graft lateralization was not detected in any patient. Retractions were grade 1 according to the Sade classification and were localized to the postero-superior quadrant of the tympanic membrane. The TwBSCPG technique has benefits with respect to postoperative anatomical and audiological results. It prevents perforation of the tympanic membrane at the anterior quadrant and avoids graft

  2. Health-related quality of life and mental distress in patients with partial deafness: preliminary findings.

    Science.gov (United States)

    Cieśla, Katarzyna; Lewandowska, Monika; Skarżyński, Henryk

    2016-03-01

    The aim of the study was to evaluate mental distress and health-related quality of life in patients with bilateral partial deafness (high-frequency sensorineural hearing loss) before cochlear implantation, with respect to their audiological performance and time of onset of the hearing impairment. Thirty-one patients and 31 normal-hearing individuals were administered the Beck Depression Inventory (BDI), the State-Trait-Anxiety-Inventory (STAI) and the World Health Organization Quality of Life-BREF questionnaire (WHOQOL-BREF). Patients also completed the Nijmegen-Cochlear-Implant-Questionnaire (NCIQ), a tool for evaluation of quality of life related to hearing loss. Patients revealed increased depressive and anxiety symptoms, as well as decreased health-related quality of life (psychological health, physical health), in comparison with their healthy counterparts (t tests, p < 0.05). Furthermore, a General Linear Model demonstrated in patients with a prelingual onset of hearing loss enhanced self-evaluated social interactions and activity (NCIQ), when their outcomes were contrasted with those obtained in individuals with postlingual partial deafness (p < 0.05). The study failed to show any effect of collateral tinnitus. Patients not using hearing aids had better audiological performance and, therefore, better sound perception and speech production, as measured with NCIQ. There was no effect of hearing aid use with respect to mental distress. Additional statistically significant correlations seen in patients included those between a steeper slope hearing loss configuration (averaged pure-tone thresholds at 1 and 2 kHz with subtracted threshold at 0.5 kHz) and better audiometric speech detection, between audiometric thresholds and the subjectively rated sound perception (NCIQ), as well as left-ear audiometric word recognition scores and the subjectively perceived ability to recognize advanced sounds (NCIQ). In addition, a longer duration of postlingual deafness, as

  3. 阻塞性睡眠呼吸暂停低通气综合征患儿手术前后听力及中耳功能变化的临床探讨

    Institute of Scientific and Technical Information of China (English)

    杨森; 黄红星; 余文兴; 杨立; 税磊

    2013-01-01

    目的:探讨阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apneahypopnea syndrome OSAHS)患儿术前、术后听力及中耳功能的变化。方法选择病因是扁桃体及腺样体肥大的OSAHS患儿48例,术前做纯音测听、声导抗检查,了解患儿听力状态。全麻下切除双侧扁桃体,同期在鼻内镜下用切吸器切除腺样体;术后抗生素预防感染、静脉激素抗炎、雾化吸入等治疗,术后门诊随访。结果所有患者随访6-12月,复查听力学检查,听力下降患儿39例听力及中耳功能明显改善。结论对OSAHS患儿应常规行术前、术后听力学检查、并作对比,分析扁桃体及腺样体切除术前后患儿的中耳功能及听力改善情况,取得患儿家属的认可,具有良好的社会效益。%Objective To study the change of the heannig in children with obstructive sleep apnea hypopnea syndrome at before and after the surgery of tonsillecto-my and adenoidectomy.Methods A total of 48 children with OSAHS because of the hypertrophy of adenoid and tonsil were included in this study .Pure tone audiometry and acoustic immittance measurement were taken before and after operation to understanding of children with hearing status .Under the general anesthesia,first resection of bilateral amygdala,and then cut the adenoid under nasal endoscope.Postoperative antibiotics to prevent infection,intravenous steroid anti-inflammatory and inhalation therapy,etc.Outpatient follow-up review audiological examination 6 to 12 months,39 cases of hearing and middle ear function improved significantly .Results Children with OSAHS should be routine audiological examination ,to analysing the hearing and middle ear function who with hearing loss in children with OSAHS before and after the tonsillectomy and adenoidectomy,has made with family recognition and favorable social benefit.

  4. Contrast sensitivity test and conventional and high frequency audiometry: information beyond that required to prescribe lenses and headsets

    Science.gov (United States)

    Comastri, S. A.; Martin, G.; Simon, J. M.; Angarano, C.; Dominguez, S.; Luzzi, F.; Lanusse, M.; Ranieri, M. V.; Boccio, C. M.

    2008-04-01

    In Optometry and in Audiology, the routine tests to prescribe correction lenses and headsets are respectively the visual acuity test (the first chart with letters was developed by Snellen in 1862) and conventional pure tone audiometry (the first audiometer with electrical current was devised by Hartmann in 1878). At present there are psychophysical non invasive tests that, besides evaluating visual and auditory performance globally and even in cases catalogued as normal according to routine tests, supply early information regarding diseases such as diabetes, hypertension, renal failure, cardiovascular problems, etc. Concerning Optometry, one of these tests is the achromatic luminance contrast sensitivity test (introduced by Schade in 1956). Concerning Audiology, one of these tests is high frequency pure tone audiometry (introduced a few decades ago) which yields information relative to pathologies affecting the basal cochlea and complements data resulting from conventional audiometry. These utilities of the contrast sensitivity test and of pure tone audiometry derive from the facts that Fourier components constitute the basis to synthesize stimuli present at the entrance of the visual and auditory systems; that these systems responses depend on frequencies and that the patient's psychophysical state affects frequency processing. The frequency of interest in the former test is the effective spatial frequency (inverse of the angle subtended at the eye by a cycle of a sinusoidal grating and measured in cycles/degree) and, in the latter, the temporal frequency (measured in cycles/sec). Both tests have similar duration and consist in determining the patient's threshold (corresponding to the inverse multiplicative of the contrast or to the inverse additive of the sound intensity level) for each harmonic stimulus present at the system entrance (sinusoidal grating or pure tone sound). In this article the frequencies, standard normality curves and abnormal threshold shifts

  5. Otoacoustic emissions and auditory brainstem responses in patients with sudden sensorineural hearing loss. Do otoacoustic emissions have prognostic value?

    Directory of Open Access Journals (Sweden)

    Manoochehr Amiridavan

    2006-11-01

    Full Text Available BACKGROUND: Sudden sensorineural hearing loss (SSNHL is a perplexing condition for patients and there are many controversies about its etiology, audiologic characteristics, prognostic factors, and treatment. METHODS: In this prospective study, we performed some audiologic tests, including PTA, IA, ABR, and OAE (TEOAE before beginning treatment of 53 patients with SSNHL. We assigned the patients randomly to two treatment groups: oral steroids + acyclovir vs. intravenous urographin. Twenty-eight patients underwent Magnetic Resonance Imaging (MRI of the Brain. RESULTS: Of 53 patients (22 female and 31 male, 22 (41.5% had negative or no signal to noise ratio and overall correlation in TEOAE. Twenty-six patients (49% had positive overall correlations less than 50%, and 5 patients (4.4% had overall correlations >50%. Fifteen patients (28. 3% responded completely or well, 20 (37.7% responded partially, and 18 (33.9% had poor or no response to the treatment. The mean values for overall correlation in 3 subgroups of patients (no response, partial response, and complete response were – 3. 5% (+ 1/16%, +11% (+ 1/99%, and +36.6% (+3/07%, respectively (P = 0.01. Twenty out of 52 patients had no reproducible wave in ABR (38.5%, and waves I, III, and V were absent in 40 (77%, 31 (59.6% and 21 (40% patients, respectively. There were some limitations (false positive and false negative results in ABR use in our cases, but it may be useful in detecting site of lesion in SSNHL. Overall, according to the results of OAE, ABR, and brain MRI of these patients, 3 were affected by acoustic neurinomas, at least 1 had auditory neuropathy, and the site of lesion was cochlear in 6, and cochlear + retrocochlear in 13 patients. CONCLUSIONS: ABR has limitations for use in SSNHL and seems not to obviate the need for brain MRI, but may help in determining the site of lesions such as ischemia or neuropathy. Overall correlation (and S/N ratio in TEOAE is a valuable

  6. Is cochlear implantation a good treatment method for profoundly deafened elderly?

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    Lachowska M

    2013-10-01

    Full Text Available Magdalena Lachowska, Agnieszka Pastuszka, Paulina Glinka, Kazimierz Niemczyk Department of Otolaryngology, Hearing Implant Center, Medical University of Warsaw, Warsaw, Poland Purpose: To assess the benefits of cochlear implantation in the elderly. Patients and methods: A retrospective analysis of 31 postlingually deafened elderly (≥60 years of age with unilateral cochlear implants was conducted. Audiological testing included preoperative and postoperative pure-tone audiometry and a monosyllabic word recognition test presented from recorded material in free field. Speech perception tests included Ling's six sound test (sound detection, discrimination, and identification, syllable discrimination, and monosyllabic and multisyllabic word recognition (open set without lip-reading. Everyday life benefits from cochlear implantation were also evaluated. Results: The mean age at the time of cochlear implantation was 72.4 years old. The mean post-implantation follow-up time was 2.34 years. All patients significantly improved their audiological and speech understanding performances. The preoperative mean pure-tone average threshold for 500 Hz, 1,000 Hz, 2,000 Hz, and 4,000 Hz was 110.17 dB HL. Before cochlear implantation, all patients scored 0% on the monosyllabic word recognition test in free field at 70 dB SPL intensity level. The postoperative pure-tone average was 37.14 dB HL (the best mean threshold was 17.50 dB HL, the worst was 58.75 dB HL. After the surgery, mean monosyllabic word recognition reached 47.25%. Speech perception tests showed statistically significant improvement in speech recognition. Conclusion: The results of this study showed that cochlear implantation is indeed a successful treatment for improving speech recognition and offers a great help in everyday life to deafened elderly patients. Therefore, they can be good candidates for cochlear implantation and their age alone should not be a relevant or excluding factor when choosing

  7. Auditory Neuropathy in Two Patients with Generalized Neuropathic Disorder: A Case Report

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    P Ahmadi

    2008-06-01

    Full Text Available Background: Although it is not a new disorder, in recent times we have attained a greater understanding of auditory neuropathy (AN. In this type of hearing impairment, cochlear hair cells function but AN victims suffer from disordered neural transmission in the auditory pathway. The auditory neuropathy result profile often occurs as a part of that of the generalized neuropathic disorders, indicated in approximately 30-40% of all reported auditory neuropathy/auditory dyssynchrony (AN/AD cases, with approximately 80% of patients reporting symptom onset over the age of 15 years. In the present report, the results of audiologic tests (behavioral, physiologic and evoked potentials on two young patients with generalized neuropathy are discussed.Case report: Two brothers, 26 and 17 years old, presented with speech perception weakness and movement difficulties that started at 12 years of age and progressed as time passed. In their last examination, there was a moderate to severe flat audiogram in the older patient and mild low tone loss in the younger one. The major difficulty of the patients was severe speech perception impairment that was not compatible with their hearing thresholds. Paresthesia, sural muscle contraction and pain, and balance disorder were the first symptoms of the older brother. Now he can only move with crutches and his finger muscle tonicity has decreased remarkably, with marked fatigue after a short period of walking. Increasing movement difficulties were noted in his last visit. Visual neuropathy had been reported in repeated visual system examinations for the older brother, with similar, albeit less severe, symptoms in the younger brother.In the present study of these patients, behavioral investigations included pure-tone audiometry and speech discrimination scoring. Physiologic studies consisted Transient Evoked Otoacoustic Emission (TEOAE and acoustic reflexes. Electrophysiologic auditory tests were also performed to determine

  8. Clinical research in allied health.

    Science.gov (United States)

    Selker, L G

    1994-01-01

    Allied health professionals in nutrition and medical dietetics, occupational therapy, physical therapy, and speech-language pathology and audiology play both unique and key cross-cutting roles in the furtherance of clinical research. Clinical research in nutrition and medical dietetics uniquely focuses on food nutrient intake and the metabolic utilization of nutrients. Clinical research in occupational therapy has a special focus on the relationship of impairment to disability, the adaptation to disability and the maximization of function. Physical therapy clinical research uniquely targets movement dysfunction and its evaluation and treatment within the context of quality and effective care. Clinical research in speech-language pathology and audiology is singular in its focus on deafness and hearing disorders, voice, speech, language and related disorders, and intersections among these and other neurological and physical conditions. Thus, all of these disciplines are making unique contributions to clinical research. Clinical research in these allied health professions is much more than the above specific foci. Inasmuch as these disciplines are rooted in practice, their contributions to research are inherently clinical. Many, if not most, of these contributions represent further validations of clinical practice or its underlying knowledge base. This means that, at a macro level, clinical research in allied health is very much "applied" research. Within allied health clinical research, this emphasis is redoubled at the "person," or individual level, where considerable attention is given to concepts of function and effectiveness. Clinical research in allied health has played a key cross-cutting role through its emphasis on collaboration. Possibly due to their professional maturation within multidisciplinary academic units, allied health professionals have demonstrated a level of comfort with multidisciplinary and interdisciplinary collaborations unique within many

  9. Autosomal recessive hereditary auditory neuropathy

    Institute of Scientific and Technical Information of China (English)

    王秋菊; 顾瑞; 曹菊阳

    2003-01-01

    Objectives: Auditory neuropathy (AN) is a sensorineural hearing disorder characterized by absent or abnormal auditory brainstem responses (ABRs) and normal cochlear outer hair cell function as measured by otoacoustic emissions (OAEs). Many risk factors are thought to be involved in its etiology and pathophysiology. Three Chinese pedigrees with familial AN are presented herein to demonstrate involvement of genetic factors in AN etiology. Methods: Probands of the above - mentioned pedigrees, who had been diagnosed with AN, were evaluated and followed up in the Department of Otolaryngology Head and Neck Surgery, China PLA General Hospital. Their family members were studied and the pedigree diagrams were established. History of illness, physical examination,pure tone audiometry, acoustic reflex, ABRs and transient evoked and distortion- product otoacoustic emissions (TEOAEs and DPOAEs) were obtained from members of these families. DPOAE changes under the influence of contralateral sound stimuli were observed by presenting a set of continuous white noise to the non - recording ear to exam the function of auditory efferent system. Some subjects received vestibular caloric test, computed tomography (CT)scan of the temporal bone and electrocardiography (ECG) to exclude other possible neuropathy disorders. Results: In most affected subjects, hearing loss of various degrees and speech discrimination difficulties started at 10 to16 years of age. Their audiological evaluation showed absence of acoustic reflex and ABRs. As expected in AN, these subjects exhibited near normal cochlear outer hair cell function as shown in TEOAE & DPOAE recordings. Pure- tone audiometry revealed hearing loss ranging from mild to severe in these patients. Autosomal recessive inheritance patterns were observed in the three families. In Pedigree Ⅰ and Ⅱ, two affected brothers were found respectively, while in pedigree Ⅲ, 2 sisters were affected. All the patients were otherwise normal without

  10. Estudo comparativo da classificação do grau de perda auditiva em idosos institucionalizados Comparative study for classifying the hearing loss degree in institutionalized elderly

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    Cristhiane Emy Kano

    2009-09-01

    Full Text Available OBJETIVO: comparar os resultados audiológicos de idosos institucionalizados, levando-se em consideração duas classificações distintas. MÉTODOS: foram avaliados 40 idosos de ambos os sexos, com faixa etária superior a 60 anos. Após levantar a história clínica audiológica e de realizar otoscopia, foram obtidos os limares tonais (via aérea e via óssea dos indivíduos, com o uso de audiômetro Eymasa, dentro de cabina acústica. RESULTADOS: demonstraram que a classificação proposta pela Recomendação 02/1 do Bureau International d'Audio Phonologie, foi mais sensível quanto a caracterização da perda auditiva na população idosa. CONCLUSÃO: a classificação utilizada pela Recomentação 02/1 é a que melhor representa o grau de perda auditiva nesta população, uma vez que leva em consideração além das freqüências da fala (500, 1k e 2kHz, a freqüência de 4 kHz para o cálculo da média.PURPOSE: to compare the audiological results for institutionalized elderly, taking into consideration two distinct classifications. METHODS: we evaluated 40 elderly of both genders, over 60-year-old, after assessing the clinical history and conduct of audiological otoscopy, we obtained the pure tone (via air and bone of the individuals, by using the audiometer Eymasa within an acoustic cabin. RESULTS: the classification used by Recommendation 02/1 of Bureau International d'Audio Phonologie, was more sensitive about hearing loss characterization in the elderly population. CONCLUSION: the classification used by Recommendation 02/1, is the one that better represents hearing loss degree in this population, since it takes in consideration in addition to the speech frequencies (500, 1k and 2kHz, the frequency of 4kHz for calculating the mean value.

  11. Hearing aid effectiveness after aural rehabilitation - individual versus group (HEARING trial: RCT design and baseline characteristics

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    Heagerty Patrick J

    2009-12-01

    Full Text Available Abstract Background Hearing impairment is the most common body system disability in veterans. In 2008, nearly 520,000 veterans had a disability for hearing loss through the Department of Veterans Affairs (VA. Changes in eligibility for hearing aid services, along with the aging population, contributed to a greater than 300% increase in the number of hearing aids dispensed from 1996 to 2006. In 2006, the VA committed to having no wait times for patient visits while providing quality clinically-appropriate care. One approach to achieving this goal is the use of group visits as an alternative to individual visits. We sought to determine: 1 if group hearing aid fitting and follow-up visits were at least as effective as individual visits, and 2 whether group visits lead to cost savings through the six month period after the hearing aid fitting. We describe the rationale, design, and characteristics of the baseline cohort of the first randomized clinical trial to study the impact of group versus individual hearing aid fitting and follow-up visits. Methods Participants were recruited from the VA Puget Sound Health Care System Audiology Clinic. Eligible patients had no previous hearing aid use and monaural or binaural air-conduction hearing aids were ordered at the evaluation visit. Participants were randomized to receive the hearing aid fitting and the hearing aid follow-up in an individual or group visit. The primary outcomes were hearing-related function, measured with the first module of the Effectiveness of Aural Rehabilitation (Inner EAR, and hearing aid adherence. We tracked the total cost of planned and unplanned audiology visits over the 6-month interval after the hearing aid fitting. Discussion A cohort of 659 participants was randomized to receive group or individual hearing aid fitting and follow-up visits. Baseline demographic and self-reported health status and hearing-related measures were evenly distributed across the treatment arms

  12. Acoustic impedance rhinometry (AIR): a technique for monitoring dynamic changes in nasal congestion

    International Nuclear Information System (INIS)

    We describe a simple and inexpensive method for monitoring nasal air flow resistance using measurement of the small-signal acoustic input impedance of the nasal passage, similar to the audiological measurement of ear drum compliance with acoustic tympanometry. The method requires generation of a fixed sinusoidal volume–velocity stimulus using ear-bud speakers, and an electret microphone to monitor the resultant pressure fluctuation in the nasal passage. Both are coupled to the nose via high impedance silastic tubing and a small plastic nose insert. The acoustic impedance is monitored in real-time using a laptop soundcard and custom-written software developed in LabView 7.0 (National Instruments). The compact, lightweight equipment and fast time resolution lends the technique to research into the small and rapid reflexive changes in nasal resistance caused by environmental and local neurological influences. The acoustic impedance rhinometry technique has the potential to be developed for use in a clinical setting, where the need exists for a simple and inexpensive objective nasal resistance measurement technique. (paper)

  13. Multi-disciplinary clinical study of Smith-Magenis syndrome (deletion 17p11.2)

    Energy Technology Data Exchange (ETDEWEB)

    Greenberg, F.; Lewis, R.A.; Potocki, L. [Baylor College of Medicine, Houston, TX (United States)] [and others

    1996-03-29

    Smith-Magenis syndrome (SMS) is a multiple congenital anomaly, mental retardation (MCA/MR) syndrome associated with deletion of chromosome 17 band p11.2. As part of a multi-disciplinary clinical, cytogenetic, and molecular approach to SMS, detailed clinical studies including radiographic neurologic, developmental, ophthalmologic, otolaryngologic, and audiologic evaluations were performed on 27 SMS patients. Significant findings include otolaryngologic abnormalities in 94%, eye abnormalities in 85%, sleep abnormalities (especially reduced REM sleep) in 75%, hearing impairment in 68% (approximately 65% conductive and 35% sensorineural), scoliosis in 65% brain abnormalities (predominantly ventriculomegaly) in 52%, cardiac abnormalities in at least 37%, renal anomalies (especially duplication of the collecting system) in 35%, low thyroxine levels in 29%, low immunoglobulin levels in 23%, and forearm abnormalities in 16%. The measured IQ ranged between 20-78, most patients falling in the moderate range of mental retardation at 40-54, although several patients scored in the mild or borderline range. The frequency of these many abnormalities in SMS suggests that patients should be evaluated thoroughly for associated complications both at the time of diagnosis and at least annually thereafter. 42 refs., 2 figs., 3 tabs.

  14. Otologic Problems in Turner Syndrome

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    Ahmadreza Okhovat

    2011-06-01

    Full Text Available Background and Aim: Turner syndrome is the most common sex chromosome abnormality in females, affecting an estimated 3% of all conceiving females. Otologic disease is a common problem in Turner syndrome patients that is due to a combination of small dysfunction Eustachian tube, palatal dysfunction and cochlear malformation.Methods: This study assessed the otologic and audiologic characteristics of a group of Turner syndrome patients. We studied 40 Turner patients aged 10 to 20 years (mean age: 15.84 years, SD=2.67. Pure tone audiometry was carried out for all of them.Results: Forty percent of the patients reported a history of middle ear disease. Analysis of audiometric data in 40 patients tested reveals normal hearing in 47.5%, pure sensorineural hearing loss in 32.5%, pure conductive hearing loss in 17.5% and mixed hearing loss in 2.5% of patients.Conclusion: Careful follow up during early childhood of children with Turner syndrome is necessary to detect middle ear disease and prevent the probable sequel. However, long term periodic follow up is mandatory even after resolution of middle ear disease to detect sensorineural hearing loss

  15. Giant prolactinoma: the sound of silence

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    Shira R. Saul

    2014-06-01

    Full Text Available Prolactinomas typically present with oligoamenorrhea or galactorrhea in woman and headaches, visual changes or impotence in men with auditory symptoms being a rare presentation. We describe a case of a man who presented with bilateral hearing loss and was found to have a giant prolactinoma. Initial audiogram indicated an air-bone conduction gap suggesting a mixed sensorineural and conductive hearing loss. Measured prolactin was 3711.0 ng/mL and an a magnetic resonance revealed a 3.0×3.0×3.3 cm heterogeneously enhancing mass arising from the sella turcica compressing the left half of the optic chiasm. Several months after treatment, prolactin was 26 ng/mL and the patient reported marked improvement in his vision with mild improvement of his hearing. Although prolactinomas typically present with classic symptoms, one must be aware of unusual presentations. Further investigation is needed to access the correlation between prolactin and hearing loss, which may impact potential audiology screening for those with elevated prolactin.

  16. Interventions after screening for hearing difficulties: a retrospective investigation of interventions other than hearing aids

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    Dafydd Stephens

    2011-03-01

    Full Text Available There have been a number of studies on screening of hearing in adult populations. Despite the high importance of interventions following screening for hearing (Wilson and Jungner, 1968 there is a dearth of information on the nature of interventions following such screening, other than hearing aid fitting (HA or referral to audiology/ENT departments (Pronk et al., 2011. In the late 1980s and early 1990s four studies were performed in Wales, which offered such other interventions to those individuals indicating hearing disabilities in screening questionnaires (eg Stephens et al., 1990; Davis et al., 1992. The majority of the patient notes from these studies were still accessible and have been examined to extract the following information: - what interventions were used other than hearing aids? - who received these interventions? - would they have been more appropriate than HAs for some of those fitted? The aim of this paper is to list the interventions provided in these studies and relate them to the initial complaints of those indicating hearing problems.

  17. “对证选配”助听器%Individualized Hearing Aid Fitting Strategies:Basics and Application

    Institute of Scientific and Technical Information of China (English)

    张建一; 西品香; 马佳; 李媛媛

    2013-01-01

    The maximization of comfortableness and intelligibility for hearing aid users are two objectives in hearing aid fitting. When fitting hearing aids for people with sensorineural hearing loss, the hearing aid fitters are supposed to conduct accurate audiological evaluation, choose and fit hearing aids according to individual conditions, assess the effects of hearing aids properly, have a good command of necessary psychological knowledge and have a good affinity, language ability and ability to communicate with hearing-impaired people.%  助听器配戴者的舒适度和清晰度最大化是助听器验配的两大目标。助听器验配师在为感音神经性聋患者验配助听器时,应进行准确的听力学评估,对证选择助听器,对证调试助听器,科学评估助听器的效果,掌握必要的心理学知识,并具备良好的亲和力、表达能力和沟通能力。

  18. Firefighters' noise exposure: A literature review

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    Taxini, Carla Linhares

    2013-01-01

    Full Text Available Aim: To review the literature about the effects of environmental noise on the hearing ability of firefighters. Method: The PubMed and Scielo databases were searched and studies from 2002 to 2012 that included the keywords firefighters, noise, and hearing loss were identified. Initially, 24 studies were selected, but only 10 met the inclusion criteria of investigating the effects of occupational noise on firefighters. Results: Only 2 (20% studies quantified levels of sound pressure and performed audiological tests to identify associations with noise intensity and 3 (30% questionnaire-based studies reported that these professionals are more susceptible to hearing loss. Four (50% studies found that noise exposure damages the auditory system in this population. Discussion: These findings indicate that there is a necessity for preventive measures to be adopted by this population since it is considered to be at risk. Conclusion: In recent years, there have been few studies of firefighters' exposure to occupational noise, but our findings show the importance of new studies that include proper means of quantifying their exposure to noise in different work environments, in order to identify possible adverse conditions as well as to aid in the diagnosis of hearing loss.

  19. Sudden sensorineural hearing loss posthypothyroidism: A case study

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    Priya Karimuddanahally Premkumar

    2016-01-01

    Full Text Available Sudden sensorineural hearing loss is defined as a loss of at least 30 dB in three contiguous frequencies over a period of three days or less. In the present study a client with sudden hearing loss post hypothyroidism is discussed. A 56 year old client reported of awakening from sleep due to ear fullness along with severe tinnitus and experienced reduced hearing sensitivity in the right ear. The client had a history of hypothyroidism and was under medication for the same. The successive audiological investigations revealed that there was no improvement from prescribed medications, even with early identification and intervention. For better treatment outcomes correct identification of the cause as well as application of cause based treatment procedure is essential. Endocrine disorder is said to be one of the causes for sudden sensorineural hearing loss and one among this disorder is hypothyroidism. The present study aimed to throw a light on this aspect by giving a detailed case report of the client who suffered sudden sensorineural hearing loss which is suspected to be a long term effect of hypothyroidism.

  20. Acquired auditory neuropathy spectrum disorder after an attack of chikungunya: case study.

    Science.gov (United States)

    Prabhu, Prashanth

    2016-01-01

    Auditory neuropathy spectrum disorder (ANSD) is a retrocochlear disorder in which the cochlear functioning is normal but the transmission in the auditory neural pathway is affected. The present study reports of a 14-year-old teenager with acquired ANSD after an attack of chikungunya. He reported symptoms of difficulty in understanding speech, tinnitus and vertigo when exposed to loud sounds. The audiological characteristics suggested auditory neuropathy spectrum disorder with raising audiogram configuration. The results of tinnitus evaluation showed low-pitched tinnitus and it was persistent causing significant handicap to him based on self report tinnitus handicap questionnaire results. The results of depression, anxiety and stress scale also suggested symptoms of mild depression and anxiety. Chikungunya virus is suspected to be neurotropic in nature which can damage auditory nerve cells and may have caused ANSD. The result also shows presence of tullio's phenomenon and absence of cervical vestibular evoked myogenic potentials suggesting damage to the vestibular neuronal system. The possible pathophysiology of chikungunya virus causing ANSD and vestibular symptoms needs to be explored further in future studies. PMID:25728940

  1. A Hearing Screening Program for Children in Primary Schools in Tajikistan: A Telemedicine Model

    Science.gov (United States)

    Skarzyński, Piotr Henryk; Świerniak, Weronika; Piłka, Adam; Skarżynska, Magdalena B.; Włodarczyk, Andrzej W.; Kholmatov, Dzhamol; Makhamadiev, Abdukholik; Hatzopoulos, Stavros

    2016-01-01

    Background According to the guidelines of the European Scientific Consensus on Hearing (European Federation of Audiology Societies ‘EFAS’ Congress, June 2011, Warsaw, Poland), the detection and treatment of communication disorders in early school-age children is of the highest importance. This objective was adopted by the Polish president of the EFAS Council from the second half of 2011; as a result, pilot programs on children’s hearing screening were initiated in various European countries. This paper reports data from a pilot program in Dushanbe, Tajikistan. Material/Methods We randomly selected 143 children from 2 primary schools. Each child was assessed by pure tone audiometry and 2 questionnaires (dedicated to parents and children). The study allowed the validation of: (i) hearing screening procedures in young children, and (ii) data collection via a telemedicine model. Results Hearing impairments were identified in 34 cases (23.7%) with a 50% ratio between unilateral and bilateral losses. We found a higher incidence of hearing impairment in children than that reported in previous Polish studies. Conclusions The data from the present study suggest that it is possible to use a telemedicine model to assess the hearing status of children and to provide a long-distance expert assistance. The latter is very important for rural areas without specialized medical services. PMID:27402315

  2. Association between interleukin-6 polymorphism in the -174 G/C region and hearing loss in the elderly with a history of occupational noise exposure

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    Miula Portelinha Braga

    2014-10-01

    Full Text Available INTRODUCTION: The biological processes involved in noise-induced hearing loss (NIHL are still unclear. The involvement of inflammation in this condition has been suggested. OBJECTIVE: To investigate the association between interleukin - 6 (IL-6 polymorphism and susceptibility to NIHL. METHODS: This was a cross-sectional study with a sample of 191 independent elderly individuals aged > 60 years of age. Information on exposure to occupational noise was obtained by interviews. Audiological evaluation was performed using pure tone audiometry and genotyped through PCR by restriction fragment length polymorphism - PCR-RFLP. Data were analyzed using the Chi-square test and the Odds ratio (OR, with the significance level set at 5%. RESULTS: Among elderly with hearing loss (78.0%, 18.8% had a history of exposure to occupational noise. There was a statistically significant association between the genotype frequencies of the IL-6 -174 and NIHL. The elderly with the CC genotype were less likely to have hearing loss due to occupational noise exposure when compared to those carrying the GG genotype (OR = 0.0124; 95% CI 0.0023-0.0671; p < 0.001. CONCLUSION: This study suggests there is an association of polymorphisms in the IL- 6 gene at position - G174C with susceptibility to noise-induced hearing loss.

  3. Hearing rehabilitation with single-stage bilateral vibroplasty in a child with Franceschetti syndrome.

    Science.gov (United States)

    Sargsyan, Sona; Rahne, Torsten; Kösling, Sabrina; Eichler, Gerburg; Plontke, Stefan K

    2014-05-01

    Hearing is of utmost importance for normal speech and social development. Even children who have mild or unilateral permanent hearing loss may experience difficulties with understanding speech, as well as problems with educational and psycho-social development. The increasing advantages of middle-ear implant technologies are opening new perspectives for restoring hearing. Active middle-ear implants can be used in children and adolescents with hearing loss. In addition to the well-documented results for improving speech intelligibility and quality of hearing in sensorineural hearing loss active middle-ear implants are now successfully used in patients with conductive and mixed hearing loss. In this article we present a case of successful, single-stage vibroplasty, on the right side with the fixation of the FMT on the stapes and PORP CLiP vibroplasty on the left side in a 6-year-old girl with bilateral mixed hearing loss and multiple dyslalia associated with Franceschetti syndrome (mandibulofacial dysostosis). CT revealed bilateral middle-ear malformations as well as an atretic right and stenotic left external auditory canal. Due to craniofacial dysmorphia airway and (post)operative, management is significantly more difficult in patients with a Franceschetti syndrome which in this case favoured a single-stage bilateral procedure. No intra- or postoperative surgical complications were reported. The middle-ear implants were activated 4 weeks after surgery. In the audiological examination 6 months after surgery, the child showed 100% speech intelligibility with activated implants on each side.

  4. Recent technological advances in sound-based approaches to tinnitus treatment: A review of efficacy considered against putative physiological mechanisms

    Directory of Open Access Journals (Sweden)

    Derek J Hoare

    2013-01-01

    Full Text Available The past decade has seen an escalating enthusiasm to comprehend chronic tinnitus from the perspective of both scientific understanding and clinical management. At the same time, there is a significant interest and commercial investment in providing targeted and individualized approaches to care, which incorporate novel sound-based technologies, with standard audiological and psychological strategies. Commercially produced sound-based devices for the tinnitus market include Co-ordinated Reset Neuromodulation ® , Neuromonics © , Serenade ® , and Widex ® Zen. Additionally, experimental interventions such as those based on frequency-discrimination training are of current interest. Many of these interventions overtly claim to target the underlying neurological causes of tinnitus. Here, we briefly summarize current perspectives on the pathophysiology of tinnitus and evaluate claims made by the device supporters from a critical point of view. We provide an opinion on how future research in the field of individualized sound-based interventions might best provide a reliable evidence-base in this growing area of translational medicine.

  5. Recent technological advances in sound-based approaches to tinnitus treatment: a review of efficacy considered against putative physiological mechanisms.

    Science.gov (United States)

    Hoare, Derek J; Adjamian, Peyman; Sereda, Magdalena; Hall, Deborah A

    2013-01-01

    The past decade has seen an escalating enthusiasm to comprehend chronic tinnitus from the perspective of both scientific understanding and clinical management. At the same time, there is a significant interest and commercial investment in providing targeted and individualized approaches to care, which incorporate novel sound-based technologies, with standard audiological and psychological strategies. Commercially produced sound-based devices for the tinnitus market include Co-ordinated Reset Neuromodulation ® , Neuromonics © , Serenade ® , and Widex ® Zen. Additionally, experimental interventions such as those based on frequency-discrimination training are of current interest. Many of these interventions overtly claim to target the underlying neurological causes of tinnitus. Here, we briefly summarize current perspectives on the pathophysiology of tinnitus and evaluate claims made by the device supporters from a critical point of view. We provide an opinion on how future research in the field of individualized sound-based interventions might best provide a reliable evidence-base in this growing area of translational medicine. PMID:23571301

  6. Characteristics and determinants of music appreciation in adult CI users.

    Science.gov (United States)

    Philips, Birgit; Vinck, Bart; De Vel, Eddy; Maes, Leen; D'Haenens, Wendy; Keppler, Hannah; Dhooge, Ingeborg

    2012-03-01

    The main objective of this study was to assess the associations between self-reported listening habits and perception of music and speech perception outcomes in quiet and noise for both unilateral cochlear implant (CI) users and bimodal (CI in one ear, hearing aid in contra-lateral ear) users. Information concerning music appreciation was gathered by means of a newly developed questionnaire. Moreover, audiological data (pure-tone audiometry, speech tests in noise and quiet) were gathered and the relationship between speech perception and music appreciation is studied. Bimodal users enjoy listening to music more in comparison with unilateral CI users. Also, music training within rehabilitation is still uncommon, while CI recipients believe that music training might be helpful to maximize their potential with current CI technology. Music training should not be exclusively reserved for the good speech performers. Therefore, a music training program (MTP) that consists of different difficulty levels should be developed. Hopefully, early implementation of MTP in rehabilitation programs can enable adult CI users to enjoy and appreciate music and to maximize their potential with commercially available technology. Furthermore, because bimodal users consider the bimodal stimulation to be the most enjoyable way to listen to music, CI users with residual hearing in the contra-lateral ear should be encouraged to continue wearing their hearing aid in that ear. PMID:21847672

  7. Recent technological advances in sound-based approaches to tinnitus treatment: a review of efficacy considered against putative physiological mechanisms.

    Science.gov (United States)

    Hoare, Derek J; Adjamian, Peyman; Sereda, Magdalena; Hall, Deborah A

    2013-01-01

    The past decade has seen an escalating enthusiasm to comprehend chronic tinnitus from the perspective of both scientific understanding and clinical management. At the same time, there is a significant interest and commercial investment in providing targeted and individualized approaches to care, which incorporate novel sound-based technologies, with standard audiological and psychological strategies. Commercially produced sound-based devices for the tinnitus market include Co-ordinated Reset Neuromodulation ® , Neuromonics © , Serenade ® , and Widex ® Zen. Additionally, experimental interventions such as those based on frequency-discrimination training are of current interest. Many of these interventions overtly claim to target the underlying neurological causes of tinnitus. Here, we briefly summarize current perspectives on the pathophysiology of tinnitus and evaluate claims made by the device supporters from a critical point of view. We provide an opinion on how future research in the field of individualized sound-based interventions might best provide a reliable evidence-base in this growing area of translational medicine.

  8. Boomerang-Shaped Chondro-Perichondral Graft Versus Temporalis Muscle Fascia Graft: Which One is to be Trusted?

    Science.gov (United States)

    Dundar, Riza; Kulduk, Erkan; Soy, Fatih Kemal; Aslan, Mehmet; Yükkaldiran, Ahmet; Çiftçi, Mehmet Ali

    2016-09-01

    The aim of this study was to compare anatomical and audiological results of boomerang-shaped chondroperichondrial graft (BSCPG) with temporal muscle fascia in type 1 tympanoplasties. Sixty-eight patients in BSCPG group and 54 patients in fascia group were evaluated. Otomicroscopic examination was done periodically till 24 months as for graft perforation, lateralization and retraction and mean air conduction threshold and airbone gap values were measured. At long term controls, in BSCPG group, rates of neomembrane, perforation, retraction and lateralization were 91.17 % (n = 62), 8.82 % (n = 6), 4.41 % (n = 3) and 0 % (n = 0), respectively. In fascia group, the corresponding rates were 79.62 % (n = 43), 20.37 % (n = 11), 12.96 % (n = 7) and 3.7 % (n = 2), respectively. In both groups, mean postoperative PTA and ABG values were significantly better while postoperative same values were significantly different between groups (p = 0.044 and 0.032, respectively). Compared to fascia, BSCPG is an ideal grafting technique in the repair of tympanic membrane perforations. PMID:27508137

  9. A Taxonomy of Fatigue Concepts and Their Relation to Hearing Loss.

    Science.gov (United States)

    Hornsby, Benjamin W Y; Naylor, Graham; Bess, Fred H

    2016-01-01

    Fatigue is common in individuals with a variety of chronic health conditions and can have significant negative effects on quality of life. Although limited in scope, recent work suggests persons with hearing loss may be at increased risk for fatigue, in part due to effortful listening that is exacerbated by their hearing impairment. However, the mechanisms responsible for hearing loss-related fatigue, and the efficacy of audiologic interventions for reducing fatigue, remain unclear. To improve our understanding of hearing loss-related fatigue, as a field it is important to develop a common conceptual understanding of this construct. In this article, the broader fatigue literature is reviewed to identify and describe core constructs, consequences, and methods for assessing fatigue and related constructs. Finally, the current knowledge linking hearing loss and fatigue is described and may be summarized as follows: Hearing impairment may increase the risk of subjective fatigue and vigor deficits; adults with hearing loss require more time to recover from fatigue after work and have more work absences; sustained, effortful, listening can be fatiguing; optimal methods for eliciting and measuring fatigue in persons with hearing loss remain unclear and may vary with listening condition; and amplification may minimize decrements in cognitive processing speed during sustained effortful listening. Future research is needed to develop reliable measurement methods to quantify hearing loss-related fatigue, explore factors responsible for modulating fatigue in people with hearing loss, and identify and evaluate potential interventions for reducing hearing loss-related fatigue. PMID:27355763

  10. Vestibular schwannoma: 825 cases from a 25-year experience

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    Bento, Ricardo Ferreira

    2012-01-01

    Full Text Available Introduction: Acoustic nerve tumors have been recognized as a clinico-pathologic entity for at least 200 years, and they represent 90% of cerebellopontine angle diseases. Histologically, the tumors are derived from Schwann cells of the myelin sheath, with smaller tumors consisting of elongated palisade cells, while in large tumors, cystic degeneration can be found in the central areas, possibly due to deficient vascularization. We retrospectively reviewed 825 cases of vestibular schwannomas, reported between January 1984 and August 2006, in which the patients underwent surgery to remove the tumor. Objective: To evaluate signs, symptoms, aspects of clinical diagnosis, including the results of audiological and imaging studies, and surgical techniques and complications. Methods: A retrospective chart review. The medical records of all patients undergoing surgical treatment for schwannoma during the period indicated were reviewed. Results and Conclusion: Hearing loss was the first symptom reported in almost all cases, and tumor size was not proportional to the impairment of the auditory threshold. The surgical techniques allowed safe preservation of facial function. In particular, the retrolabyrinthine route proved useful in small tumors, with 50% preservation of hearing.

  11. Ossiculoplasty with autologous incus versus titanium prosthesis: A comparison of anatomical and functional results

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    Amith I Naragund

    2011-01-01

    Full Text Available Aims: To analyze and compare the outcomes of ossiculoplasty in terms of hearing results and graft take-up rates, using autograft incus and titanium middle ear prosthesis in patients with ossicular chain erosion. Study Design: Randomized clinical trial. Materials and Methods: Patients between 10 and 60 years of age with a history of chronic ear discharge with moderate conductive deafness (>40 dB HL were included in the study. The patients underwent detailed ENT examination followed by audiological and radiological assessment of temporal bone and those patients with evidence of ossicular erosion were subjected to ossiculoplasty with autologous incus (group I or titanium prosthesis (group II randomly. The patients were followed up after 3 months to analyze the functional and anatomical results. Results: A total of 24 patients with ossicular chain defect were included in the study, of whom 12 patients underwent ossiculoplasty with autograft incus and 12 with titanium prosthesis. Postoperative hearing evaluation by pure tone audiogram was done after 3 months, which showed successful hearing improvement in 58% of cases with autologous incus as compared to 33% cases with titanium prosthesis. Complications and extrusion rate were also higher in patients with titanium prosthesis. Conclusion: Hearing results after ossiculoplasty with autologous incus were significantly better compared with those after titanium prosthesis. Also, complications and extrusion rate were higher in patients with titanium prosthesis. This indicates that ossiculoplasty with autoincus offers better hearing results with minimal complications and extrusion rates as compared to titanium prosthesis.

  12. Investigation of the long-term effects of unilateral hearing loss in adults.

    Science.gov (United States)

    Colletti, V; Fiorino, F G; Carner, M; Rizzi, R

    1988-05-01

    The recent audiological literature has put forward the hypothesis that children with unilateral hearing loss (UHL) show delays in educational achievement and academic progress and some behavioural difficulties. This motivated us to investigate the long-term effects of monaural auditory deprivation in a group of adults who had suffered from UHL since childhood. A group of subjects, ranging in age from 30 to 55 years, suffering from sensorineural UHL since early childhood, has been examined for psychosocial and psychoacoustical effects and statistically compared with a control group matched for age and sex. We prepared a questionnaire directed to provide some objective and subjective indices of psychosocial disability and handicap. Some questions were directed towards specific aspects of auditory function; others assessed the degree of education and the type of working performed. The results of the investigation confirmed the superiority of binaural v. monaural hearing. This was clearly demonstrated in psycho-acoustical performance in sound localisation, speech recognition in noise, together with the appreciation of music. On the other hand, the parameters concerned with educational, social and employment achievement did not support the existence of any significant difference between binaurally and monaurally hearing subjects. The data obtained in the present study thus do not support the existence of non-auditory, long-term effects of monaural hearing loss. PMID:3390628

  13. Oral communication in individuals with hearing impairment – considerations regarding attentional, cognitive and social resources

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    Ulrike eLemke

    2015-07-01

    Full Text Available Traditionally, audiology research has focused primarily on hearing and related disorders. In recent years, however, growing interest and insight has developed into the interaction of hearing and cognition. This applies to a person’s listening and speech comprehension ability and the neural realization thereof. The present perspective extends this view to oral communication, when two or more people interact in social context. Specifically, the impact of hearing impairment and cognitive changes with age is discussed.In focus are executive functions, a group of top-down processes that guide attention, thought and action according to goals and intentions. The strategic allocation of the limited cognitive processing capacity among concurrent tasks is often effortful, especially under adverse communication conditions and in old age. Working memory, a sub-function extensively discussed in cognitive hearing science, is here put into the context of other executive and cognitive functions required for oral communication and speech comprehension. Finally, taking an ecological view on hearing impairment, activity limitations and participation restrictions are discussed regarding their psycho-social impact and third-party disability.

  14. Disorders of childhood growth and development: screening and evaluation of the child who misses developmental milestones.

    Science.gov (United States)

    Grissom, Maureen

    2013-07-01

    The family physician is one of the few individuals from whom families receive feedback about their children's development; this makes early identification of potential delays an important responsibility. The American Academy of Pediatrics recommends formal developmental screening for all children at the 9-, 18-, and 24- and/or 30-month well-child visits as well as developmental surveillance at every office visit through age 5 years. A formal screening measure is recommended, taking into account administration time and cost, characteristics of the patient population (eg, availability of screening tool in numerous languages), and psychometrics (eg, reliability, sensitivity, specificity). In the case of abnormal screening results, family physicians must determine the need for further medical evaluation (eg, by a developmental pediatric subspecialist or a pediatric neurology, genetics, or physiatry subspecialist) and/or further developmental evaluation (eg, by a physical therapy [PT], occupational therapy [OT], speech/language pathology, psychology, or audiology subspecialist). Knowledge of early intervention and early childhood programs is necessary for directing parents to evaluation and treatment sources. In treating patients with developmental delays, family physicians must possess knowledge regarding traditional modalities (eg, speech/language therapy, OT, PT) as well as newer treatments with less research support (eg, gluten-free/casein-free diet, hyperbaric oxygen therapy, neurodevelopmental treatment) that families may consider.

  15. A novel mutation in POU3F4 in a Chinese family with X-linked non-syndromic hearing loss

    Institute of Scientific and Technical Information of China (English)

    Bang-qing Huang; Jia-ling Zeng; Yong-yi Yuan; Pu Dai

    2015-01-01

    Objective:Based on the clinical manifestations of a hearing loss patient, the POU3F4 gene was tested for diagnosis of etiology. Methods:A comprehensive physical examination was performed on the proband to exclude abnormalities of other organs, and detailed audi-ological testing and temporal bone CT scan were also performed. Genomic DNA was extracted using the proband's peripheral blood leukocytes. Polymerase chain reactions (PCR) were performed in the coding sequence of the POU3F4 gene. Direct DNA sequencing was subsequently applied to screen the entire coding region of the POU3F4 gene. Results:The proband had severe sensorineural hearing loss. Temporal CT showed bilateral cochlear incomplete partition, vestibule dysplasia, internal auditory canal fundus expansion, and cochlear interlink with the internal auditory canal fundus. A novel mutation (c.530C > A (p.S177X)) in the POU3F4 gene was found in this patient, creating an new stop codon and was predicted to result in a truncated protein lacking normal POU3F4 transcription factor function. Conclusion: Through analysis of the POU3F4 gene and clinical manifestations in the patient, we conclude that a novel mutation may have resulted in a premature stop codon, contributing to the mutation of POU3F4 gene.

  16. Elderly With Different Types of Hearing Loss and Comorbidities: Satisfaction With Hearing Aids

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    Dashti

    2015-07-01

    Full Text Available Background Hearing loss is developing when age is rising. Initiation and progression rates of hearing loss vary among different individuals and groups. Objectives The current study aimed to determine satisfaction of the elderly with their hearing aids in different types of hearing loss and comorbidities. Patients and Methods The study was conducted on 40 elderly subjects suffering from hearing loss and using hearing aids. The data collection method included assessment of hearing loss in addition to using a questionnaire to estimate respondents' satisfaction with their hearing aids in daily life. The Persian version of the Satisfaction with Amplification in Daily Life (SADL questionnaire was administered. The data were analyzed using descriptive and inferential statistics by SPSS software version19. Results The mean satisfaction scores of the elderly were 4.83 ± 0.51 and 5.36 ± 0.30 in the sensorineural loss groups. There was no significant difference between different comorbidities. There was a significant difference between satisfaction level of cost and services subscales in the symmetrical styles of hearing loss (P value = 0.04. Conclusions The findings of the study indicated a high satisfaction of the elderly with their hearing aids, considering the type of hearing loss. Despite all the efforts to improve the audiologic services during verification process, the elderly should be consulted specifically in order to fit their hearing aid as well as their expectations from aid.

  17. Postlingual hearing loss as a mitochondrial 3243A>G mutation phenotype.

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    Katarzyna Iwanicka-Pronicka

    Full Text Available BACKGROUND: The prevalence of isolated hearing loss (HL associated with the m.3243A>G mutation is unknown. The aim of this study was to assess the frequency and heteroplasmy level of the m.3243A>G mutation in a large group of Polish patients with postlingual bilateral sensorineural HL of unidentified cause. METHODOLOGY/PRINCIPAL FINDINGS: A molecular search was undertaken in the archival blood DNA of 1482 unrelated patients with isolated HL that had begun at ages between 5 and 40 years. Maternal relatives of the probands were subsequently investigated and all carriers underwent audiological tests. The m.3243A>G mutation was found in 16 of 1482 probands (an incidence of 1.08% and 18 family members. Of these 34 individuals, hearing impairment was detected in 29 patients and the mean onset of HL was at 26 years. Some 42% of the identified m.3243A>G carriers did not develop multisystem symptomatology over the following 10 years. Mean heteroplasmy level of m.3243A>G was lowest in blood at a level of 14% and highest in urine at 58%. These values were independent of the manifested clinical severity of the disease. CONCLUSIONS: A single m.3243A>G carrier can usually be found among each 100 individuals who have postlingual hearing loss of unknown cause. Urine samples are best for detecting the m.3243A>G mutation and diagnosing mitochondrially inherited hearing loss.

  18. Sudden hearing loss associated with methylphenidate therapy.

    Science.gov (United States)

    Karapinar, Ugur; Saglam, Omer; Dursun, Engin; Cetin, Bilal; Salman, Nergis; Sahan, Murat

    2014-01-01

    An 8-year-old child diagnosed with attention deficit/hyperactivity disorder presented to our Department of Otolaryngology 4 days after suffering hearing loss, loss of balance, tinnitus, and fullness sensation of the left ear. Her symptoms occured with the first dose of methylphenidate. The medical history and physical examination revealed no other diseases associated with sudden hearing loss. The audiogram revealed a total hearing loss on the left ear. Stapedial reflexes, distortion product and transient-evoked otoacoustic emissions were absent in left ear. The absence of clinical, laboratory and radiological evidence of a possible cause for complaints, an association between methylphenidate and sudden hearing loss was suggested. The patient received a standard course of oral corticosteroid and hyperbaric oxygen therapy. Weekly otological and audiological examinations were performed. Conservative and medical treatments offered no relief from hearing loss. Sudden hearing loss is a serious and irreversible adverse effect of methylphenidate. Therefore, the risk of hearing loss should be taken into consideration when initiating methylphenidate therapy.

  19. Weight Bias in University Health Professions Students.

    Science.gov (United States)

    Blanton, Cynthia; Brooks, Jennifer K; McKnight, Laura

    2016-01-01

    Negative attitudes toward people with high body weight have been documented in pre-professional health students, prompting concern that such feelings may manifest as poor patient care in professional practice. This study assessed weight bias in university students in the non-physician health professions. A convenience sample of 206 students completed an online survey composed of a validated 14-item scale (1-5 lowest to highest weight bias) and questions regarding personal experiences of weight bias. Respondents were grouped by discipline within graduate and undergraduate levels. Weight bias was present in a majority of respondents. Overall, the percentage of responses indicative of weight bias was 92.7%. The mean total score was 3.65. ± 0.52, and the rating exceeded 3 for all 14 scale descriptors of high-weight people. In graduate students, discipline had a significant main effect on total score (p=0.01), with lower scores in dietetics (3.17 ± 0.46) vs audiology/sign language/speech language pathology (3.84 ± 0.41) and physician assistant students (3.78 ± 0.51; pweight bias is prevalent in health professions students at a mountain west university. Well-controlled studies that track students into professional practice would help determine whether bias-reduction interventions in college improve provider behaviors and clinical outcomes. PMID:27585618

  20. Vocal aging and adductor spasmodic dysphonia: Response to botulinum toxin injection

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    Michael P Cannito

    2008-03-01

    Full Text Available Michael P Cannito, Joel C Kahane, Lesya ChornaSchool of Audiology and Speech-Language Pathology, The University of Memphis, Memphis, TN, USAAbstract: Aging of the larynx is characterized by involutional changes which alter its biomechanical and neural properties and create a biological environment that is different from younger counterparts. Illustrative anatomical examples are presented. This natural, non-disease process appears to set conditions which may influence the effectiveness of botulinum toxin injection and our expectations for its success. Adductor spasmodic dysphonia, a type of laryngeal dystonia, is typically treated using botulinum toxin injections of the vocal folds in order to suppress adductory muscle spasms which are disruptive to production of speech and voice. A few studies have suggested diminished response to treatment in older patients with adductor spasmodic dysphonia. This retrospective study provides a reanalysis of existing pre-to-post treatment data as function of age. Perceptual judgments of speech produced by 42 patients with ADSD were made by two panels of professional listeners with expertise in voice or fluency of speech. Results demonstrate a markedly reduced positive response to botulinum toxin treatment in the older patients. Perceptual findings are further elucidated by means of acoustic spectrography. Literature on vocal aging is reviewed to provide a specific set of biological mechanisms that best account for the observed interaction of botulinum toxin treatment with advancing age.Keywords: vocal aging, adductor spasmodic dysphonia, botulinum toxin, voice quality, speech fluency

  1. Mutational analysis of EYA1, SIX1 and SIX5 genes and strategies for management of hearing loss in patients with BOR/BO syndrome.

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    Mee Hyun Song

    Full Text Available BACKGROUND: Branchio-oto-renal (BOR or branchio-otic (BO syndrome is one of the most common forms of autosomal dominant syndromic hearing loss. Mutations in EYA1, SIX1 and SIX5 genes have been associated with BOR syndrome. In this study, clinical and genetic analyses were performed in patients with BOR/BO syndrome focusing on auditory manifestations and rehabilitation. METHODS: The audiologic manifestations were reviewed in 10 patients with BOR/BO syndrome. The operative findings and hearing outcome were analyzed in patients who underwent middle ear surgeries. The modality and outcome of auditory rehabilitation were evaluated. Genetic analysis was performed for EYA1, SIX1, and SIX5 genes. RESULTS: All patients presented with mixed hearing loss. Five patients underwent middle ear surgeries without successful hearing gain. Cochlear implantation performed in two patients resulted in significant hearing improvement. Genetic analysis revealed four novel EYA1 mutations and a large deletion encompassing the EYA1 gene. CONCLUSIONS: Auditory rehabilitation in BOR/BO syndrome should be individually tailored keeping in mind the high failure rate after middle ear surgeries. Successful outcome can be expected with cochlear implantations in patients with BOR/BO syndrome who cannot benefit from hearing aids. The novel EYA1 mutations may add to the genotypic and phenotypic spectrum of BOR syndrome in the East Asian population.

  2. Long-term outcome of Hurler syndrome patients after hematopoietic cell transplantation: an international multicenter study.

    Science.gov (United States)

    Aldenhoven, Mieke; Wynn, Robert F; Orchard, Paul J; O'Meara, Anne; Veys, Paul; Fischer, Alain; Valayannopoulos, Vassili; Neven, Benedicte; Rovelli, Attilio; Prasad, Vinod K; Tolar, Jakub; Allewelt, Heather; Jones, Simon A; Parini, Rossella; Renard, Marleen; Bordon, Victoria; Wulffraat, Nico M; de Koning, Tom J; Shapiro, Elsa G; Kurtzberg, Joanne; Boelens, Jaap Jan

    2015-03-26

    Mucopolysaccharidosis type I-Hurler syndrome (MPS-IH) is a lysosomal storage disease characterized by multisystem morbidity and death in early childhood. Although hematopoietic cell transplantation (HCT) has been performed in these patients for more than 30 years, large studies on the long-term outcome of patients with MPS-IH after HCT are lacking. The goal of this international study was to identify predictors of the long-term outcome of patients with MPS-IH after successful HCT. Two hundred seventeen patients with MPS-IH successfully engrafted with a median follow-up age of 9.2 years were included in this retrospective analysis. Primary endpoints were neurodevelopmental outcomes and growth. Secondary endpoints included neurologic, orthopedic, cardiac, respiratory, ophthalmologic, audiologic, and endocrinologic outcomes. Considerable residual disease burden was observed in the majority of the transplanted patients with MPS-IH, with high variability between patients. Preservation of cognitive function at HCT and a younger age at transplantation were major predictors for superior cognitive development posttransplant. A normal α-l-iduronidase enzyme level obtained post-HCT was another highly significant predictor for superior long-term outcome in most organ systems. The long-term prognosis of patients with MPS-IH receiving HCT can be improved by reducing the age at HCT through earlier diagnosis, as well as using exclusively noncarrier donors and achieving complete donor chimerism. PMID:25624320

  3. Hearing aid fitting results in a case of a patient with auditory neuropathy

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    Dell´Aringa, Ana Helena Bannwart

    2009-03-01

    Full Text Available Introduction: The Auditory Neuropathy is described recently as a hearing loss characterized by the preservation of outer hair cells and absence of auditory brainstem responses. Objective: To present a case report of hearing aid fitting in a patient with Auditory Neuropathy. Case Report: S.A.P., male, 32 years old, sought the Otorhinolaryngology Service after five years of Guillain-Barré syndrome, complaining of progressive and bilateral tinnitus auditory loss in both ears. The audiological evaluation resulted in: severe sensorioneural hearing deficiency with bilateral irregular configuration; speech recognition rate of 0% and speech detection rate in 35dB in both ears; type A tympanometric curve and absent ipsilateral, bilateral and contralateral reflexes; absence of waves and presence of cochlear microphonics in both ears in the auditory evoked potential and present bilateral distortion product-evoked otoacoustic emissions. The speech perception test was performed with polysyllabic words and lip reading, and presented 44% of hit with hearing aid and 12% without it. Final Comments: Despite the differences in the process of hearing aid habilitation and rehabilitation, we conclude that sound amplification brought benefits to the patient with auditory neuropathy.

  4. Precise Head Tracking in Hearing Applications

    Science.gov (United States)

    Helle, A. M.; Pilinski, J.; Luhmann, T.

    2015-05-01

    The paper gives an overview about two research projects, both dealing with optical head tracking in hearing applications. As part of the project "Development of a real-time low-cost tracking system for medical and audiological problems (ELCoT)" a cost-effective single camera 3D tracking system has been developed which enables the detection of arm and head movements of human patients. Amongst others, the measuring system is designed for a new hearing test (based on the "Mainzer Kindertisch"), which analyzes the directional hearing capabilities of children in cooperation with the research project ERKI (Evaluation of acoustic sound source localization for children). As part of the research project framework "Hearing in everyday life (HALLO)" a stereo tracking system is being used for analyzing the head movement of human patients during complex acoustic events. Together with the consideration of biosignals like skin conductance the speech comprehension and listening effort of persons with reduced hearing ability, especially in situations with background noise, is evaluated. For both projects the system design, accuracy aspects and results of practical tests are discussed.

  5. PRECISE HEAD TRACKING IN HEARING APPLICATIONS

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    A. M. Helle

    2015-05-01

    Full Text Available The paper gives an overview about two research projects, both dealing with optical head tracking in hearing applications. As part of the project “Development of a real-time low-cost tracking system for medical and audiological problems (ELCoT” a cost-effective single camera 3D tracking system has been developed which enables the detection of arm and head movements of human patients. Amongst others, the measuring system is designed for a new hearing test (based on the “Mainzer Kindertisch”, which analyzes the directional hearing capabilities of children in cooperation with the research project ERKI (Evaluation of acoustic sound source localization for children. As part of the research project framework “Hearing in everyday life (HALLO” a stereo tracking system is being used for analyzing the head movement of human patients during complex acoustic events. Together with the consideration of biosignals like skin conductance the speech comprehension and listening effort of persons with reduced hearing ability, especially in situations with background noise, is evaluated. For both projects the system design, accuracy aspects and results of practical tests are discussed.

  6. Hearing speech in music

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    Seth-Reino Ekström

    2011-01-01

    Full Text Available The masking effect of a piano composition, played at different speeds and in different octaves, on speech-perception thresholds was investigated in 15 normal-hearing and 14 moderately-hearing-impaired subjects. Running speech (just follow conversation, JFC testing and use of hearing aids increased the everyday validity of the findings. A comparison was made with standard audiometric noises [International Collegium of Rehabilitative Audiology (ICRA noise and speech spectrum-filtered noise (SPN]. All masking sounds, music or noise, were presented at the same equivalent sound level (50 dBA. The results showed a significant effect of piano performance speed and octave (P<.01. Low octave and fast tempo had the largest effect; and high octave and slow tempo, the smallest. Music had a lower masking effect than did ICRA noise with two or six speakers at normal vocal effort (P<.01 and SPN (P<.05. Subjects with hearing loss had higher masked thresholds than the normal-hearing subjects (P<.01, but there were smaller differences between masking conditions (P<.01. It is pointed out that music offers an interesting opportunity for studying masking under realistic conditions, where spectral and temporal features can be varied independently. The results have implications for composing music with vocal parts, designing acoustic environments and creating a balance between speech perception and privacy in social settings.

  7. Mental health and quality of life in patients with chronic otitis media.

    Science.gov (United States)

    Bakir, Salih; Kinis, Vefa; Bez, Yasin; Gun, Ramazan; Yorgancilar, Ediz; Ozbay, Musa; Aguloglu, Bülent; Meric, Faruk

    2013-02-01

    The present study focused on the comparison of mental health and quality of life (QoL) between chronic otitis media (COM) patients and the hearing population. The patients with chronic otitis media and healthy control group were enrolled in the study. The duration and severity of the auditory impairment were recorded. In addition to hearing loss (HL), the findings of each patient's other ear disorders (ear discharge and tinnitus) were also recorded. In both the groups, psychological symptom profile and health-related QoL were evaluated and compared using a sociodemographic questionnaire, the Symptom Check List 90-Revised Form (SCL-90-R), and the Short Form-36 (SF-36). According to SCL-90-R, somatization (p depression (p social functioning (p < 0.001), and mental health (p < 0.017) than those of control subjects. Our results indicated that COM patients with mild or moderate HL have poorer life quality and higher psychological problems. Psychological well being should be also considered in assessment of COM patients in addition to the clinical evaluation and audiological tests. PMID:22566178

  8. Music exposure and hearing disorders: an overview.

    Science.gov (United States)

    Zhao, Fei; Manchaiah, Vinaya K C; French, David; Price, Sharon M

    2010-01-01

    It has been generally accepted that excessive exposure to loud music causes various hearing symptoms (e.g. tinnitus) and consequently leads to a risk of permanent hearing damage, known as noise-induced hearing loss (NIHL). Such potential risk of NIHL due to loud music exposure has been widely investigated in musicians and people working in music venues. With advancements in sound technology and rapid developments in the music industry, increasing numbers of people, particularly adolescents and young adults, are exposing themselves to music on a voluntary basis at potentially harmful levels, and over a substantial period of time, which can also cause NIHL. However, because of insufficient audiometric evidence of hearing loss caused purely by music exposure, there is still disagreement and speculation about the risk of hearing loss from music exposure alone. Many studies have suggested using advanced audiological measurements as more sensitive and efficient tools to monitor hearing status as early indicators of cochlear dysfunction. The purpose of this review is to provide further insight into the potential risk of hearing loss caused by exposure to loud music, and thus contribute to further raising awareness of music induced hearing loss. PMID:20001447

  9. Principles and guidelines for early intervention after confirmation that a child is deaf or hard of hearing.

    Science.gov (United States)

    Yoshinaga-Itano, Christine

    2014-04-01

    This document is a supplement to the year 2007 position statement of the Joint Committee on Infant Hearing and provides comprehensive guidelines for establishing strong early intervention (EI) systems with appropriate expertise to meet the needs of children who are deaf or hard of hearing (D/HH). Optimal outcomes can only be achieved when there is high quality to the universal newborn hearing screening programs, the audiologic diagnostic process of confirmation that a child is D/HH and fitting of amplification, and the provision of appropriate, individualized, targeted, and high-quality EI services. There are 12 best practice guidelines for EI programs that include the provision of timely referral to EI services with providers who have knowledge and skills in early childhood deafness and hearing loss, infusion within the system of partnerships with parents as well as professionals who are D/HH, longitudinal developmental assessments for monitoring the child's development, data management systems that include developmental outcomes, a process to monitor the fidelity of the intervention, and appropriate services for children with additional disabilities, those from non-English speaking families, and those from special populations, including unilateral hearing loss and auditory neuropathy/dyssynchrony. PMID:24131505

  10. Communication Partners’ Journey through Their Partner’s Hearing Impairment

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    Vinaya K. C. Manchaiah

    2013-01-01

    Full Text Available The objective of this study was to further develop the Ida Institute model on communication partners’ (CPs journey through experiences of person with hearing impairment (PHI, based on the perspectives of CPs. Nine CPs of hearing aid users participated in this study, recruited through the Swansea hearing impaired support group. Semi-structured interviews were conducted, the data were analysed using qualitative thematic analysis and presented with the use of process mapping approach. Seven main phases were identified in the CP journey which includes: (1 contemplation, (2 awareness, (3 persuasion, (4 validation, (5 rehabilitation, (6 adaptation, and (7 resolution. The Ida Institute model (based on professionals’ perspective was compared with the new template developed (based on CPs’ perspectives. The results suggest some commonalities and differences between the views of professionals and CPs. A new phase, adaptation, was identified from CPs reported experiences, which was not identified by professionals in the Ida Institute model. The CP’s journey model could be a useful tool during audiological enablement/rehabilitation sessions to promote discussion between the PHI and the CP. In addition, it can be used in the training of hearing healthcare professionals.

  11. Hearing rehabilitation in Treacher Collins Syndrome with bone anchored hearing aid

    Directory of Open Access Journals (Sweden)

    José Fernando Polanski

    2015-12-01

    Full Text Available Objective: To describe a case of hearing rehabilitation with bone anchored hearing aid in a patient with Treacher Collins syndrome. Case description: 3 years old patient, male, with Treacher Collins syndrome and severe complications due to the syndrome, mostly related to the upper airway and hearing. He had bilateral atresia of external auditory canals, and malformation of the pinna. The initial hearing rehabilitation was with bone vibration arch, but there was poor acceptance due the discomfort caused by skull compression. It was prescribed a model of bone-anchored hearing aid, in soft band format. The results were evaluated through behavioral hearing tests and questionnaires Meaningful Use of Speech Scale (MUSS and Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS. Comments: The patient had a higher acceptance of the bone-anchored hearing aid compared to the traditional bone vibration arch. Audiological tests and the speech and auditory skills assessments also showed better communication and hearing outcomes. The bone-anchored hearing aid is a good option in hearing rehabilitation in this syndrome.

  12. Hearing rehabilitation in Treacher Collins Syndrome with bone anchored hearing aid

    Science.gov (United States)

    Polanski, José Fernando; Plawiak, Anna Clara; Ribas, Angela

    2015-01-01

    Objective: To describe a case of hearing rehabilitation with bone anchored hearing aid in a patient with Treacher Collins syndrome. Case description: 3 years old patient, male, with Treacher Collins syndrome and severe complications due to the syndrome, mostly related to the upper airway and hearing. He had bilateral atresia of external auditory canals, and malformation of the pinna. The initial hearing rehabilitation was with bone vibration arch, but there was poor acceptance due the discomfort caused by skull compression. It was prescribed a model of bone-anchored hearing aid, in soft band format. The results were evaluated through behavioral hearing tests and questionnaires Meaningful Use of Speech Scale (MUSS) and Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS). Comments: The patient had a higher acceptance of the bone-anchored hearing aid compared to the traditional bone vibration arch. Audiological tests and the speech and auditory skills assessments also showed better communication and hearing outcomes. The bone-anchored hearing aid is a good option in hearing rehabilitation in this syndrome. PMID:26298651

  13. Universal hearing screening vs targetted hearing screening: Make a choice

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    Chandrakant Vishwakarma

    2015-01-01

    Full Text Available Introduction: Universal newborn hearing screening (UNHS is mandatory in all developed country and is setting the trend in developing country too. Due to a large population, lack of education, less professionals, and limited access to such facilities in India few places targeted hearing screening (THS is coming up. However, the comparison between UNHS and THS is less investigated till date. Aim of the Study: This study aimed to investigate the comparison between two hearing screening program that is UNHS and THS in the Indian context. Methods: In UNHS all the infants were screened at Tertiary Centre and for THS only infant with high-risk factors were screened at Advanced Audiological Centre. Further, all referral, screening, and diagnostic data were included in data analysis of both hearing screening program. Result: UNHS was difficult due to some system failure and a lot of time was wasted doing the different procedure. However, THS was much easier and false-positive and negative were lesser. Conclusion: In a vast population country with lack of manpower for the fi eld, it is important to have an alternative approach to the system for better outcome of the program.

  14. Clinical Experience of Using Cortical Auditory Evoked Potentials in the Treatment of Infant Hearing Loss in Australia.

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    Punch, Simone; Van Dun, Bram; King, Alison; Carter, Lyndal; Pearce, Wendy

    2016-02-01

    This article presents the clinical protocol that is currently being used within Australian Hearing for infant hearing aid evaluation using cortical auditory evoked potentials (CAEPs). CAEP testing is performed in the free field at two stimulus levels (65 dB sound pressure level [SPL], followed by 55 or 75 dB SPL) using three brief frequency-distinct speech sounds /m/, /ɡ/, and /t/, within a standard audiological appointment of up to 90 minutes. CAEP results are used to check or guide modifications of hearing aid fittings or to confirm unaided hearing capability. A retrospective review of 83 client files evaluated whether clinical practice aligned with the clinical protocol. It showed that most children could be assessed as part of their initial fitting program when they were identified as a priority for CAEP testing. Aided CAEPs were most commonly assessed within 8 weeks of the fitting. A survey of 32 pediatric audiologists provided information about their perception of cortical testing at Australian Hearing. The results indicated that clinical CAEP testing influenced audiologists' approach to rehabilitation and was well received by parents and that they were satisfied with the technique. Three case studies were selected to illustrate how CAEP testing can be used in a clinical environment. Overall, CAEP testing has been effectively integrated into the infant fitting program. PMID:27587921

  15. Implementing neonatal screening for congenital cytomegalovirus: addressing the deafness of policy makers.

    Science.gov (United States)

    de Vries, Jutte J C; Vossen, Ann C T M; Kroes, Aloys C M; van der Zeijst, Bernard A M

    2011-01-01

    Congenital cytomegalovirus (CMV) infection is an important public health problem with approximately 7 in 1,000 newborns infected and consequently at risk for hearing impairment. Newborn hearing screening will fail to detect this hearing impairment in approximately half of the cases because late onset hearing loss is frequent. Hearing impairment has profound impact on cognitive and social development of children and their families, determining most of the disease burden of congenital CMV infection. The potential value of newborn screening for congenital CMV is increasingly discussed. To date, many experts acknowledge the benefit of antiviral treatment in the prevention of hearing deterioration in newborns with neurological symptoms, and the benefit of early identification of late-onset hearing impairment by means of extensive audiological follow up of infected infants. These opinions imply that the potential of newborn screening for CMV would lie in the identification of the large proportion of asymptomatic congenitally infected newborns at risk for developing late-onset hearing loss. Experience with postnatal antiviral treatment of symptomatic newborns is encouraging, but has not been studied in asymptomatic congenitally infected newborns. A large-scale study on the safety and effectiveness of combined screening and antiviral therapy for congenital CMV infection is the necessary next step to take and should not be delayed.

  16. Early detection of hearing loss

    Directory of Open Access Journals (Sweden)

    Schade, Götz

    2008-01-01

    Full Text Available The universal newborn hearing screening (UNHS is currently spreading in Germany, as well, even though there can be no talk of a comprehensive establishment. The introduction of UNHS in several federal states such as Hamburg, Hessen, and Schleswig-Holstein can be ascribed to the personal commitment of individual pediatric audiologists. Apart from the procurement of the screening equipment and the training of the staff responsible for the examination of the newborns, the tracking, i.e. the follow-up on children with conspicuous test results, is of utmost importance. This involves significant administration effort and work and is subject to data protection laws that can differ substantially between the various federal states. Among audiologists, there is consensus that within the first three months of a child’s life, a hearing loss must be diagnosed and that between the age of 3 and 6 months, the supply of a hearing aid must have been initiated. For this purpose, screening steps 1 (usually a TEOAE measurement and 2 (AABR testing need to be conducted in the maternity hospital. The follow-up of step 1 then comprises the repetition of the TEOAE- and AABR measurement for conspicuous children by a specialized physician. The follow-up of step 2 comprises the confirmatory diagnostics in a pediatric audiological center. This always implies BERA diagnostics during spontaneous sleep or under sedation. The subsequent early supply of a hearing aid should generally be conducted by a (pediatric acoustician specialized on children.

  17. Review for librarians of evidence-based practice in nursing and the allied health professions in the United States

    Science.gov (United States)

    Kronenfeld, Michael; Stephenson, Priscilla L.; Nail-Chiwetalu, Barbara; Tweed, Elizabeth M.; Sauers, Eric L.; McLeod, Tamara C. Valovich; Guo, Ruiling; Trahan, Henry; Alpi, Kristine M.; Hill, Beth; Sherwill-Navarro, Pamela; Allen, Margaret (Peg); Stephenson, Priscilla L.; Hartman, Linda M.; Burnham, Judy; Fell, Dennis; Kronenfeld, Michael; Pavlick, Raymond; MacNaughton, Ellen W.; Nail-Chiwetalu, Barbara

    2007-01-01

    Objective: This paper provides an overview of the state of evidence-based practice (EBP) in nursing and selected allied health professions and a synopsis of current trends in incorporating EBP into clinical education and practice in these fields. This overview is intended to better equip librarians with a general understanding of the fields and relevant information resources. Included Professions: Professions are athletic training, audiology, health education and promotion, nursing, occupational therapy, physical therapy, physician assisting, respiratory care, and speech-language pathology. Approach: Each section provides a description of a profession, highlighting changes that increase the importance of clinicians' access to and use of the profession's knowledgebase, and a review of each profession's efforts to support EBP. The paper concludes with a discussion of the librarian's role in providing EBP support to the profession. Conclusions: EBP is in varying stages of growth among these fields. The evolution of EBP is evidenced by developments in preservice training, growth of the literature and resources, and increased research funding. Obstacles to EBP include competing job tasks, the need for additional training, and prevalent attitudes and behaviors toward research among practitioners. Librarians' skills in searching, organizing, and evaluating information can contribute to furthering the development of EBP in a given profession. PMID:17971887

  18. Multitarget surgical neuromodulation: Combined C2 and auditory cortex implantation for tinnitus.

    Science.gov (United States)

    De Ridder, Dirk; Vanneste, Sven

    2015-03-30

    Tinnitus, as a phantom sound can express itself as a pure tone and as a noise-like sound. It is notoriously difficult to treat, and in medically, psychologically and audiologically intractable tinnitus patients sometimes intracranial electrodes overlying the auditory cortex are implanted. In this case report, we describe a patient who had a complete resolution of the pure tone component of his tinnitus by an auditory cortex implant, without any beneficial effect on the noise-like aspect of his tinnitus, even after changing the stimulation design to burst stimulation, which is known to treat noise-like tinnitus better than tonic stimulation. After an initial successful treatment of his noise-like component with transcutaneus electrical nerve stimulation, a wire electrode is inserted subcutaneously and connected to his internal pulse generator. With the dual stimulation his pure tone tinnitus remains abolished after 5 years of stimulation and his noise-like tinnitus is improved by 50%, from 8/10 to 4/10. This case report suggests that multi-target stimulation might be better than single target implantation in selected cases. PMID:25703225

  19. Relationship of the area measurement of the large endolymphatic duct and sac syndrome as well as the clinical symptoms with CT and MR imaging results

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    Park, Ji Sang; Hong, Hyun Sook; Lee, Jong Sea; Kim, Dae Ho; Lee, Hae Kyung; Yi, Beom Ha; Cha, Jang Gyu; Park, Seong Jin; Kim, Shi Chan [Soonchunhyang University Bucheon Hospital, Bucheon (Korea, Republic of)

    2008-08-15

    To evaluate the CT and MRI findings of the large endolymphatic duct or sac syndrome (LEDS) and its associated anomalies, with clinical features. We retrospectively reviewed the MR and CT images of 52 ears obtained from 26 patients with LEDS. We reviewed the clinical findings, audiology testing, and treatment results. The degree of hearing loss was classified from normal to profound, based on pure tone audiometry. The largest areas were measured at each endolymphatic duct and analyzed to determine whether a correlation exists with the degree of hearing loss. We also analyzed the differences in measurements between CT and MRI findings. All 26 patients had some degree of sensorineural hearing loss, which resulted in 18 ears to undergo a cochlear implantation. One patient was diagnosed with Cornelia de Lange syndrome. Five patients had a sudden hearing loss onset. Ten ears had incomplete cochlear partitions, whereas 28 ears had enlarged vestibules. All patients had severe to profound hearing loss. We found no statistical correlation between the size of the largest area of the endolymphatic duct and the degree of hearing loss. The mean area of the endolymphatic ducts, as per an MRI examination, revealed slightly greater areas than the CT findings, although the differences were not significant. Enlarged vestibules and incomplete partitions of the cochlea were common anomalies associated with LEDS. We found no statistical correlation between the largest area of the endolymphatic duct or sac with the degree of hearing loss.

  20. [The experience of the work of a regional cochlear implantation center].

    Science.gov (United States)

    Mashchenko, A I; Eretnova, N M; Bakhshinian, V V; Petrova, I P; Tavartkiladze, G A

    2014-01-01

    The objective of the present study was to determine the main lines of the development of a regional cochlear implantation centre and to estimate the effectiveness of rehabilitation of the children treated with the use of cochlear implantation. Analysis of the results of the work of the branch of the Russian Research and Practical Centre of Audiology and Hearing Rehabilitation based at Voronezh Regional Children's Clinical Hospital No 1 provided materials for the establishment of the principle directions of activities of the regional cochlear implantation centre where a total of 161 children have been kept under observation during the last years. Fifty six of the 138 children at the age varying from 1 to 12 years were given the surgical treatment. The patients were followed up within two and more years after connection of the speech processor. The study group was comprised only of the pre-lingually deaf children. It is concluded that the performance of most cochlear implantation procedures based at local centres allows to reduce the cost of rehabilitation and makes the high-tech medical aid more readily available to the patients; moreover, the practical introduction of remote speech processor programming software into the work of regional cochlear implantation centres enhances the effectiveness of the rehabilitative measures based at local medical facilities. PMID:24781168