Noice induced hearing loss, Ototoxic drugs, Meniers disease, Rotataory vertigo, Sensorineural hearing loss, Tinnitis, Infections, Acoustic neuroma,
|
|
- Lindsey Mason
- 8 years ago
- Views:
Transcription
1 Disorders of hearing and balance LEARNING OBJECTIVE At the end of lecture student must be able to know, Hearing disorders, Types of hearing disorders, Functional classification, Causes, Middle ear disorders, Cholestoma, Sensorineural disorders, Noice induced hearing loss, Ototoxic drugs, Meniers disease, Rotataory vertigo, Sensorineural hearing loss, Tinnitis, Infections, Acoustic neuroma, Hereditory causes. HEARING DISORDERS The most common hearing disorders are those that affect hearing sensitivity. When a sound is presented to a listener with a hearing sensitivity disorder, one of 2 things may occur: The listener with a HS disorder may be unable to detect the sound. The sound will not be as loud to that listener as it would be to a listener with normal hearing. Hearing Abnormalities Deafness is usually divided into two types: (1) that caused by impairment of the cochlea or impairment of the auditory nerve, which
2 is usually classified as nerve deafness. (2) that caused by impairment of the physical structures of the ear that conduct sound itself to the cochlea, which is usually called conduction deafness. Types of Hearing Disorders Many ways to classify hearing disorders 1. Nature of the loss: Sensitivity vs. Acuity Dysacusia Deficit in discrimination or interpretation of sound. Acuity deficits sometimes due to disorders of the central auditory system. Disorders of sensitivity and acuity are not mutually exclusive. Functional Classification Conductive Disorders involving the conduction of sound to the cochlea. Sensori-neural Disorders involving the cochlea (usually the hair cells) or 8 th N. Central Disorders affecting the brain stem or auditory cortex. Two related terms: Peripheral Not central; i.e., conductive or sensorineural. Retrocochlear Disorders involving anatomical structures beyond the cochlea; i.e., 8 th N, brain stem, auditory cortex. Cause or Etiology of the Disorder Hearing disorders can be classified on the basis of the cause of the disorder. Some examples: Ototoxic drugs Noise exposure Old age (presbycusis)
3 Otitis media 8 th N tumors Meniere s Disease In this review, we will proceed by functional subsystem (conductive, sensori-neural, central), and by etiology within each subsystem. Conductive Hearing Disorders Congenital malformations. There are many of these. Most serious is congenital atresia collapse or closure of the EAM (ear canal). May occur in isolation, but typically associated congenital malformations of the middle ear as well. Impacted wax (cerumen) results in mild hearing loss. easily treated by removal of the wax. Middle Ear DISORDERS Otitis Media By far the most common cause of conductive hearing loss. By far the most common health problem in children. Otitis media means inflammation of the middle ear. Disease Process OM involves a very specific chain of events revolving around the abnormal functioning of the Eustachian tube. Begins with an ordinary upper respiratory infection (head cold) involving, among other things, the nasopharynx. Nasal secretions infect the Eustachian tube. The Eustachian tube, which is normally closed, becomes inflamed and can no longer open upon swallowing, yawning, etc. This means that pressure can no longer be equalized between the middle ear and the ambient air. Middle Ear DISORDERS
4 Oxygen in the ME cavity is consumed by ordinary metabolic processes. Ordinarily, this oxygen is re-supplied through the Eustachian tube. With a plugged ET, this cannot occur. The absorption of oxygen without re-supply results in a partial vacuum (i.e., lower than normal pressure) in the ME. The pressure drop sucks the TM inward into the ossicular chain, reducing its mobility. Consequences: hearing loss and pain often quite intense. Partial vacuum creates another problem: Recall that the entire ME cavity is lined with mucous membrane. The pressure drop causes clear fluid to be sucked out of the mucosal lining of the ME. This accumulation of fluid contributes to the conductive hearing loss. Condition is called serous otitis media or nonsuppurative otitis media. Defining features: (1) clear, thin, watery fluid, (2) fluid is sterile (not infected). Suppurative or Purulent Otitis Media: As the disease progresses, the fluid can become infected and thickens into (eck) pus. Middle Ear DISORDERS The major consequences of OM are hearing loss and pain. The hearing loss is typically mild (usually db) and often fluctuating. The pain varies quite a bit but is often quite severe. It is not unusual for the pressure drop in the ME to become severe enough to cause the TM to rupture. Some Additional Terminology Acute vs. Chronic OM: A specific bout of OM with pain, accumulation of fluid, etc., is called acute otitis media. If OM lasts more than 2-3 months, the condition is known as chronic otitis media. Recurrent OM: Frequent bouts of OM: OM is treated successfully, then returns, then treated, then returns This gets old after a while but is pretty common. A Few Additional Terms Otitis Media with Effusion (OME): Otitis media characterized by the accumulation of fluid. Mucoid or Mucous Otitis Media ( Glue Ear ): Fluid in middle ear is thick and gooey rather than thin and watery. Hearing loss is often more severe than serous OM. Seen in some cases of recurrent OM purulent OM is treated, killing the infection, but fluid does not drain.
5 Speech and Language Delay?? Evidence is mixed and controversial, but there is some research suggesting that frequent bouts of OM can result in delays in acquiring speech and language. Surprising to some since hearing loss is relatively mild and fluctuating, with significant periods of normal hearing in between bouts of OM for most kids. But, there is also evidence from other sources indicating that kids need higher sound levels to understand speech with the same accuracy as adults. A Few Additional Terms Otosclerosis Begins as a soft, spongy growth of new bone may appear anywhere in the ME, but most often near oval window. Later hardens (i.e., becomes sclerotic) In 90% of cases: No symptoms In unlucky 10%: Growth reduces mobility of stapes, causing a conductive HL. Progressive. Beginning in childhood. For that unlucky 10%, HL typically begins in late teens, early 20s. Maximum HL seldom worse than ~50-60 db. Treatment: Stepedectomy (removal of stapes and replacement with an artificial stapes) Cholesteatoma Cyst that invades the ME Usually grows rapidly Can: (1) destroy the ossicular chain, (2) invade the cochlea, (3) break through the thin shelf of bone that forms the superior surface of the ME
6 cavity, invading the meninges. HL usually mild and not really the major concern. Cholesteatoma Cholesteatomas are benign growths of skin in the middle ear and mastoid. These "skin cysts" can and do cause many problems in the ear. Cholesteatomas commonly cause hearing loss and infections. The only treatment available to cure a cholesteatoma is surgery. The surgery that is typically performed is tympanoplasty with or without mastoidectomy. Cholesteatomas left untreated can go on to cause serious and sometimes life threatening health problems, such as meningitis or brain abscess. Cholesteatomas can develop in both children and adults. Surgery is usually done as day surgery (outpatient). Sensori-Neural Hearing Loss General: By far the most common underlying cause of SN HL is damage to the hair cell transducers. In these most common cases, the auditory nerve and central auditory pathway are intact, but stimulation of the auditory nerve is abnormal due to damaged hair cells. There are many possible reasons for the hair cells to become damaged. The various etiologies of SN HL consist mainly of a catalog of different causes of hair cell damage. Presbycusis Hearing loss associated with aging Most common cause of SN HL and most common cause of HL overall. Noise-Induced Hearing Loss Exposure to high levels of noise can damage HCs and cause SN HL. Two types: Acoustic trauma: Injury due to brief exposure to very intense sounds such as gun shots, artillery fire, explosions, etc. HL may be severe and permanent, but substantial recovery is common.
7 Long-term noise exposure (more common): Damage results from long-term exposure to high levels of noise. Common in some occupational settings heavy manufacturing and agriculture being the most common. Amount of inner-ear damage depends on the combination of: Intensity of the noise Length of exposure Ototoxic Drugs Certain drugs can cause SN HL. Toxicity effects vary from mild and temporary to severe and permanent. Some very common drugs such as aspirin (especially in large doses) can cause hearing loss (and/or tinnitus), but not in most people, and the loss is typically mild and temporary. An especially important group of antibiotics are notoriously ototoxic. Examples include neomycin, streptomycin, kanamycin. Since this is well known, why might these drugs ever be administered? Ototoxic Drugs Antibiotics Salicylates Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) Neomycin Erythromycin Quinine Vancomycin Diuretics Chemotherapeutic Agents Quinine Mucosal Protectant
8 Meniere s Disease Serious, often debilitating disease of hearing and balance of unknown/uncertain cause. MD affects a single ear in about 75% of cases. Four major symptoms: Periodic episodes of rotary vertigo (the sensation of spinning) or dizziness (the Meniere s attack ) Fluctuating, progressive, low-frequency hearing loss Tinnitus A sensation of "fullness" or pressure in the ear Cause of Meniere s The proximate (i.e., immediate) cause of MD is excessive and fluctuating pressure in the endolymphatic fluid that courses through the membranous labyrinth of the cochlea and vestibular systems. This causes the membranous labyrinth to balloon or dilate. Condition is known as endolymphatic hydrops. Result is progressive damage to the hair cells responsible for both hearing and balance. Underlying cause of the fluid imbalance not known for sure. Likely suspects viral infection or autoimmune disorder affecting production or absorption of endolymph (duh). Rotary Vertigo This is easily the most disruptive and debilitating symptom of Meniere s. Similar to the mild vertigo you get from too many beers, or that you may remember as a kid from spinning around on a playground. Some major differences: Dramatically more severe Often accompanied by nausea, vomiting, sweating Onset is usually sudden Typically persists for hours or even days
9 Patient has little or no ability to control it Condition often leaves the patient confined to a bed and as stationary as possible for long periods of time, until the symptoms subside. Even small head movements can greatly exacerbate the symptoms SN Hearing Loss Fluctuating Initially affects low-frequencies more than highs, but may spread to highs as the disease progresses Progressive (i.e., gets worse with time) Hearing may be completely lost in the affected ear Usually unilateral Sounds may appear tinny or distorted Loudness intolerance is common (abnormal sensitivity to intense sounds) Tinnitus Ringing, roaring, or buzzing sensation Fluctuates in intensity but does not abate Pretty annoying Infections Bacterial or viral infections that invade the inner ear can cause SN HL and disruptions of vestibular function. Generic term for infections that invade the inner ear: labyrinthitis. Meningitis can sometimes spread to the inner ear and result in labyrinthitis. Other infectious diseases: Mumps, measles, meningitis, encephalitis, chicken pox, influenza, and syphilis can also invade the inner ear and cause SN HL and/or vestibular symptoms.
10 acoustic neuroma Benign tumor that exerts pressure on 8 th N Almost always slow growing Most common symptom: hearing loss (mild initially), often accompanied by tinnitus Vestibular problems may also occur Cause is unknown Continued tumor growth can be life threatening Treatment: Surgical removal or radiation Early detection is really important: Small tumors can be removed with less risk of destroying the 8 th N (and sometimes the 7 th N as well). Early diagnosis is tough early-stage symptoms are un-dramatic Hereditary Causes Two patterns: autosomal dominant One parent has a dominant gene for SN HL (and typically has a hearing loss). There is at least a 50% probability that the child will also have a hearing loss. Probability is higher if both parents have the dominant gene. autosomal recessive Both parents (typically with normal hearing) carry a recessive gene for SN HL. Each child will have a 1 in 4 chance of inheriting the bum gene.
So, how do we hear? outer middle ear inner ear
The ability to hear is critical to understanding the world around us. The human ear is a fully developed part of our bodies at birth and responds to sounds that are very faint as well as sounds that are
More informationDiseases of the middle ear
Diseases of the middle ear Acute Suppurative Otitis Media: Acute suppurative otitis media may be viral or bacterial and is accompanied by signs of pain, pressure sensation, diminished hearing and occasional
More informationEar Disorders and Problems
Ear Disorders and Problems Introduction Your ear has three main parts: outer, middle and inner. You use all of them to hear. There are many disorders and problems that can affect the ear. The symptoms
More information1/26/2011. 50% of deafness and hearing impairment is avoidable through prevention, early diagnosis, and management.
Hearing Impairment Roseann Mulligan, DDS, MS Herman Ostrow School of Dentistry of the University of Southern California 1 JAMA, July 4, 2007 Vol 298, No. 1 2 278 million - moderate to profound bilateral
More informationX-Plain Perforated Ear Drum Reference Summary
X-Plain Perforated Ear Drum Reference Summary Introduction Perforated eardrum is a common condition. The eardrum is a thin layer of tissue at the end of the ear canal inside the ear. Eardrum perforations
More informationGP Masterclass ENT Hillingdon. Mr Arvind Singh Consultant ENT Surgeon Hillingdon, Mount Vernon, Northwick Park and Central Middlesex Hospitals
GP Masterclass ENT Hillingdon Mr Arvind Singh Consultant ENT Surgeon Hillingdon, Mount Vernon, Northwick Park and Central Middlesex Hospitals Overview Hearing Loss Otitis Media Eustachian Tube Dysfunction?
More informationMore information >>> HERE <<<
More information >>> HERE http://urlzz.org/hearloss/pdx/dcli864/ Tags: ## best way to get cheapest natural methods to
More informationMeniere s Disease. By David Foyt, M.D.
Meniere s Disease By David Foyt, M.D. This paper covers basic information about Meniere s Disease, Its Possible Causes and Implications Meniere's disease is a disorder of the inner ear which causes episodes
More informationAre there any differences of speech and language development in children with sensorineural hearing loss vs. conductive hearing loss?
Are there any differences of speech and language development in children with sensorineural hearing loss vs. conductive hearing loss? Annette Limberger annette.limberger@htw-aalen.de Contents Types of
More informationManagement of Deafness in the Elderly
Management of Deafness in the Elderly Mrs R Kayarkar Consultant ENT Surgeon Mid Yorks NHS Trust British Geriatric Society Meeting 18.9.2013 Effects of hearing loss Embarrassment, loss of confidence, anger
More informationDURATION OF HEARING LOSS
When your child is diagnosed with a hearing loss, it may be very overwhelming. This may be a difficult time for you and your family. However, gaining a greater knowledge in this area is crucial in helping
More information2015 ICD-10-CM Diagnosis Codes Related to Hearing and Vestibular Disorders
2015 ICD-10-CM Diagnosis Codes Related to Hearing and Vestibular Disorders The codes in ICD-10 are not valid for any purpose or use in the United States until October 1, 2015. General Information This
More informationHearing Conservation Procedures
Hearing Conservation Procedures Purpose The University of Regina is committed to providing a safe and healthy work and educational environment for all members of the University community by ensuring that
More informationDr. Abdel Aziz Hussein Lecturer of Physiology Mansoura Faculty of Medicine
Physiological Basis of Hearing Tests By Dr. Abdel Aziz Hussein Lecturer of Physiology Mansoura Faculty of Medicine Introduction Def: Hearing is the ability to perceive certain pressure vibrations in the
More informationICD-10 Codes Utilized by Audiologists
ICD-10 Codes Utilized by Audiologists Introduction Beginning with the first claim filed to all payers on or after October 1, 2015, the ICD-10 codes must be utilized in box 21 A-L on the CMS 1500 claim
More informationVestibular Neuritis and Labyrinthitis
PO BOX 13305 PORTLAND, OR 97213 FAX: (503) 229-8064 (800) 837-8428 INFO@VESTIBULAR.ORG WWW.VESTIBULAR.ORG Vestibular Neuritis and Labyrinthitis Infections of the Inner Ear By Charlotte L. Shupert, PhD
More informationHearing Loss in Geriatric Primary Care Mary Ann Forciea MD Josh Uy MD
Hearing Loss in Geriatric Primary Care Mary Ann Forciea MD Josh Uy MD Q: In my office practice, I screen for hearing loss with A Level of difficulty in office conversation Questionnaire Hand held hldaudiometer
More informationLess common vestibular disorders presenting with funny turns
Less common vestibular disorders presenting with funny turns Charlotte Agrup, Department of Neuro-otology, The National Hospital for Neurology and Neurosurgery, London Making the diagnosis Making the diagnosis
More informationWhat are the causes of presbycusis? What can be done? How can I communicate with someone who has a hearing loss? How does hearing work?
This e-book will answer the following questions: What is presbycusis? What are the symptoms of presbycusis? What are the causes of presbycusis? What can be done? How can I communicate with someone who
More informationVestibular Injury. Vestibular Disorders Association www.vestibular.org Page 1 of 5
PO BOX 13305 PORTLAND, OR 97213 FAX: (503) 229-8064 (800) 837-8428 INFO@VESTIBULAR.ORG WWW.VESTIBULAR.ORG Vestibular Injury Compensation, De-compensation, and Failure to Compensate By Thomas E. Boismier,
More information- Review ear anatomy. Evaluation of Hearing. - Specific causes of hearing loss
Hearing Loss in Primary Care Aaron C. Moberly, MD Otolaryngologist Department of Otorhinolaryngology The Ohio State University Wexner Medical Center Overview - Review ear anatomy - Evaluation of hearing
More informationMiddle ear conditions
Middle ear conditions Middle ear conditions This factsheet is part of our Ears and ear problems range. It is written for people who have been diagnosed with a condition that affects the middle ear. Read
More informationVestibular Injury: Compensation, Decompensation, and Failure to Compensate
VESTIBULAR DISORDERS ASSOCIATION PO Box 13305 Portland, OR 97213 fax: (503) 229-8064 toll-free voice-mail: (800) 837-8428 info@vestibular.org http://www.vestibular.org/ VEDA Publication No. F-26 Vestibular
More informationAudiology Services. Carolyn Dando Audiology Services Manager South Warwickshire NHS
Audiology Services Carolyn Dando Audiology Services Manager South Warwickshire NHS What are we going to cover today? General overview of the ear Hearing loss Hearing assessments, results Hearing aids Paediatric
More informationDISEASES OF THE EAR AND MASTOID PROCESS (380-389) 380.00 Perichondritis of pinna, unspecified
DISEASES OF THE EAR AND MASTOID PROCESS (380-389) 380 Disorders of external ear 380.0 Perichondritis of pinna Perichondritis of auricle 380.00 Perichondritis of pinna, unspecified 380.01 Acute perichondritis
More informationImplantable Bone Conduction Clinical Coverage Policy No: 1A-36 Hearing Aids (BAHA) Amended Date: October 1, 2015.
Implantable Bone Conduction Clinical Coverage Policy No: 1A-36 Table of Contents 1.0 Description of the Procedure, Product, or Service... 1 1.1 Conductive Hearing Loss... 1 1.2 Sensorineural Hearing Loss...
More informationTympanoplasty. Tympanoplasty is an elective procedure. If your doctor recommends it, it is still your decision whether or not to have this surgery.
Tympanoplasty Introduction Tympanoplasty is a surgical procedure to repair a perforated eardrum. The eardrum is a thin membrane inside the ear at the end of the ear canal. Eardrum perforations are not
More informationTrouble Getting a Diagnosis?
PO BOX 13305 PORTLAND, OR 97213 FAX: (503) 229-8064 (800) 837-8428 INFO@VESTIBULAR.ORG WWW.VESTIBULAR.ORG By the Vestibular Disorders Association Trouble Getting a Diagnosis? Many people who suffer from
More informationDizziness and balance problems
Dizziness and balance problems Dizziness and balance problems, Action on Hearing Loss Information, May 2011 1 Dizziness and balance problems This factsheet is part of our Ears and ear problems range. It
More informationHEARING SCREENING (May 2006)
HEARING SCREENING (May 2006) Definition Procedures for Hearing Screening Student with hearing loss School Nurse Role Referral Criteria Resources Definition: Hearing is the perception of sound. The normal
More informationPrevalence of otological disorders in diabetic patients with hearing loss
Prevalence of otological disorders in diabetic patients with hearing loss Manche Santoshi Kumari *, Jangala Madhavi *, Koralla Raja Meganadh *, Akka Jyothy Institute of Genetics and Hospital for Genetic
More informationPROTECT YOUR HEARING
PROTECT YOUR HEARING Original idea from David Carlisle Aviation can be a noisy business that can assault tour ears and chip away at your ability to hear clearly. Prevention is your only effective defense.
More informationA diagram of the ear s structure. The outer ear includes the portion of the ear that we see the pinna/auricle and the ear canal.
A diagram of the ear s structure THE OUTER EAR The outer ear includes the portion of the ear that we see the pinna/auricle and the ear canal. The pinna or auricle is a concave cartilaginous structure,
More informationPresbycusis. What is presbycusis? What are the symptoms of presbycusis?
Presbycusis What is presbycusis? Presbycusis is the loss of hearing that gradually occurs in most individuals as they grow older. Hearing loss is a common disorder associated with aging. About 30-35 percent
More informationSEMI-IMPLANTABLE AND FULLY IMPLANTABLE MIDDLE EAR HEARING AIDS
Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This Medical Coverage Guideline must be read in its
More informationOccupational Noise Induced Hearing Loss
Occupational Noise Induced Hearing Loss M Baxter FRACS SISA Adelaide June 2014 ENT in Personal Injury Claims EAR Hearing Loss -main, Dizziness Nose Injuries ->cosmesis,breathing: Loss of sense of smell:
More informationCoding Fact Sheet for Primary Care Pediatricians
1/1/2015 Hearing Testing Coding Fact Sheet Coding Fact Sheet for Primary Care Pediatricians While coding for hearing screening is relatively straightforward, ensuring that appropriate payment is received
More informationPresbycusis. Presbycusis describes age-related sensorineural hearing loss. Patients may describe difficulty following conversations
Deafness The most common causes of hearing loss are ear wax, otitis media and otitis externa. The table below details some of the characteristic features of other causes: Presbycusis Presbycusis describes
More informationBrain Cancer. This reference summary will help you understand how brain tumors are diagnosed and what options are available to treat them.
Brain Cancer Introduction Brain tumors are not rare. Thousands of people are diagnosed every year with tumors of the brain and the rest of the nervous system. The diagnosis and treatment of brain tumors
More informationBone Anchored Hearing Aids B.A.H.A
Bone Anchored Hearing Aids B.A.H.A Dr. Abdulrahman Hagr MBBS FRCS(c) Assistant Professor King Saud University Otolaryngology Consultant Otologist, Neurotologist & Skull Base Surgeon King Abdulaziz Hospital
More informationDizziness and Vertigo
Dizziness and Vertigo Introduction When you are dizzy, you may feel lightheaded or lose your balance. If you also feel that the room is spinning, you may have vertigo. Vertigo is a type of severe dizziness.
More informationVeterans UK Leaflet 10. Notes about War Pension claims for deafness
Veterans UK Leaflet 10 Notes about War Pension claims for deafness 1 About this leaflet About this leaflet This leaflet tells you how claims for deafness are decided and gives you some information about
More informationGallbladder Diseases and Problems
Gallbladder Diseases and Problems Introduction Your gallbladder is a pear-shaped organ under your liver. It stores bile, a fluid made by your liver to digest fat. There are many diseases and problems that
More information22/02/2015. Possible causes. Decisions decisions decisions. Challenging eye and ear conditions at underwriting and claim stage Dr Maritha van der Walt
Challenges Underwriting symptoms rather than conditions- tinnitus, vertigo, blurred vision Requests for narrower rather than broad exclusions and consequences Pre existing condition and unrelated claims
More informationNeurofibromatosis Type 2: Information for Patients & Families by Mia MacCollin, M.D., Catherine Bove, R.N. Ed. & M. Priscilla Short, M.D.
Neurofibromatosis Type 2: Information for Patients & Families by Mia MacCollin, M.D., Catherine Bove, R.N. Ed. & M. Priscilla Short, M.D. Neurofibromatosis Type 2 is a rare genetic disease, which causes
More informationCase Studies in Dizziness and Hearing Loss. Learning Objectives
Case Studies in Dizziness and Hearing Loss Julie A. Goddard, MD Assistant Professor Department of Otolaryngology University of Colorado School of Medicine Learning Objectives Implement efficient treatment
More informationSection 4. Hearing loss and hearing tests
Section 4 Hearing loss and hearing tests How we hear Outer Ear Middle Ear Inner Ear 4. 7. 8. 1. 3. 6. 2. 5. 1. 2. 3. 4. 5. 6. 7. 8. Ear canal Ear drum Middle ear cavity Middle ear bones the malleus, incus,
More informationSurgery for Conductive Hearing Loss
Surgery for Conductive Hearing Loss What is conductive hearing loss Conductive hearing loss is a form of hearing loss due to abnormalities in mobile portions of the ear. Theses are the movable parts (including
More informationear health How to look after your ears and cope with tinnitus, dizziness and balance problems
Ears and ear health How to look after your ears and cope with tinnitus, dizziness and balance problems We re RNID, the charity working to create a world where deafness or hearing loss do not limit or determine
More informationUnderstanding Hearing Loss 404.591.1884. www.childrensent.com
Understanding Hearing Loss 404.591.1884 www.childrensent.com You just found out your child has a hearing loss. You know what the Audiologist explained to you, but it is hard to keep track of all the new
More informationHEARING & HEARING LOSS. Dr I Butler 2015
HEARING & HEARING LOSS Dr I Butler 2015 DISCLOSURE Sponsorship to attend local and international workshops Cochlear (Southern ENT) Med el TOPICS Anatomy Classification of hearing loss Congenital hearing
More informationCauses of Dizziness. Because of the many possible causes of dizziness, getting a correct diagnosis can be a long and frustrating experience.
PO BOX 13305 PORTLAND, OR 97213 FAX: (503) 229-8064 (800) 837-8428 INFO@VESTIBULAR.ORG WWW.VESTIBULAR.ORG Causes of Dizziness Dizziness, vertigo, and disequilibrium are common symptoms reported by adults
More informationHearing Screening Coding Fact Sheet for Primary Care Pediatricians
Hearing Screening Coding Fact Sheet for Primary Care Pediatricians While coding for hearing screening is relatively straightforward, ensuring that appropriate payment is received for such services is a
More informationAcute Profound Deafness
Sensory Organ Disorders Acute Profound Deafness How much do we now know about the clinical condition? JMAJ 46(7): 285 290, 2003 Jin KANZAKI Director, International University of Health and Welfare Atami
More informationAllergies and Autoimmune Inner Ear Disease
Allergies and Autoimmune Inner Ear Disease Allergy is the term used to describe an over-reaction of the body to a substance that is normally harmless to most people. This substance is called an allergen,
More informationHearing Aids. What Is a Hearing Aid? How Common Is Hearing Loss and What Causes It? How Do We Hear?
Hearing Aids What Is a Hearing Aid? A hearing aid is an electronic, battery-operated device that amplifies and changes sound to allow for improved communication. Hearing aids receive sound through a microphone,
More informationPure Tone Hearing Screening in Schools: Revised Notes on Main Video. IMPORTANT: A hearing screening does not diagnose a hearing loss.
Pure Tone Hearing Screening in Schools: Revised Notes on Main Video (Notes are also available for Video segments: Common Mistakes and FAQs) IMPORTANT: A hearing screening does not diagnose a hearing loss.
More informationChapter 16: Sensorineural hearing loss. J. E. T. Byrne and A. G. Kerr
Chapter 16: Sensorineural hearing loss J. E. T. Byrne and A. G. Kerr The clinician finds himself faced with a difficult diagnostic prospect each time he is confronted by a patient with sensorineural deafness.
More informationChapter 2. The Epidemiology of Hearing Impairment in Elderly People
Chapter 2 The Epidemiology of Hearing Impairment in Elderly People Chapter 2 The Epidemiology of Hearing Impairment in Elderly People TYPES AND CAUSES OF HEARING LOSS AMONG ELDERLY PEOPLE Hearing impairment
More informationHearing Disorders and Audiogram Interpretation
Hearing Disorders and Audiogram Interpretation There are many great unsolved mysteries of the world. Maybe we can solve some of them in this chapter! As someone new to conducting hearing tests, you might
More informationTinnitus & Hyperacusis Questionnaire
Tinnitus & Hyperacusis Questionnaire Please answer the following questions and return to our office. If you need more space for an answer, write it on a separate sheet of paper and indicate the question
More informationBenign Paroxysmal Positional Vertigo (BPPV)
Benign Paroxysmal Positional Vertigo (BPPV) UHN Information for Patients Patient Education Improving Health Through Education You have been told by your doctor that you have Benign Paroxysmal Positional
More informationhttp://images.tutorvista.com/content/control5coordination/human5brain.jpeg!! 387
http://images.tutorvista.com/content/control5coordination/human5brain.jpeg!! 387! 388! http://my.fresnounified.org/personal/lygonza/gonzalez/neuron/neuron5synapse%20communication.png!! http://www.urbanchildinstitute.org/sites/all/files/databooks/2011/ch15fg25communication5between5neurons.jpg!!
More informationMultiple Myeloma. This reference summary will help you understand multiple myeloma and its treatment options.
Multiple Myeloma Introduction Multiple myeloma is a type of cancer that affects white blood cells. Each year, thousands of people find out that they have multiple myeloma. This reference summary will help
More informationHearing Aids or Grommets in Glue Ear? It s your choice
Hearing Aids or Grommets in Glue Ear? It s your choice This leaflet is a general guide to help you make an informed decision about the care of your child with Glue Ear. The exact management will vary from
More informationLearners Who are Deaf or Hard of Hearing Kalie Carlisle, Lauren Nash, and Allison Gallahan
Learners Who are Deaf or Hard of Hearing Kalie Carlisle, Lauren Nash, and Allison Gallahan Definition Deaf A deaf person is one whose hearing disability precludes successful processing of linguistic information
More informationVestibular Rehabilitation Therapy. Melissa Nelson
Vestibular Rehabilitation Therapy Melissa Nelson What is Vestibular Rehabilitation Therapy (VRT)? VRT is an exercise-based program designed to promote CNS compensation for inner ear deficits. The goal
More informationSpecial Report. Hearing loss. Supplement to MAYO CLINIC HEALTH LETTER. How to save and improve the hearing you still have
Special Report Supplement to MAYO CLINIC HEALTH LETTER FEBRUARY 2008 Hearing loss How to save and improve the hearing you still have For months, your family has been encouraging you to get your ears checked
More informationArthritis in Children: Juvenile Rheumatoid Arthritis By Kerry V. Cooke
Reading Comprehension Read the following essay on juvenile rheumatoid arthritis. Then use the information in the text to answer the questions that follow. Arthritis in Children: Juvenile Rheumatoid Arthritis
More informationNational Hospital for Neurology and Neurosurgery. Inner ear balance problems. Department of Neuro-otology
National Hospital for Neurology and Neurosurgery Inner ear balance problems Department of Neuro-otology If you would like this document in another language or format or if you require the services of an
More informationLung Cancer. This reference summary will help you better understand lung cancer and the treatment options that are available.
Lung Cancer Introduction Lung cancer is the number one cancer killer of men and women. Over 165,000 people die of lung cancer every year in the United States. Most cases of lung cancer are related to cigarette
More informationOtologic (Ear) Dizziness. Fistula Other. SCD Bilateral. Neuritis. Positional Vertigo BPPV. Menieres
Otologic Dizziness (Dizziness from Ear) Ear Structures of importance Timothy C. Hain, MD Northwestern University, Chicago t-hain@northwestern.edu The ear is an inertial navigation device Semicircular Canals
More informationWhere kids come first. Your Child and Ear Infections
17 Where kids come first Your Child and Ear Infections How common are ear infections? Infection of the middle ear, or otitis media, is the most common affliction requiring medical therapy for children
More informationX-Plain Sinus Surgery Reference Summary
X-Plain Sinus Surgery Reference Summary Introduction Sinus surgery is a very common and safe operation. Your doctor may recommend that you have sinus surgery. The decision whether or not to have sinus
More informationAudio Examination. Place of Exam:
Audio Examination Name: Date of Exam: SSN: C-number: Place of Exam: The Handbook of Standard Procedures and Best Practices for Audiology Compensation and Pension Exams is available online. ( This is a
More informationWhy does my child have a hearing loss?
Introduction This factsheet will tell you about the range of tests that can be carried out to try to find the cause of your child s hearing loss. The process to find out why a child is deaf is sometimes
More informationLight wear for a powerful hearing. Bone Conduction Headset
Light wear for a powerful hearing Bone Conduction Headset 2 Light wear for a powerful hearing Melody Flex, the new bone conduction headset is AUTEL s solution to improve hearing quality of those affected
More informationIntroduction Noise and Occupational Hearing Loss
Introduction Noise and Occupational Hearing Loss Dr Steven Sadhra Senior Lecturer & Director of Education for Occupational Medicine PhD, MIOSH, MFOM, FFOM (Hon.) Institute of Occupational and Environmental
More informationOtotoxicity Monitoring
Ototoxicity Monitoring Aaron Jones, Au.D., M.S. Doctor of Audiology May 12, 2011 Agenda Background Antineoplastic ototoxicity monitoring Case study Company overview Gross Anatomy of the Ear Image: http://en.wikipedia.org/wiki/file:anatomy_of_the_human_ear.svg
More informationCauses of Dizziness. By Vestibular Disorders Association, with edits by John King, PhD & Stacey Buckner, DPT. Vertigo
5018 NE 15 TH AVE PORTLAND, OR 97211 FAX: (503) 229-8064 (800) 837-8428 INFO@VESTIBULAR.ORG VESTIBULAR.ORG Causes of Dizziness By Vestibular Disorders Association, with edits by John King, PhD & Stacey
More informationJennifer A. Defant, M.S., C.G.C. Certified Genetic Counselor Division of Genetics and Metabolism University of Florida
Jennifer A. Defant, M.S., C.G.C. Certified Genetic Counselor Division of Genetics and Metabolism University of Florida 60% of childhood hearing loss is genetic Syndromic Nonsyndromic 40% of childhood hearing
More informationBile Duct Diseases and Problems
Bile Duct Diseases and Problems Introduction A bile duct is a tube that carries bile between the liver and gallbladder and the intestine. Bile is a substance made by the liver that helps with digestion.
More informationThyroid Eye Disease. Anatomy: There are 6 muscles that move your eye.
Thyroid Eye Disease Your doctor thinks you have thyroid orbitopathy. This is an autoimmune condition where your body's immune system is producing factors that stimulate enlargement of the muscles that
More informationThe Diver's Complete Guide To the Ear
The Diver's Complete Guide To the Ear Listen up - Those flaps on either side of your head do more than hold your sunglasses in place. Protect the delicate inner workings of your ears with practical advice
More informationOccupational Noise Induced Hearing Loss: Final Program Policy Decision and Supporting Rationale
Occupational Noise Induced Hearing Loss: Final Program Policy Decision and Supporting Rationale October 2014 1 I Introduction: In September 2012, the WCB Board of Directors added Noise Induced Hearing
More informationHearing Tests for Children with Multiple or Developmental Disabilities by Susan Agrawal
www.complexchild.com Hearing Tests for Children with Multiple or Developmental Disabilities by Susan Agrawal Hearing impairment is a common problem in children with developmental disabilities or who have
More informationMULTIPLE SCLEROSIS. Mary Beth Rensberger, RN, BSN, MPH Author
MULTIPLE SCLEROSIS Mary Beth Rensberger, RN, BSN, MPH Author All rights reserved. Purchasers of this module are permitted to reproduce the forms contained herein for their individual internal use only.
More informationDizziness: More than BPPV or Meniere s. William J Garvis, MD Otology, Neurotology & Skull Base Surgery Ear, Nose & Throat SpecialtyCare of MN, PA
Dizziness: More than BPPV or Meniere s William J Garvis, MD Otology, Neurotology & Skull Base Surgery Ear, Nose & Throat SpecialtyCare of MN, PA American Family Physician Dizziness: A Diagnostic Approach
More informationHearing Screenings in Arkansas Schools. Education for School Nurses in Arkansas Updated Summer 2012
Hearing Screenings in Arkansas Schools Education for School Nurses in Arkansas Updated Summer 2012 The planning committee & faculty attest that NO relevant financial, professional or personal conflict
More informationA Definition of Multiple Sclerosis
English 182 READING PRACTICE by Alyx Meltzer, Spring 2009 Vocabulary Preview (see bolded, underlined words) gait: (n) a particular way of walking transient: (adj) temporary; synonym = transitory remission:
More informationCerebral Palsy. 1995-2014, The Patient Education Institute, Inc. www.x-plain.com nr200105 Last reviewed: 06/17/2014 1
Cerebral Palsy Introduction Cerebral palsy, or CP, can cause serious neurological symptoms in children. Thousands of children are diagnosed with cerebral palsy every year. This reference summary explains
More informationFacts and figures on hearing loss, deafness and tinnitus
FACTSHEET Facts and figures on hearing loss, deafness and tinnitus This factsheet gives you information about the latest available figures on hearing loss, deafness and tinnitus among adults in the UK.
More informationMichigan Ear Institute. Dizziness and Balance Disturbances. www.michiganear.com
Michigan Ear Institute Dizziness and Balance Disturbances www.michiganear.com DOCTORS Jack M. Kartush, MD Dennis I. Bojrab, MD Michael J. LaRouere, MD John J. Zappia, MD, FACS Eric W. Sargent, MD, FACS
More informationAP Psychology ~ Ms. Justice
AP Psychology ~ Ms. Justice 8: What are the characteristics of air pressure waves that we hear as sound? Audition Audition, or hearing, is highly adaptive. We hear a wide range of sounds, but we hear best
More informationAudiology (0340) Test at a Glance. About this test. Test Guide Available. See Inside Back Cover. Test Code 0340
Audiology (0340) Test Guide Available See Inside Back Cover Test at a Glance Test Name Audiology Test Code 0340 Time 2 hours Number of Questions 150 Format Multiple-choice questions Approximate Approximate
More informationCerebral Palsy. In order to function, the brain needs a continuous supply of oxygen.
Cerebral Palsy Introduction Cerebral palsy, or CP, can cause serious neurological symptoms in children. Up to 5000 children in the United States are diagnosed with cerebral palsy every year. This reference
More informationChildhood ENT disorders. When to refer to specialists. Claire Harris
Childhood ENT disorders When to refer to specialists Claire Harris Background. Ear, nose and throat (ENT) are among the commonest reasons for attendance in general practice. Acute problems are managed
More informationA Guide to Otoacoustic Emissions (OAEs) for Physicians
A Guide to Otoacoustic Emissions (OAEs) for Physicians Introduction Hearing loss is not uncommon in children and adults. According to recent estimates, 31.5 million people in the United States report difficulty
More informationSpeaker: Shayla Moore, BMR(PT) Relationship with commercial interests: Employee at Creekside Physiotherapy Clinic
Speaker: Shayla Moore, BMR(PT) Relationship with commercial interests: Employee at Creekside Physiotherapy Clinic 1 Vestibular Rehabilitation Managing dizziness to maintain mobility in the elderly" Dizziness:
More informationYour Hearing ILLUMINATED
Your Hearing ILLUMINATED INFORMATION FROM YOUR HEARING CARE PROFESSIONAL REDISCOVER your hearing and reconnect 1 with the important things you might have been missing. Your sense of hearing is a vital
More information