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Data and Picture Interpretation Stations: Cases 1–45
Published in Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar, ENT OSCEs, 2023
Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar
A bone anchored hearing aid is a type of bone conduction device. These should be considered for any patient who is failing/unable to benefit from conventional hearing aids and yet has adequate cochlear reserve to benefit from amplification of sound.
Otorhinolaryngology
Published in Stephan Strobel, Lewis Spitz, Stephen D. Marks, Great Ormond Street Handbook of Paediatrics, 2019
Chris Jephson, C. Martin Bailey
The cosmetic treatment of microtia is either by autologous tissue reconstruction or by a boneanchored prosthesis from about the age of 10 years. The functional hearing loss should be addressed with a bone-conducting hearing aid from birth, which can be converted to a bone-anchored hearing aid from the age of approximately 5 years.
ENT trauma in children
Published in S. Musheer Hussain, Paul White, Kim W Ah-See, Patrick Spielmann, Mary-Louise Montague, ENT Head & Neck Emergencies, 2018
Implants used within paediatric ENT surgery may also be vulnerable to trauma, particularly from falls and sporting activities. These implants may be osseointegrated (e.g. a bone-anchored hearing aid) or non-osseointegrated (e.g. cochlear implant). Several cases of trauma to bone-anchored hearing aids have been reported; significant complications are, fortunately, very rare.7 Good fixation of cochlear implant internal components is recommended in paediatric patients due to the increased risk of minor head trauma and thin overlying soft tissue. The internal magnetic component within the receiver-stimulator package of a cochlear implant may be liable to displacement either as a result of trauma or from strong magnetic traction.8,9 This may be replaced and secured surgically.
Visual and auditory verbal long-term memory in individuals who rely on augmentative and alternative communication
Published in Augmentative and Alternative Communication, 2020
Michal Icht, Yedida Levine-Sternberg, Yaniv Mama
Of the 12 participants, eight had an estimated cognitive function within the normal range (according to their medical and educational records, and general level of function in everyday life), and four were judged to have a learning disability. Five had vision within normal limits, and seven had a visual impairment and used glasses. A single participant had hearing impairment and used a bone-anchored hearing aid. Seven participants were non-speaking and five had minimal functional speech with very low intelligibility, per SLP report. Note, the non-speaking participants were included since the production conditions did not involve speech (verbal production) but producing the target word using the AAC device (selecting the word’s letters on the SGD grid). Literacy skills were assessed by the SLPs, based on spelling abilities (for regular and irregular words, high and low frequency words), and on reading comprehension, and by parental or self-report on reading habits (e.g., reading novels or newspapers, home computer use, including e-mails, Facebook, etc.). Literacy level was scored on a 4-point scale, by SLPs (1: basic literacy level, could write and read in about the 4th grade level; 2: 7/8th-grade level; 3: 11th/12-grade level; 4: high or adult literacy level; see: Bar-On, 2011). Two participants scored 2, five scored 3, and five scored 4. Participants’ characteristics are presented in Table 1.
BoneBridge implantation in patients with single-sided deafness resulting from vestibular schwannoma resection: objective and subjective benefit evaluations
Published in Acta Oto-Laryngologica, 2018
Jie Yang, Zhaoyan Wang, Meiping Huang, Yongchuan Chai, Huan Jia, Yingwei Wu, Yongming Dai, Yun Li, Hao Wu
Traditional hearing aid devices for SSD patients include contralateral routing of offside signal (CROS) hearing aids and bone conduction hearing aids. CROS hearing aids transmit the sound signal from a microphone in the dead ear to a receiver in the functional ear. CROS hearing aids do not contribute to binaural hearing or the improvement of speech comprehension in the presence of background noise [2]. Moreover, the discomfort of users has resulted in rejection of their use [2]. Bone-anchored hearing aids, such as the Baha system (Cochlear, Sydney, Australia), are some of the most wildly used bone conduction hearing aids and were introduced to patients with SSD in the 2000s. In most reported studies, the Baha system could improve speech comprehension in the presence of background noise and provide subjective satisfaction with hearing ability, although the benefit for sound source localization was controversial [1–10]. However, complications such as soft tissue infections around the pin, failed osseointegration and postoperative skin reactions affected the QoL of patients, leading to unwillingness to use the equipment [6,7].
Common Audiological Functional Parameters (CAFPAs) for single patient cases: deriving statistical models from an expert-labelled data set
Published in International Journal of Audiology, 2020
Mareike Buhl, Anna Warzybok, Marc René Schädler, Omid Majdani, Birger Kollmeier
For the purpose of collecting labels for the given patient data, the data for each patient case from the database were assembled on one page (Supplementary Figure 1). This survey sheet is divided into two parts. The left-hand side displays available information about the respective patient, i.e. outcomes of audiological tests and information from the self-assessment questionnaire filled out by the patient – as was described in section “Database”; graphical representations were chosen as typical for audiogram, Goesa and ACALOS, and the other measures were represented on a one-dimensional scale (for the vocabulary test (WST), the z transform of the raw score was used, and 0 means average performance). The right-hand side of the survey sheet is assigned to the experts’ assessments. Audiological findings and treatment recommendations are provided in a list with checkboxes, respectively. For audiological findings, normal hearing, different shapes of cochlear hearing loss, conductive hearing loss, recruitment, central and fluctuating hearing loss were chosen to cover different aspects regarding inner and middle ear function as well as neural processing pathologies. In practice, it is expected that these findings occur alone or in combinations; hence, ticking more than one option was allowed. For treatment recommendations, the options were no provision, different types of acoustic hearing aids, bone-anchored hearing aid, middle ear implant and cochlear implant. The experts’ task was to tick one or several options from these lists. In case the expert considered different treatment recommendations for the two ears of a patient, the task was to assess the patient’s worse ear.