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Acute Otitis Media and Otitis Media With Effusion in Adults
Published in R James A England, Eamon Shamil, Rajeev Mathew, Manohar Bance, Pavol Surda, Jemy Jose, Omar Hilmi, Adam J Donne, Scott-Brown's Essential Otorhinolaryngology, 2022
A pure–tone audiogram will show the level of impaired hearing function and typically reveal a conductive hearing loss. Tympanography will commonly show a ‘type B’ pattern. Experienced clinicians will usually make the diagnosis of OME from tympanic membrane appearance.
The Special Sense Organs and Their Disorders
Published in Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss, Understanding Medical Terms, 2020
Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss
Evaluation of hearing can be done with several tests using a tuning fork to distinguish between nerve deafness and conductive deafness and using an audiometer, which provides an audiogram to reveal the range of hearing. Other diagnostic procedures associated with hearing evaluation include tympanometry (impedance testing), visual reinforcement audiometry (VRA), electroacoustic evaluation, and a short increment sensitivity index (SISI).
Data and Picture Interpretation Stations Cases 1–42
Published in Joseph Manjaly, Peter Kullar, Alison Carter, Richard Fox, ENT OSCEs: A Guide to Passing the DO-HNS and MRCS (ENT) OSCE, 2019
Joseph Manjaly, Peter Kullar, Alison Carter, Richard Fox
A 24-year-old man presents with hearing loss following a road traffic accident. What is this study?What is the abnormality?Describe what the pure-tone audiogram would very likely show.Will the patient’s hearing recover?List five other symptoms the patient may experience.
Remote hearing aid renewal using pre-existing audiograms during the covid-19 pandemic
Published in International Journal of Audiology, 2023
Jukka Kokkonen, Heidi Kaski, Sampo Mäkinen, Fanni Svärd
Hearing was measured in all except 2 patients: one was a patient whose hearing aids were adjusted without the patient visiting the hospital, and the other had a feedback problem that was solved by replacing the ear moulds. In-situ audiometry was performed for 2 patients, air conduction pure tone audiometry for 1 patient and full pure tone audiometry including bone conduction testing for 6 patients. The average difference in hearing thresholds in frequencies from 500 to 4000 Hz between the reference audiogram (either an estimated audiogram or, in the amplification manipulation subgroup, the most recent previously measured audiogram) and measured audiogram was −1.46 dB in the audiogram estimation subgroup and −11.72 dB in the amplification manipulation subgroup (t [7.54] = −3.32, p = 0.011). The difference was also statistically significant in individual frequencies, except for 125, 4000 and 8000 Hz (data not shown). In the audiogram estimation subgroup, changes were minimal across frequencies (Figure 2 and Supplementary Figure 2). After adjustments, hearing aid output change for loud sounds did not differ from zero in either the average of all frequencies or individual frequencies. Meanwhile, output for soft sounds increased on the average by 4.0 dB in the whole revisiting group and by 6.7 dB in the amplification manipulation subgroup but was mainly unchanged in the audiogram estimation subgroup (Supplementary Figure 3).
Satisfaction with hearing assessment feedback using the My Hearing Explained tool: client and audiologist perceptions
Published in International Journal of Audiology, 2023
Louise A. Nell, Faheema Mahomed Asmail, Karina C. De Sousa, Marien Alet Graham, De Wet Swanepoel
Valuable recommendations were identified in the IMHET focus groups to improve the tool (Table 4). Recommendations were specific to design and use, loudness and clarity rating scale, energy battery rating scale, my next steps section, tinnitus and most predominantly using the audiogram with the IMHET. All audiologists noted the complimentary use of the audiogram with the IMHET (and vice versa). They reported that the audiogram is a “detailed tool full of useful information,” with one indicating that it must be explained, “in an appropriate way that is patient-centred”. Audiologists also noted the perceived shortfalls of the IMHET from explaining high and low-frequency results and describing the degree and configuration of the hearing loss. Audiologists made recommendations to expand the IMHET scales and use more familiar imagery (emoticons) to address some of the concerns of the “Loudness and Clarity” rating scales. Two audiologists also indicated that it would be beneficial to include tinnitus in the IMHET. However, this is a common shortfall for both the audiogram and IMHET in not explicitly facilitating tinnitus discussions during feedback.
The effect of SLC26A4 gene mutations on long-term rehabilitative outcomes in cochlear implant patients
Published in Acta Oto-Laryngologica, 2023
Qin Wang, Jian Hu, Panpan Bian, Chi Chen, Yanli Wang, Shihong Cheng, Yufen Guo, Baicheng Xu
In our study, there was no difference in ABR between different groups, indicating that there was no correlation between genotype and residual hearing in patients. But Lee [17] et al. found that patients with one or two allelic mutations of c.919-2A > G had better residual hearing with large variability observed among patients. Mey [15] et al. investigated the relations of monoallelic, biallelic, or the absence of mutations in SLC26A4, they found that biallelic mutations individuals have poorer hearing. In our study, only ABR was compared, ASSR was not compared due to incomplete data. Patients with EVA often present with fluctuating and progressive hearing loss, and some patients may be accompanied by vertigo, which is relatively insidious. The audiogram of patients with EVA is mainly characterized by high frequency decline in the early stage. The audiogram can also show the characteristic low-intermediate frequency air-bone conduction difference. Some scholars put forward that a large vestibular aqueduct may act as a third mobile window [18] in the inner ear, resulting in an air-bone gap at low frequencies. We suggest to further expand the sample size and collect preoperative ASSR results to understand the retention of residual hearing at different frequencies.