Progressive sensorineural hearing loss and cochlear otosclerosis: A prospective study

1979 ◽  
Vol 89 (9) ◽  
pp. 1487-1521 ◽  
Author(s):  
Joseph Freeman
2001 ◽  
Vol 22 (5) ◽  
pp. 343-348 ◽  
Author(s):  
P.Daniel Knott ◽  
Lisa A. Orloff ◽  
Jeffrey P. Harris ◽  
Robert E. Novak ◽  
Jane C. Burns

2011 ◽  
Vol 121 (2) ◽  
pp. 392-396 ◽  
Author(s):  
Muhammed Hesham Al Okbi ◽  
Salam Alkindi ◽  
Rashid K. Al Abri ◽  
John Mathew ◽  
Afarida A. Nagwa ◽  
...  

2014 ◽  
Vol 23 (4) ◽  
pp. 365-373 ◽  
Author(s):  
Jeanne Dodd-Murphy ◽  
Walter Murphy ◽  
Fred H. Bess

Purpose The goal of this study was to investigate how the use of a 25 dB HL referral criterion in school screenings affects the identification of hearing loss categorized as minimal sensorineural hearing loss (MSHL). Method A retrospective study applied screening levels of 20 and 25 dB HL at 1000, 2000, and 4000 Hz in each ear to previously obtained pure-tone thresholds for 1,475 school-age children. In a separate prospective study, 1,704 children were screened at school under typical conditions, and a subsample had complete audiological evaluations. Referral rates, sensitivity, and specificity were calculated for each screening level. Results Referral rates varied by grade and criterion level, with comparable results between the two data sets. In both studies, when the screening level increased, the sensitivity to MSHL declined markedly, whereas specificity increased in the prospective study. Conclusions Screening at 25 dB yields poor sensitivity to MSHL. Converging evidence from these diverse populations supports using the 20 dB level to help identify MSHL. Multistage screening is recommended to limit referral rates. Even at 20 dB HL, cases of MSHL may be missed. Audiologists should encourage parents, educators, and speech–language pathologists to refer children suspected of hearing difficulty for complete audiological evaluations even if they pass school screenings.


1997 ◽  
Vol 111 (12) ◽  
pp. 1137-1141 ◽  
Author(s):  
Gilead Berger ◽  
Yehuda Finkelstein ◽  
Shabtai Avraham ◽  
Mordehai Himmelfarb

AbstractA prospective study of hearing loss in 120 cases with non-explosive blast injury of the ear, gathered over a six-year period, is presented. Thirty-three (27.5 per cent) patients had normal hearing, 57 (47.5 per cent) conductive hearing loss, 29 (24.2 per cent) mixed loss and one (0.8 per cent) had pure sensorineural loss. The severity of conductive hearing loss correlated with the size of the eardrum perforation; only a marginal difference was found between water and air pressure injuries, with respect to this type of hearing loss. Of all locations, perforations involving the posterior-inferior quadrant of the eardrum were associated with the largest air-bone gap. Audiometric assessment revealed that none of the patients suffered ossicular chain damage. Three patterns of sensorineural hearing loss were identified: a dip at a single frequency, two separate dips, and abnormality of bone conduction in several adjacent high frequencies. Involvement of several frequencies was associated with a more severe hearing loss than a dip in a single frequency. Healing of the perforation was always accompanied by closure of the air-bone gap, while the recovery of the sensorineural hearing loss was less favourable.


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