Author's response to the letter about the article: Hearing screenings for pre-school children: A comparison between whispered voice and pure tone audiogram tests

2020 ◽  
Vol 138 ◽  
pp. 110199
Author(s):  
L. Skoloudik ◽  
J. Mejzlik ◽  
V. Chrobok
2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.


1999 ◽  
Vol 24 (4) ◽  
pp. 377-383
Author(s):  
G. A. van zanten ◽  
A. van de sande ◽  
M. P. brocaar

2017 ◽  
Vol 138 (2) ◽  
pp. 140-144 ◽  
Author(s):  
Yukihide Maeda ◽  
Soshi Takao ◽  
Akiko Sugaya ◽  
Yuko Kataoka ◽  
Shin Kariya ◽  
...  

1992 ◽  
Vol 106 (6) ◽  
pp. 500-503 ◽  
Author(s):  
A. E. Hinton ◽  
R. T. Ramsden ◽  
R. H. Lye ◽  
J. E. M. Dutton

AbstractIn the quest for hearing preservation in patients with acoustic schwannomas it is essential that surgeons do not lose sight of the concept of ‘useful’ hearing. There is an important difference between hearing preservation which pleases the surgeon and that which will be appreciated by the patient.Tumour size, pure tone audiogram average differences between ears and speech discrimination scores have been recorded in a series of 114 patients with unilateral acoustic schwannomas. Criteria for useful hearing are presented in terms of pure tone audiogram average difference and speech discrimination scores.There were 11 patients (10 per cent) with a speech discrimination score of 50 per cent or more, a pure tone audiogram average difference of 30 dB or better and a tumour size of no more than 2 cm. Only one patient (0.9 per cent) had a speech discrimination score of 50 per cent or more, a pure tone audiogram average difference of 20 dB or better and a tumour size of no more than 1 cm.It is concluded that hearing preservation techniques may be applicable to between 1 and 10 per cent of patients with unilateral acoustic schwannomas.


2015 ◽  
Vol 26 (06) ◽  
pp. 563-571 ◽  
Author(s):  
Koenraad S. Rhebergen ◽  
Thamar E.M. van Esch ◽  
Wouter A. Dreschler

Background: A temporal resolution test in addition to the pure-tone audiogram may be of great clinical interest because of its relevance in speech perception and expected relevance in hearing aid fitting. Larsby and Arlinger developed an appropriate clinical test, but this test uses a Békèsy-tracking procedure for estimating masked thresholds in stationary and interrupted noise to assess release of masking (RoM) for temporal resolution. Generally the Hughson-Westlake up-down procedure is used in the clinic to measure the pure-tone thresholds in quiet. A uniform approach will facilitate clinical application and might be appropriate for RoM measurements as well. Because there is no golden standard for measuring the RoM in the clinic, we examine in the present study the Hughson-Westlake up-down procedure to measure the RoM and compare the results with the Békèsy-tracking procedure. Purpose: The purpose of the current study was to examine the differences between a Békèsy-tracking procedure and the Hughson-Westlake up-down procedure for estimating masked thresholds in stationary and interrupted noise to assess RoM. Research Design: RoM is assessed in eight normal-hearing (NH) and ten hearing-impaired (HI) listeners through both methods. Results from both methods are compared with each other and with predicted thresholds from a model. Data Analysis: Wilcoxon signed-rank tests, paired t tests. Results: Some differences between the two methods were found. We used a model to quantify the results of the two measurement procedures. The results of the Hughson-Westlake procedure were clearly better in agreement with the model than the results of the Békèsy-tracking procedure. Furthermore, the Békèsy-tracking procedure showed more spread in the results of the NH listeners than the Hughson-Westlake procedure. Conclusions: The Hughson-Westlake procedure seems to be an applicable alternative for measuring RoM for temporal resolution in the clinical audiological practice.


2011 ◽  
Vol 269 (1) ◽  
pp. 93-100 ◽  
Author(s):  
Reinhard Müller ◽  
Gerald Fleischer ◽  
Joachim Schneider

2000 ◽  
Vol 53 (3) ◽  
pp. 46-48 ◽  
Author(s):  
Mead C. Killion ◽  
Patricia A. Niquette

1993 ◽  
Vol 107 (9) ◽  
pp. 787-789 ◽  
Author(s):  
M. B. Pringle ◽  
A. Thompson ◽  
K. Reddy

AbstractSpeech audiometry was performed on 15 children with secretory otitis media pre-and post-operatively and the findings compared with the pre-and post-operative pure tone audiograms. The results showed that in 30 per cent of cases pre-operatively the speech audiogram suggested a significantly worse hearing ability than that suggested by the pure tone audiogram (PTA). Where a PTA gives a borderline threshold disproportionate parental concern should be taken seriously as the hearing ability may well be worse than the PTA suggests.


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