Management of Progressive Sensorineural Hearing Loss in Children

1995 ◽  
Vol 112 (5) ◽  
pp. P117-P117
Author(s):  
Margaret A. Kenna ◽  
Nancy Sculerati
Keyword(s):  
Hearing Loss ◽  
Differential Diagnosis ◽  
Surgical Treatment ◽  
Sensorineural Hearing Loss ◽  
Sensorineural Hearing ◽  
Treatment Modalities ◽  
Educational Objectives

Educational objectives: To cite the differential diagnosis of progressive sensorineural hearing loss in children and to provide a reasonable algorithm of both medical and surgical treatment modalities for this condition.

scholarly journals Acoustic reflex measurements and the loudness function in sensorineural hearing loss

1980 ◽  
Vol 27 (1) ◽  
Author(s):  
Sheila Uliel
Keyword(s):  
Hearing Loss ◽  
Differential Diagnosis ◽  
Sensorineural Hearing Loss ◽  
Acoustic Impedance ◽  
Pure Tone ◽  
Sensorineural Hearing ◽  
Acoustic Reflex ◽  
Reflex Responses ◽  
Loudness Function ◽  
The Individual

The suprathreshold acoustic reflex responses of forty two ears affected by sensorineural hearing loss of cochlear origin and fifty-eight ears demonstrating normal hearing, were recorded by means of an electro-acoustic impedance meter and attached X-Y recorder. The recordings were done in ascending and descending fashion,  at successively increasing and decreasing 5dB intensity levels from 90-120-90 dB HL respectively, for the individual pure-tone frequencies of 500, 1 000, 2 000 and 4 000 Hz. The contralateral mode of measurement was employed. Analysis of  these recordings indicated that the acoustic reflex  responses could be differentiated into five  characteristic patterns of  growth, which could be depicted upon a continuum of peaked, peaked-rounded, rounded, rounded-flat,  and flat  shapes. The peaked and peaked-rounded patterns were found  to predominate at all four pure-tone frequencies  in the normal ears, while the rounded-fiat  and flat  patterns were found  to predominate only at the higher pure-tone frequencies of 2 000 and 4 000 Hz in the ears affected  by sensorineural hearing loss. This latter relationship was also able to be applied to two disorders of  the loudness functio— loudness recruitment and hyperacusis. It was concluded that the flattened  acoustic reflex  patterns at the higher pure-tone frequencies  constituted a potential diagnostic cue related to the differential  diagnosis of sensorineural hearing loss, and to disorders of  the loudness function.

scholarly journals Temporal Arteritis as a Differential Diagnosis of Unilateral, Sensorineural Hearing Loss

2014 ◽  
Vol 18 (S 01) ◽  
Author(s):  
Roberto Angeli ◽  
Giliane Gianisella ◽  
Marina Lise ◽  
Mario Bettinelli ◽  
Vinícius Rosa
Keyword(s):  
Hearing Loss ◽  
Differential Diagnosis ◽  
Sensorineural Hearing Loss ◽  
Temporal Arteritis ◽  
Sensorineural Hearing

Management of Sensorineural Hearing Loss in Children

1995 ◽  
Vol 112 (5) ◽  
pp. P120-P120
Author(s):  
Nancy M. Young ◽  
Edwin M. Monsell
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Diagnostic Tests ◽  
Hearing Impaired ◽  
Sensorineural Hearing ◽  
Infants And Children ◽  
Educational Objectives

Educational objectives: To order appropriate diagnostic tests in children with newly identified sensorineural hearing loss and to provide better counseling of families of hearing-impaired infants and children.

scholarly journals Sudden Sensorineural Hearing Loss: Comparative Study of Different Treatment Modalities

2017 ◽  
Vol 22 (03) ◽  
pp. 245-249 ◽  
Author(s):  
Ahmed Khater ◽  
Mohammad El-Anwar ◽  
Ahmad Nofal ◽  
Atef Elbahrawy
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Antiviral Therapy ◽  
Sudden Sensorineural Hearing Loss ◽  
Sensorineural Hearing ◽  
Treatment Modalities ◽  
Early Administration ◽  
Vasoactive Substances ◽  
Group A ◽  
Group B

Introduction Idiopathic sudden sensorineural hearing loss (ISSNHL) is hearing loss of at least 30 dB in at least 3 contiguous frequencies within at least 72 hours. There are many different theories to explain it, and many different modalities are used for its management, such as: systemic steroids (SSs), intratympanic steroid injection (ITSI), hyperbaric oxygen therapy (HOT), antiviral drugs, and vasodilators or vasoactive substances. Objectives This study aims to evaluate the efficacy of the combination of the most common treatment modalities of ISSNHL and to compare the results if HOT was not one of the treatment modalities administered. Methods The study was conducted with 22 ISSNHL patients with ages ranging from 34 to 58 years. The patients were divided into 2 groups; group A included 11 patients managed by SSs, ITSI, antiviral therapy, and HOT simultaneously, and group B included 11 patients exposed to the aforementioned modalities, with the exception of HOT. Results After one month, all of the patients in group A showed total improvement in hearing in all frequencies, with pure tone average (PTA) of 18.1 ± 2.2, while in group B, 5/11 (45.5%) patients showed total improvement, and 6 /11 (54.5%) patients showed partial improvement, with a total mean PTA of 28.1 ± 8.7. Conclusion The early administration of HOT in combination with other clinically approved modalities (SSs, ITSI, antiviral therapy) provides better results than the administration of the same modalities, with the exception of HOT, in the treatment of ISSNHL.

Sensorineural Hearing Loss with Delayed Onset of Vertigo

1995 ◽  
Vol 112 (4) ◽  
pp. 540-543 ◽  
Author(s):  
Alan W. Langman ◽  
Roger C. Lindeman
Keyword(s):  
Hearing Loss ◽  
Surgical Treatment ◽  
Sensorineural Hearing Loss ◽  
Clinical Experience ◽  
Sensorineural Hearing ◽  
Caloric Testing ◽  
Delayed Onset ◽  
The Past ◽  
Episodic Vertigo

Sensorineural hearing loss with delayed onset of vertigo is a syndrome in which episodic vertigo arises in a person who has preexisting unilateral severe-to-profound sensorineural hearing loss. This syndrome has an ipsilateral form in which the vertigo arises from the poorer hearing ear and a contralateral form in which the aural symptoms arise from the better hearing ear. The existence of this syndrome has only been noted within the past two decades. This report details our clinical experience with 17 persons with the ipsilateral form of this disorder. The onset of the vertigo after the occurrence of the hearing loss was quite variable. It ranged from 1 to 60 years after the development of the hearing loss. The hearing loss occurred for several reasons. Most patients had hearing loss due to an unknown cause. The development of the vertigo and the timing of the onset of the vertigo were not related to the cause of the hearing loss. Bithermal caloric testing identified the offending labyrinth in most patients who underwent ablative vestibular surgery. Ablative vestibular surgery was performed in 13 of the 17 persons in this study because of disabling symptoms. In all 13 cases, the episodic vertigo was eliminated. Surgical treatment for sensorineural hearing loss with delayed-onset vertigo, as with all surgery for vertigo, should be based on the severity of the afflicted person's symptoms.

scholarly journals Towards a differential diagnosis of cochlear synaptopathy and outer-hair-cell deficits in mixed sensorineural hearing loss pathologies

2019 ◽  
Author(s):  
Viacheslav Vasilkov ◽  
Sarah Verhulst
Keyword(s):  
Hearing Loss ◽  
Differential Diagnosis ◽  
Hair Cell ◽  
Sensorineural Hearing Loss ◽  
Noise Exposure ◽  
Outer Hair Cell ◽  
Cell Damage ◽  
Sensorineural Hearing ◽  
Inner Hair Cell ◽  
Hearing Thresholds

AbstractDamage to the auditory periphery is more widespread than predicted by the gold-standard clinical audiogram. Noise exposure, ototoxicity and aging can destroy cochlear inner-hair-cell afferent synapses and result in a degraded subcortical representation of sound while leaving hearing thresholds unaffected. Damaged afferent synapses, i.e. cochlear synaptopathy, can be quantified using histology, but a differential diagnosis in living humans is difficult: histology cannot be applied and existing auditory evoked potential (AEP) metrics for synaptopathy become insensitive when other sensorineural hearing impairments co-exist (e.g., outer-hair-cell damage associated with elevated hearing thresholds). To develop a non-invasive diagnostic method which quantifies synaptopathy in humans and animals with normal or elevated hearing thresholds, we employ a computational model approach in combination with human AEP and psychoacoustics. We propose the use of a sensorineural hearing loss (SNHL) map which comprises two relative AEP-based metrics to quantify the respective degrees of synaptopathy and OHC damage and evaluate to which degree our predictions of AEP alterations can explain individual data-points in recorded SNHL maps from male and female listeners with normal or elevated audiometric thresholds. We conclude that SNHL maps can offer a more precise diagnostic tool than existing AEP methods for individual assessment of the synaptopathy and OHC-damage aspect of sensorineural hearing loss.Significance StatementHearing loss ranks fourth in global causes for disability and risk factors include noise exposure, ototoxicity and aging. The most vulnerable parts of the cochlea are the inner-hair-cell afferent synapses and their damage (cochlear synaptopathy) results in a degraded subcortical representation of sound. While synaptopathy can be estimated reliably using histology, it cannot be quantified this way in living humans. Secondly, other co-existing sensorineural hearing deficits (e.g., outer-hair-cell damage) can complicate a differential diagnosis. To quantify synaptopathy in humans and animals with normal or elevated hearing thresholds, we adopt a theoretical and interdisciplinary approach. Sensitive diagnostic metrics for synaptopathy are crucial to assess its prevalence in humans, study its impact on sound perception and yield effective hearing restoration strategies.

The Management of Childhood Hearing Losses

1995 ◽  
Vol 112 (5) ◽  
pp. P116-P116
Author(s):  
Franklin M. Rizer ◽  
Dennis G. Pappas ◽  
Daniel Ling ◽  
Peter N. Arkis
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Sensorineural Hearing ◽  
Speech And Language ◽  
Educational Objectives ◽  
Rehabilitation Strategies

Educational objectives: To provide appropriate management for children with sensorineural hearing loss and to select appropriate speech and language rehabilitation strategies.

Meningitis following stapedotomy: a rare and early complication

2000 ◽  
Vol 114 (10) ◽  
pp. 781-783 ◽  
Author(s):  
Torfinnur Rubek Nielsen ◽  
Jens Thomsen
Keyword(s):  
Hearing Loss ◽  
Surgical Treatment ◽  
Sensorineural Hearing Loss ◽  
Hearing Aid ◽  
Stapes Surgery ◽  
Sensorineural Hearing ◽  
High Price ◽  
Early Complication ◽  
Mild Hearing Loss

Controversy exists concerning stapedotomy for patients with small unilateral air-bone gaps. Surgical treatment of otosclerosis involves an opening to the labyrinth and accordingly, a risk of complications, usually vertigo and sensorineural hearing loss and infrequently anacusis. In this paper we present a 33-year-old woman with a small unilateral air-bone gap, who developed bacterial labyrinthitis with meningitis and anacusis three days after stapes surgery. The patient had a stapedotomy with the small fenestra piston prosthesis technique. Due to the potential for serious complications, patients with unilateral otosclerosis and mild hearing loss should be given the possibility to choose between a hearing aid and surgery. Although stapedotomy in the vast majority of interventions is a highly successful procedure and the best method of treatment for otosclerosis if successful, there is a high price to pay in the event of failure.

Acoustic Neuroma Diagnosis

1995 ◽  
Vol 112 (5) ◽  
pp. P25-P26
Author(s):  
Noel L. Cohen ◽  
Roy A. Holiday
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Acoustic Neuroma ◽  
Diagnostic Algorithm ◽  
Sensorineural Hearing ◽  
Educational Objectives ◽  
Acoustic Neuromas

Educational objectives: To better evaluate the patient with unilateral sensorineural hearing loss and to develop a diagnostic algorithm for the diagnosis of acoustic neuromas.

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