scholarly journals Asymptomatic hearing loss-a missed symptom of COVID-19

2021 ◽  
Author(s):  
Choudhary Sathyanarayanan ◽  
Balaji Swaminathan ◽  
Ruta Shanmugam ◽  
V. U. Shanmugam ◽  
Prakash . ◽  
...  
Keyword(s):  
Hearing Loss ◽  
High Frequency ◽  
Bone Conduction ◽  
Pure Tone Audiometry ◽  
Control Group ◽  
Study Group ◽  
Spanish Flu ◽  
Difficult Times ◽  
Air Conduction ◽  
Better Than

<p class="BodyA"><strong>Background: </strong>COVID-19 pandemic is caused by SARS CoV2. The last reference of pandemic was Spanish flu in 1918 which caused hearing loss in many patients. The effect of COVID-19 is an interesting issue in audiology. Not much studies have been done; therefore, this kindled our interest to have a study on audiological profile of asymptomatic COVID-19 patients.<strong></strong></p><p class="BodyA"><strong>Methods:</strong> The 20 cases in the age group of 20 and 50 years who were confirmed positive for COVID-19 formed the study group. 20 subjects who had normal hearing (Audiometric threshold at or better than 15 db HL) were used as control group. Pure-tone audiometry (PTA) was done for both the group on day 7 and 30. Air conduction and Bone conduction were measured. The audiometric thresholds were measured using the modified Hughson-Westlake method.</p><p class="BodyA"><strong>Results:</strong> High frequency hearing impairment was found in 9 out of 20 patients in the study group on day 7. Out of the 9 affected patients 7 patients showed improvement upon further testing done on day 30.</p><p class="BodyA"><strong>Conclusions: </strong>Like anosmia and ageusia, hearing loss can be considered as one of the clinical features in COVID-19 patients. This study was recorded to find a significant hearing loss in asymptomatic COVID-19 patients and thus sheds light on the auditory problem that people are experiencing during these difficult times and for future reference on pandemic research.</p>

scholarly journals Effect of High Jugular Bulb on the Hearing Loss Characteristics in Patients With LVAS: A Pilot Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Arthur Benjamin Kwesi ◽  
Jintao Yu ◽  
Chenlu Wang ◽  
Yonghua Wang ◽  
Fengyi Chuang ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Bone Conduction ◽  
Pure Tone Audiometry ◽  
Jugular Bulb ◽  
Control Group ◽  
Case Group ◽  
Vestibular Aqueduct ◽  
High Jugular Bulb ◽  
Significant Difference ◽  
Air Conduction

ObjectiveBoth large vestibular aqueduct syndrome (LVAS) and high jugular bulb (HJB) are regarded as abnormalities commonly seen on the temporal bone CT. High jugular bulb has been found to erode the vestibular aqueduct, and there are several studies on jugular bulb vestibular aqueduct dehiscence. However, there is no study that specifically reports LVAS with concurrent HJB and its hearing loss relatedness. This study presents the pure tone audiometry differences between LVAS with HJB, and LVAS without HJB.MethodsThis was a case control study involving 36 bilateral LVAS with concurrent unilateral HJB patients, total of 72 ears. Intra-person comparison was done, by dividing ears into two groups: the case group, 36 ears (LVAS with HJB); and the control group, 36 ears (LVAS without HJB). Air conduction thresholds (250–4000 Hz), bone conduction thresholds (250–1000 Hz), and air bone gap (250–1000 Hz) were analyzed and compared between groups.ResultThere were statistically significant differences in AC thresholds at 250, 500, 2000, and 4000 Hz between the groups, p &lt; 0.05. But there was no statistical significant difference at 1000 Hz, p &gt; 0.05. There were statistical significant differences in BC thresholds at 250 and 500 Hz, p &lt; 0.05, but there was no statistical difference at 1000 Hz. There were no significant differences in air bone gap at 250, 500, and 1000 Hz between the two groups.ConclusionLVAS with concurrent HJB was found to have higher air conduction thresholds, especially at 250, 500, 2000, and 4000 Hz. Bone conduction thresholds were higher at 250 and 500 Hz. Air bone gap at 250, 500, and 1000 Hz, were not significantly higher in LVAS with concurrent HJB.

scholarly journals Examination of Hearing in a Rheumatoid Arthritis Population: Role of Extended-High-Frequency Audiometry in the Diagnosis of Subclinical Involvement

Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Mar Lasso de la Vega ◽  
Ithzel Maria Villarreal ◽  
Julio Lopez-Moya ◽  
Jose Ramon Garcia-Berrocal
Keyword(s):  
Rheumatoid Arthritis ◽  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
High Frequency ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Sensorineural Hearing ◽  
Control Group ◽  
Immunological Parameters ◽  
High Frequency Audiometry

Objective. The aim of this study is to analyze the high-frequency hearing levels in patients with rheumatoid arthritis and to determine the relationship between hearing loss, disease duration, and immunological parameters.Materials and Methods.A descriptive cross-sectional study including fifty-three patients with rheumatoid arthritis was performed. The control group consisted of 71 age- and sex-matched patients from the study population (consecutively recruited in Madrid “Area 9,” from January 2010 to February 2011). Both a pure tone audiometry and an extended-high-frequency audiometry were performed.Results. Extended-high-frequency audiometry diagnosed sensorineural hearing loss in 69.8% of the patients which exceeded the results obtained with pure tone audiometry (43% of the patients). This study found significant correlations in patients with sensorineural hearing loss related to age, sex, and serum anti-cardiolipin (aCL) antibody levels.Conclusion.Sensorineural hearing loss must be considered within the clinical context of rheumatoid arthritis. Our results demonstrated that an extended-high-frequency audiometry is a useful audiological test that must be performed within the diagnostic and follow-up testing of patients with rheumatoid arthritis, providing further insight into a disease-modifying treatment or a hearing loss preventive treatment.

scholarly journals Audiometry Analysis for the Assessment of Hearing Deficit in Patients with Oral Submucous Fibrosis

2021 ◽  
Author(s):  
Ashwini Desai ◽  
Nikkhiel Diwaan ◽  
Rashmi Sapkal ◽  
Siddesh Shenoy ◽  
Niranjan Desai ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Eustachian Tube ◽  
Oral Submucous Fibrosis ◽  
Bone Conduction ◽  
Pure Tone Audiometry ◽  
Study Groups ◽  
Control Group ◽  
P Value ◽  
Submucous Fibrosis ◽  
Group D

Introduction: Oral Submucous Fibrosis (OSMF) is a slowly progressive chronic fibrotic disease of the oral cavity extending to pharynx. Function and patency of eustachian tube gets altered when the palatal and paratubal muscles which regulate the patency of pharyngeal orifice gets affected. This leads to pain in ear along with mild to moderate conductive loss of hearing. Aim: To evaluate hearing deficit in OSMF patients and to correlate clinical stages of OSMF with degree of hearing deficits in patients. Materials and Methods: It was a cross-sectional study. The study comprised of a total of 50 subjects (100 ears). Forty patients diagnosed with OSMF who reported to Department of Oral Medicine and Radiology constituted the study group. Ten normal individuals with no deleterious habits and without any previously diagnosed ear disorders constituted the control group. Pure Tone Audiometry (PTA) was used for evaluating all the subjects for air conduction and bone conduction hearing loss. Values on qualitative characteristics were shown as n (% prevalence) across five study groups. Values on quantitative variables were shown as Mean±SD across five study groups. Inter group comparison for qualitative and quantitative variables was done using chi-square test and analysis of variance (ANOVA) test respectively with Post-Hoc Bonferroni’s correction for multiple group comparisons. Results: The OSMF group showed a marked degree of hearing loss compared to the control group. The distribution of mean PTA in quantitative assessment was significantly higher in group D compared to group A and group B (p-value<0.05 for both) and also the distribution of qualitative hearing loss was significantly higher in group C and group D (p-value<0.05). Conclusion: There was a significant association between OSMF and hearing deficit in this study. Fibrosis of the oropharynx and palatal/paratubal muscles which are affected in OSMF and theses muscles are attached to eustachian tube, the patency of the eustachian tube gets affected. As a result, patients with mainly advanced cases of OSMF should be assessed for hearing deficit.

scholarly journals Hearing Loss Among Excessive Mobile Phone Users; A Cross Sectional Study At Bahawal Victoria And Civil Teaching Hospitals Bahawalpur

2018 ◽  
Vol 09 (01) ◽  
pp. 21-24
Author(s):  
Muhammad Asim Shafique ◽  
Muhammad Fahim ◽  
Masood Akhtar ◽  
Muhammad Adnan Anwar ◽  
Anum Jamshed
Keyword(s):  
Hearing Loss ◽  
Mobile Phone ◽  
Pure Tone ◽  
Bone Conduction ◽  
Pure Tone Audiometry ◽  
Test Group ◽  
Teaching Hospitals ◽  
Control Group ◽  
P Value ◽  
Cross Sectional

Objective: To assess the hearing loss among the subjects using excessive mobile phone. Methodology: 50 subjects were entered for this study with age ranging from 20 to 40 years using mobile phone for more than 5 years. 25 subjects who used mobile phone for less than (<) 60 min /day formed one group, while 25 subjects who used cell phone for more than (>) 60 min /day formed the second group. The hearing levels of all the subjects were tested using Pure Tone Audiometry (PTA). Duration of mobile phone usage was assessed by questionnaires. Results: There was a significant increase (p-value .00006) in the hearing thresholds at all frequencies in air conduction and bone conduction in right ear in test group compared with the control group. Similar result was found in the left ear except for bone conduction at frequency 4 and 6 (kilo hertz) kHz. Excessive use of mobile phone caused Sensory neural hearing loss and the prevalence was 84% in group who used mobile phone for > 60 min / day and 20% in group who used for < 60 min / day. Conclusion: Excessive use of mobile phone may cause increase in pure tone threshold associated with the duration of usage. The use for more than 5 years with more than 60 minutes daily can produce harmful effects on human hearing.

Mechanism of Hearing Loss in Irradiated Ears: A Long-Term Longitudinal Study

2001 ◽  
Vol 110 (10) ◽  
pp. 904-906 ◽  
Author(s):  
Yi-Ho Young ◽  
Ying-Chih Lu
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Bone Conduction ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Tube Function ◽  
The Mean ◽  
Air Conduction

A 10-year longitudinal follow-up study of hearing was conducted in patients with nasopharyngeal carcinoma (NPC) in order to elucidate the mechanism of hearing loss in irradiated ears. Ten NPC patients were subjected to a battery of audiological tests before irradiation and 6 months, 5 years, and 10 years after irradiation. The tests included pure tone audiometry, tympanometry, eustachian tube function testing, and myringotomy to confirm middle ear effusion. The prevalences of otitis media with effusion (OME) were 25%, 25%, 40%, and 25% at the 4 testing periods described above, respectively. The prevalences of chronic otitis media were 0%, 0%, 15%, and 25%, respectively. In myringotomized ears (n = 17), the mean hearing levels for both air conduction and bone conduction were preserved from the preirradiation period to 10 years after irradiation. In contrast, in grommeted ears (n = 3), the mean hearing levels for both air conduction and bone conduction deteriorated progressively from the preirradiation period to 10 years after irradiation. We conclude that hearing can be preserved in NPC patients 10 years after irradiation if middle ear inflammation is well controlled. We do not recommend grommet insertion in irradiated NPC patients with OME, as it may result in persistent otorrhea and hearing deterioration.

scholarly journals Anxiety and Depression in Patients with Sudden One-sided Hearing Loss

2018 ◽  
Vol 97 (10-11) ◽  
pp. E7-E9 ◽  
Author(s):  
Fatih Arslan ◽  
Emre Aydemir ◽  
Yavuz Selim Kaya ◽  
Hasan Arslan ◽  
Abdullah Durmaz
Keyword(s):  
Hearing Loss ◽  
Patient Group ◽  
Bone Conduction ◽  
Sudden Hearing Loss ◽  
Anxiety And Depression ◽  
Control Group ◽  
Beck Hopelessness Scale ◽  
The Difference ◽  
Anxiety Depression ◽  
Air Conduction

Sudden sensorineural hearing loss is a hearing loss of >30 dB in at least three consecutive frequencies that occurs in 3 days. The aim of this study was to investigate anxiety and depression caused by sudden, idiopathic, one-sided hearing loss. The levels of anxiety and depression in patients with this type of hearing loss were determined using the Beck Anxiety Scale (BAS) and the Beck Depression Inventory (BDI) at the time of the patient's first visit. In total, 56 patients (32 men and 24 women) with a mean age of 32.8 ± 9.9 years (range: 20 to 58 years) were selected as the patient group and 45 individuals without symptoms of anxiety and depression were selected as the control group. The mean pretreatment air-conduction threshold and bone-conduction threshold were 61.1 ± 26.1 and 49.4 ± 13.8, respectively. In the patient group, the pretreatment mean anxiety, depression, and hopelessness scores were 19.5 ± 10.7, 11.6 ± 8.4, and 6.2 ± 4.7, respectively. The control group's mean anxiety, depression, and hopelessness scores were 4.1 ± 3.0, 3.8 ± 2.1, and 1.8 ± 1.0, respectively. For all the tests, the difference between the patient group and the control group was statistically significant (p < 0.001 for all). Hearing levels were not correlated with scores on the BAS, BDI, and Beck Hopelessness Scale (p = 0.1, p = 0.6, and p = 0.4, respectively). In conclusion, the results of this study show that sudden hearing loss can cause anxiety and depression. Questioning patients with sudden hearing loss about symptoms associated with anxiety and depression might be useful, and a psychiatric consultation should be requested if necessary.

scholarly journals Validation of a Personalized Hearing Screening Mobile Health Application for Persons with Moderate Hearing Impairment

2021 ◽  
Vol 11 (10) ◽  
pp. 1035
Author(s):  
Lok-Yee Joyce Li ◽  
Shin-Yi Wang ◽  
Jinn-Moon Yang ◽  
Chih-Jou Chen ◽  
Cheng-Yu Tsai ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Pure Tone ◽  
Conductive Hearing Loss ◽  
Bone Conduction ◽  
Pure Tone Audiometry ◽  
Hearing Screening ◽  
Self Test ◽  
Conductive Hearing ◽  
Air Conduction

Hearing impairment is a frequent human sensory impairment. It was estimated that over 50% of those aged >75 years experience hearing impairment in the United States. Several hearing impairment–related factors are detectable through screening; thus, further deterioration can be avoided. Early identification of hearing impairment is the key to effective management. However, hearing screening resources are scarce or inaccessible, underlining the importance of developing user-friendly mobile health care systems for universal hearing screening. Mobile health (mHealth) applications (apps) act as platforms for personalized hearing screening to evaluate an individual’s risk of developing hearing impairment. We aimed to evaluate and compare the accuracy of smartphone-based air conduction and bone conduction audiometry self-tests with that of standard air conduction and bone conduction pure-tone audiometry tests. Moreover, we evaluated the use of smartphone-based air conduction and bone conduction audiometry self-tests in conductive hearing loss diagnosis. We recruited 103 patients (206 ears) from an otology clinic. All patients were aged ≥20 years. Patients who were diagnosed with active otorrhea was excluded. Moderate hearing impairment was defined as hearing loss with mean hearing thresholds >40 dB. All patients underwent four hearing tests performed by a board-certified audiologist: a smartphone-based air conduction audiometry self-test, smartphone-based bone conduction audiometry self-test, standard air-conduction pure-tone audiometry, and standard bone conduction pure-tone audiometry. We compared and analyzed the results of the smartphone-based air conduction and bone conduction audiometry self-tests with those of the standard air conduction and bone conduction pure-tone audiometry tests. The sensitivity of the smartphone-based air conduction audiometry self-test was 0.80 (95% confidence interval CI = 0.71–0.88) and its specificity was 0.84 (95% CI = 0.76–0.90), respectively. The sensitivity of the smartphone-based bone conduction audiometry self-test was 0.64 (95% CI = 0.53–0.75) and its specificity was 0.71 (95% CI = 0.62–0.78). Among all the ears, 24 were diagnosed with conductive hearing loss. The smartphone-based audiometry self-tests correctly diagnosed conductive hearing loss in 17 of those ears. The personalized smartphone-based audiometry self-tests correctly diagnosed hearing loss with high sensitivity and high specificity, and they can be a reliable screening test to rule out moderate hearing impairment among the population. It provided patients with moderate hearing impairment with personalized strategies for symptomatic control and facilitated individual case management for medical practitioners.

scholarly journals A filtered speech test for an aging population

1976 ◽  
Vol 23 (1) ◽  
Author(s):  
Hanna Klein
Keyword(s):  
Hearing Loss ◽  
High Frequency ◽  
Aging Population ◽  
Control Group ◽  
High Frequency Hearing Loss ◽  
Speech Test ◽  
Males And Females ◽  
The Right ◽  
Filtered Speech ◽  
Better Than

A filtered speech test was presented to sixty males and females above the age of sixty years. Thirty of these subjects had complained of, and demonstrated clinically, a high frequency hearing loss for pure-tones. Thirty subjects, who had never complained of a hearing loss, but who nevertheless were found to have mild-to-moderate high frequency hearing losses, were included as a control in the study. The ability to discriminate among phonetically-balanced words where certain frequencies had been filtered out deteriorated with age, although those subjects in the control group performed better than those in the experimental group. However both groups showed poorer ability to discriminate with the right ear, than with the left, or with both ears. The results seemed to indicate a particular retrocochlear involvement in an aging population.

scholarly journals Frequency-Following Response (FFR) in Military Pilots

2020 ◽  
Author(s):  
Graziela Maria Martins-Moreira ◽  
Alessandra Spada Durante
Keyword(s):  
Pure Tone Audiometry ◽  
Control Group ◽  
Study Group ◽  
Aircraft Accidents ◽  
Frequency Following Response ◽  
Significant Difference ◽  
Qualitative Variables ◽  
Chi Squared ◽  
The Right ◽  
Military Pilots

Abstract Introduction Good hearing in pilots, including central auditory skills, is critical for flight safety and the prevention of aircraft accidents. Pure tone audiometry alone may not be enough to assess hearing in the members of this population who, in addition to high noise levels, routinely face speech recognition tasks in non-ideal conditions. Objective To characterize the frequency-following response (FFR) of a group of military pilots compared with a control group. Methods Twenty military pilots in the Study Group and 20 non-pilot military personnel, not exposed to noise in their work, in the Control Group, all with normal hearing, aged between 30 and 40 years old, completed a questionnaire to assess their hearing habits, and their FFRs were measured with a /da/ syllable (duration 40 milliseconds, speed 10.9/s), at 80 dB NA in the right ear. All procedures were approved by the ethical committee of the institution. Statistical analysis was performed using the t-Student or Mann-Whitney tests for quantitative variables, and the Fisher or chi-squared tests for qualitative variables, and a value of p < 0.05 was considered to be statistically significant. Results There was no significant difference between the groups regarding auditory habits. In the FFR, wave amplitudes A (p = 0.01) and C (p = 0.04) were significantly lower in the Study Group. Conclusion Working as a military pilot can be a crucial factor in determining an individual's typical FFR pattern, demonstrated in the present study by statistically significant reductions in the amplitudes of the A and C waves.

High-Frequency Air-Conduction and Electric Bone-Conduction Audiometry: Age and Sex Variations

1991 ◽  
Vol 20 (3) ◽  
pp. 181-189 ◽  
Author(s):  
Heikki Löppönen ◽  
Martti Sorri ◽  
Risto Bloigu
Keyword(s):  
High Frequency ◽  
Bone Conduction ◽  
Air Conduction ◽  
Age And Sex
Sign in / Sign up

Export Citation Format

Share Document