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Audiologie
Dieses Lehrbuch erklärt eingehend und leicht fassbar alle gängigen Methoden der Gehörsabklärung bei Erwachsenen und Kindern. Reintonaudiometrie, Vertäubung, Sprachaudiometrie in Ruhe und im Störschall, Tympanometrie, die Messung otoakustischer Emissionen und die Ableitung und Auswertung auditorisch evozierter Potenziale werden anhand von zahlreichen Schemazeichnungen und typischen Befunden anschaulich dargestellt. Informative Kapitel über Hörgeräte, Cochlea-Implantate und Tinnitus geben eine Übersicht über Möglichkeiten und Grenzen moderner therapeutischer Ansätze
Rehabilitation and Prognosis of Disorders of Hearing Development. Chapter 18.5 Special Knowledge of Bone-Anchored Hearing Aids and Implantable Hearing Aids
Rehabilitation and Prognosis of Disorders of Hearing Development. Chapter 18.24 Indications and Surgical Procedures Concerning Bone-Anchored Hearing Aids, Implantable Hearing Aids and Cochlear Implants
Audiological results with Baha in conductive and mixed hearing loss
The level of improvement in the audiological results of Baha(®) users mainly depends on the patient's preoperative hearing thresholds and the type of Baha sound processor used. This investigation shows correlations between the preoperative hearing threshold and postoperative aided thresholds and audiological results in speech understanding in quiet of 84 Baha users with unilateral conductive hearing loss, bilateral conductive hearing loss and bilateral mixed hearing loss. Secondly, speech understanding in noise of 26 Baha users with different Baha sound processors (Compact, Divino, and BP100) is investigated. Linear regression between aided sound field thresholds and bone conduction (BC) thresholds of the better ear shows highest correlation coefficients and the steepest slope. Differences between better BC thresholds and aided sound field thresholds are smallest for mid-frequencies (1 and 2 kHz) and become larger at 0.5 and 4 kHz. For Baha users, the gain in speech recognition in quiet can be expected to lie in the order of magnitude of the gain in their hearing threshold. Compared to its predecessor sound processors Baha(®) Compact and Baha(®) Divino, Baha(®) BP100 improves speech understanding in noise significantly by +0.9 to +4.6 dB signal-to-noise ratio, depending on the setting and the use of directional microphone. For Baha users with unilateral and bilateral conductive hearing loss and bilateral mixed hearing loss, audiological results in aided sound field thresholds can be estimated with the better BC hearing threshold. The benefit in speech understanding in quiet can be expected to be similar to the gain in their sound field hearing threshold. The most recent technology of Baha sound processor improves speech understanding in noise by an order of magnitude that is well perceived by users and which can be very useful in everyday life
Long term benefit of bone anchored hearing systems in single sided deafness.
CONCLUSION
Bone Anchored Hearing Systems (BAHS) can be expected to still be used by ∼85% of patients with single sided deafness (SSD) 5 years after implantation, and by ∼50% after 10 years.
OBJECTIVES
To investigate the long-term use of BAHS and the reasons to stop.
METHOD
This was a retrospective chart review of all 33 German speaking adults with SSD who had been implanted with a BAHS at one center and of whom the implant status and use of the BAHS were known.
RESULTS
Ranging from 2.6-12.3 years after BAHS implantation, 21 implantees (63.6%) were still using their device (average use = 7.9 years). Seven (21.2%) had stopped using their BAHS because of insufficient benefit (audiologic reasons). The subjective assessment of the benefit of the BAHS differs significantly from the users. Five former users (15.2%) became non-users for reasons unrelated to their hearing performance, namely infections, implant loss, difficulties with the handling, or aesthetic reasons
Non-organic hearing loss: new and confirmed findings
Although non-organic hearing losses are relatively rare, it is important to identify suspicious findings early to be able to administer specific tests, such as objective measurements and specific counseling. In this retrospective study, we searched for findings that were specific ti or typical for non-organic hearing losses. Patient records from a 6 year period (2003-2008) from the University ENT Department of Bern, Switzerland, were reviewed. In this period, 40 subjects were diagnosed with a non-organic hearing loss (22 children, ages 7-16, mean 10.6 years; 18 adults, ages 19-57, mean 39.7 years; 25 females and 15 males). Pure tone audiograms in children and adults showed predominantly sensorineural and frequency-independent hearing losses, mostly in the range of 40-60 dB. In all cases, objective measurements (otoacoustic emissions and/or auditory-evoked potentials) indicated normal or substantially better hearing thresholds than those found in pure tone audiometry. In nine subjects (22.5%; 2 children, 7 adults), hearing aids had been fitted before the first presentation at our center. Six children (27%) had a history of middle ear problems with a transient hearing loss and 11 (50%) knew a person with a hearing loss. Two new and hitherto unreported findings emerged from the analysis: it was observed that a small air-bone gap of 5-20 dB was typical for non-organic hearing losses and that speech audiometry might show considerably poorer results than expected from pure tone audiometry
Versorgungsmöglichkeiten nach einseitiegr Ertaubung: zweckmässig, medizinisch sinnvoll und finanzierbar?
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