Adaptive testing of speech discrimination in persons with sensorineural hearing loss

1975 ◽  
Vol 58 (S1) ◽  
pp. S113-S113
Author(s):  
M. Becker ◽  
I. Hochberg
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Adaptive Testing ◽  
Sensorineural Hearing ◽  
Speech Discrimination

scholarly journals The Vibrant Soundbridge

2010 ◽  
Vol 2 (2) ◽  
pp. 143-149
Author(s):  
Ashutosh G Pusalkar
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Hearing Aid ◽  
Sensorineural Hearing ◽  
Speech Discrimination ◽  
Vibrant Soundbridge ◽  
Hearing Improvement ◽  
Electronic Engineer

Abstract Till about 15 years ago, the only choice of hearing improvement for moderate sensorineural hearing loss with severe speech discrimination defect was a hearing aid. It was only after Mr. Geoff Ball, an electronic engineer who was suffering from a similar defect, started thinking of an alternative to the conventional hearing aid that the Vibrant Soundbridge came into existence, and with the passage of time the indications for the use of the same have increased.

scholarly journals Early Posttreatment Audiometry Underestimates Hearing Recovery after Intratympanic Steroid Treatment of Sudden Sensorineural Hearing Loss

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Benjamin J. Wycherly ◽  
Jared J. Thompkins ◽  
H. Jeffrey Kim
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Sudden Hearing Loss ◽  
Sudden Sensorineural Hearing Loss ◽  
Sensorineural Hearing ◽  
Speech Discrimination ◽  
Case Review ◽  
Retrospective Case ◽  
Hearing Recovery ◽  
History Of

Objective. To review our experience with intratympanic steroids (ITSs) for the treatment of idiopathic sudden sensorineural hearing loss (ISSNHL), emphasizing the ideal time to perform follow-up audiograms.Methods. Retrospective case review of patients diagnosed with ISSNHL treated with intratympanic methylprednisolone. Injections were repeated weekly with a total of 3 injections. Improvement was defined as an improved pure-tone average ≥20 dB or speech-discrimination score ≥20%.Results. Forty patients met the inclusion criteria with a recovery rate of 45% (18/40). A significantly increased response rate was found in patients having an audiogram >5 weeks after the first dose of ITS (9/13) over those tested ≤5 weeks after the first dose of ITS (9/27) ().Conclusions. Recovery from ISSNHL after ITS injections occurs more frequently >5 weeks after initiating ITS. This may be due to the natural history of sudden hearing loss or the prolonged effect of steroid in the inner ear.

Delayed restoration of maximum speech discrimination scores in patients with idiopathic sudden sensorineural hearing loss

2016 ◽  
Vol 43 (5) ◽  
pp. 495-500 ◽  
Author(s):  
Yoshihiro Noguchi ◽  
Masatoki Takahashi ◽  
Taku Ito ◽  
Taro Fujikawa ◽  
Yoshiyuki Kawashima ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Sudden Sensorineural Hearing Loss ◽  
Sensorineural Hearing ◽  
Speech Discrimination

Sensorineural Hearing Loss in Chronic Ear Surgery

1977 ◽  
Vol 86 (1) ◽  
pp. 3-8 ◽  
Author(s):  
G. D. L. Smyth
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Clinical Evidence ◽  
Bone Conduction ◽  
Ossicular Chain ◽  
Sensorineural Hearing ◽  
Inflammatory Factors ◽  
Speech Discrimination ◽  
Ear Surgery ◽  
Cochlear Damage

The author's series of 3000 consecutive operations of tympanoplasty from 1960 to 1975 were reviewed in regard to the occurrence of sensorineural hearing loss as a consequence of the surgical procedure. Worsening of bone conduction thresholds by 10 dB through the frequencies 500 to 4000 cps, or a 10% reduction in speech discrimination scores were considered significant. Whereas in transcanal tympanoplasty the incidence of cochlear damage was greater in ears when initially the ossicular chain was incomplete, by contrast in combined approach tympanoplasty the risk was greater when the chain was intact initially. It was concluded that cochlear trauma was usually due to 1) the hydraulic effect of excessive stapes manipulation during the removal of disease, and 2) the development of a perilymph fistula. The unpredictable predisposing threat of cochlear fragility due to genetic and inflammatory factors was emphasized and the poor results of tympanoplasty in tympanosclerosis were underlined. The current methods of treating sensorineural hearing loss after tympanoplasty were enumerated and discussed. It was concluded that although those aimed at improving labyrinthine circulation had theoretical backing, there is as yet little experimental or clinical evidence to support the claims of their protagonists.

Natural History of Sudden Sensorineural Hearing Loss

1977 ◽  
Vol 86 (4) ◽  
pp. 463-480 ◽  
Author(s):  
Douglas E. Mattox ◽  
F. Blair Simmons
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Respiratory Infections ◽  
Low Frequency ◽  
Sensorineural Hearing ◽  
Poor Correlation ◽  
Speech Discrimination ◽  
Spatial Disorientation ◽  
Depth Study ◽  
History Of

This is a prospective in-depth study of patients with sudden idiopathic sensorineural hearing loss. We found that 65% recover completely to functional hearing levels spontaneously and independent of any type of medical treatment. The majority do so within 14 days and many within the first few days. Prognosis can be predicted according to the slope of the initial audiogram (low-frequency losses do better than high-frequency losses), hearing at 8 kHz, erythrocyte sedimentation rates, in some select instances spatial disorientation symptoms, and speech discrimination scores. There was a very poor correlation between hearing and vestibular test abnormalities, except hypoactive calorics. There were no correlations with age (excepting the very elderly), with antecedent respiratory infections. hypertension, diabetes, or other chronic diseases. We conclude that there is a fundamental difference in the behavior of apical and basal cochlea losses, that hearing recovery is always better at low than at high frequencies, that because of the high spontaneous recovery rates, tympanotomies seeking perilymph fistulas should be delayed ten days unless there is a progressive hearing loss, and that none of the current recommended treatments, especially histamine, have any effect on the outcome.

Temporal Acuity in Listeners with Sensorineural Hearing Loss

1976 ◽  
Vol 19 (2) ◽  
pp. 357-370 ◽  
Author(s):  
Walt Jesteadt ◽  
Robert C. Bilger ◽  
David M. Green ◽  
James H. Patterson
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Auditory System ◽  
Temporal Integration ◽  
Sensorineural Hearing ◽  
Time Interval ◽  
Speech Discrimination ◽  
Temporal Acuity ◽  
Temporal Measures ◽  
Sensorineural Loss

Temporal acuity, the minimum time interval within which the auditory system can discriminate the order of auditory events, was measured for three listeners with normal hearing and for 10 listeners with sensorineural hearing loss. Eight of the 10 listeners with sensorineural loss showed better temporal acuity for conditions with greater loss. The remaining two listeners showed the opposite effect. The temporal acuity results are not well correlated with either speech discrimination scores or measures of recruitment. The temporal acuity results do appear to be correlated with results observed in studies of temporal integration or brief-tone audiometry. Listeners with sensorineural loss tend to have both poor temporal integration and good temporal acuity. This suggests that the two temporal measures may reflect a single time constant in the auditory system.

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