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Conductive Hearing Loss

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1. Implantable Devices for Single-Sided Deafness and Conductive or Mixed Hearing Loss

Implantable Devices for Single-Sided Deafness and Conductive or Mixed Hearing Loss Published March 2020 Volume 20, Number 1 ONTARIO HEALTH TECHNOLOGY ASSESSMENT SERIES Implantable Devices for Single-Sided Deafness and Conductive or Mixed Hearing Loss: A Health Technology Assessment KEY MESSAGES What Is This Health Technology Assessment About? Single-sided deafness is profound sensorineural hearing loss (damage to the hearing organ or hearing nerve in the inner ear) or non-functional hearing (...) in one ear, with normal or near-normal hearing in the other ear. Hearing in only one ear makes it hard to tell where sound is coming from and to hear in noisy environments. Conductive hearing loss is a mechanical problem with the ear’s ability to conduct sound vibrations. Mixed hearing loss is a combination of sensorineural and conductive hearing loss. Conductive and mixed hearing loss frequently affect both ears, which creates additional challenges for people in school, work, and social life

2020 Health Quality Ontario

2. ADHEAR System for Conductive Hearing Loss: Clinical Effectiveness

ADHEAR System for Conductive Hearing Loss: Clinical Effectiveness ADHEAR System for Conductive Hearing Loss: Clinical Effectiveness | CADTH.ca Find the information you need ADHEAR System for Conductive Hearing Loss: Clinical Effectiveness ADHEAR System for Conductive Hearing Loss: Clinical Effectiveness Last updated: November 8, 2018 Project Number: RA0983-000 Product Line: Research Type: Devices and Systems Report Type: Reference List Result type: Report Question What is the clinical (...) effectiveness of the ADHEAR system for patients with unilateral or bilateral conductive hearing loss? Key Message No relevant literature was identified regarding the clinical effectiveness of the ADHEAR system for patients with unilateral or bilateral conductive hearing loss. Files Rapid Response Reference List Published : November 8, 2018 Follow us: © 2019 Canadian Agency for Drugs and Technologies in Health Get our newsletter:

2018 Canadian Agency for Drugs and Technologies in Health - Rapid Review

3. A new adhesive bone conduction hearing system effectively treats conductive hearing loss in children. (Abstract)

A new adhesive bone conduction hearing system effectively treats conductive hearing loss in children. Bone conduction hearing devices integrated in softbands (BCDSs) are frequently not well accepted by children with conductive hearing loss due to pressure on the head, sweating, or cosmetic stigma. A non-surgical hearing system (ADHEAR) uses a new bone conduction concept consisting of an audio processor connected to an adhesive adapter fixed behind the ear. This study is the first to evaluate (...) the audiological and clinical outcome of this novel system, comparing it with conventional BCDSs in a short- and mid-term follow-up in children under 10 years of age.The ADHEAR was compared to a BCDS in 10 children with conductive hearing loss (age: 0.7-9.7 years). Aided and unaided pure tone/behavioral observational audiometry and, if applicable, speech audiometry in quiet and noise were performed initially with both devices and after 8 weeks with the ADHEAR alone. The subjective hearing gain and usage

2019 International Journal of Pediatric Otorhinolaryngology

4. The Merits of Bilateral Application of Bone-Conduction Devices in Children With Bilateral Conductive Hearing Loss. (Abstract)

The Merits of Bilateral Application of Bone-Conduction Devices in Children With Bilateral Conductive Hearing Loss. This study aims to characterize lateralization of sounds and localization of sounds in children with bilateral conductive hearing loss (BCHL) when listening with either one or two percutaneous bone conduction devices (BCDs).Sound lateralization was measured with the minimum audible angle test in which children were asked to indicate from which of the two visible speakers the sound (...) localization capabilities of children with congenital BCHL in the unilateral-aided and bilateral-aided condition. Despite the sub-optimal results on sound localization, this study underlines the merits of bilateral application of BCDs in such children. In patients with congenital bilateral conductive hearing loss (BCHL), bilateral application of bone conduction devices (BCDs) is not the standard treatment (Liu et al. 2013). Based on systematic reviews of the existing literature, several authors have

2020 Ear and hearing

5. Endoscopic findings and long-term hearing results for pediatric unilateral conductive hearing loss. Full Text available with Trip Pro

Endoscopic findings and long-term hearing results for pediatric unilateral conductive hearing loss. Analyze reasons for unilateral conductive hearing loss (CHL) with unknown etiology in children.Unilateral conductive hearing loss (HL) without known etiology can be undiagnosed despite of hearing screening programs. It can be difficult to find the reason for HL and to make a treatment plan. Middle ear endoscopy gives hard-evidence diagnosis and basis for an individual treatment plan.Prospective (...) with an individual treatment plan and long-term follow-up. The aim was to explore etiology and to give a treatment plan for hearing loss. Follow-up included air- and bone conduction hearing tests annually or every other year. Mean follow-up was 5.2 years.A clear etiological finding was found in 36 (78%) ears, stapes anomaly (23) as the most common (64%) finding. Other findings were two cholesteatomas, 2 status after trauma, 5 middle ear anomalies, 5 incus fixations and one incus erosion. Air conduction hearing

2020 International Journal of Pediatric Otorhinolaryngology

6. Improved directional hearing of children with congenital unilateral conductive hearing loss implanted with an active bone-conduction implant or an active middle ear implant. Full Text available with Trip Pro

Improved directional hearing of children with congenital unilateral conductive hearing loss implanted with an active bone-conduction implant or an active middle ear implant. Different amplification options are available for listeners with congenital unilateral conductive hearing loss (UCHL). For example, bone-conduction devices (BCDs) and middle ear implants. The present study investigated whether intervention with an active BCD, the Bonebridge, or a middle ear implant, the Vibrant Soundbridge (...) (VSB), affected sound-localization performance of listeners with congenital UCHL. Listening with a Bonebridge or VSB might provide access to binaural cues. However, when fitted with the Bonebridge, but not with a VSB, binaural processing might be affected through cross stimulation of the contralateral normal hearing ear, and could interfere with processing of binaural cues. In the present study twenty-three listeners with congenital UCHL were included. To assess processing of binaural cues, we

2018 Hearing Research

7. Cartilage Conduction Hearing Aids for Severe Conduction Hearing Loss. (Abstract)

Cartilage Conduction Hearing Aids for Severe Conduction Hearing Loss. To assess the benefits of a new type of hearing aid using cartilage conduction (CC) in patients with severe conduction hearing loss and evaluate its potential for practical use.Consecutive, prospective case series.Forty-one subjects (21 with bilateral aural atresia; 15 with unilateral aural atresia; and 5 others) participated in this study.Fitting and gain adjustments of the CC hearing aids were performed to the ear(s (...) . No severe adverse effects were noted in the trial.Cartilage conduction hearing aids could be an additional and beneficial option for severe conduction hearing loss from aural atresia.

2018 Otology and Neurotology

8. Chronic Conductive Hearing Loss Is Associated With Speech Intelligibility Deficits in Patients With Normal Bone Conduction Thresholds. (Abstract)

Chronic Conductive Hearing Loss Is Associated With Speech Intelligibility Deficits in Patients With Normal Bone Conduction Thresholds. The main objective of this study is to determine whether chronic sound deprivation leads to poorer speech discrimination in humans.We reviewed the audiologic profile of 240 patients presenting normal and symmetrical bone conduction thresholds bilaterally, associated with either an acute or chronic unilateral conductive hearing loss of different (...) etiologies.Patients with chronic conductive impairment and a moderate, to moderately severe, hearing loss had lower speech recognition scores on the side of the pathology when compared with the healthy side. The degree of impairment was significantly correlated with the speech recognition performance, particularly in patients with a congenital malformation. Speech recognition scores were not significantly altered when the conductive impairment was acute or mild.This retrospective study shows that chronic

2019 Ear and hearing

9. A Comparative Study of a Novel Adhesive Bone Conduction Device and Conventional Treatment Options for Conductive Hearing Loss. Full Text available with Trip Pro

A Comparative Study of a Novel Adhesive Bone Conduction Device and Conventional Treatment Options for Conductive Hearing Loss. To compare the audiological performance with the novel adhesive bone conduction hearing device (ADHEAR) to that with a passive bone conduction (BC) implant and to that with a bone conduction device (BCD) on a softband.Prospective study in an acute setting, single-subject repeated measure in three situations: unaided, with conventional BCDs (passive implant (...) or on softband), and with the ADHEAR.Tertiary referral center.Ten subjects with conductive hearing loss were evaluated with the ADHEAR. Five of these were users of a passive BC implant (Baha Attract with Baha4); five received a BCD (Baha4) on a softband for test purposes.Use of non-invasive adhesive bone conduction system for the treatment of conductive hearing loss.Air and bone conduction thresholds, sound field thresholds, word recognition scores in quiet, and speech recognition thresholds in quiet

2019 Otology and Neurotology

10. Hearing loss in adults: assessment and management

/terms-and- conditions#notice-of-rights). Page 9 of 201.5.2 After the audiological assessment: discuss with the person: the pure tone audiogram and the impact their hearing loss might have on communication hearing deficits (such as listening in noisy environments) that are not obvious from the audiogram options for managing their hearing needs, such as acoustic or bone conduction hearing aids, assistive listening devices and communication strategies, and the potential benefits and limitations of each (...) Hearing loss in adults: assessment and management Hearing loss in adults: assessment and Hearing loss in adults: assessment and management management NICE guideline Published: 21 June 2018 nice.org.uk/guidance/ng98 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

11. Sensorineural and conductive hearing loss in infants diagnosed in the program of universal newborn hearing screening. (Abstract)

Sensorineural and conductive hearing loss in infants diagnosed in the program of universal newborn hearing screening. The aim of this study was to analyze infants diagnosed with sensorineural or conductive hearing deficit and to identify risk factors associated with these defects.A retrospective analysis of infants diagnosed with hearing deficit based on the database of the universal newborn hearing screening program and medical records of the patients.27 935 infants were covered (...) by the universal neonatal hearing screening program. 109 (0.39%) were diagnosed with hearing deficit and referred for treatment and rehabilitation. 56 (51.4%) children were diagnosed with conductive, 38 (34.9%) with sensorineural and 15 (13.8%) with mixed type of hearing deficit. Children with sensorineural hearing deficit more frequently suffered from hyperbilirubinemia (p < 0.05), while infants with conductive hearing loss were more frequently diagnosed with isolated craniofacial anomalies (p < 0.05

2018 International Journal of Pediatric Otorhinolaryngology

12. Use of ADHEAR, a Non-Implantable Bone Conduction Hearing System, in Children With Single Sided Deafness and/or Conductive Hearing Loss

Use of ADHEAR, a Non-Implantable Bone Conduction Hearing System, in Children With Single Sided Deafness and/or Conductive Hearing Loss Use of ADHEAR, a Non-Implantable Bone Conduction Hearing System, in Children With Single Sided Deafness and/or Conductive Hearing Loss - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning (...) You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Use of ADHEAR, a Non-Implantable Bone Conduction Hearing System, in Children With Single Sided Deafness and/or Conductive Hearing Loss The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider

2017 Clinical Trials

13. Subclinical conductive hearing loss significantly reduces otoacoustic emission amplitude: Implications for test performance. (Abstract)

Subclinical conductive hearing loss significantly reduces otoacoustic emission amplitude: Implications for test performance. Distortion product otoacoustic emissions (DPOAEs) are a time-efficient, non-invasive means of assessing the integrity of active inner ear mechanics. Unfortunately, the presence of even relatively minor conductive hearing loss (CHL) has been suggested to reduce the clinical utility of DPOAEs significantly. The primary aims of this study were to systematically evaluate (...) the impact of CHL on DPOAE amplitude and to determine if ear-specific primary tone level manipulations can be used to mitigate CHL impact and recover DPOAE measurability.For 30 young adults (57 ears) with normal hearing, DPOAEs were obtained for f2 = 1-6 kHz. Observed DPOAE amplitudes were used to generate ear- and frequency-specific models with the primary tone levels, L1 and L2, as inputs and predicted DPOAE amplitude, LDP, as output. These models were then used to simulate the effect of CHL (0-15 dB

2019 International Journal of Pediatric Otorhinolaryngology

14. The Bonebridge in Adults with Mixed and Conductive Hearing Loss: Audiological and Quality of Life Outcomes. Full Text available with Trip Pro

The Bonebridge in Adults with Mixed and Conductive Hearing Loss: Audiological and Quality of Life Outcomes. Considering that hearing loss has a significant impact on social functioning, everyday activity and a person's emotional state, one of the most important goals of hearing rehabilitation with bone conduction devices is improvement in a patient's quality of life.To measure self-assessed quality of life in patients implanted with the Bonebridge, a bone conduction device.Prospective (...) , observational, longitudinal study with one treatment group. Twenty-one patients with mixed or conductive hearing loss were included, and each individual served as its own control. The Abbreviated Profile of Hearing Aid Benefit (APHAB) was used to measure patient-reported quality of life before intervention and at 3 and 6 months after activation of the device. At the same time frames, pure-tone audiometry and speech understanding in quiet and in noise were tested.Hearing-specific quality of life increased

2019 Audiology & Neuro-Otology

15. A Smartphone-Based Weber Test May Discriminate between a Conductive and a Sensorineural Hearing Loss. (Abstract)

A Smartphone-Based Weber Test May Discriminate between a Conductive and a Sensorineural Hearing Loss. The aim of this paper was to compare the accuracy of a smartphone-based Weber test (SPWT) with the traditional tuning fork Weber test (TFWT) in identifying and differentiating between sensorineural hearing loss (SNHL) and conductive hearing loss (CHL).We conducted a prospective, noncontrolled clinical study.Sixty patients referred to the emergency department due to unilateral hearing loss (HL (...) ) were enrolled. They were asked to press a single uncovered smartphone on their forehead and conduct a Weber test by means of the smartphone's vibration application. The results were compared to the TFWT.Twenty-six (43%) patients were diagnosed with a SNHL, and 34 (57%) with a CHL. The SPWT was in agreement with the TFWT (at a frequency of 512 Hz) in 55 (92%) patients. The sensitivity and specificity of the TFWT were 84.6 and 94.1%, respectively. The sensitivity and specificity of the SPWT were 76.9

2019 Audiology & Neuro-Otology

16. Long-Term Outcomes of Vibroplasty Coupler Implantations to Treat Mixed/Conductive Hearing Loss. (Abstract)

Long-Term Outcomes of Vibroplasty Coupler Implantations to Treat Mixed/Conductive Hearing Loss. To evaluate the long-term safety and performance of four different vibroplasty couplers (round window, oval window, CliP and Bell coupler) in combination with an active middle ear implant.This was a multicentre, prospective, long-term study including 5 German hospitals. Thirty adult subjects suffering from conductive or mixed hearing loss were initially enrolled for the study, 24 of these were (...) developed for conventional hearing aid usage was administered to all subjects.Mean postoperative bone conduction thresholds remained stable throughout the whole study period. Mean functional gain for all couplers investigated was 38.5 ± 11.4 dB HL (12 months) and 38.8 ± 12.5 dB HL (36 months). Mean word recognition scores at 65 dB SPL increased from 2.9% in the unaided by 64.2% to 67.1% in the aided situation. The mean postoperative speech reception in quiet (or 50% understanding of words in sentences

2019 Audiology & Neuro-Otology

17. Efficacy of Auditory Implants for Patients With Conductive and Mixed Hearing Loss Depends on Implant Center. Full Text available with Trip Pro

Efficacy of Auditory Implants for Patients With Conductive and Mixed Hearing Loss Depends on Implant Center. Although from a technological point of view, progress is impressive, most implantable hearing devices for conductive or mixed hearing loss have a limited capacity. These devices all bypass the impaired middle ear; therefore, the desired amplification (gain) should be based on the cochlear hearing loss (component) only. The aim of the study is to review the literature with regard (...) to accomplished gain with current implantable devices.Thirty-one articles could be included. Aided thresholds were compared with prescribed values, based on cochlear hearing loss (bone-conduction thresholds), according to the well-validated NAL rule.For the majority of the studies, NAL targets were not met. Variation in accomplished gain between implant teams was unacceptably large, largely independent of the type of device that was used. NAL targets were best met at 2 kHz, with worse results at the other

2019 Otology and Neurotology

18. Bilateral cochlear implants for children with severe-to-profound sensorineural hearing loss in both ears

for the technology evaluation of bilateral cochlear implants (BCI) for children with severe-to-profound sensorineural hearing loss in both ears in 2017. A subsequent evaluation on replacement cochlear implant (CI) sound processors was presented to the Committee in 2019. The Agency for Care Effectiveness conducted the evaluation in consultation with an MOH expert working group comprising clinicians, audiologists, medical social workers, and educators. The evidence was used to inform the Committee’s deliberations (...) Bilateral cochlear implants for children with severe-to-profound sensorineural hearing loss in both ears 1 Driving better decision-making in healthcare Bilateral cochlear implants for children with severe-to-profound sensorineural hearing loss in both ears Technology Guidance from the MOH Medical Technology Advisory Committee Guidance Recommendations The Ministry of Health’s Medical Technology Advisory Committee has recommended: ? Bilateral cochlear implants (BCI) for the management of children

2020 Appropriate Care Guides, Agency for Care Effectiveness (Singapore)

19. Assessment of hearing loss

appear normal on examination if the cause is in the inner ear or brain. It is possible for hearing loss to be permanent if not treated in a timely fashion. Classification of hearing loss Generally, hearing loss is classified as conductive or sensorineural. Conductive hearing loss occurs usually in the external and middle ear by interfering with the ability of sound to be transmitted to the inner ear. Many causes can be treated successfully with surgery. Sensorineural hearing losses occur in the inner (...) Assessment of hearing loss Assessment of hearing loss - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of hearing loss Last reviewed: February 2019 Last updated: December 2018 Summary Hearing loss is one of the most common sensory impairments. It affects people of all ages and can be permanent if not treated correctly. Proper diagnosis rests on a thorough understanding of ear anatomy and physiology

2018 BMJ Best Practice

20. Assessment of hearing loss

appear normal on examination if the cause is in the inner ear or brain. It is possible for hearing loss to be permanent if not treated in a timely fashion. Classification of hearing loss Generally, hearing loss is classified as conductive or sensorineural. Conductive hearing loss occurs usually in the external and middle ear by interfering with the ability of sound to be transmitted to the inner ear. Many causes can be treated successfully with surgery. Sensorineural hearing losses occur in the inner (...) Assessment of hearing loss Assessment of hearing loss - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of hearing loss Last reviewed: February 2019 Last updated: December 2018 Summary Hearing loss is one of the most common sensory impairments. It affects people of all ages and can be permanent if not treated correctly. Proper diagnosis rests on a thorough understanding of ear anatomy and physiology

2018 BMJ Best Practice

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