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Conductive Hearing Loss

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

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

2. Cartilage Conduction Hearing Aids for Severe Conduction Hearing Loss. (PubMed)

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

3. Improved directional hearing of children with congenital unilateral conductive hearing loss implanted with an active bone-conduction implant or an active middle ear implant. (PubMed)

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

4. 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

5. Bilateral bone conduction devices: improved hearing ability in children with bilateral conductive hearing loss. (PubMed)

Bilateral bone conduction devices: improved hearing ability in children with bilateral conductive hearing loss. The aim of the study was to investigate whether children with bilateral conductive hearing loss benefit from their second device (i.e., the bilateral bone conduction device [BCD]).Speech recognition in noise was assessed in 10 children fitted with bilateral BCDs during childhood. Speech recognition was measured in 2 conditions with both BCDs active. Spatial resolution was tested (...) with bilateral conductive hearing loss.

2017 Ear and hearing

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

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

7. 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

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

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

9. Efficacy of Auditory Implants for Patients With Conductive and Mixed Hearing Loss Depends on Implant Center. (PubMed)

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

10. Sound Localization in Patients With Congential Unilateral Conductive Hearing Loss With a Transcutaneous Bone Conduction Implant. (PubMed)

Sound Localization in Patients With Congential Unilateral Conductive Hearing Loss With a Transcutaneous Bone Conduction Implant. There is no consensus regarding the benefit of implantable hearing aids in congenital unilateral conductive hearing loss (UCHL). This study aimed to measure sound source localization performance in patients with congenital UCHL and contralateral normal hearing who received a new bone conduction implant.Evaluation of within-subject performance differences for sound (...) source localization in a horizontal plane.Tertiary referral center.Five patients with atresia of the external auditory canal and contralateral normal hearing implanted with transcutaneous bone conduction implant at the Medical University of Vienna were tested.Activated/deactivated implant.Sound source localization test; localization performance quantified using the root mean square (RMS) error.Sound source localization ability was highly variable among individual subjects, with RMS errors ranging

2017 Otology and Neurotology

11. Identification of conductive hearing loss using air conduction tests alone: reliability and validity of an automatic test battery. (PubMed)

Identification of conductive hearing loss using air conduction tests alone: reliability and validity of an automatic test battery. The primary objective of this study was to determine whether a combination of automatically administered pure-tone audiometry and a tone-in-noise detection task, both delivered via an air conduction (AC) pathway, could reliably and validly predict the presence of a conductive component to the hearing loss. The authors hypothesized that performance on the battery (...) of tests would vary according to hearing loss type. A secondary objective was to evaluate the reliability and validity of a novel automatic audiometry algorithm to assess its suitability for inclusion in the test battery.Participants underwent a series of hearing assessments that were conducted in a randomized order: manual pure-tone air conduction audiometry and bone conduction audiometry; automatic pure-tone air conduction audiometry; and an automatic tone-in-noise detection task. The automatic tests

2017 Ear and hearing

12. Identification of induced and naturally occurring conductive hearing loss in mice using bone conduction. (PubMed)

Identification of induced and naturally occurring conductive hearing loss in mice using bone conduction. While many mouse models of hearing loss have been described, a significant fraction of the genetic defects in these models affect both the inner ear and middle ears. A common method used to separate inner-ear (sensory-neural) from middle-ear (conductive) pathologies in the hearing clinic is the combination of air-conduction and bone-conduction audiometry. In this report, we investigate (...) the use of air- and bone-conducted evoked auditory brainstem responses to perform a similar separation in mice. We describe a technique by which we stimulate the mouse ear both acoustically and via whole-head vibration. We investigate the sensitivity of this technique to conductive hearing loss by introducing middle-ear lesions in normal hearing mice. We also use the technique to investigate the presence of an age-related conductive hearing loss in a common mouse model of presbycusis, the BALB/c

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2017 Hearing Research

13. The role of bone conduction hearing aids in congenital unilateral hearing loss: A systematic review. (PubMed)

The role of bone conduction hearing aids in congenital unilateral hearing loss: A systematic review. To systematically review the literature on the audiological and/or quality of life benefits of a bone conduction hearing aid (BCHA) in children with congenital unilateral conductive or sensorineural deafness.A systematic search was performed according to the PRISMA guidelines using the PubMed, Medline, and Embase databases. Data were collected on the following outcomes of interest: speech (...) reception threshold, speech discrimination, sound localization, and quality of life measures. Given the heterogeneity of the data for quantitative analysis, the results are qualitatively summarized.Eight studies were included in the review. Four studies examined the audiological outcomes associated with bone conduction hearing aid implantation. There was a consistent gain in speech reception thresholds and speech discrimination, especially in noisy environments. Results pertaining to sound localization

2017 International Journal of Pediatric Otorhinolaryngology

14. 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

15. 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

16. BAHA© bone-anchored hearing aid for the treatment of hearing loss

of unilateral bone-anchored hearing aids (BAHA®) in unilateral or bilateral conductive or mixed hearing loss and in unilateral sensorineural hearing loss. Bilateral BAHA® implant might have a potential benefit in cases of bilateral conductive or mixed hearing loss, by allowing a better location in space of the sound source. Most clinical practice guidelines identified consider appropriate to use BAHA for the treatment of conductive or mixed hearing loss, and for unilateral sensorineural hearing loss (...) . The coverage policies found cover unilateral BAHA® implant, mainly for conductive or mixed hearing loss, when conventional hearing aids are contraindicated, while some also consider it an alternative to other devices for unilateral sensorineural hearing loss. In Argentina, the cost of BAHA®, for the treatment of conductive or mixed hearing loss is a technology that can be reimbursed through the Unique Reimbursement System of the Healthcare Service Superintendence. Final publication URL www.iecs.org.ar

2016 Health Technology Assessment (HTA) Database.

17. The Bonebridge implant in older children and adolescents with mixed or conductive hearing loss: Audiological outcomes. (PubMed)

The Bonebridge implant in older children and adolescents with mixed or conductive hearing loss: Audiological outcomes. For children with conductive or mixed hearing loss, in whom use of conventional hearing aids is impossible or limited, use of bone conduction devices is recommended. The choice between the available types of devices depends mostly on the degree of hearing loss, age, and anatomical conditions. One device application in children older than 5 years is the Bonebridge implant (...) . The aim of this study is to assess the benefits and safety of this device in children.The material was a group of 11 older children and adolescents aged 10-17 years (mean = 14.7, SD = 2.45) with single-sided or bilateral conductive or mixed hearing loss, implanted unilaterally with the Bonebridge system at the World Hearing Center in Kajetany near Warsaw between 2014 and 2016. Benefits of the Bonebridge were assessed with warble tone audiometry and word audiometry in free field, as well as an APHAB

2018 International Journal of Pediatric Otorhinolaryngology

18. Comparison of the Minimum Plateau Width by Plateau and a New Method in People with Conductive Hearing Loss (PubMed)

Comparison of the Minimum Plateau Width by Plateau and a New Method in People with Conductive Hearing Loss In clinical masking, the plateau is a state in which the non-test ear (NTE) is completely masked by the noise and tone is heard only by the test ear (TE). At least 15 to 20 dB of plateau width is needed to obtain valid threshold. In the study, a part of plateau after initial masking level known as the minimum plateau width (mPW) was determined and compared by a new formula and the plateau (...) searching method. Subjects and.Minimum plateau widths of air conduction were obtained in 29 participants with unilateral and 30 participants with bilateral conductive hearing loss (CHL) aged 20 to 45 years old by using step by step plateau method and mPW estimation by the formula between two points of masking diagram [mPW=(N2-N1)-(T2-T1)] and then the mPW of two methods was compared for each frequency.There was no significant difference between the minimum plateau width obtained by the plateau

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2018 Journal of Audiology & Otology

19. Dehiscent high-riding jugular bulb presenting as conductive hearing loss: A case report. (PubMed)

Dehiscent high-riding jugular bulb presenting as conductive hearing loss: A case report. Jugular bulb anomalies are asymptomatic lesions commonly seen in routine practice. However, some patients with jugular bulb anomalies may present with symptoms such as tinnitus or conductive hearing loss (CHL).A 9 year old boy complained right sided hearing disturbance without any vestibular symptoms. Pure tone audiometry (PTA) revealed a mild right sided conductive hearing loss. Otoscopy showed a red (...) enhancement with the venous vasculature. This lesion contacted with the tympanic membrane, incudostapedial joint and round window, which might be attributable to interruption of sound transmission mechanics. Otherwise there was no evidence of mass or trauma related lesions in the temporal bone.Although most of jugular bulb anomalies are asymptomatic, patients may present with conductive hearing loss due to the interference of sound transmission mechanics.

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2018 Medicine

20. Acute streptococcal meningitis presenting as bilateral conductive hearing loss. (PubMed)

Acute streptococcal meningitis presenting as bilateral conductive hearing loss. Bacterial meningitis is a relatively uncommon condition encountered in the emergency department and the constellation of symptoms varies. Hearing loss has been well documented in the literature as a complication of the disease process, but not as the presenting complaint. We describe a case of a 59-year-old female who presented to the emergency department with sudden onset bilateral hearing loss who was found

2018 American Journal of Emergency Medicine

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