Articoli di riviste: "Hearing disorders – Diagnosis"

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BLAETTNER, UWE, MICHAEL SCHERG e DETLEV VON CRAMON. "DIAGNOSIS OF UNILATERAL TELENCEPHALIC HEARING DISORDERS". Brain 112, n. 1 (1989): 177–95. http://dx.doi.org/10.1093/brain/112.1.177.

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Brown, Taylor M., Becky S. Baas, Ruth E. Stoeckel, Lee A. Belf e Gayla L. Poling. "Assessment of Children With Hearing Loss and Co-Occurring Medical Disorders: Challenging Cases". Perspectives of the ASHA Special Interest Groups 6, n. 2 (28 aprile 2021): 375–83. http://dx.doi.org/10.1044/2021_persp-20-00080.

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Purpose Assessing children with hearing loss and co-occurring medical disorders can be challenging. The purpose of this clinical focus article is to highlight multidisciplinary decision making and evaluation considerations when assessing communication skills of children with hearing loss and co-occurring disorders: velopharyngeal insufficiency, childhood apraxia of speech, and autism spectrum disorder. Method Case examples are described to illustrate multidisciplinary decision-making processes for assessing the communication skills of children with hearing loss who have co-occurring velopharyngeal insufficiency, childhood apraxia of speech, or autism spectrum disorder. Conclusions Clinicians must have knowledge of speech sound development, language development, and social communication for differential diagnosis and treatment planning for children with hearing loss and co-occurring disorders. A team-based approach is recommended when assessing and treating children with hearing loss. Speech-language pathologists and audiologists should feel comfortable recommending other professionals to help with differential diagnosis and treatment considerations when appropriate. Continued assessment and monitoring by a multidisciplinary team for individuals with hearing loss is recommended across the life-span.

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Strain, George M. "Hearing disorders in cats: Classification, pathology and diagnosis". Journal of Feline Medicine and Surgery 19, n. 3 (marzo 2017): 276–87. http://dx.doi.org/10.1177/1098612x17695062.

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Practical relevance: Auditory function is a sense that is central to life for cats - being important in situational awareness of potential predators, pursuit of prey, and for communication with conspecifics, humans and other species. Deafness in cats is most frequently the result of a genetic disorder, strongly associated with white fur and blue eyes, but may also result from acquired causes such as advancing age, ototoxic drugs, infection, environmental noise and physical trauma. Deafness can be sensorineural, where there is loss of cochlear hair cells, or conductive, where sound is muffled on its way to the inner ear. Clinical challenges: Establishing whether a cat is deaf can be difficult as behavioral testing of hearing is subjective and does not reliably detect unilateral deafness. Brainstem auditory evoked response testing is an objective measure but is limited in its availability. Currently, sensorineural deafness is irreversible because no treatments are available to restore lost hair cells. Conductive hearing loss can usually be treated, although full hearing recovery following otitis media may take weeks as the body clears the middle ear of debris. Evidence base: The author draws on the published literature and his extensive research on clinical aspects and molecular genetics of deafness, principally in companion animals, to review types and forms of deafness in cats. He also discusses current diagnostic approaches and provides brief advice for managing cats with hearing loss.

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Kushalnagar, Poorna, Jennifer Reesman, Tara Holcomb e Claire Ryan. "Prevalence of Anxiety or Depression Diagnosis in Deaf Adults". Journal of Deaf Studies and Deaf Education 24, n. 4 (1 agosto 2019): 378–85. http://dx.doi.org/10.1093/deafed/enz017.

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Abstract The national prevalence of depression and anxiety disorders among deaf adults who use American Sign Language (ASL) remains largely understudied. Data for self-reported depression and anxiety disorder diagnosis (n = 1,704 deaf adults; n = 3,287 hearing adults) as told by their healthcare providers were drawn from HINTS-ASL and HINTS datasets. Chi-square and Poisson regression analysis compared characteristics and predictors for depression or anxiety disorder diagnosis among deaf adults. Rate of diagnosed depression or anxiety disorder was significantly higher (25%) and occurred at earlier age (45 years; SD = 15) for deaf adults compared to hearing adults (22%; mean age = 56; SD = 14). After adjusting for covariates, deaf individuals who were White, younger, female, educated, or single were significantly more likely to self-report a diagnosis of depression/anxiety disorder as told by their healthcare providers. Deaf adults have higher reported rate of diagnosis of depression or anxiety disorder at an earlier onset compared to the general population. Communication access with healthcare providers is essential for accurate diagnosis, treatment, and follow up care.

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Roberts, Richard A., Gary P. Jacobson e Kelsey Hatton. "Multiple Co-Occurring Vestibular Disorders Identified Using the Dizziness Symptom Profile". American Journal of Audiology 29, n. 3 (3 settembre 2020): 1–9. http://dx.doi.org/10.1044/2020_aja-19-00119.

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Purpose The purpose of the current investigation was to determine the interrelations among vestibular disorders from a data set generated from the patient perspective as compared to previous data generated from the physician's perspective. Method The data for the current investigation originated from a previously published study describing the development of the Dizziness Symptom Profile (DSP; Jacobson et al., 2019 ). The DSP is a 31-item patient self-report tool designed to help primary care physicians in the development of a differential diagnosis using the patient's level of agreement with each dizziness and symptom-related statement. Responses to these items converge on common vestibular diagnoses and were previously found to agree with ear specialist differential diagnoses 70.3% of the time. Data were collected for 131 subjects ( M age = 56.7 years, 72 women) seen for evaluation in a tertiary dizziness specialty clinic. For this study, the data were analyzed using descriptive statistics to determine the frequency of single diagnoses, multiple diagnoses, co-occurring diagnoses, and patterns of co-occurrence. Results Results indicated that 52.7% of patients endorsed a single vestibular diagnosis and 47.3% endorsed two or more vestibular diagnoses. Benign paroxysmal positional vertigo (BPPV) and vestibular migraine were the most common single diagnoses and also the most common co-occurring diagnoses. As the number of diagnoses endorsed on the DSP increased, so did the percentage of time that BPPV and vestibular migraine would occur. Conclusions Results support and extend the work of others but using data generated from the perspective of the patient. A slight majority of patients endorsed a single disorder, but almost as many patients endorsed more than one vestibular diagnosis. BPPV and vestibular migraine were the most common single vestibular diagnoses and also the most common co-occurring vestibular diagnoses; vestibular migraine was more common when multiple diagnoses were endorsed. Results suggest it is common for patients to volunteer symptoms that cannot be explained by a single vestibular diagnosis. This finding is in agreement with physician-generated diagnosis data. Clinicians should consider the possibility of co-occurring diagnoses in complicated patients or in patients who are not responding optimally to management of a single vestibular disorder. The DSP is a tool that encourages clinicians to consider multiple co-occurring vestibular disorders as the source of patient complaints.

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Salata, Tiago Medina, Bruno Niemeyer de Freitas Ribeiro, Bernardo Carvalho Muniz, Lívia de Oliveira Antunes, Heraldo Belmont Rosas e Edson Marchiori. "Hearing disorders - findings on computed tomography and magnetic resonance imaging: pictorial essay". Radiologia Brasileira 52, n. 1 (febbraio 2019): 54–59. http://dx.doi.org/10.1590/0100-3984.2016.0213.

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Abstract Hearing disorders are usually unilateral and are more common in women. They can be congenital or acquired, and hearing loss is categorized as sensorineural, conductive, or mixed. The onset of hearing loss can be progressive or sudden, and it is a common reason for seeking medical attention. In this context, computed tomography and magnetic resonance imaging have assumed critical roles in the search for an etiological diagnosis and in guiding the therapeutic approach. In this pictorial essay, we illustrate the common causes of hearing loss, discussing the possible differential diagnoses and highlighting the most relevant imaging findings.

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De Siati, Romolo Daniele, Flora Rosenzweig, Guillaume Gersdorff, Anaïs Gregoire, Philippe Rombaux e Naïma Deggouj. "Auditory Neuropathy Spectrum Disorders: From Diagnosis to Treatment: Literature Review and Case Reports". Journal of Clinical Medicine 9, n. 4 (10 aprile 2020): 1074. http://dx.doi.org/10.3390/jcm9041074.

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Auditory neuropathy spectrum disorder (ANSD) refers to a range of hearing impairments characterized by deteriorated speech perception, despite relatively preserved pure-tone detection thresholds. Affected individuals usually present with abnormal auditory brainstem responses (ABRs), but normal otoacoustic emissions (OAEs). These electrophysiological characteristics have led to the hypothesis that ANSD may be caused by various dysfunctions at the cochlear inner hair cell (IHC) and spiral ganglion neuron (SGN) levels, while the activity of outer hair cells (OHCs) is preserved, resulting in discrepancies between pure-tone and speech comprehension thresholds. The exact prevalence of ANSD remains unknown; clinical findings show a large variability among subjects with hearing impairment ranging from mild to profound hearing loss. A wide range of prenatal and postnatal etiologies have been proposed. The study of genetics and of the implicated sites of lesion correlated with clinical findings have also led to a better understanding of the molecular mechanisms underlying the various forms of ANSD, and may guide clinicians in better screening, assessment and treatment of ANSD patients. Besides OAEs and ABRs, audiological assessment includes stapedial reflex measurements, supraliminal psychoacoustic tests, electrocochleography (ECochG), auditory steady-state responses (ASSRs) and cortical auditory evoked potentials (CAEPs). Hearing aids are indicated in the treatment of ANSD with mild to moderate hearing loss, whereas cochlear implantation is the first choice of treatment in case of profound hearing loss, especially in case of IHC presynaptic disorders, or in case of poor auditory outcomes with conventional hearing aids.

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Mahmoudi, Elham, Tanima Basu, Kenneth Langa, Michael McKee, Phillip zazove e Neil Kamdar. "CAN HEARING AIDS DELAY THE ONSET OF ALZHEIMER’S AND OTHER AGE-RELATED CONDITIONS AMONG ADULTS WITH HEARING LOSS?" Innovation in Aging 3, Supplement_1 (novembre 2019): S377—S378. http://dx.doi.org/10.1093/geroni/igz038.1385.

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Abstract In this study, we examined the association between hearing aids (HAs) and the onset of Alzheimer’s disease or dementia; depression or anxiety; drug or alcohol disorders; and falls among adults aged 50 and older with hearing loss (HL). We performed a retrospective study of 176,716 adults (50+) with HL diagnoses using a national, insurance claims data (2008-2016). We used Kaplan Meier curves to examine disease-free survival and Cox regression models to examine the risk-adjusted association between HAs and time to diagnosis of 4 age-related/HL-associated conditions within 3 years of HL diagnosis. Large gender and racial/ethnic differences exist in HAs use. Approximately 11.3% of women vs. 14.5% of men used HAs (95% CI Difference: -0.04, -0.03). About 14.1% of Whites (95% CI: 0.14, 0.14) vs. 9.5% of Blacks (95% CI: 0.09, 0.10) and 7.8% of Hispanics (95% CI: 0.07, 0.08) used HAs. The risk-adjusted hazard ratios of being diagnosed with Alzheimer’s disease or dementia, depression or anxiety, drug/alcohol disorders, and injurious falls within 3 years after HL diagnosis, for those who used HA vs. those who did not, were lower by 0.82 (95% CI: 0.76-0.88), 0.92 (95% CI: 0.89-0.95), 0.91 (95% CI:0.80-1.04), and 0.86 (95% CI: 0.81-0.92), respectively. Use of HAs is associated with delayed onset of Alzheimer’s, dementia, depression, anxiety, and injurious falls among adults 50 years of age and older with HL. This is important because HL are increasingly common among older adults and early HL diagnosis and use of HAs may prevent or delay physical and mental decline.

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Martins, Regina Helena Garcia, Henrique Abrantes do Amaral, Elaine Lara Mendes Tavares, Maira Garcia Martins, Tatiana Maria Gonçalves e Norimar Hernandes Dias. "Voice Disorders: Etiology and Diagnosis". Journal of Voice 30, n. 6 (novembre 2016): 761.e1–761.e9. http://dx.doi.org/10.1016/j.jvoice.2015.09.017.

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Probst, Rudolf. "Hearing and Balance Disorders: Achieving Excellence in Diagnosis and Management". International Journal of Audiology 48, n. 12 (gennaio 2009): 885. http://dx.doi.org/10.3109/14992020802441815.

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Kumar, Arun, Meenakshi Jaiswal e Shelza Shelza. "Survey of classification algorithm used in diagnosis of hearing disorders". International Journal of Advances in Computing and Information Technology 1, n. 2 (20 aprile 2012): 195–98. http://dx.doi.org/10.6088/ijacit.12.10025.

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Kimberling, William J. "Uncertainties in the molecular diagnosis of recessive hearing loss disorders". Genetics in Medicine 5, n. 4 (luglio 2003): 259–60. http://dx.doi.org/10.1097/01.gim.0000079363.82988.74.

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Tabibzadeh, Nahid, Dominique Fleury, Delphine Labatut, Frank Bridoux, Arnaud Lionet, Noémie Jourde-Chiche, François Vrtovsnik, Nicole Schlegel e Philippe Vanhille. "MYH9-related disorders display heterogeneous kidney involvement and outcome". Clinical Kidney Journal 12, n. 4 (17 dicembre 2018): 494–502. http://dx.doi.org/10.1093/ckj/sfy117.

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AbstractBackgroundMYH9-related diseases (MYH9-RD) are autosomal dominant disorders caused by mutations of the MYH9 gene encoding the non-muscle myosin heavy chain IIA. They are characterized by congenital thrombocytopenia, giant platelets and leucocyte inclusions. Hearing impairment, pre-senile cataract and nephropathy can also occur. We aimed to evaluate renal involvement and outcome in MYH9-RD patients followed-up by nephrologists.MethodsWe conducted a retrospective multicentre observational study of 13 patients among 9 families with MYH9 mutation diagnosed by genetic testing and immunofluorescence assay referred to nephrologists.ResultsAt initial referral, median age was 30 (range 14–76) years. Median estimated glomerular filtration rate was 66 mL/min/1.73 m2 (0–141) and two patients had already end-stage renal disease (ESRD). Renal presentation associated proteinuria (n = 12), haematuria (n = 6) and hypertension (n = 6). Three patients developed a rapid onset ESRD whereas five others had a relatively stable kidney function over a 3-year median follow-up (1–34). Extra-renal features varied widely, with hearing impairment in six patients, cataract in two and mild liver dysfunction in seven. Thrombocytopenia existed at referral in 11 patients. Time to diagnosis varied from 0 to 29 years (median 3 years). Initial diagnoses such as idiopathic thrombocytopenic purpura (n = 4) and focal segmental glomerulosclerosis (n = 1) led to corticosteroid administration (n = 4), intravenous immunoglobulins (n = 3), cyclophosphamide (n = 1) and splenectomy (n = 1).ConclusionsRenal involvement and outcome in MYH9-RD are heterogeneous. The diagnosis is often delayed and misdiagnoses can lead to unnecessary treatments. MYH9-RD should be considered in any patient with glomerular involvement associated with a low or slightly decreased platelet count and/or hearing loss and liver dysfunction.

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Khavidaki, Gholam-Ali Dashti, e Reza Gharibi. "Evaluation of the effectiveness of newborn hearing screening program in Zahedan: A cross-sectional study". Pakistan Journal of Medical and Health Sciences 15, n. 6 (30 giugno 2021): 2067–71. http://dx.doi.org/10.53350/pjmhs211562067.

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Introduction: Hearing loss is one of the most common congenital disorders. The prevalence of this disorder in different communities has been reported between 3.5 to 9 percent, which can have adverse effects on language learning, communication, and education of children. Also, early diagnosis of this disorder in newborns is not possible without the use of hearing screening. Therefore, the aim of this study was to evaluate the effectiveness of newborn hearing screening programs in Zahedan. Method: In this cross-sectional observational study, all babies born in the maternity hospitals of Zahedan city (maternity hospitals of Nabi Akram, Imam Ali, and Social Security hospitals) in 2020, were examined. In order to conduct the study, TEOAE was initially performed for all neonates. Then, based on the results obtained in the ODA test and in case of unsatisfactory response, cases were referred for re-evaluation. Infants who were rejected again in the second stage were immediately subjected to the AABR test and if they failed in this test, they were also subjected to a diagnostic ABR test. Results: Based on our results, 7700 infants were first evaluated with the OAE test. Of these, 580 (8%) had no OAE response. Out of 580 infants rejected in the first stage, 76 infants were also rejected in the second stage; Among them, 8 infants were re-diagnosed with hearing impairments. Finally, out of 3 infants who were diagnosed with hearing loss, 1 (33%) had conductive hearing loss and 2 (67%) had sensorineural hearing loss. Conclusion: Based on the findings of the present study, the implementation of a comprehensive neonatal hearing screening program is necessary for the timely and early diagnosis and treatment of hearing loss. Also, screening can improve the health of children and their personal, social, and educational development in the future. Keywords: Hearing screening, hearing loss, newborns, OAE, AABR

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Karimova, N. A., Sh D. Islomov e Sh E. Amonov. "Features of objective audiometry tests and their diagnostic value in the research of hearing in children". OTORHINOLARYNGOLOGY, n. 4-5(2) 2019 (12 marzo 2020): 53–57. http://dx.doi.org/10.37219/2528-8253-2019-4-53.

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The article highlights the features of the conduct and interpretation of data on audiological tests at the children in order to identify the degree, type and level of damage of the auditory disorders. According to a survey of 121 children with a diagnosis of sensorineural hearing loss, it was confirmed that using a complex algorithm of audiological tests such as OAE, DPOAE, BERA and ASSR in hearing diagnosis of the children allows to obtain more accurate and detailed information and avoid possible errors in determining various forms of hearing disorders.

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Svatko, L. G., e I. L. Sobol. "The value of ultrasound in the diagnosis of auditory disorders in cervical osteochondrosis". Kazan medical journal 67, n. 6 (15 novembre 1986): 459–60. http://dx.doi.org/10.17816/kazmj70931.

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We performed a comprehensive audiometric examination of 105 patients with hearing impairment due to cervical osteochondrosis. The correlation between the lesion of the auditory analyzer and cervical osteochondrosis was considered absolutely proven if hearing improvement was observed as a result of manual therapy of the cervical spine.

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Veldman, Jan E. "Cochlear and Retrocochlear Immune-Mediated Inner Ear Disorders". Annals of Otology, Rhinology & Laryngology 95, n. 5 (settembre 1986): 535–40. http://dx.doi.org/10.1177/000348948609500518.

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Three different forms of immune-mediated sensorineural hearing loss are described. The pathogeneses of these three cases with severe audiovestibular deficits are completely different. To make an appropriate diagnosis remains a dilemma. Autoimmunity plays a certain role, but is not always present. Vascular and neural tissue can become involved. Immune-mediated forms of sensorineural hearing loss can be of cochlear or retrocochlear origin.

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Abe, Masako. "Diagnosis and Treatment of Articulation Disorders." Japan Journal of Logopedics and Phoniatrics 43, n. 3 (2002): 316–24. http://dx.doi.org/10.5112/jjlp.43.316.

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Tufatulin, G. Sh, I. V. Koroleva, S. A. Artyushkin e Yu K. Yanov. "Complex disorders in children with sensorineural hearing loss — influence on the diagnosis of hearing pathology and hearing aid". Vestnik otorinolaringologii 85, n. 4 (2020): 30. http://dx.doi.org/10.17116/otorino20208504130.

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Kleijwegt, Maarten, Floris Bettink, Martijn Malessy, Hein Putter e Andel van der Mey. "Clinical Predictors Leading to Change of Initial Conservative Treatment of 836 Vestibular Schwannomas". Journal of Neurological Surgery Part B: Skull Base 81, n. 01 (4 febbraio 2019): 015–21. http://dx.doi.org/10.1055/s-0039-1678708.

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Objective This study was aimed to determine the role of clinical presentation and tumor characteristics in vestibular schwannoma (VS) at diagnosis, initially treated with conservative management. Design The study was designed as a retrospective chart review. Setting The study was prepared at national tertiary referral center for VS patients. Participants A total of 836 VS patients, initially treated conservatively, were included. Main Outcome Measures Patient characteristics: age at diagnosis, gender, frequency, and duration of, hearing loss, tinnitus, balance disorder (unsteadiness, dizziness, and vertigo), respectively; and tumor characteristics: laterality, growth, cystic component, and location were analyzed in relation to tumor size at diagnosis and change in treatment strategy. Results In total, 169 (20%) patients had a change in treatment strategy. Factors at diagnosis that had a high influence on intervention were a short duration of hearing loss (hazard ratio [HR]: 4.8, p < 0.001) and cystic tumors (HR = 2.6, p < 0.001). Balance disorders and extracanalicular (EC) tumor location have a medium influence on intervention (HR = 1.6, p < 0.01). Tumour growth was seen in 55% of the intervention group; we found a significant correlation with a short duration of hearing loss. Cystic VS was significantly higher between the medium and large tumors, 24.3% and 38.1%. (p = 0.001), respectively. Conclusions Patients with a short duration of hearing loss, balance disorders, EC located tumors, and cystic tumors have a significantly higher chance of a change in treatment strategy. Large tumor size at diagnosis and a cystic component were related to age > 65 years at diagnosis.

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Lazareva, L. A., S. A. Azamatova, A. G. Kekeliya, E. V. Zhugan, L. V. Tsyplenkov, B. R. Muzaeva e I. S. Elizbaryan. "Hearing impairment screening in adults with chronic general somatic pathology in the republic of Adygeya". Kuban Scientific Medical Bulletin 27, n. 5 (14 ottobre 2020): 46–59. http://dx.doi.org/10.25207/1608-6228-2020-27-5-46-59.

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Background. The steadily growing number of hearing-impaired patients incited epidemiological research into the etiopathogenesis of sensorineural hearing loss.Objectives. To conduct a screening survey of hearing-impaired adults to identify early sensorineural hearing loss in patients with chronic general somatic pathology in the Republic of Adygea.Мethods. We used a screening method for auditory function disorder diagnosis based on surveying patients with no primary hearing complaints. A total of 6,346 patients with variant chronic general somatic pathology were surveyed anonymously. Statistical analysis and interpretation were performed with Statistica 10.0 and MS Excel 2010.Results. A point–based assessment survey of the patient’s psycho-emotional state in various classroom settings identifi ed the sensorineural disorder risk groups among the visitors of district and municipal outpatient units. Subclinical auditory function disorders were revealed in 16.5% (1045 of 6346), and putative hearing loss of various degree — in 36.2% (2295 of 6346) of the patients. In 47.3% (3006 of 6346), no evidence of hearing loss was observed in the survey. Accentuated analysis revealed early and severe hearing disorders among patients with cardiovascular, endocrine, nervous, excretory, respiratory and other diseases.Conclusion. We show the applicability of screening surveys for detecting early sensorineural hearing loss in patients with chronic general somatic pathology. Acceptance of adapted surveying by family physicians, neurologists and adult endocrinologists will facilitate preclinical identifi cation of risk groups among patients requiring specialised audiological care.

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Matthews-Brzozowska, Teresa, Dorota Hojan-Jezierska, Wawrzyniec Loba, Marta Worona e Artur Matthews-Brzozowski. "Cleidocranial dysplasia-dental disorder treatment and audiology diagnosis". Open Medicine 13, n. 1 (1 marzo 2018): 1–8. http://dx.doi.org/10.1515/med-2018-0001.

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AbstractA review of numerous case reports was made, in order to demonstrate the possibilities for treatment of dental disorders in patients with Cleidocranial dysplasia (CCD). In this paper, our own report, including a diagnosis of the effect on the auditory system, is presented. In addition to the triad of CCD symptoms that include hypoplastic or aplastic clavicles, impacted and supernumerary teeth, delayed closure of fontanelles and cranial sutures, impairment of the hearing system resulting in conductive hearing loss also occurs. Our own report is based on the case of a 12-year-old CCD patient, in whom Cone Beam Computed Tomography (CBCT) revealed the presence of 12 supernumerary teeth. Furthermore, a clinical examination pointed to the presence of retained deciduous teeth and a delayed eruption of permanent teeth. Orthodontic-surgical procedures were implemented, in accordance with the literature. During the course of the orthodontic treatment, a decrease in auditory sensitivity was observed, for which reason hearing tests were also performed. Conductive hearing loss was detected. As such, it is important to remember that in such cases, auditory check-ups need to be performed between the many surgical and orthodontic interventions, which usually last a few years.

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Ralli, Massimo, Maria Romani, Alessio Zodda, Francesca Yoshie Russo, Giancarlo Altissimi, Maria Patrizia Orlando, Maria Gloria Cammeresi, Roberta Penge e Rosaria Turchetta. "Hyperacusis in Children with Attention Deficit Hyperactivity Disorder: A Preliminary Study". International Journal of Environmental Research and Public Health 17, n. 9 (27 aprile 2020): 3045. http://dx.doi.org/10.3390/ijerph17093045.

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The association between hyperacusis and developmental disorders such as autism spectrum disorders has been extensively reported in the literature; however, the specific prevalence of hyperacusis in attention deficit hyperactivity disorder (ADHD) has never been investigated. In this preliminary study, we evaluated the presence of hyperacusis in a small sample of children affected by ADHD compared to a control group of healthy children. Thirty normal hearing children with a diagnosis of ADHD and 30 children matched for sex and age were enrolled in the study. All children underwent audiological and multidisciplinary neuropsychiatric evaluation. Hearing was assessed using pure tone audiometry and immittance test; ADHD was diagnosed following the Diagnostic and Statistical Manual of Mental Disorder criteria. Hyperacusis was assessed through the administration of a questionnaire to parents and an interview with children. Hyperacusis was diagnosed in 11 children (36.7%) in the study group and in four children (13.3%) in the control group; this difference was statistically significant (p = 0.03). The preliminary results of this study suggest a higher presence of hyperacusis in children with attention deficit hyperactivity disorder compared to control children. More studies on larger samples are necessary to confirm these results.

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Mathews, J., S. Rao e B. N. Kumar. "Autoimmune sensorineural hearing loss: is it still a clinical diagnosis?" Journal of Laryngology & Otology 117, n. 3 (marzo 2003): 212–14. http://dx.doi.org/10.1258/002221503321192548.

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Inner ear involvement with sensorineural hearing loss (SNHL) has been reported in many autoimmune disorders including ulcerative colitis. The pathogenetic mechanism of hearing loss in ulcerative colitis is thought to be immune mediated. Diagnostic tests are being developed to identify inner ear autoantibodies, that may be the cause of such hearing loss. The only test that is currently available for clinical use is the Otoblot test. This, however, tests only for antibodies against bovine heat shock protein 70 which is only one of the many cross-reacting proteins against the inner ear in suspected immune-mediated hearing loss. The clinical response to steroid therapy is thus the mainstay in the diagnosis of immune-mediated hearing loss. This paper presents a series of patients with clinically suspected autoimmune hearing loss. Diagnostic assays for this condition are discussed along with a review of the recent advances in the pathogenesis and laboratory diagnosis of immune-mediated sensorineural hearing loss.

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Tsirulnikov, E. M., I. A. Vartanyan, G. V. Gersuni, A. S. Rosenblyum, V. I. Pudov e L. R. Gavrilov. "Use of amplitude-modulated focused ultrasound for diagnosis of hearing disorders". Ultrasound in Medicine & Biology 14, n. 4 (gennaio 1988): 277–85. http://dx.doi.org/10.1016/0301-5629(88)90093-2.

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Greening, Neville K. "Foundations in Autism Spectrum Disorders and Related Neurodevelopmental Disorders: Possible Causes, Characteristics, Diagnosis, and Treatment." Advances in Social Sciences Research Journal 7, n. 7 (25 luglio 2020): 293–318. http://dx.doi.org/10.14738/assrj.77.8609.

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Autism Spectrum Disorders (ASD) is a long life formative dysfunction characterized by symptomatic criteria that begins early in infants and continues throughout life. ASD is a condition that influences a child's sensory system that includes touch, smell, taste, hearing, and visual abilities. Typical forms of ASD in the pre-2013 DSM-5 manual also include Asperger's Syndrome; and Pervasive Developmental Disorder. The characteristics of these disorders are similar but may differ significantly. Children with ASD show difficulties or delays with social communication and necessary daily activities. Still, on the other hand, some may present themselves with the average ability to communicate both verbally and non-verbally. These disorders affect social interaction, behavior, interests, and other norms in life. Understanding the method of early intervention may include therapy and mediation that will assist in connecting natural and pharmacological approaches to deal with the treatment of ASD and distinguish standard or fundamental dynamic elements for advancing positive outcomes.

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McLaughlin, Susan A., John C. Thorne, Tracy Jirikowic, Tiffany Waddington, Adrian K. C. Lee e Susan J. Astley Hemingway. "Listening Difficulties in Children With Fetal Alcohol Spectrum Disorders: More Than a Problem of Audibility". Journal of Speech, Language, and Hearing Research 62, n. 5 (21 maggio 2019): 1532–48. http://dx.doi.org/10.1044/2018_jslhr-h-18-0359.

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Purpose Data from standardized caregiver questionnaires indicate that children with fetal alcohol spectrum disorders (FASDs) frequently exhibit atypical auditory behaviors, including reduced responsivity to spoken stimuli. Another body of evidence suggests that prenatal alcohol exposure may result in auditory dysfunction involving loss of audibility (i.e., hearing loss) and/or impaired processing of clearly audible, “suprathreshold” sounds necessary for sound-in-noise listening. Yet, the nexus between atypical auditory behavior and underlying auditory dysfunction in children with FASDs remains largely unexplored. Method To investigate atypical auditory behaviors in FASDs and explore their potential physiological bases, we examined clinical data from 325 children diagnosed with FASDs at the University of Washington using the FASD 4-Digit Diagnostic Code. Atypical behaviors reported on the “auditory filtering” domain of the Short Sensory Profile were assessed to document their prevalence across FASD diagnoses and explore their relationship to reported hearing loss and/or central nervous system measures of cognition, attention, and language function that may indicate suprathreshold processing deficits. Results Atypical auditory behavior was reported among 80% of children with FASDs, a prevalence that did not vary by FASD diagnostic severity or hearing status but was positively correlated with attention-deficit/hyperactivity disorder. In contrast, hearing loss was documented in the clinical records of 40% of children with fetal alcohol syndrome (FAS; a diagnosis on the fetal alcohol spectrum characterized by central nervous system dysfunction, facial dysmorphia, and growth deficiency), 16-fold more prevalent than for those with less severe FASDs (2.4%). Reported hearing loss was significantly associated with physical features characteristic of FAS. Conclusion Children with FAS but not other FASDs may be at a particular risk for hearing loss. However, listening difficulties in the absence of hearing loss—presumably related to suprathreshold processing deficits—are prevalent across the entire fetal alcohol spectrum. The nature and impact of both listening difficulties and hearing loss in FASDs warrant further investigation.

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Stone, Jennifer, Edwin Rubel, Robert E. Hillman, Matthew Cutter, Shannon C. Mauszycki, Robert V. Shannon, Julius Fridriksson et al. "The Future Present". ASHA Leader 18, n. 1 (gennaio 2013): 36–47. http://dx.doi.org/10.1044/leader.ftr1.18012013.36.

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Rechitskaya, E. G., e N. A. Belaya. "Differential diagnosis as one of the conditions for proper rehabilitation of cochlear implanted children". Science and School, n. 1, 2020 (2020): 172–76. http://dx.doi.org/10.31862/1819-463x-2020-1-172-176.

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The article considers the importance of differential diagnostics for the qualification of impaired development of children with hearing disabilities, in particular cochlear implanted children. The role of taking into account the structure of the defect in case of impaired hearing and the results of differential diagnosis of speech failure in children with hearing disorders is highlighted in order to determine the priority role of surdopedagogic work in rehabilitation of children after cochlear implantation. Opinions are expressed about the integrated participation of specialists in various fields (doctors, speech therapists, psychologists) and parents in solving the problem of developing speech hearing and speech of cochlear implanted children.

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Vermiglio, Andrew J. "On the Clinical Entity in Audiology: (Central) Auditory Processing and Speech Recognition in Noise Disorders". Journal of the American Academy of Audiology 25, n. 09 (ottobre 2014): 904–17. http://dx.doi.org/10.3766/jaaa.25.9.11.

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Background: The area of (central) auditory processing disorder [(C)APD] is highly controversial. This controversy is fueled in part by multiple ambiguous descriptions of this condition. The American Speech-Language and Hearing Association and the American Academy of Audiology state that (C)APD is a clinical entity, but other sources say that this is questionable. The clinical entity is a concept used to define the nature of a disorder in order to facilitate diagnosis and intervention. Nosography is the study of the systematic description of diseases and disorders. The work in the field of nosography by physicians Thomas Sydenham and Otto Guttentag is reviewed. Purpose: The Sydenham-Guttentag criteria for the clinical entity are presented as a framework for the conceptualization of disorders in the field of audiology. This paper discusses central auditory processing and speech recognition-in-noise disorders in reference to these criteria.

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Mullin, Nova, Olivia Mcphee, Cathie Morrow e Ahmed Youssef. "Assessment, diagnosis and management of the dizzy patient". British Journal of Hospital Medicine 81, n. 12 (2 dicembre 2020): 1–7. http://dx.doi.org/10.12968/hmed.2020.0469.

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Dizziness and balance disorders are very common problems. Having a structured approach, including adequate history taking and clinical examination, in a multidisciplinary environment allows for effective management of patients with these complex symptoms. Hearing assessment is an integral part of the assessment of patients with dizziness, along with the occasional need for further testing. Identifying red flags, along with the ability to involve different medical specialties, are prerequisites for safe management and a successful outcome. While surgical intervention has a small role in the management of balance disorders, vestibular rehabilitation remains the cornerstone of treatment, along with different supportive measures. This article outlines the approach used in the authors' centre to manage patients with dizziness and balance disorders.

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Kuk, Francis, Amy Jackson, Denise Keenan e Chi-chuen Lau. "Personal Amplification for School-Age Children with Auditory Processing Disorders". Journal of the American Academy of Audiology 19, n. 06 (giugno 2008): 465–80. http://dx.doi.org/10.3766/jaaa.19.6.3.

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Background: Children with auditory processing disorders (APD) are described to have a signal-to-noise ratio (SNR) difficulty. Frequency-modulated (FM) systems have been reported to improve this situation. Yet the use of personal amplification that may be more portable has not been attempted. Purpose: To determine whether personal amplification would result in improvement in speech-in-noise performances (attentiveness and speech recognition) and daily functioning in children with diagnosed APD. In addition, the desired hearing aid features (such as required gain, directional microphone and noise reduction, and open-ear fitting) are examined. Research Design: A single-blind, longitudinal descriptive study in which subjects served as their own control in various hearing aid conditions. Study Sample: Fourteen normal hearing children who had a diagnosis of APD and who were between the ages of 7 and 11 participated. Intervention: All subjects wore bilateral, mild-gain, behind-the-ear, wide dynamic range compression hearing aids fitted in an open-ear mode. Gain on the hearing aids was adjusted to provide approximately 10 dB of insertion gain for conversational input. Directional microphone and noise reduction were used on the hearing aids. Subjects wore the hearing aids home and were encouraged to use them as much as possible in their daily environments (school, home, and social activities). Subjects were seen four times: an initial visit where hearing aids were fitted, then visits at 2 weeks, 3 months, and 6 months after the initial fitting. The majority of the testing was completed during these final three visits. Data Collection and Analysis: The children were evaluated on the Northwestern University word-list (NU–6) and the Auditory Continuous Performance Test (ACPT) in noise at most visits. The hearing aids were evaluated in the omnidirectional microphone mode only, omnidirectional microphone with noise reduction (NR) mode, and directional microphone with NR mode. The children's parents and teachers were asked to complete the Children's Auditory Processing Performance Scale (CHAPS) questionnaire both before and at the end of the study. Results: The results showed that the use of hearing aids in the omnidirectional microphone mode alone did not improve speech identification in noise over the unaided condition. However, the inclusion of the NR algorithm and directional microphones improved speech understanding in noise. Amplification reduced the number of errors on the ACPT and improved several areas on the CHAPS; however, the results were not statistically significant. Conclusions: The use of mild-gain, open-ear fitting hearing aids with a directional microphone and noise reduction algorithm may be attempted on some children with APD on a trial basis.

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Cohen, Jonathan. "On the differential diagnosis of reading, attentional and depressive disorders". Annals of Dyslexia 44, n. 1 (gennaio 1994): 165–84. http://dx.doi.org/10.1007/bf02648160.

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Bantwal, Anuradha R. "(Central) Auditory Processing Disorders: Issues and Challenges in India". Perspectives on Global Issues in Communication Sciences and Related Disorders 1, n. 2 (settembre 2011): 55–63. http://dx.doi.org/10.1044/gics1.2.55.

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Abstract Individuals with (Central) Auditory Processing Disorder, or (C)APD, form a heterogeneous group. The American Speech-Language-Hearing Association has listed the auditory processes that could be assessed to enable diagnosis of (C)APD. In India, detailed audiological assessment and intervention for auditory processing problems is being conducted in relatively few centers. The linguistic diversity of India presents with a unique challenge in providing clinical services and having complete test batteries in all spoken languages. In recent years, (C)APD has generated significant interest among speech and hearing professionals in India, with several leading institutes making efforts toward filling various lacunae in this area.

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Iliadou, Vasiliki Vivian, Gail D. Chermak e Doris-Eva Bamiou. "Differential Diagnosis of Speech Sound Disorder (Phonological Disorder): Audiological Assessment beyond the Pure-tone Audiogram". Journal of the American Academy of Audiology 26, n. 04 (aprile 2015): 423–35. http://dx.doi.org/10.3766/jaaa.26.4.9.

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Background: According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, diagnosis of speech sound disorder (SSD) requires a determination that it is not the result of other congenital or acquired conditions, including hearing loss or neurological conditions that may present with similar symptomatology. Purpose: To examine peripheral and central auditory function for the purpose of determining whether a peripheral or central auditory disorder was an underlying factor or contributed to the child’s SSD. Research Design: Central auditory processing disorder clinic pediatric case reports. Study Sample: Three clinical cases are reviewed of children with diagnosed SSD who were referred for audiological evaluation by their speech–language pathologists as a result of slower than expected progress in therapy. Results: Audiological testing revealed auditory deficits involving peripheral auditory function or the central auditory nervous system. These cases demonstrate the importance of increasing awareness among professionals of the need to fully evaluate the auditory system to identify auditory deficits that could contribute to a patient’s speech sound (phonological) disorder. Conclusions: Audiological assessment in cases of suspected SSD should not be limited to pure-tone audiometry given its limitations in revealing the full range of peripheral and central auditory deficits, deficits which can compromise treatment of SSD.

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Wassef, David W., Nehal Dhaduk, Savannah C. Roy, Gregory L. Barinsky e Evelyne Kalyoussef. "Helping Children with Special Needs: Who Receives Tympanostomy Tubes?" Annals of Otology, Rhinology & Laryngology 130, n. 8 (16 gennaio 2021): 954–60. http://dx.doi.org/10.1177/0003489420987425.

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Objectives: Tympanostomy tubes can prevent sequelae of otitis media that adversely affect long term hearing and language development in children. These negative outcomes compound the existing difficulties faced by children who are already diagnosed with developmental disorders. This study aims to characterize this subset of children with developmental disorders undergoing myringotomy and tympanostomy tube insertion. Methods: A retrospective review using the Kids’ Inpatient Database (KID) was conducted, with codes from International Classification of Diseases, Ninth Revision used to query data from the years 2003 to 2012 to determine a study group of children with a diagnosis of a developmental disorder undergoing myringotomy and tympanostomy insertion. This group was compared statistically to patients undergoing these procedures who did not have a diagnosed developmental disorder. Results: In total, 21 945 cases of patients with myringotomy with or without tympanostomy tube insertion were identified, of which 1200 (5.5%) had a diagnosis of a developmental disorder. Children with developmental disorders had a higher mean age (3.3 years vs 2.9 years, P = .002) and higher mean hospital charges ($43 704.77 vs $32 764.22, P = .003). This cohort also had higher proportions of black (17.6% vs 12.3%, P < .001) and Hispanic (23.9% vs 20.6%, P = .014) patients, and had lower rates of private insurance coverage (39.6% vs 49%, P < .001). Conclusion: The population of children with developmental disorders undergoing myringotomy or tympanostomy tube placement has a different demographic composition than the general population and faces distinct financial and insurance coverage burdens. Further study should be done to assess if these differences impact long term outcomes.

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V.B, Piatto, Secches L.V., Arroyo M.A.S., Lopes A.C.P. e Maniglia J.V. "Nonsyndromic Deafness - Molecular Update". Open Biology Journal 2, n. 1 (27 agosto 2009): 80–90. http://dx.doi.org/10.2174/1874196700902010080.

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In most cases, hearing loss is a disorder caused by both genetic and environmental factors. The molecular description of deafness has experienced remarkable progress in the last decade, and it is emerging from the use of contemporary methods of cell and molecular biology. Currently, through the application of clinical and molecular genetics it is possible to identify genes associated with inherited, nonsyndromic deafness, and balance dysfunctions of the human cochlea. This brief review provides insights into nonsyndromic hearing loss, since the identification of the molecular basis for the inner ear function provides the basis for developing rational new approaches to diagnosis, management and treatment of auditory and vestibular disorders.

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Umrigar, Ayesha, Amanda Musso, Danielle Mercer, Annette Hurley, Cassondra Glausier, Mona Bakeer, Michael Marble, Chindo Hicks e Fern Tsien. "Delayed diagnosis of a patient with Usher syndrome 1C in a Louisiana Acadian family highlights the necessity of timely genetic testing for the diagnosis and management of congenital hearing loss". SAGE Open Medical Case Reports 5 (1 gennaio 2017): 2050313X1774590. http://dx.doi.org/10.1177/2050313x17745904.

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Advances in sequencing technologies and increased understanding of the contribution of genetics to congenital sensorineural hearing loss have led to vastly improved outcomes for patients and their families. Next-generation sequencing and diagnostic panels have become increasingly reliable and less expensive for clinical use. Despite these developments, the diagnosis of genetic sensorineural hearing loss still presents challenges for healthcare providers. Inherited sensorineural hearing loss has high levels of genetic heterogeneity and variable expressivity. Additionally, syndromic hearing loss (hearing loss and additional clinical abnormalities) should be distinguished from non-syndromic (hearing loss is the only clinical symptom). Although the diagnosis of genetic sensorineural hearing loss can be challenging, the patient’s family history and ethnicity may provide critical information, as certain genetic mutations are more common in specific ethnic populations. The early identification of the cause of deafness can benefit patients and their families by estimating recurrence risks for future family planning and offering the proper interventions to improve their quality of life. Collaboration between pediatricians, audiologists, otolaryngologists, geneticists, and other specialists are essential in the diagnosis and management of patients with hearing disorders. An early diagnosis is vital for proper management and care, as some clinical manifestations of syndromic sensorineural hearing loss are not apparent at birth and have a delayed age of onset. We present a case of Usher syndrome (congenital deafness and childhood-onset blindness) illustrating the challenges encountered in the diagnosis and management of children presenting with congenital genetic sensorineural hearing loss, along with helpful resources for clinicians and families.

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Diao, M., F. Tian e J. Sun. "Sudden sensorineural hearing loss as the first manifestation of chronic myeloid leukaemia: case report". Journal of Laryngology & Otology 128, n. 11 (novembre 2014): 1015–17. http://dx.doi.org/10.1017/s0022215114002102.

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AbstractBackground:Sudden sensorineural hearing loss rarely occurs in patients with chronic myeloid leukaemia.Case report:We present a case report of a patient who presented with sudden sensorineural hearing loss as the first manifestation of chronic myeloid leukaemia, and review the mechanisms responsible for sudden sensorineural hearing loss in leukaemic patients.Results:A 31-year-old female presented to our clinic with unilateral sudden sensorineural hearing loss and tinnitus. Pure tone audiometry revealed profound sensorineural hearing loss in the left ear at all frequencies. During an investigation into her hearing loss, the patient was found to have chronic myeloid leukaemia.Conclusion:Every case of sudden sensorineural hearing loss must be carefully evaluated, and haematological disorders must be considered in the differential diagnosis of sudden hearing loss.

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Jurczak, Piotr, Katarzyna Ita Bieńkowska, Joanna Wrońska, Alicja Miller, Paweł Rygiel, Honorata Urbanek, Łukasz Rolniak et al. "Summary of the scientific/educational conference titled "State-of-the-art methods of diagnosis, treatment, and rehabilitation of patients with hearing disorders" held on the occasion of the 50th anniversary of the Otorhinolaryngology Department in Krosno". Polski Przegląd Otorynolaryngologiczny 8, n. 2 (30 maggio 2019): 68–71. http://dx.doi.org/10.5604/01.3001.0013.2052.

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On January 11, 2019, more than 200 specialists, including physicians, speech therapists, and physiotherapists, gathered in Krosno for a discussion on current problems in diagnosis, treatment, and rehabilitation of patients with hearing disorders. The Conference was held to mark the 50th Anniversary of the establishment of the Otorhinolaryngology Department at the John Paul II Subcarpathian Regional Hospital in Krosno. However, it was the future rather than history that became the main focus of the discussion. The need to continue the tradition of interdisciplinary approach to audiological treatment of patients with hearing disorders was highlighted.

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Armakov, Sergey. "Causes and Types of Sensorineural Hearing Loss. Clinical Manifestations and Basic Principles of Treatment". Spravočnik vrača obŝej praktiki (Journal of Family Medicine), n. 9 (27 agosto 2020): 9–16. http://dx.doi.org/10.33920/med-10-2009-01.

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Sensorineural hearing loss is a disorder associated with the damage to the inner ear structures: the cochlea (cortical organ), dysfunctioning of the vestibule-cochlear nerve or the central part of the auditory analyser (brain stem and cortical representation of the cortical temporal lobe). In recent years, there has been a steady increase in ensorineural hearing loss patients; they account for ca. 70% among the total patients with impaired hearing. The disease has numerous causes and a complex pathogenesis. Among the main factors contributing to hearing loss are genetic predisposition, perinatal pathology, including hypoxia at childbirth, exposure to infectious and toxic agents and metabolic disorders, injuries (mechanical, acoustic and altitude trauma). Vascular-rheological disorders in the vertebro-basilar system play an important part because blood is supplied to the inner ear from the anterior inferior cerebellar artery. There are sudden, acute and chronic sensorineural hearing loss. The ensorineural hearing loss isdiagnosed by examinations that allow to verify the diagnosis and to determine the sound analyser damage level. This complex includes audiometric examinations, including the tuning fork examination, speech audiometry, and acoustic impedancemetry. If necessary, ultrasound Doppler imaging of the main blood vessels of the brain, computed tomography of the temporal bones, and MRI of the brain are prescribed. The pattern of comprehensive treatment should include, first of all, the elimination of the disease cause and anti-hypoxic drugs, anti-oxidants and a number of physiotherapy procedures.

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Lee, Tung-Lin, Pei-Hsuan Lin, Pei-Lung Chen, Jin-Bon Hong e Chen-Chi Wu. "Hereditary Hearing Impairment with Cutaneous Abnormalities". Genes 12, n. 1 (30 dicembre 2020): 43. http://dx.doi.org/10.3390/genes12010043.

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Syndromic hereditary hearing impairment (HHI) is a clinically and etiologically diverse condition that has a profound influence on affected individuals and their families. As cutaneous findings are more apparent than hearing-related symptoms to clinicians and, more importantly, to caregivers of affected infants and young individuals, establishing a correlation map of skin manifestations and their underlying genetic causes is key to early identification and diagnosis of syndromic HHI. In this article, we performed a comprehensive PubMed database search on syndromic HHI with cutaneous abnormalities, and reviewed a total of 260 relevant publications. Our in-depth analyses revealed that the cutaneous manifestations associated with HHI could be classified into three categories: pigment, hyperkeratosis/nail, and connective tissue disorders, with each category involving distinct molecular pathogenesis mechanisms. This outline could help clinicians and researchers build a clear atlas regarding the phenotypic features and pathogenetic mechanisms of syndromic HHI with cutaneous abnormalities, and facilitate clinical and molecular diagnoses of these conditions.

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PİŞTAV AKMEŞE, Pelin, Nilay KAYHAN, Gülce KİRAZLI e Tayfun KİRAZLI. "İşitme kayıplı çocukların eğitimine ilişkin odyoloji ve konuşma bozuklukları uzmanları görüşleri". Turkish Journal of Audiology And Hearing Research 4, n. 2 (agosto 2021): 37–44. http://dx.doi.org/10.34034/tjahr.23280.

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Opinions of audiology and speech disorders specialists on education of children with hearing loss Aim: It was aimed to examine the opinions of audiology and speech disorders specialists (ASDS) working with children with hearing loss between the ages of 0-3 in special education and rehabilitation centers on supporting the language development of children and cooperation with the family in communication and speech development. Materials and Methods: Semi-structured interview technique was used in the study conducted with qualitative research method in descriptive design. The data were collected from 10 ASDS specialists between the ages of 24-35 in the spring semester 2019-2020. As a result of the content analysis, themes and sub-themes were reached. Results: Findings consists of 4 main themes as guiding factors, components in educational practices, parent-child interaction, continuity, and monitoring. In the results, attention was drawn to early diagnosis, evaluation, cooperation with the family, and early education initiation. Conclusion: For children with hearing loss, it is important to start early education after diagnosis in early childhood and to provide qualified and systematic support. It is recommended that materials to be prepared for children with hearing loss for early childhood should be visual, active, attractive, and educational. Keywords: Early childhood, hearing loss, early intervention, language development, speech

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Vielsmeier, Veronika, Tobias Kleinjung, Jürgen Strutz, Ralf Bürgers, Peter Michael Kreuzer e Berthold Langguth. "Tinnitus with Temporomandibular Joint Disorders". Otolaryngology–Head and Neck Surgery 145, n. 5 (25 giugno 2011): 748–52. http://dx.doi.org/10.1177/0194599811413376.

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Objective. Tinnitus is frequently associated with temporomandibular joint (TMJ) dysfunction. However, the nature of the relationship is not fully understood. Here the authors compared 30 patients with a confirmed diagnosis of temporomandibular joint dysfunction and tinnitus to a group of 61 patients with tinnitus but without any subjective complaints of TMJ dysfunction with respect to clinical and demographic characteristics. Study Design. Case-control study. Setting. Tertiary referral center. Subjects. Tinnitus patients with and without TMJ dysfunction presenting at the Department of Prosthetic Dentistry and the Tinnitus Clinic at the University of Regensburg. Results. Tinnitus patients with TMJ disorder had better hearing function ( P < .0005), lower age ( P = .001), and lower age at tinnitus onset ( P = .002) and were more frequently female ( P = .003). Their subjectively perceived tinnitus loudness was lower ( P = .01), and more of them could modulate their tinnitus by jaw or neck movements ( P = .001). Conclusion. Classical risk factors for tinnitus (age, male gender, hearing loss) are less relevant in tinnitus patients with TMJ disorder, suggesting a causal role of TMJ pathology in the generation and maintenance of tinnitus. Based on this finding, treatment of TMJ disorder may represent a causally oriented treatment strategy for tinnitus.

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Gáborján, Anita, Judit Götze, Marianna Küstel, Nóra Kecskeméti, Ildikó Baranyi, Fatime Csontos e László Tamás. "Az újszülöttkori objektív hallásszűrés utánvizsgálatának eredményei". Orvosi Hetilap 160, n. 47 (novembre 2019): 1850–55. http://dx.doi.org/10.1556/650.2019.31604.

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Abstract: Sufficient hearing is the cornerstone of the development of children’s complex sensory perception, sound recognition, speech development and optimal communication skills. Hearing screening of newborns is necessary to detect congenital hearing disorders. Compulsory objective hearing screening in Hungary is a significant improvement in early diagnosis. The Audiological Department of Otorhinolaryngology, Head and Neck Surgery Clinic at Semmelweis University serves as a verification center for children identified via the compulsory objective newborn hearing screening and necessitates more detailed assessment. The goal of this study was to summarize the verification results of the year 2018. Case history, ENT examination, electric response measurement, impedance tests, otoacoustic emission measurement, surdopedagogical examination, and genetic examination are the basics of the diagnosis and the therapy as well. Altogether 261 newborns were examined in 2018 and 164 were subjected to audiological tests during the analyzed seven-month period. Normal hearing was detected in both ears in 77% of the cases, while hearing loss has been verified in 37 patients (23% of cases). Permanent hearing loss has been diagnosed in 19 cases, 4 unilateral and 15 bilateral. Hearing loss of sensorineural origin was confirmed in 17, conductive in 2 children. Temporary hearing loss caused by otitis media with effusion was found in further 18 children which healed spontaneously in most cases. Organized neonatal objective hearing examination has been established in Hungary in 2015. As a result, we can diagnose and provide care for children with hearing loss at the earliest stage. The National Newborn Hearing Screening Registry ensures a well-coordinated and smooth process. Orv Hetil. 2019; 160(47): 1850–1855.

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Jin, Jingyu Linna, Carolyn Baylor e Kathryn Yorkston. "Predicting Communicative Participation in Adults Across Communication Disorders". American Journal of Speech-Language Pathology 30, n. 3S (18 giugno 2021): 1301–13. http://dx.doi.org/10.1044/2020_ajslp-20-00100.

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Purpose The purpose of this study was to explore the extent to which communicative participation differs across diagnoses and if there are common predictor variables for communicative participation across diagnoses. Method Survey data on self-report variables including communicative participation were collected from 141 community-dwelling adults with communication disorders due to Parkinson's disease, cerebrovascular accident, spasmodic dysphonia, or vocal fold immobility (VFI). Analysis of covariance was used to determine communicative participation differences between diagnoses, with age, sex, and hearing status as covariates. Sequential entry linear regression was used to examine associations between communicative participation and variables representing a range of psychosocial constructs across diagnoses. Results The VFI group had the least favorable communicative participation differing significantly from Parkinson's disease and spasmodic dysphonia groups. Self-rated speech/voice severity, self-rated effort, mental health, perceived social support, and resilience contributed to variance in communicative participation when pooled across diagnoses. The relationship between communicative participation and the variables of effort and resilience differed significantly when diagnosis was considered. Conclusions The findings suggest that communicative participation restrictions may vary across some diagnoses but not others. People with VFI appear to differ from other diagnosis groups in the extent of participation restrictions. Effort and resilience may play different roles in contributing to communicative participation in different disorders, but constructs such as social support, severity, and mental health appear to have consistent relationships with communicative participation across diagnoses. The findings can help clinicians identify psychosocial factors beyond the impairment that impact clients' communication in daily situations.

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Adhikari, Tika Ram, e Thinley Dorji. "Recurrent ear bleed with profound bilateral sensorineural hearing loss: A case of Munchausen syndrome". SAGE Open Medical Case Reports 9 (gennaio 2021): 2050313X2110008. http://dx.doi.org/10.1177/2050313x211000869.

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Factitious disorders and Munchausen syndromes present with history and physical symptoms to all specialties, and they are often extensively evaluated. Diagnosis of Munchausen syndrome is a challenge and patients often do not receive the correct diagnosis and appropriate care especially in settings where access to mental health professionals is difficult. We present a case of recurrent bleed from the right ear, bilateral profound hearing loss and jerky movement of limbs that was extensively evaluated and followed up for 4 years until a diagnosis of Munchausen syndrome was reached. This case reports the risk of harm to the patient and wastage of healthcare resources unless physicians begin to actively evaluate for factitious disorders.

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Palomo-Carrión, Rocío, Rita Pilar Romero-Galisteo, Helena Romay-Barrero, Inés Martínez-Galán, Cristina Lirio-Romero e Elena Pinero-Pinto. "How Does the Cause of Infantile Hemiparesis Influence Other Conditioning Factors? A Preliminary Study in a Spanish Population". Children 8, n. 5 (22 aprile 2021): 323. http://dx.doi.org/10.3390/children8050323.

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Infantile hemiparesis may be associated with significant morbidity and may have a profound impact on a child’s physical and social development. Infantile hemiparesis is associated with motor dysfunction as well as additional neurologic impairments, including sensory loss, mental retardation, epilepsy, and vision, hearing, or speech impairments. The objective of this study was to analyze the association between the cause of infantile hemiparesis and birth (gestational age), age of diagnosis, and associated disorders present in children with infantile hemiparesis aged 0 to 3 years. An observational and cross-sectional study was performed. A simple and anonymous questionnaire was created ad hoc for parents of children diagnosed with infantile hemiparesis aged between 0 and 3 years about the situation regarding the diagnosis of hemiparesis, birth, cause of hemiparesis, and presence of other associated disorders. Perinatal stroke (60.1%) was the most common cause of hemiparesis, and the most typical associated disorder was epilepsy (34.2%), with the second largest percentage in this dimension corresponding to an absence of associated disorders (20.7%). The most frequent birth was “no premature” (74.1%). The mean age of diagnosis of infantile hemiparesis was registered at 8 months (IQR: 0–36). Knowing the possible association between different conditioning factors and the cause of infantile hemiparesis facilitates the prevention of severe sequelae in children and family, implementing an early comprehensive therapeutic approach in children with infantile hemiparesis.

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Ralli, Massimo, Giuseppe Nola, Luca Sparvoli e Giovanni Ralli. "Unilateral Enlarged Vestibular Aqueduct Syndrome and Bilateral Endolymphatic Hydrops". Case Reports in Otolaryngology 2017 (2017): 1–6. http://dx.doi.org/10.1155/2017/6195317.

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Enlarged vestibular aqueduct (EVA) syndrome is a common congenital inner ear malformation characterized by a vestibular aqueduct with a diameter larger than 1.5 mm, mixed or sensorineural hearing loss that ranges from mild to profound, and vestibular disorders that may be present with a range from mild imbalance to episodic objective vertigo. In our study, we present the case of a patient with unilateral enlarged vestibular aqueduct and bilateral endolymphatic hydrops (EH). EH was confirmed through anamnestic history and audiological exams; EVA was diagnosed using high-resolution CT scans and MRI images. Therapy included intratympanic infusion of corticosteroids with a significant hearing improvement, more evident in the ear contralateral to EVA. Although most probably unrelated, EVA and EH may present with similar symptoms and therefore the diagnostic workup should always include the proper steps to perform a correct diagnosis. Association between progression of hearing loss and head trauma in patients with a diagnosis of EVA syndrome is still uncertain; however, these individuals should be advised to avoid activities that increase intracranial pressure to prevent further hearing deterioration. Intratympanic treatment with steroids is a safe and well-tolerated procedure that has demonstrated its efficacy in hearing, tinnitus, and vertigo control in EH.

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Ha, Seunghee, e Dong Gi Seo. "Articulatory Consistency for Differential Diagnosis of Speech Sound Disorders". Communication Sciences & Disorders 24, n. 4 (31 dicembre 2019): 1015–25. http://dx.doi.org/10.12963/csd.19667.

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