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This is a case study of a 40-year-old male with a sudden profound sensorineural hearing loss experienced secondary to a skull fracture incurred during a violent assault.
You will receive an email whenever this article is corrected, updated, or cited in the literature. For full access to this article, log in to an existing user account, become a SIG affiliate, or purchase a short-term subscription. The 19 individual SIG Perspectives publications have been relaunched as the new, all-in-one Perspectives of the ASHA Special Interest Groups.
Exploring the Connexin ConnectionConnexin 26 mutations are the most common cause of congenital sensorineural hearing loss, responsible for at least 20 percent of all genetic hearing loss and 10 percent of all childhood hearing loss. To access this pdf, log in to an existing user account, become an associate, or purchase a short-term subscription. Our award-winning blog brings you insights on health, nutrition and wellness from experts you can trust. Approximately 36 million Americans have some degree of hearing loss and one out of three have developed their hearing loss due to noise exposure.
NOTE: This information is not intended to substitute for a consultation with your physician. Tell a friend about us, add a link to this page, or visit the webmaster's page for free fun content. Although the circumstances surrounding the onset of Edward’s hearing loss are particularly traumatic, sudden hearing loss can be a devastating experience for anyone. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Deafness and Communication Disorders or the National Institutes of Health.
Following the acute phase of his medical care, the patient received long-term multidisciplinary rehabilitative care in two states that included audiologic, psychologic, and vocational services.
If you do not have an ASHA login, you may register with us for free by creating a new account. Pediatric otolaryngologist Margaret Kenna, an expert in congenital and childhood-onset hearing loss, recently led an online chat on Cx26. People of all ages experience gradual hearing loss, often due to the natural aging process or long exposure to loud noise.
It is offered to educate the patient and his or her family on the basis of otolaryngology conditions in order to get the most out of their office visits and consultations.


We invite readers to post comments and questions regarding Edward’s case on the SIG 7 forum and to share their experiences with other cases regarding sudden onset of hearing loss.
This case highlights the need to make resources available to the patient, but stresses the importance of a patient-centered approach. Over 26 million Americans ages 20 to 69 years old already have permanent damage to their high frequency hearing that may be due to noise exposure.
Other causes of hearing loss include viruses or bacteria, heart conditions or stroke, head injuries, tumors, and certain medications. Service providers often think they know what is best for their patients and are frustrated, if not disappointed, when patients do not follow advice. Did you know that more than five million children in the US between the ages of 6 to 19 reportedly have hearing loss directly caused by loud noises? Treatment for hearing loss will depend on your diagnosis.How Does the Hearing Sense Work?The aural or hearing-sense is a complex and intricate process.
In this case, it became apparent that the patient needed to decide when he was ready to address all of the issues related to his hearing loss and subsequent communication, psychosocial, and vocational difficulties. As one of the most common causes of hearing loss, noise-induced hearing loss (NIHL) can be prevented.What causes Noise Induced Hearing Loss (NIHL)?Noise-induced hearing loss is caused by damage to the tiny structures called hair cells in the inner ear. These hair cells convert the sound that we hear (acoustical energy) into potentials (electrical signals) that travel down the auditory pathway to the brain.
The outer ear, or pinna (the part you can see), picks up sound waves and the waves then travel through the outer ear canal. The sound will be perceived in the affected ear when a unilateral conductive hearing loss is present or in the unaffected ear when there is a unilateral sensorineural hearing loss. The vibrations then travel to the cochlea, which is filled with liquid and lined with cells that have thousands of tiny hairs on their surfaces.
The hairs then change the sound vibrations into nerve signals, so your brain can interpret the sound.Test Your HearingAnswer the following questions then calculate your score.
To calculate your score, give yourself 3 points for every "Almost always" answer, 2 points for every "Half the time" answer, 1 point for every "Occasionally" answer, and 0 for every "Never". Almost always Half the time Occasionally NeverI have trouble following the conversation when two or more people are talking at the same time. Almost always Half the time Occasionally Never People complain that I turn the TV volume too high. Almost always Half the time Occasionally Never I have to strain to understand conversations.


Almost always Half the time Occasionally Never I miss hearing some common sounds like the phone or doorbell ring. Almost always Half the time Occasionally Never I have trouble hearing conversations in a noisy background, such as a party. Almost always Half the time Occasionally Never I get confused about where sounds come from.
Almost always Half the time Occasionally Never I misunderstand some words in a sentence and need to ask people to repeat themselves. Almost always Half the time Occasionally Never I especially have trouble understanding the speech of women and children. Almost always Half the time Occasionally Never I have worked in noisy environments (such as assembly lines, contstruction sites, or near jet engines).
Almost always Half the time Occasionally Never Many people I talk to seem to mumble, or don't speak clearly. Almost always Half the time Occasionally Never People get annoyed because I misunderstand what they say. Almost always Half the time Occasionally Never I misunderstand what others are saying and make inappropriate responses. Almost always Half the time Occasionally Never I avoid social activities because I cannot hear well and fear I'll make improper replies. Almost always Half the time Occasionally Never Ask a family member or friend to answer this question: Do you think this person has a hearing loss? Almost always Half the time Occasionally Never What Can I Do to Improve My Hearing?Eliminate or lower unnecessary noises around you.
Develop the habit of wearing earplugs when you know you will be exposed to noise for a long time. Earplugs quiet about 25 dB of sound and can mean the difference between a dangerous and a safe level of noise.Try not to use several noisy machines at the same time. Any information provided in this website should not be considered medical advice or a substitute for a consultation with an Otolaryngologist - Head and Neck surgeon or other physician.



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