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Author: admin | 01.01.2014 | Category: Tinnitus Hearing Loss

Success For Kids With Hearing Loss Permanent Conductive Hearing Loss: Atresia, Microtia, Etc. Microtia = “small ear” – It comes in different grades in terms of how much the outer ear is underdeveloped.
Atresia – Aural atresia refers to the absence an external ear canal – always results in hearing loss.
A narrowed ear canal is called a stenotic canal or referred to as ear canal stenosis, which may not affect hearing. BAHA eliminates the conductive hearing loss at most frequencies versus 25-30 dB of conductive hearing loss remaining after reconstructive surgery (this is true only after the BAHA has been implanted).
Permanent conductive hearing loss can also be caused by malformation of or damage to the middle ear structures. Examples would be congenital or early onset of otosclerosis (calcium deposits develop on middle ear bones), middle ear structures damaged due to cholesteatoma, or changes to the eardrum and ossicles due to continuous middle ear disease (chronic ear infections).
The anchoring the device to bone provides an advantage of 10 to 15 dB, especially at the high frequencies of vital importance to proper speech recognition in noise. Compared to conventional bone conductors, the BAHA system has better gain at the high frequencies and less distortion. Several other studies also light towards the significance of folate might help prevent or postpone hearing loss. Come in for a free hearing evaluation and receive a FREEcaption call phone (restrictions apply).
Imagine waking up one morning to discover that you had spontaneously lost most of your hearing in one or both ears, with no warning or explanation. If you or a loved one experiences a sudden hearing loss, please call your doctor or visit an ER or urgent care center immediately!
One of the leading causes of hearing loss is loud noise.  According to a 2010 Journal of the American Medical Association study, the incidence of hearing loss in younger generations is on the rise. New York City Mayor Michael Bloomberg recently took up the cause as his latest public health crusade, announcing a $250,000 social media campaign to caution young people about the dangers of loud music on personal listening devices. People are listening to music for longer stretches of the day, because of the portability and the long battery life of modern devices that store and play music. Earbuds go directly in the ear, creating a seal and allowing more direct focused sound energy in the ear. So, how loud is too loud?  A good rule of thumb to follow is if someone else can hear your music, it’s too loud. And given the opportunity to say, “we told you so” is not really something we really enjoy. This is the first segment of a multi-part publication that will cover significant trends in the hearing loss population.
Beginning with this report, MarkeTrak is conducted and published by the Better Hearing Institute through the continued generosity and sponsorship of Knowles Electronics as a public service to the hearing care industry.
Quantification of hearing instrument candidacy among adults with hearing loss who have not yet adopted hearing instruments as a solution for their hearing loss. In November 2004, a short screening survey was mailed to 80,000 members of the National Family Opinion (NFO) panel. The data presented in this article refer only to households as defined by the US Bureau of Census—that is, people living in a single-family home, duplex, apartment, condominium, mobile home, etc.
MarkeTrak Results and Discussion The data presented in this study compares the MarkeTrak survey results over the last 15 years with selected data from the 1984 Hearing Industries Association (HIA) database of the hearing loss population. User and Non-User Populations and Physician Hearing Screening Hearing Loss Population (Table 1). In addition, hearing loss population projections through the year 2050 are shown in Figure 1. The stellar historical growth rate for binaural hearing instrument purchases is shown in Figure 4. Previously, we have shown the use of the Better Hearing Institute (BHI) Physician Referral Program, which did not provide a method for hearing loss screening, resulted in modest increases in referrals for hearing health solutions.3 Increasing physician referrals purely through educational material is a difficult task. Creating pull-through from the patient; if they can ask their doctor for Nexium or Viagra, they can ask them for a hearing screening.
Getting large consumer oriented organizations, such as the American Association of Retired People (AARP), to assist in putting pressure on the medical community to include hearing screening during physical exams. Referring to Figure 7, the average price of a hearing instrument as paid out of the pocket of the consumer (includes free and third-party discounted, direct mail, but excludes VA fittings) increased 7.3% to $1,369.
With respect to where the hearing instrument was fit, referring to Table 2 (which is summarized in Figure 9), there are some major changes over the previous MarkeTrak survey.
In Figure 10, we have estimated the size of the total hearing instrument owner population as of 2004 based on the place where the consumers purchased their last hearing instrument. Most notable are the significant increases in the VA population (784,000 in 2004 versus 411,000 in 2000, a 91% increase) and mail order sales (221,000 in 2004 versus 124,000 in 2000, a 78% increase). Figure 13 documents the age distribution of hearing instruments (including hearing instruments in the drawer) as measured in the five previous MarkeTraks.
After a decline between the years 1991 and 1997, the age of new users would appear again to be on the increase. Demographics of the Hearing Loss Population In Table 5, detailed demography is presented for the year 2004, and hearing instrument adoption rates are compared for the years 1984-2004.
In the second part of Table 5 the demography is broken down and expressed as percentages for both the hearing instrument owner and non-owner populations.

The percent of college graduates (28%) are nearly equal for hearing instrument owners and non-owners.
The modal (most common) lifestyle of a hearing instrument owner is retired couple (29%); the modal lifestyle of a non-owner is older parents (22%).
Figure 17 shows the age disparity between hearing instrument owners and non-owners while Figure 18 documents hearing instrument adoption rates by age. The education level increased: fewer elementary school educated adults (-23%) occurred in favor of those with some college, college, or graduate school (14%). The hearing loss population drifted away from small towns (-30%) in favor of larger cities. The hearing loss population has grown to 31.5 million with continued major increases in the baby boomer and elderly 75+ age brackets.
Hearing screenings by physicians have decreased to under 13%, a trend that the hearing health industry must address and reverse. The new user rate has increased to 39% while the average age of the consumer has increased to nearly 70 and their income has increased to $55,000. Hearing instrument sales through audiologists has decreased 10% as perceived by consumers. The effective retail price for hearing instruments (what the consumer paid out of their pocket) increased at approximately the rate of inflation over the previous 4 years. Overall customer satisfaction with new hearing instruments is 77%, placing this product in the top-third of products and services in the United States.
The adoption rate of hearing instruments by children younger than 18 is extremely low (12.5%). Acknowledgements This study was made possible by a special grant from Knowles Electronics, Inc, Itasca, Ill. Sergei Kochkin, PhD, is the executive director of the Better Hearing Institute, Alexandria, Va.
Microtia is usually accompanied by aural atresia or ear canal stenosis (narrowed ear canal, no hearing change). Often also malformation of the external ear and middle ear, but the inner ear and auditory nerve are frequently normal.
It is the latest finding from the study from Blue mountains hearing study, which suggest ways nutrition might protect against the most common sensory disorder effecting millions of adults.
Under these conditions, your lungs can gather up to three times more oxygen than would be possible breathing pure oxygen at normal air pressure. Many insurance carriers are approving this costly procedure without question for victims of sudden hearing loss. You should care about this message primarily because earbud use is on the rise for all generations, young and old.
Some people experience temporary hearing loss and ringing in the ear after a sudden noise trauma, a firecracker exploding nearby or one night spent too close to the speakers at a very noisy concert.
Since 1989, Knowles Electronics has conducted six MarkeTrak surveys of the US hearing loss population following the landmark 1984 Hearing Industries Association (HIA) study. The NFO panel consists of households that are balanced to the latest US census information with respect to market size, age of household, size of household, and income within each of the nine census regions, as well as by family versus non-family households, state (with the exception of Hawaii and Alaska) and the nation’s top-25 metropolitan statistical areas. This short survey helped identify 15,947 people with hearing loss and also provided detailed demographics on those individuals and their households. People living in institutions have not been surveyed; these would include residents of nursing homes, retirement homes, mental hospitals, prisons, college dormitories, and the military.
Tables 1-5 contain general trends and indices of the hearing loss and hearing instrument owner populations.
As measured by MarkeTrak, the incidence of hearing loss per 1,000 households increased to 283 from 266 in 1989. Hearing loss population (1989-2004) in millions with projections through the year 2050 based on MarkeTrak incidence of hearing loss by age group applied to US Bureau of Census age population projections.
The projections are derived by applying MarkeTrak hearing loss incidences by age against US Bureau of Census population projections by age.1 Within a generation, we can expect the hearing loss population to grow by one-third and top 40 million people. Hearing instrument adoption rates expressed as percent of people with hearing loss who own hearing instruments, 1984-2004. We specifically asked individuals who received their physical exam in the last 6 months to indicate if their physician or nurse screened for hearing loss during the exam.
The BHI and allied hearing healthcare organizations will need to find other methods for motivating physicians to take a more active interest in hearing as part of a total wellness program for their patients.
Average out-of-pocket retail price paid by consumer (includes free, direct mail hearing aids, and all third-party discounts, but excludes VA fittings). The dispensing role of the audiologist appears to have declined in 2004 as perceived by the consumer of hearing instruments. Hearing instrument fittings by source of distribution (1989-2004) ranked in order of 2004 fittings. Total hearing instrument owner population based on last place of fitting, using MarkeTrak historical data. Hearing instrument owners who do not use their hearing instruments increased to 1.2 million. Hearing instruments, which are 2 years old or less decreased slightly to 41.7% of the market.

The current new user is 69.7 years of age (Figure 15) with an annual household income of $55,800 (Figure 16) up from $46,300 in 2000. New user mean household income and income adjusted for the consumer price index (CPI) in 1989 dollars.
Their average household income is $55,600 (median=43,800) compared to $50,400 (median=$36,300) for hearing instrument owners. The modal hearing loss population can be described as: male, ages 55-64, with household incomes over $60,000 (mean=$54,400, median=$41,300), with some high school education, full-time employed, living in metropolitan areas greater than 2 million people in the role as an older parent. Hearing loss population in 2004 by age: hearing instrument owners (green bars) versus non-owners who have a significant hearing loss (yellow bars). However, most adoption growth has occurred among veterans and through direct mail (including Internet). It would seem that this is an opportunity for people with hearing loss to upgrade their hearing instruments to modern technology. The most notable changes in distribution over the last 4 years continues to be the growth in direct mail and VA fittings.
Consumption of omega-3 fatty acids and fish was assoicaited with reduced risk of age-related hearing loss. Human blood carries this oxygen throughout the body, stimulating the release of substances called growth factors and stem cells, which promote healing.
But the damage more often becomes permanent after extended exposure to loud noises that can occur after years of listening to music on an MP3 player (with the volume up too high). The reader should also keep in mind that the demographics to follow refer only to those who admit to their hearing loss.
Each table will be discussed in the order of appearance with references to relevant figures. Upon recommendation of NIH, physicians are encouraged to use screening questionnaires to determine if their patients have hearing or dizziness problems.
Excluding VA fittings, third-party payment in calendar year 2004 was 21.9%, roughly the same as in 1984. The price increases for BTEs and ITEs are probably due to the greater likelihood that they may have additional features such as volume controls, remote controls, multiple microphones, telecoils, or FM attachments. Sixty-five percent of hearing instruments were fit by audiologists in 2000, compared to 55% in 2004 (Figure 8).
Thus, nearly 4 in 5 (79.3%) of all fittings by audiologists were performed in these three settings. Adjusting for the consumer price index (in 1989 US$), household income of new purchasers has increased by $5,000 since 2000. There is a slight increase in hearing instrument adoption for females, young adults, and higher educated people.
Clearly, it is more difficult to get younger people who have hearing impairment to purchase a hearing instrument. A group of researchers compared blood levels of folate, vitamin B12 and the amino acid homocysteine to incidence of hearing loss among 3k people ages 50 and above.
In the past, sudden onset hearing loss (occurring within 72 hours) has had very limited treatment options. In January 2005, an extensive survey was sent to 3,000 random hearing instrument owners and 3,000 random people with hearing loss who have not yet adopted hearing instruments.
The NIH has endorsed the Hearing Handicap Inventory for the Elderly (HHIE) and the Dizziness Handicap Inventory (DHI). Usage is accepted even if it is only occasional—even if less than a half-hour per day).
At one time, it was theorized that a viral componenet was involved, however, treatment with antivirals has shown no benefit.
Figure 1 shows the hearing loss population between 1989 and 2004, as measured by the MarkeTrak survey.
If the patient does not pass the HHIE or the DHI, the physician must provide education, counseling and referral. Part of this is due to the fact that 36% of the hearing instruments owned are 5 years or older; nearly 6 out of 10 hearing instruments in the drawer are at least 5 years old. Future publications will explore this issue further controlling for subjective measures of hearing loss. Derived from MarkeTrak VI (CY2000) hearing loss indices by age group applied against the U.S. Patients with profound hearing loss often do not regain any hearing function with steroid treatment. On the issue of value: Hearing aid benefit, price, satisfaction, and brand repurchase rates.

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