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One of the most confusing and contentious unsolved mysteries in otolaryngology, sudden deafness is a rapid loss of hearing. Most patients have reported onset of hearing loss within minutes to several hours and about one-third of patients will wake with the loss; others may find out the problem on trying to use the telephone, or describing a brief period of fluctuating hearing before the loss. Auditory nerve damage due to certain drugs such as Gentamycin, streptomycin, chloroquin, etc. Identical experiences like loud noise can cause hearing loss in one person and leave another relatively unaffected.
A sulfur-containing fatty acid, an alpha-lipoic acid helps to generate the energy that keeps us alive and working. The study has shown that the groups given the magnesium supplement were not as likely to experience permanent hearing damage as those given a placebo. Vitamin D deficiency has also been associated with otosclerosis (abnormal bone growth in the middle ear), presbycusis, unexplained and bilateral cochlear deafness, and sensorineural hearing loss. Always wear ear protection (disposable plugs or ear­phone-style headset) when using loud appliances for example power tools or lawn mowers; and when you know you will be exposed to sudden loud noises, such as when shooting a gun.
The average lifespan of a hearing aid is about 5-7 years, although proper care and maintenance can prolong the life of your instruments.
There are going to be advances in technology all the time, making the core of the hearing aid faster and “smarter”. Hearing loss is a global problem, with approximately 250 million people affected worldwide according to the World Health Organization.
The Starkey Hearing Foundation has funded many global hearing missions to South America, Africa, Asia, Europe, and the Middle East. Information on how to apply for the Hear Now program and how to donate to the Hear Now program can be found online. The Oticon Hearing Foundation works with hearing health care professionals to create humanitarian trips around the world that provide donated hearing aids to people with hearing loss, as well as education to local healthcare professionals at the mission sites. Oticon’s Hearing With our Hearts program accepts gently used Oticon products for donation to its various humanitarian projects. Information on where to send your donated hearing aids can be found on the website linked below. We were also able to work with students and professors in the Speech Pathology and Audiology department from Wits University in Johannesburg.
As a side note: This trip was not all work; we were able to squeeze in a few fun activities!
The bottom line of this post: If you have an old pair of hearing aids that are still functional, you can donate them! 2.As a preliminary step in certain surgeries on the upper airway such as surgical treatments for head and neck cancer. 4.Respiratory nerve damage temporary or permanent causing paralysis of chest muscles that assist in breathing.
These patients may also aspirate their gastric content into the lungs and a tracheostomy tube may be helpful for aspiration these secretions.
It is not uncommon for patients to keep their tracheostomy in place even after discharge from the hospital. Your doctor has decided that you will be sent home with your tracheostomy tube in place (Figure 1). Extra humidity is required because the nose and mouth, which filter, warm, and moisten the air you breathe, are bypassed.
The purpose of instilling saline solution into your airway is to stimulate a cough and clear secretions. 6.When secretions become thick and dry, saline solution may need to be instilled as often as every hour. 2.Fill the humidifier tub with equal parts of vinegar and water and turn the humidifier on for 1 hour.
In most cases, the use of saline solution and a humidifier keeps your secretions thin enough to cough or suction out.
12.Fill a spray bottle with saline solution and spray into your tracheostomy tube several times a day. 1.To unlock and remove the inner cannula, turn it until the notch area is reached and slide it out.
2.The cork should be removed for shortness of breath or to cough out secretions that you cannot handle through the nose or mouth.
4.If using twill tape (sometimes referred to as umbilical tape) or bias tape, cut a piece of tape approximately 30 inches long (Figure 5). Regardless of it the tracheostomy is secured with velcro or twill tape, you want to make sure that the tracheostomy tube is secure and tight to the neck.
5.Quickly remove the obturator, take a breath, and secure the tie or Velcro tube holder (Figure 11).
Clean plastic tubes with mild soap and water or equal parts of hydrogen peroxide and water. Soak catheters in equal parts of white vinegar and tap water (1 cup vinegar to 1 cup water) for 1 hour. Do not use over-the-counter antihistamines (cold medications), which dry secretions and the airway.
During cardiopulmonary resuscitation (CPR), breathing must be performed mouth to tracheostomy tube not mouth to mouth. Before you leave the hospital, a visiting nurse may be contacted to assist you with your home care and help you obtain supplies. Again, these are general guidelines for tracheostomy care and may differ from what your physician recommends.
So a while back I published an article about physicians who, for a variety of possible reasons, seem to try to "up-sell" procedures or other increased revenue generating choices to patients rather than what's necessarily the best.
It would be a play on the old adage that if you're a hammer, then everything looks like a nail. 1 - Did you have a long history of sinus problems before your ENT recommended BSP, or was it recommended only after a single episode or two? 3 - Did your ENT suggest that BSP was a great first step, but if it didn't work, then you could go to the OR for a more formal procedure? 4 - Did your ENT advertise their practice on the radio, on billboards, on TV, in magazines, or online as a BSP office? 1 - First visit, a detailed history and physical which may or may not include nasal endoscopy.
As changes in health care reimbursement continue to hurt physicians, the pressure to find great options to make a good living may influence some to err on the side of finance rather than health care. An informed patient is the best way to make sure you are getting the right options presented. One of the more frequent complaints that bring patients to the ENT’s office is postnasal drip. In some extreme cases, they will complain of feeling like the mucous is blocking their airway and forcing them to choke or gag.
Often by the time these patients show up they have tried a variety of nasal sprays, decongestants, allergy medications, antibiotics, oral steroids and are often frustrated because nothing has helped. What these patients are probably suffering from is not related to the nose at all, but is actually related to their stomach. The term LARYNGOPHARYNGEAL REFLUX (LPR) refers to the backflow of stomach contents into the larynx and pharynx (the voice box and throat).
I have seen patients that have come to me for second or third opinions because the first ENT told them it was reflux and they didn’t believe it.
So to answer their first question, LPR is different from traditional gastroesophageal reflux (GERD) or heartburn.
The average person produces 1.5 liters of mucous a day from their sinuses and 1-2 liters of saliva from their oral cavity.
It is kind of like a guy at work who keeps getting hounded by his boss and then explodes on a coworker when asked a benign, innocent question that normally wouldn’t bother him at all. Caffeine, Chocolate, licorice, and mints have all been shown to increase the stomachs acid production. Carbonated beverages, even if caffeine free can cause LPR because the carbonation can cause acid to rise up the esophagus into the throat.
Alcohol doesn’t actually increase the production of acid, but it relaxes the smooth muscles in the esophagus that usually help keep the acid from rising all the way into the stomach. Below is the video from a flexible laryngoscopy that demonstrates some of the findings seen in patients with LPR. Below is a very well done video that was produced by the Georgia Health Sciences University that discusses how reflux can affect the voice box. Traditional heartburn can be treated with several medications such as traditional antacids, H2 Blockers (Pepcid, Zantac), or Proton pump inhibitors (PPIs).
While treatment of LPR can be successful with once a day dosing, often patients have to take the medications twice a day to eliminate their symptoms.


I tell patients that the irritation caused by the reflux is kind of like a callus that a carpenter gets on his hands from chronic use. Some medicines increase the acid levels in your stomach and cause more symptoms of your LPR. This last item can be achieved by sleeping on extra pillows or placing bricks or risers under the feet of the head of the bed. While LPR is responsible for many complaints of postnasal drainage, cough, throat clearing, globus sensation and hoarseness, many other causes exist.
Tonsil stones, called tonsiliths or tonsiloliths, are concretions that form in the pockets of your tonsils. If you suffer from tonsil stones that are difficult to control with conservative treatment options, come see us for a visit. In an previous post we discussed 10 hearing aid pearls to help guide patients through the hearing aid experience. 15.The more you can tell your audiologist about your needs (where you have the most trouble, what your work environment is like, etc) when deciding on a hearing aid helps them pick the best product for you. The image below from Oticon breaks the sizes down even further and discusses the various benefits and drawbacks of each.
21.Kidding aside, if you have small children, you need to make sure to keep the hearing aid batteries out of reach. While CPAP is the best option for the treatment of OSA, for those who cannot or will not use it, surgery, particularly utilizing the DaVinci robot, can be quite successful compared to surgical techniques that were available just 5 years ago. Sometimes hearing loss is not a permanent problem, but instead something that can be treated by your doctor. These are just a few of the most common causes for hearing loss that you should be aware of. Author Info AdminZounds Hearing of Chattanooga believes that high end hearing technology should be available an at affordable price. Unilateral hearing, which means one ear hears better than the other, doesn?t get the attention it deserves because of other hearing problems and treatment options available. When conditions are quiet, speech discrimination is about the same for normal hearing and for folks who have unilateral deafness. Bone Anchored Hearing Implants – This hearing aid treatment option that will convey sound to the side with the hearing loss through bone transmission and will stimulate the cochlea of the good ear to hear better. Contralateral Routing Of Signal – This is a hearing aid that?ll detect sound on the hearing loss side and send it over to the ear that can hear?so that it hears better! It’s another fact why hearing loss should be treated carefully- in order to grow and stay healthy; the ‘downstream’ neural parts of the hearing system involve input from the ‘upstream’ sensory parts. The reasons of sensorineural hearing loss can be put into two major categories: Congenital and Acquired. Sensorineural hearing loss will mean you may have issue on understanding, When present in both ears, even when speech seems loud enough. Remedy for sensorineural hearing loss varies on the severity of your hearing loss and it also depends whether you are affected in one ear or both. Hearing aids can help people with mild to moderate sensorineural hearing loss in both ears. If you have severe issue and hearing aids are no longer working for you then you may want to learn more about cochlear implants. CROS hearing aid is the most common treatment solution; if you have severe to profound sensorineural hearing loss in one ear.
You have a right to know your Hearing Aid Audiologist's & Speech language pathologist's qualifications. We are very happy with the proper suggestions offered by the audiologist about selection of right type of hearing aid. Bengal Speech provides very good & affordable hearing aid solutions for any kind of hearing problem.
From the affected individuals, about 10% of have known causes which include infections, circulatory or neurological disorders, trauma, immune disorders or drugs toxic to the ears. The most widely used treatment is high doses of steroids, and some people recover from SSHL, but not others. Lipoic acid has broad range of antioxidant action and thus giving defense against free radicals. A lower dosage of 20 to 50 mg daily is commonly recommended for use as a general antioxidant. Magnesium can be taken in a supplement that includes magnesium, calcium and vitamin D for the most benefit, read below. Deficiency of vitamin D is probably one of the reasons and supplementation should be considered in persons with hearing loss as noted by researchers. Keep the volume low enough that you can easily hear the telephone and other sounds over the music. This is particularly important if you have repeated ear infections and have been treated with antibiotics. Due to the strong smell of the vinegar, place the humidifier in a room where no one is present. Insert tie through opening in the neck plate and bring it around to the other side of the neck. I think this happens sometimes in plastic surgery, but an alarming rate of this is starting to be seen in other parts of otolaryngology as well.
I'm sure if you've read this blog, you've heard, read, or seen advertisements for balloon sinuplasty (BSP). In other words, whereas in years past you'd have to have sinus surgery in the operating room, now you can have it done in the office. It is not uncommon for a doctor to make $10k doing this in the office, when they might make $1-2K by doing it in the OR. Did you know that more than 60% of chronic sinusitis can be cleared with medical therapy without the need for surgery? I think that if you feel you're being sold to try BSP first as an intermediate step before you could get a procedure in the OR, you are not getting full disclosure of the risks, benefits, and alternatives of treatment for sinusitis. Did they try to explain how they were the best at it, did the most, or knew what you needed? My doc better well know why there is a controversy and why they'd recommend one way or another for me. Your sinusitis may feel like there's a nail in your face, but you are not a nail, if your ENT is a hammer, you may only get offered BSP. LPR can occur during the day or night, and many people who have LPR will not have heartburn; so LPR is sometimes called silent reflux.
No special preparation is needed for this examination.?The doctor will use a mirror and light, or a special flexible camera (flexible laryngoscope). These medications (with the exception of Dexilant) need to be taken 30-60 minutes prior to eating to be maximally effective. Review all of your medicines including over-thecounter and dietary supplements with your doctor. Christopher Chang, an otolaryngologist in Virginia, and I have completed a small study evaluating the efficacy of a new conservative treatment option for tonsil stones.
Chang also has a short video showing the technique on a patient who is under general anesthesia. And if it doesn't work well for you, or if it works well in some places but not in others, let them know and this may be able to be fixed. Thrasher has completed extensive training travelling to the University of Pennsylvania as well as Baylor Medical Center in Houston to become certified on the robot. It is important to understand the most common causes of hearing loss to reduce the risk of further damage when possible. Conditions such as an inner ear infection, fluid behind the ear drum or even earwax buildup can cause some level of hearing loss. Some of the most commonly prescribed medications such as some antibiotics or aspirin can have a side effect called “ototoxicity”. With 57 ground-breaking patents in technology currently, Zounds Hearing aid systems are able to be used by those with mild to severe hearing loss. And, how can it if you?re constantly hearing about cochlear implants or hearing aids for hearing loss.
But, when the environment is noisy, speech discrimination will vary from one person to the next and can range from extremely mild to very severe. If you notice them favoring one ear over another, it?s likely that they have unilateral hearing. The majority of these systems on the market today are made of two behind the ear hearing aids, which send sound soundlessly.
Now we know that in most of the cases this problem originates from the inner ear rather than from the hearing nerve.
It can be either inherited or generated by abnormal development in the fetal moments of life.


You may have difficulty locating sounds or hearing in background noise, when present in one ear. It is an electronic device which is surgically implanted- so to stimulate the hearing nerve directly, it bypasses the damaged inner part of the ear.
The root cause of sudden deafness lies in the vestibulocochlear nerve (Cranial nerve VIII), the inner ear, or central processing centers of the brain.
Most people recover impulsively within a few weeks, but 15% experience progressively worsening symptoms. If the hearing loss is not severe, some doctors to not recommend any treatment but individuals who suffer from SSHL can be very fearful of the prospect of being permanently deaf in one ear, and this can set up a long treatment options that can be intimidating to the patient and the doctor.
They generally work to decrease inflammation, decrease swelling, and help the body to fight illness.
The researchers suggest that diabetes may lead to hearing loss by damaging the nerves and blood vessels of the inner ear. Also, it has potential benefits for diabetic neuropathy, and it is proposed that it may help to prevent or repair nerve damage that causes hearing loss.
You should be the only one able to hear your music if you are using a personal stereo unit with headphones.
Pass the catheter as far as you can without force, then withdraw slightly before starting suction (Figure 3). The gauze may be held in place by folding it over twill tape or bias tape tied around your neck. Place emergency numbers near the phone, such as the fire department, ambulance, visiting nurse, or doctor. Arrangements for a suction machine, if needed, will be completed before you leave the hospital.
If all of a sudden you could do less work for more money at your job, we'd all take that opportunity.
It is something that is available as a treatment, but because it is by definition invasive (even if minimally) it should not be the first option offered. Perhaps it's because they know how much money it can generate and driving patients into the office is the most important way to generate procedures. One risk I'm trying to avoid is ordering a CT simply because I have the economic pressure to make sure I have a return on my investment to get one. However, when I've seen patients who complain of only having post nasal drainage, have a normal CT, a normal nasal endoscopy, positive allergies, but they've had BSP because it's what the ENT recommended, I become worried that patients are being sold on a procedure for the benefit of the ENT, not for their own health benefit. The tissue in your throat and voice box may look red, irritated and swollen from the acid reflux (backflow) damage. It can take several weeks to even months of consistent treatment with PPIs before for symptoms begin to improve.
While not dangerous or an health risk in and of themselves, they can cause irritation at the back of the throat (like the sensation of a popcorn kernal stuck back there), and bad breath (known as halitosis).
If not, possibly a different aid might be better (which is why the return policy is important). This is the first of several posts designed to introduce the robot and its uses for improving the care of patients in North Texas.
As you can see, you certainly are not alone in your struggle to hear and accurately understand those around you.
That ear ringing and muffled type sounds you heard for a few hours afterward is actually temporary hearing loss. Once you and your doctor work together to remove or treat these ear troubles, your hearing is likely to be restored.
Receiving an annual hearing test is the best way to catch a hearing loss early and allow you to seek treatment early.
Zounds Hearing of Chattanooga is located at 1511 Gunbarrel Road, Suite 107, Chattanooga, TN 37421. In fact, a person with this kind of hearing will hear way less than 50 percent of the conversation (roughly 35 percent).
Though, we continue to group these two issues together, as the inner ear and the hearing nerve are connected and require working together.
Maternal rubella or German Measles was a common cause of congenital hearing loss before the development of a vaccine. These contain age-related hearing loss, trauma, noise exposure from machinery or firearms and meningitis. Cochlear implants transform sound waves to electrical impulses in a way that imitates your natural hearing. Sometimes, a bone conduction implant can be great option for you, if you have normal hearing or mild hearing loss in your good ear. Moreover they are the only one who provides Replacement of hearing aids, On call service for senior citizen at their places, After sales services at your doorstep, 15 days money back guarantee, Best price challenge & EMI facilities. SSHL is defined as an idiopathic hearing loss of sensorineural origin, greater than 30 dB in three connected frequencies that usually occurs in less than three days and in only one ear.
Standard management of sudden deafness consists of removal of the known cause, antibiotics, steroids and inhalation of a mixture of carbon-dioxide and oxygen. Steroid treatment helps to some SSHL patients who also have conditions that affect the immune system, the body’s defense against disease. In the body, just one deficiency can have trickle down affect and makes it very hard to isolate the exact cause of sudden hearing loss, and many other disease process. A family member or friend should also learn your cares and practice helping you so that, if needed, someone can assist you at home.
The obturator is removed after inserting the tube and should be kept handy for use should the tube come out. What if you really wanted that new car, or that vacation, or to pay off that terrible debt you have carried for so long? So if most people can resolve disease without a procedure, it's worth considering starting with conservative options and then proceeding to more aggressive choices. An in-office CT is incredibly expensive and making sure it is financially viable is stressful.
This will eventually go away with lifestyle changes and medication, however, the healing may take a while. A thorough hearing test with your local hearing specialist is an important yearly tradition, especially now. The potential for correctable ear problems is why we always begin hearing tests with a basic examination of the ear canal and ear drum before investigating problems with tone or frequency. For a thorough and complete hearing test, we invite you to visit us at Zounds Hearing of Chattanooga.
It?s the kind of hearing impairment where one ear has normal hearing and the other is the impaired ear. By taking less processed sugar in diet, you can low your blood sugar and thus reverse some of the debilitating effects.
Would you be tempted to potentially look to do jobs where there wasn't really a need, just to get that extra money? Can you be sure the CT was ordered because it is what's best for you or what's best for the practice's bottom line? Your level of hearing loss can be mild or severe but in age related hearing loss, the effects are always permanent yet treatable through digital hearing aids.
The tiny, hair-like cells inside the ear canal may not ever fully recover from any of these loud noise exposures.
Our Tennessee licensed hearing specialists can answer all of your questions and recommend the best treatment options for your loss.
As it is a medical emergency, a person who experiences SSHL should visit a doctor immediately. The inner cannula is inserted into the outer cannula and locked into place and should only be removed for cleaning. Also, it's a pretty well-understood principle that an ENT shouldn't operate on the sinuses without a CT. Not just hobbies cause hearing loss, years of working in a noisy job environment will slowly take its toll on your hearing ability.
I feel like it is the single best first surgical option for the treatment of frontal sinus disease if medical therapy fails. To prevent noise induced hearing loss, invest in ear plugs and noise canceling earmuffs to protect you while in noisy environments. Putting (instilling) saline solution (a salt solution) into the trachea adds moisture and causes a cough to clear secretions from your airway.



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