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Frank Wartinger is a pediatric audiologist at All Children’s Hospital in Tampa, Florida and a clinical instructor at the University of South Florida.
Musicians and audio engineers are at high risk for developing Music Induced Hearing Disorders (MIHD), and prove to be a sensitive clinical population as their hearing is uniquely critical to both their livelihood and their personal life. This course will review tinnitus and clinical tinnitus assessment including use of questionnaires and audiologic assessment. Recent discoveries regarding the generation of tinnitus have underscored the need for a collaborative counseling effort between clinician and patient, the importance of addressing stress as a potential causative factor, sleep management, and the role of sound therapy.
Tinnitus is one of the most common hearing disorders associated with intense sound exposure and specific care should to be taken by the clinician when evaluating and treating the musician or audio engineer experiencing tinnitus. Brian Fligor and other leading experts to explore the latest research in NIHL and its clinical application to audiology practice. The purpose of this presentation is to provide participants with information about the special issues that patients with tinnitus face and helps to start tinnitus care and management services in their own practices.
In this session, the instructor will describe components of a new, integrated, and individualized approach to managing the patient with tinnitus, consisting of instructional and adjustment-based counseling, relaxation techniques and sleep management, along with considerations for sound therapy. Sanctuary also has some additional features, including multiple headphone options, as well as added functions, like a sleep timer.
Please note: There is an issue with course audio that is corrected at about the 14 minute mark. Topics included: strategies for prevention of noise and music-induced hearing loss, tinnitus assessment in musicians, nutrition and noise, and emerging research on otoprotective agents.
This is the second in a series of 4 webinars in the 2014 Noise Induced Hearing Loss Seminar Series on AudiologyOnline. He was the developer of the auditory training program LACE (Listening and Communication Enhancement). We do have an auxiliary speaker accessory option that can be added to the Sanctuary device. It can provide background relief and sound enrichment for the patient while going to bed, and it can also be used during the day, for example, while sitting at a desk and working.

The auxiliary speaker option is the perfect way to make the Sanctuary and its stimulus flexible, rather than just being able to listen to it through headphones.Patients with tinnitus who wear hearing aids often report than when they take their hearing aids off, and there are no sounds to amplify, they really notice their tinnitus. The neurons in the brain that are responsible for high frequencies will begin to take on some other function. Sweetow was the recipient of the prestigious 2008 Distinguished Achievement Award from the American Academy of Audiology. While the Sanctuary is preprogrammed, it contains a variety of preprogrammed options so it can be customized. If a person does not perceive the tinnitus as being of any importance, then the natural habituation process is much more likely to take place than when a person has a lot of negative emotions around their tinnitus. The audiologist selects the most appropriate profile for each patient, based on the audiogram. These hearing profiles are a culmination of research over the past six years, looking at audiograms to determine the profiles that will fit most patients.Another important thing to note is that the profiles in Sanctuary automatically contain the ultra-high frequencies. If you had to do tinnitus pitch matching, the listener would probably select the highest pitch, but you can hear how it would be very difficult to find a pitch match on a sound containing with so many different elements.My tinnitus. One of the foundations of the Neuromonics Tinnitus Treatment is the concept of stimulating over a broad frequency range. An alpha level or an alpha band is your relaxed level, your beta band is a more active level, and the gamma network is the most active level. Another is the degree to which the patient is compliant with the chosen treatment modality. When compliance is low, the length of treatment time will increase.With the Oasis, for instance, are separate phases of treatment. During this phase, we are targeting long-term reduction in tinnitus awareness and disturbance. The Sanctuary delivers the same acoustic signal as Phase 1 of the Oasis treatment protocol.
It targets the body’s limbic system, and works on the emotional center and the negative association with tinnitus.

The Sanctuary delivers a high level of interaction, providing relief for the patient while listening to the device. When you tap into the negative emotional center and break the negative association with tinnitus, patients tend to get out of the gate and do very well early in the process.
Prevalence of leisure noise-induced tinnitus and the attitude toward noise in university students. It is designed to relax the patient because we know about the effect of stress on tinnitus, and also to provide acoustic stimulation.
A relaxing strategy program highlighted by behavioral exercises is the final component.In terms of disclosure, I am a part-time consultant with Widex, and I have been involved in writing their Widex Zen therapy manual as well as working with them on the development of their fractal tones. In a situation like that, the auditory system picks this very soft signal - the floor squeaking – and the hippocampus identifies it as the floor, but now the amygdala determines this is a potential danger. What we want to do is change the cognitions and that subsequently will change the emotional state.
The tinnitus functional index: development of a new clinical measure for chronic, intrusive tinnitus.
Transcranial magnetic stimulation and extradural electrodes implanted on secondary auditory cortex for tinnitus suppression.
Tinnitus perception and distress Is related to abnormal spontaneous brain activity as measured by magnetoencephalography.
Tinnitus reaction questionnaire: psychometric properties of a measure of distress associated with tinnitus.

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