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Author: admin, 16.08.2014
When I met with you I was wearing my second set of hearing aids and came to you for a check-up since my aids weren’t giving me the clarity I needed to understand conversations when in a group.
I can not begin to express my sincere gratitude to you for purchasing these hearing aids for me, a stranger who you have never met.
As far as Doctor Susan Katsoulis and her staff who bent over backwards to help me and being so kind and patient with me, I could not thank them enough.
About a year and a half ago I switched to a Soundpoint audiologist named Cynthia Bergen at 310 n. Sixteen months ago, Keri Ruf of the PENTA Hearing Care office in Wayne, NJ, helped my then 91 year old mother to regain her hearing. I so appreciate your willingness to contact another business associate and keep my referral moving forward. I love the separate program modes and have had the opportunity to test them all out in various venues. I’ve been telling EVERYONE I know –  facebook, friends, church – that if they or anyone they know is in search of new hearing aids to look into those with wireless technology.
I recently had occasion to visit your Pembroke Pines office with a problem concerning my hearing aids. Below is an incredible story of a young musician from Lakewood Colorado and his journey to better hearing through Kayce Kremer at our Affordable Hearing Lakewood office.
The ear serves the important functions of allowing us to hear sounds produced by our environment, as well as maintaining our sense of balance. The outer ear consists of the part of the ear that you can see, in addition to the narrow, tube-like opening called the ear canal. Like the cochlea, the vestibular system also contains sensory receptors and is attached to the vestibular, or balance, nerve that leads to the brain.
We hear sound when a series of sound waves, or vibrations, pass through our outer, middle and inner ear and reach our brain for interpretation. Sound waves are first collected in our outer ear, pass through our ear canal and cause our eardrum to vibrate.
Our inner ear plays a vital role in the transformation of these mechanical vibrations into electrical impulses, or signals, which can be recognized and decoded by our brain.
Our balance is maintained through the interaction of the visual, vestibular and sensory systems. The visual system contributes to the maintenance of balance by making us aware of our surroundings and the position of our bodies in relation to those surroundings.
Once the brain has interpreted the impulses as head movement, it responds by signaling our eyes to move in a manner that will allow us to maintain clear vision during the motion. The vestibular systems of our left and right inner ears must work equally to send uninterrupted impulses to our brain. The American Hearing Research Foundation is a non-profit foundation that funds research into hearing loss and balance disorders related to the inner ear and is also committed to educating the public about these health issues. Barotrauma refers to injury sustained from failure to equalize the pressure of an air-containing space with that of the surrounding environment. Barotrauma can affect several different areas of the body, including the ear, face and lungs. Dizziness (or vertigo) may also occur during diving from a phenomenon known as alternobaric vertigo.
Inner ear decompression sickness (IEDCS) is an injury that closely resembles inner ear barotrauma; however, the treatment is different. IEDCS most often occurs during decompression (ascent), or shortly after surfacing from a dive.
Barotrauma is caused by a difference in pressure between the external environment and the internal parts of the ear. The outer ear is an air-containing space that can be affected by changes in ambient pressure (see Figure 1). The most common problem that occurs in diving and flying is the failure to equalize pressure between the middle ear and the ambient environment (see Figure 2). As a diver descends to only 2.6 feet with difficulty equalizing the pressure of his middle ear space, the tympanic membrane and ossicles are retracted, and the diver experiences pressure and pain (see Figure 3). Inner ear injury during descent is directly related to impaired ability to equalize the middle ear pressure on the affected side. The implosive mechanism theory (see Figure 4) involves clearing of the middle ear during descent. The explosive theory (see Figure 5) suggests that when a diver attempts to clear a blocked middle ear space by performing a Politzer maneuver and the eustachian tube is blocked and locked, a dramatic increase in the intracranial pressure occurs. For outer ear barotrauma, the treatment consists of clearing the ear canal of the obstruction, and restricting diving or flying until the blockage is corrected and the ear canal and drum return to normal. For middle ear barotrauma, treatment consists of keeping the ear dry and free of contamination that could cause infection. Prevention of air barotraumas to the middle ear has been attempted with dasal decongestants or vasoconstrictors with mixed results. For inner ear barotrauma, treatment consists of hospitalization and bed rest with the head elevated 30 to 40 degrees.
If barotrauma results from diving, you should not to return to diving until your ear examination is normal, including a hearing test and the demonstration that the middle ear can be autoinflated. Sensorineural hearing loss is the most common type of hearing loss, occurring in 23% of population older than 65 years of age. Infections, such as meningitis, are a common cause of hearing loss in children where it occurs in approximately 20% of those with streptococcus pneumoniae meningitis (Heckenberg et al 2011). Noise induced hearing loss is a permanent hearing impairment resulting from prolonged exposure to high levels of noise.
Children who are born prematurely or contract certain infections in utero are at a higher risk of hearing loss (Hille et al 2007, Roizen 2003).
While very unusual, acoustic neuromas or metastatic cancer (particularly breast) can be a source of hearing loss. Sudden hearing loss (SHL) is defined as greater than 30 dB hearing reduction, over at least three contiguous frequencies, occurring over 72 hours or less. Sensory presbyacusis is caused by loss of sensory elements in the basal (high-frequency) end of the cochlea with preservation of neurons. Cochlear conductive presbyacusis is caused by thickening of the basilar membrane caused by deposition of basophilic substance.
Because presbycusis occurs in some individuals as they age but not in others, genetic or environmental factors must also play a role in its development (Liu & Yan 2007). In conductive hearing loss, the second most common form of hearing loss, sound is not transmitted into the inner ear.


Images marked as copyright Northwestern University were developed with the support of a National Institutes of Health (NIH) grant to Northwestern University Dept. Helping people hear better and guiding them to obtain the best hearing aids for them has become my passion and I am dedicated to achieving the very best solutions possible for all my patients. After going through the testing and adjusting the new hearing aids to my loss, I was asked to walk around for a while and see how I liked them. This last May American Hearing Solutions fitted me with a new pair of Starkey Hearing Aids. Del is an excellent businessman; knowledgeable, friendly and a pleasure to do business with. We strive each day to provide you with optimal hearing care and hearing aids in Tyler, based on your individual needs and preferences.
The office is committed to going the extra mile in order to make sure their patients are informed and confident in the care they receive. I have been very satisfied with her care; and I thought it was only right that I share this with you.
My new hearing aids have allowed me to experience life in a way I hadn’t been able to do so in years. At the end of the ear canal is a tightly stretched tympanic membrane, the eardrum, which separates the outer ear from the middle ear. The cochlea is a snail-shaped chamber filled with fluid and lined with sensory receptors in the form of tiny hair cells. When the vibrations reach the cochlea through movement of the bones in the middle ear, the fluid within it begins to move, resulting in back and forth motion of tiny hairs (sensory receptors) lining the cochlea. These systems function individually and in combination to keep us stable with respect to our postural orientation. The vestibular system detects rotational (circular) and linear (back and forth) motion produced when we engage in actions such as stopping, starting or turning. When we move our heads, this fluid is set into motion, causing the hair cells of the sensory receptors to bend. Our brain will also send signals to our muscles so that their corresponding action serves to ensure balance regardless of the position our body (sitting, standing, moving). Balance is disrupted if the signals are unequal, resulting in a type of dizziness called vertigo. It is caused by a difference in pressure between the two middle ear spaces, which stimulates the vestibular (balance) end organs asymmetrically, thus resulting in vertigo.
This injury is more common among commercial and military divers who breathe a compressed mixture of helium and oxygen. In contrast, barotrauma most often occurs during compression (descent) or after a short, shallow dive. Since fluids do not compress under pressures experienced during diving or flying, the fluid-containing spaces of the ear do not alter their volume under these pressure changes. Equalization of pressure occurs through the eustachian tube, which is the soft tissue tube that extends from the back of the nose to the middle ear space.
Sudden, large pressure changes in the middle ear can be transmitted to the inner ear, resulting in damage to the delicate mechanisms of the inner ear.
The pressure is transmitted from an inward bulging eardrum, causing the ossicles to be moved toward the inner ear at the oval window. Since the fluids surrounding the brain communicate freely with the inner ear fluids, this pressure may be transmitted to the inner ear.
If the history indicates ear pain or dizziness that occurs after diving or an airplane flight, barotrauma should be suspected. Topical nasal steroids and decongestants may be started in an attempt to decongest the eustachian tube opening.
Controversy exists whether this type of injury needs immediate surgery, though success has been reported with careful patient selection (Park et al 2012). At the American Hearing Research Foundation (AHRF), we have funded basic research on barotrauma in the past, and are interested in funding sound research on barotrauma in the future. The outer ear includes the auricle, the external auditory canal, and the lateral surface of the tympanic membrane (TM). Postmeningitic hearing loss can be due to lesions of the cochlea, brainstem and higher auditory pathways, but usually is related to suppurative labyrinthitis (cochlear damage). One in 10 Americans has a hearing loss that affects his or her ability to understand normal speech. Much research has focused on the detection of genetic causes of hearing loss, and many of them can now be diagnosed at an early age (Blanchard et al 2012, Dror & Avraham 2009, Kochhar et al 2007, Kokotas et al 2007, Robin et al 2005, Xing et al 2007).
Risk factors that correlate with hearing loss in premature infants include hypoxia, mechanical ventilation, hyperbilirubinemia, very low birth weight, and the use of ototoxic medications. It occurs most frequently in the 30- to 60-year age group and affects males and females equally. These patients have symmetrical, high-frequency sensorineural hearing loss (as shown in Figure 3).
Medical conditions that are common in the elderly, such as diabetes and stroke, may also increase the risk of hearing loss with aging (Bainbridge et al 2010, Helzner et al 2005, Maia & Campos 2005, Schreiber et al 2010).
Causes include a buildup of ear wax, a foreign body in the ear canal, otosclerosis, tympanosclerosis (as shown in Figure 4), external or middle ear infections (otitis externa or media), allergy with serous otitis media, trauma to the ossicular chain such as temporal bone fracture, tumors of the middle ear, erosion of the ossicular chain (cholesteatoma) and perforation of the tympanic membrane.
All my life, I have loved helping people, but it wasna€™t until I began my work helping people hear better that I found my true calling.
Better hearing is about personal connection and so is the journey to better hearing at American Hearing Solutions in Tyler, Texas. We understand that struggling to communicate effectively and dealing with a hearing loss can be stressful. Shepel made me feel at ease, he really took the time to explain my condition and options in terms I could easily understand and answered about a million questions I had. This motion results in the hair cells sending a signal along the auditory nerve to the brain. We may experience feelings of dizziness, lightheadedness or imbalance in the event of a disturbance of any one or more of these systems.
The sensory system keeps track of the movement and tension of our muscles and joints as well as the position of our body with respect to the ground. This change results in the generation of an electrical impulse which is carried along the vestibular nerve to the brain for interpretation. Although the degree of pressure changes are much more dramatic during scuba diving, barotraumatic injury is possible during air travel. The alternobaric response can also be elicited by forcefully equalizing the middle ear pressure with the Politzer maneuver, which can cause an unequal inflation of the middle ear space.


Patients with IEDCS should be rapidly transported to a hyperbaric chamber for recompression.
However, the air-containing spaces of the ear do compress, resulting in damage to the ear if the alterations in ambient pressure cannot be equalized. An obstruction such as wax, a bony growth, or earplugs can create an air-containing space that can change in volume in response to changes in ambient pressure. This pressure wave is transmitted through the inner ear and causes an outward bulging of the other window, the round window membrane. A sudden rise in the inner ear pressure could then cause the round or oval window membrane to explode.
The diagnosis may be confirmed through ear examination, as well as hearing and vestibular testing.
A trial evaluating the effect of these earplugs found them to have no effect on eustachain tube function (Jumah et al 2010). Once healed, a diver should not return to diving until hearing and balance function tests are normal. Get more information about contributing to the AHRF’s efforts to detect and treat acoustic neuroma.. Pressure-equalizing earplugs do not prevent barotrauma on descent from 8000 ft cabin altitude. Does the slow compression technique of hyperbaric oxygen therapy decrease the incidence of middle-ear barotrauma? The middle ear includes the medial surface of the TM, the ossicular chain, the eustachian tube, and the tympanic segment of the facial nerve.
These conditions are relatively common in premature infants, and the majority do not go on to develop hearing deficits.
Hearing loss in adults surviving pneumococcal meningitis is associated with otitis and pneumococcal serotype. Race and sex differences in age-related hearing loss: the Health, Aging and Body Composition Study.
After much prayer seeking Goda€™s direction for my life I was introduced to the hearing care industry as a trainee at a local hearing center and from day one, I absolutely loved it. American Hearing Solutions seems genuinely concerned and very compassionate in helping others with hearing problems. Mom liked the remote control that adjusted both the volume and the equalizer settings, but she especially liked the wireless television link. I was foolishly in denial about my hearing loss for quite some time and convinced these things don’t happen to young people in their 30s!
He is one of the most compassionate and caring health care providers I’ve ever encountered. The vestibular system is made up of a network of tubes (semicircular canals) and sacs (vestibule). Our brain receives these impulses in its hearing centers and interprets them as a type of sound. Upon receiving signals from these systems, the brain processes the information gathered to produce a sensation of stability.
During descent, the volume of this space decreases causing the tympanic membrane to bulge outward (toward the outer ear canal). If a diver performs a forceful Politzer maneuver and the eustachian tube suddenly opens, a rapid increase in middle ear pressure occurs. The inner ear includes the auditory-vestibular nerve, the cochlea and the vestibular system (semicircular canals). The National Institute of Health reports that about 15 percent of Americans aged 20 to 69 have high frequency hearing loss related to occupational or leisure activities. If the loss is minor, then avoidance of noise and ototoxic medications may be an appropriate treatment. It wasna€™t long before I began my studies and earned my certification as a Hearing Instrument Specialist. I look forward to giving you my personal attention and helping you with all your hearing needs in Tyler, Texas. If it hadn’t been for the time, education and care I received in his office that day, I never would have found the courage to do something about my hearing loss. I’m much more confident in my personal and professional life as a result of finally being able to hear much better than before. Slow compression hyperbaric oxygen therapy is associated with a lower risk of otic barotraumas than traditional hyperbaric oxygen therapy (Vahidova et al 2006). Therefore, the largest proportional volume changes, and thus the most injuries, occur at shallow depths.
This causes the ossicles to suddenly return to their normal positions, causing the round window to implode.
If the eustachian tube demonstrates chronic problems with middle ear equalization, the likelihood of recovery is drastically reduced. Trauma is more likely to affect hearing in patients who suffer a temporal bone fracture or are older in age (Bergemalm, 2003). Because of occupational risk of noise induced hearing loss, there are government standards regulating allowable noise exposure. I am so grateful to you, you have no idea and without you I would not be in the position I am now. If I boosted the broadcast range a bit, she could even listen in the other rooms of the house. He is always accessible to his patients to answer questions, address concerns or schedule followup visits that work around your schedule.
All of the stress, depression and anxiety related to the hearing loss I struggled with for so long is a thing of the past.
People working before the mid 1960s may have been exposed to higher levels of noise where there were no laws mandating use of devices to protect hearing. Occasionally, persons with acquired deafness can be treated surgically with a surgically implanted device, a cochlear implant. It’s amazing how something as small and virtually undetectable as my hearing aids has turned my life around.



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