Congratulations Shannon O’Donnell, Diane Guerrero, Irina Potapova, and Shannon Doolittle, Student Success Fee Funding Recipients!

SLHS wants to congratulate the following recipients of the 2017-2018 Student Success Fee Academic Related Program.  This program provides students an opportunity to become engaged and involved in their education outside their academic courses.  Successful student proposals focus on academic enhancement, high impact practices, colloquia etc.

Undergraduate:

Shannon O’Donnell (Faculty Sponsor: Peter Torre):  Excellence in SLHS Student Research

The goal for this proposed project is directly in line with the San Diego State University mission to have students, at all levels, be involved in research. This proposal is requesting travel support for students to independently present at a national conference.

MA Program:

Diane Guerrero (Faculty Sponsor: Sonja Pruitt-Lord):  Speech Language Pathology CSHA Convention

Funds are requested to support 20 undergraduate, graduate and doctoral students in attending the 2018 CSHA Convention being held in Sacramento, CA, March 22-25, 2018. Funds will be used to pay for student registration, airfare, and hotel costs.

SDSU/UCSD Joint Doctoral Program in Language and Communicative Disorders:

Irina Potapova (Faculty Sponsor: Sonja Pruitt-Lord):  Fourth Annual Speech, Language and Hearing Awareness and Information Day (SAID)

Professional development events for students in Speech, Language and Hearing Sciences and peers in related fields (e.g., Education, Public Health, Physical Therapy). The project includes a professional mentoring event and our fourth annual Speech, Language and Hearing Awareness and Information Day.

SDSU/UCSD Joint Doctoral Program in Audiology:

Shannon Doolittle (Faculty Sponsor: Laura Dreisbach-Hawe):  Speech, Language, and Hearing Sciences Guest Speaker Event

Since 2003, the Student Academy of Audiology has invited internationally-recognized speakers to present their leading research to students of all levels, faculty, and professional members of the community through the generous support of IRA funds provided by the College of Health and Human Sciences.

 

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Congratulations Shannon O’Donnell, Diane Guerrero, Irina Potapova, and Shannon Doolittle, Student Success Fee Funding Recipients!

SLHS wants to congratulate the following recipients of the 2017-2018 Student Success Fee Academic Related Program.  This program provides students an opportunity to become engaged and involved in their education outside their academic courses.  Successful student proposals focus on academic enhancement, high impact practices, colloquia etc.

Undergraduate:

Shannon O’Donnell (Faculty Sponsor: Peter Torre):  Excellence in SLHS Student Research

The goal for this proposed project is directly in line with the San Diego State University mission to have students, at all levels, be involved in research. This proposal is requesting travel support for students to independently present at a national conference.

MA Program:

Diane Guerrero (Faculty Sponsor: Sonja Pruitt-Lord):  Speech Language Pathology CSHA Convention

Funds are requested to support 20 undergraduate, graduate and doctoral students in attending the 2018 CSHA Convention being held in Sacramento, CA, March 22-25, 2018. Funds will be used to pay for student registration, airfare, and hotel costs.

SDSU/UCSD Joint Doctoral Program in Language and Communicative Disorders:

Irina Potapova (Faculty Sponsor: Sonja Pruitt-Lord):  Fourth Annual Speech, Language and Hearing Awareness and Information Day (SAID)

Professional development events for students in Speech, Language and Hearing Sciences and peers in related fields (e.g., Education, Public Health, Physical Therapy). The project includes a professional mentoring event and our fourth annual Speech, Language and Hearing Awareness and Information Day.

SDSU/UCSD Joint Doctoral Program in Audiology:

Shannon Doolittle (Faculty Sponsor: Laura Dreisbach-Hawe):  Speech, Language, and Hearing Sciences Guest Speaker Event

Since 2003, the Student Academy of Audiology has invited internationally-recognized speakers to present their leading research to students of all levels, faculty, and professional members of the community through the generous support of IRA funds provided by the College of Health and Human Sciences.

 

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Earwax MD Now Available in Canada

Eosera (https://earcaremd.com/) has made Earwax MD available in Canada through Amazon.ca, the first foreign market the company has brought its product to. On Amazon.ca, the product is available in a kit that includes a 15 mL bottle and rinsing bulb. Amazon Prime members can get Earwax MD with free shipping on Amazon.ca. The topical cerumen-dissolving drop has been stocked in CVS stores across the United States since August, and has been part of the U.S. Amazon Exclusives program since April 2017.

Elyse Dickerson, co-founder and CEO of Eosera, said they founded Eosera to develop solutions for unmet healthcare needs that would have a global impact, and since launching Earwax MD on Amazon.com in April, they have received considerable interest from Canadian consumers, audiologists, ENTs and other health care professionals. "We are thrilled to enter Canada on Amazon.ca, so that from the start, we are available to all Canadians," Dickerson said. "We are working towards a larger distribution channel in Canada, and anticipate availability in retail stores and additional distributors in the future."

Published: 11/30/2017 3:52:00 PM

from #Audiology via ola Kala on Inoreader http://ift.tt/2AmZTpU
via IFTTT

Congratulations Shannon O’Donnell, Diane Guerrero, Irina Potapova, and Shannon Doolittle, Student Success Fee Funding Recipients!

SLHS wants to congratulate the following recipients of the 2017-2018 Student Success Fee Academic Related Program.  This program provides students an opportunity to become engaged and involved in their education outside their academic courses.  Successful student proposals focus on academic enhancement, high impact practices, colloquia etc.

Undergraduate:

Shannon O’Donnell (Faculty Sponsor: Peter Torre):  Excellence in SLHS Student Research

The goal for this proposed project is directly in line with the San Diego State University mission to have students, at all levels, be involved in research. This proposal is requesting travel support for students to independently present at a national conference.

MA Program:

Diane Guerrero (Faculty Sponsor: Sonja Pruitt-Lord):  Speech Language Pathology CSHA Convention

Funds are requested to support 20 undergraduate, graduate and doctoral students in attending the 2018 CSHA Convention being held in Sacramento, CA, March 22-25, 2018. Funds will be used to pay for student registration, airfare, and hotel costs.

SDSU/UCSD Joint Doctoral Program in Language and Communicative Disorders:

Irina Potapova (Faculty Sponsor: Sonja Pruitt-Lord):  Fourth Annual Speech, Language and Hearing Awareness and Information Day (SAID)

Professional development events for students in Speech, Language and Hearing Sciences and peers in related fields (e.g., Education, Public Health, Physical Therapy). The project includes a professional mentoring event and our fourth annual Speech, Language and Hearing Awareness and Information Day.

SDSU/UCSD Joint Doctoral Program in Audiology:

Shannon Doolittle (Faculty Sponsor: Laura Dreisbach-Hawe):  Speech, Language, and Hearing Sciences Guest Speaker Event

Since 2003, the Student Academy of Audiology has invited internationally-recognized speakers to present their leading research to students of all levels, faculty, and professional members of the community through the generous support of IRA funds provided by the College of Health and Human Sciences.

 

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via IFTTT

Earwax MD Now Available in Canada

Eosera (https://earcaremd.com/) has made Earwax MD available in Canada through Amazon.ca, the first foreign market the company has brought its product to. On Amazon.ca, the product is available in a kit that includes a 15 mL bottle and rinsing bulb. Amazon Prime members can get Earwax MD with free shipping on Amazon.ca. The topical cerumen-dissolving drop has been stocked in CVS stores across the United States since August, and has been part of the U.S. Amazon Exclusives program since April 2017.

Elyse Dickerson, co-founder and CEO of Eosera, said they founded Eosera to develop solutions for unmet healthcare needs that would have a global impact, and since launching Earwax MD on Amazon.com in April, they have received considerable interest from Canadian consumers, audiologists, ENTs and other health care professionals. "We are thrilled to enter Canada on Amazon.ca, so that from the start, we are available to all Canadians," Dickerson said. "We are working towards a larger distribution channel in Canada, and anticipate availability in retail stores and additional distributors in the future."

Published: 11/30/2017 3:52:00 PM

from #Audiology via ola Kala on Inoreader http://ift.tt/2AmZTpU
via IFTTT

Earwax MD Now Available in Canada

Eosera (https://earcaremd.com/) has made Earwax MD available in Canada through Amazon.ca, the first foreign market the company has brought its product to. On Amazon.ca, the product is available in a kit that includes a 15 mL bottle and rinsing bulb. Amazon Prime members can get Earwax MD with free shipping on Amazon.ca. The topical cerumen-dissolving drop has been stocked in CVS stores across the United States since August, and has been part of the U.S. Amazon Exclusives program since April 2017.

Elyse Dickerson, co-founder and CEO of Eosera, said they founded Eosera to develop solutions for unmet healthcare needs that would have a global impact, and since launching Earwax MD on Amazon.com in April, they have received considerable interest from Canadian consumers, audiologists, ENTs and other health care professionals. "We are thrilled to enter Canada on Amazon.ca, so that from the start, we are available to all Canadians," Dickerson said. "We are working towards a larger distribution channel in Canada, and anticipate availability in retail stores and additional distributors in the future."

Published: 11/30/2017 3:52:00 PM

from #Audiology via xlomafota13 on Inoreader http://ift.tt/2AmZTpU
via IFTTT

Earwax MD Now Available in Canada

Eosera (https://earcaremd.com/) has made Earwax MD available in Canada through Amazon.ca, the first foreign market the company has brought its product to. On Amazon.ca, the product is available in a kit that includes a 15 mL bottle and rinsing bulb. Amazon Prime members can get Earwax MD with free shipping on Amazon.ca. The topical cerumen-dissolving drop has been stocked in CVS stores across the United States since August, and has been part of the U.S. Amazon Exclusives program since April 2017.

Elyse Dickerson, co-founder and CEO of Eosera, said they founded Eosera to develop solutions for unmet healthcare needs that would have a global impact, and since launching Earwax MD on Amazon.com in April, they have received considerable interest from Canadian consumers, audiologists, ENTs and other health care professionals. "We are thrilled to enter Canada on Amazon.ca, so that from the start, we are available to all Canadians," Dickerson said. "We are working towards a larger distribution channel in Canada, and anticipate availability in retail stores and additional distributors in the future."

Published: 11/30/2017 3:52:00 PM

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Double tinnitus in a single ear

.


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Audiology answers for otolaryngologists

.


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Double tinnitus in a single ear

.


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Audiology answers for otolaryngologists

.


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Double tinnitus in a single ear

.


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Audiology answers for otolaryngologists

.


from #Audiology via xlomafota13 on Inoreader http://ift.tt/2i6f5ja
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Detection and reaction thresholds for reverse alarms in noise with and without passive hearing protection

.


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Examining the noisy life of the college musician: weeklong noise dosimetry of music and non-music activities

.


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Use of beta blockers is associated with hearing loss

.


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Optimal gain control step sizes for bimodal stimulation

.


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Corrigendum

.


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A good practice guide for translating and adapting hearing-related questionnaires for different languages and cultures

.


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Applying U.S. national guidelines for ototoxicity monitoring in adult patients: perspectives on patient populations, service gaps, barriers and solutions

.


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Optimal gain control step sizes for bimodal stimulation.

Related Articles

Optimal gain control step sizes for bimodal stimulation.

Int J Audiol. 2017 Nov 24;:1-11

Authors: Spirrov D, van Dijk B, Francart T

Abstract
OBJECTIVE: Cochlear implants (CI) and hearing aids (HA) have a gain control that allows the bimodal user to change the loudness. Due to differences in dynamic range between CI and HA, an equal change of the gains of the two devices results in different changes in loudness. The objective was to relate and individualise the step sizes of the loudness controls to obtain a similar perceptual effect in the two ears.
DESIGN: We used loudness models parametrised for individual users to find a relation between the controls of the CI and the HA such that each step resulted in an equal change in loudness. We conducted loudness balancing experiments to validate the results.
STUDY SAMPLE: Eleven bimodal users of whom six were tested in a prior study.
RESULTS: The difference between the optimal gain from the loudness balancing procedure and actual gain was 3.3 dB when the new relation was applied. In contrast, the difference was 8 dB if equal step sized were applied at both sides.
CONCLUSION: We can relate the controls such that each step results in a similar loudness difference.

PMID: 29172895 [PubMed - as supplied by publisher]

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via IFTTT

Use of beta blockers is associated with hearing loss.

Related Articles

Use of beta blockers is associated with hearing loss.

Int J Audiol. 2017 Nov 24;:1-8

Authors: Al-Ghamdi BS, Rohra DK, Abuharb GAI, Alkofide HA, AlRuwaili NS, Shoukri MM, Cahusac PMB

Abstract
OBJECTIVE: This study was conducted to investigate the hypothesis that patients using β-blockers will develop hearing loss.
DESIGN: A cross-sectional study.
STUDY SAMPLE: A total of 125 patients completed the study. A total of 63 patients were on β-blockers and 62 were not on β-blockers.
RESULTS: Carvedilol was significantly associated with hearing loss. Other beta-blockers including metoprolol and atenolol showed no association with hearing loss. Linear multiple regression analysis was run including variables of gender, age, ischaemic heart disease, cardiac failure/dilated cardiomyopathy, frusemide and carvedilol use as predictors for total hearing loss severity at all frequencies. Age and gender, as well as carvedilol, were found to be the only statistically significant predictors for hearing loss severity.
CONCLUSION: Chronic use of carvedilol was associated with significant hearing loss. This may need to be taken into account when prescribing the drug. Further randomised controlled studies with baseline audiometric hearing tests before starting treatment, and periodic follow-up tests, would provide a better assessment of the effect of carvedilol on hearing.

PMID: 29172846 [PubMed - as supplied by publisher]

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Detection and reaction thresholds for reverse alarms in noise with and without passive hearing protection.

Related Articles

Detection and reaction thresholds for reverse alarms in noise with and without passive hearing protection.

Int J Audiol. 2017 Nov 26;:1-10

Authors: Laroche C, Giguère C, Vaillancourt V, Roy K, Pageot LP, Nélisse H, Ellaham N, Nassrallah F

Abstract
OBJECTIVE: To measure masked detection and reaction thresholds for two reverse alarms (tonal and broadband) and compare results to available standards and psychoacoustic criteria for setting alarm levels.
DESIGN: Alarm detection and reaction thresholds were adaptively measured in 80-dBA background noises without hearing protection (Experiment 1), and with a passive earmuff-style hearing protection device (HPD) (Experiment 2).
STUDY SAMPLE: Twenty-four young adults with normal hearing in each experimental group.
RESULTS: Reverse alarms remained audible at levels well-below background noises [thresholds: -11 to -25 dB signal-to-noise ratio (SNR)], with and without the selected HPD. Detection was more influenced by alarm and noise type, while reaction was more susceptible to HPD use. HPD use resulted in lower detection thresholds by up to 2.5 dB compared to unprotected listening but increased reaction thresholds by 5-10 dB depending on the alarm.
CONCLUSIONS: Since noise type appears to have a more limited effect on reaction thresholds, adjusting alarms based on a global dBA method appears preferable to methods based on masked detection thresholds. However, while the >0 dB SNR recommended in ISO 9533 seems adequate for unprotected listening, an additional 5-10 dB may be warranted to elicit the same reaction when the selected HPD is used.

PMID: 29172790 [PubMed - as supplied by publisher]

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Examining the noisy life of the college musician: weeklong noise dosimetry of music and non-music activities.

Related Articles

Examining the noisy life of the college musician: weeklong noise dosimetry of music and non-music activities.

Int J Audiol. 2017 Nov 24;:1-8

Authors: Tufts JB, Skoe E

Abstract
OBJECTIVE: To examine the contribution of all daily activities, including non-music activities, to the overall noise exposure of college student musicians, and to compare their "noise lives" with those of non-musician college students.
DESIGN: Continuous week-long dosimetry measurements were collected on student musicians and non-musicians. During the measurement period, participants recorded their daily activities in journals.
STUDY SAMPLE: 22 musicians and 40 non-musicians, all students (aged 18-24 years) at the University of Connecticut.
RESULTS: On every day of the week, musicians experienced significantly higher average exposure levels than did non-musicians. Nearly half (47%) of the musicians' days exceeded a daily dose of 100%, compared with 10% of the non-musicians' days. When the exposure due to music activities was removed, musicians still led noisier lives, largely due to participation in noisier social activities. For some musicians, non-music activities contributed a larger share of their total weekly noise exposure than did their music activities.
CONCLUSIONS: Compared with their non-musician peers, college student musicians are at higher risk for noise-induced hearing loss (NIHL). On a weekly basis, non-music activities may pose a greater risk to some musicians than music activities. Thus, hearing health education for musicians should include information about the contribution of lifestyle factors outside of music to NIHL risk.

PMID: 29172785 [PubMed - as supplied by publisher]

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Biomechanical Analysis of Dance for Parkinson's Disease: A Paradoxical Case Study of Balance and Gait Effects?

Related Articles

Biomechanical Analysis of Dance for Parkinson's Disease: A Paradoxical Case Study of Balance and Gait Effects?

Explore (NY). 2017 Nov - Dec;13(6):409-413

Authors: Sowalsky KL, Sonke J, Altmann LJP, Almeida L, Hass CJ

Abstract
OBJECTIVES: This study aimed to measure the effects of a dance training program on subjective and objective balance and gait measures in a person with Parkinson's disease.
DESIGN AND SETTING: The participant was measured via clinical scales and biomechanical balance and gait analyses pre- and post-16 weeks of dance participation at the University Center for Arts in Medicine. The dance program consisted of 75 minute sessions three days a week.
RESULTS: Improved clinical scales included the Schwab and England scale (+10%), falls efficacy scale (-11 points), six-minute walk (+15.54m), and timed up and go (1.38s). Balance measures during three conditions (eyes open, eyes closed, and narrow stance) all demonstrated an increase (24-112%) in center of pressure path length, velocity (anteroposterior and mediolateral), sway area, and approximate entropy (anteroposterior and mediolateral). Spatiotemporal gait parameters improved during forward walking: velocity (+0.12m/s), cadence (+3.89steps/min), double support time (-2.02%), stride length (+0.07m), stride time (-0.03s), and backward walking: single support (+3.47%), double support (-7.0%), swing time (+3.4%), and stance time (-3.4%).
CONCLUSIONS: Classic interpretation of the above measures may indicate a detriment in biomechanical balance effects concomitant with an improvement in gait. Alternative explanations explored suggest this paradox to be illusory.

PMID: 29179887 [PubMed - in process]

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Outcomes of bacterial meningitis in children.

Related Articles

Outcomes of bacterial meningitis in children.

Med Mal Infect. 2016 Jun;46(4):177-87

Authors: Briand C, Levy C, Baumie F, Joao L, Béchet S, Carbonnelle E, Grimprel E, Cohen R, Gaudelus J, de Pontual L

Abstract
OBJECTIVE: Pediatricians are well aware of the immediate risks of bacterial meningitis in children. However, the long-term outcome of the disease has not been extensively studied. We aimed: (i) to evaluate the duration and quality of the long-term follow-up of children diagnosed with bacterial meningitis in a general pediatric department, (ii) to estimate the incidence of sequelae at the various stages of follow-up, and (iii) to compare our data with that of other studies.
METHODS: We conducted a retrospective study and included 34 children (3 months-15 years) who had been hospitalized for bacterial meningitis in the pediatric department of a University Hospital between January 1st, 2001 and December 31st, 2013.
RESULTS: Overall, 32% of patients presented with sequelae and 15% with seizures. Only one patient presented with hearing loss, but 23.5% of patients did not have any hearing test performed. Seven patients had a neuropsychological assessment performed and no severe neuropsychological sequela was observed in this group. The average follow-up duration increased during the study period (from 23 to 49months). The long-term follow-up modalities observed in other studies were highly variable. Assessing the incidence and severity of sequelae was therefore difficult.
CONCLUSION: A standardized follow-up should be implemented by way of a national surveillance network of children presenting with bacterial meningitis.

PMID: 27020729 [PubMed - indexed for MEDLINE]

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via IFTTT

Optimal gain control step sizes for bimodal stimulation.

Related Articles

Optimal gain control step sizes for bimodal stimulation.

Int J Audiol. 2017 Nov 24;:1-11

Authors: Spirrov D, van Dijk B, Francart T

Abstract
OBJECTIVE: Cochlear implants (CI) and hearing aids (HA) have a gain control that allows the bimodal user to change the loudness. Due to differences in dynamic range between CI and HA, an equal change of the gains of the two devices results in different changes in loudness. The objective was to relate and individualise the step sizes of the loudness controls to obtain a similar perceptual effect in the two ears.
DESIGN: We used loudness models parametrised for individual users to find a relation between the controls of the CI and the HA such that each step resulted in an equal change in loudness. We conducted loudness balancing experiments to validate the results.
STUDY SAMPLE: Eleven bimodal users of whom six were tested in a prior study.
RESULTS: The difference between the optimal gain from the loudness balancing procedure and actual gain was 3.3 dB when the new relation was applied. In contrast, the difference was 8 dB if equal step sized were applied at both sides.
CONCLUSION: We can relate the controls such that each step results in a similar loudness difference.

PMID: 29172895 [PubMed - as supplied by publisher]

from #Audiology via ola Kala on Inoreader http://ift.tt/2BnvoiY
via IFTTT

Use of beta blockers is associated with hearing loss.

Related Articles

Use of beta blockers is associated with hearing loss.

Int J Audiol. 2017 Nov 24;:1-8

Authors: Al-Ghamdi BS, Rohra DK, Abuharb GAI, Alkofide HA, AlRuwaili NS, Shoukri MM, Cahusac PMB

Abstract
OBJECTIVE: This study was conducted to investigate the hypothesis that patients using β-blockers will develop hearing loss.
DESIGN: A cross-sectional study.
STUDY SAMPLE: A total of 125 patients completed the study. A total of 63 patients were on β-blockers and 62 were not on β-blockers.
RESULTS: Carvedilol was significantly associated with hearing loss. Other beta-blockers including metoprolol and atenolol showed no association with hearing loss. Linear multiple regression analysis was run including variables of gender, age, ischaemic heart disease, cardiac failure/dilated cardiomyopathy, frusemide and carvedilol use as predictors for total hearing loss severity at all frequencies. Age and gender, as well as carvedilol, were found to be the only statistically significant predictors for hearing loss severity.
CONCLUSION: Chronic use of carvedilol was associated with significant hearing loss. This may need to be taken into account when prescribing the drug. Further randomised controlled studies with baseline audiometric hearing tests before starting treatment, and periodic follow-up tests, would provide a better assessment of the effect of carvedilol on hearing.

PMID: 29172846 [PubMed - as supplied by publisher]

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via IFTTT

Detection and reaction thresholds for reverse alarms in noise with and without passive hearing protection.

Related Articles

Detection and reaction thresholds for reverse alarms in noise with and without passive hearing protection.

Int J Audiol. 2017 Nov 26;:1-10

Authors: Laroche C, Giguère C, Vaillancourt V, Roy K, Pageot LP, Nélisse H, Ellaham N, Nassrallah F

Abstract
OBJECTIVE: To measure masked detection and reaction thresholds for two reverse alarms (tonal and broadband) and compare results to available standards and psychoacoustic criteria for setting alarm levels.
DESIGN: Alarm detection and reaction thresholds were adaptively measured in 80-dBA background noises without hearing protection (Experiment 1), and with a passive earmuff-style hearing protection device (HPD) (Experiment 2).
STUDY SAMPLE: Twenty-four young adults with normal hearing in each experimental group.
RESULTS: Reverse alarms remained audible at levels well-below background noises [thresholds: -11 to -25 dB signal-to-noise ratio (SNR)], with and without the selected HPD. Detection was more influenced by alarm and noise type, while reaction was more susceptible to HPD use. HPD use resulted in lower detection thresholds by up to 2.5 dB compared to unprotected listening but increased reaction thresholds by 5-10 dB depending on the alarm.
CONCLUSIONS: Since noise type appears to have a more limited effect on reaction thresholds, adjusting alarms based on a global dBA method appears preferable to methods based on masked detection thresholds. However, while the >0 dB SNR recommended in ISO 9533 seems adequate for unprotected listening, an additional 5-10 dB may be warranted to elicit the same reaction when the selected HPD is used.

PMID: 29172790 [PubMed - as supplied by publisher]

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via IFTTT

Examining the noisy life of the college musician: weeklong noise dosimetry of music and non-music activities.

Related Articles

Examining the noisy life of the college musician: weeklong noise dosimetry of music and non-music activities.

Int J Audiol. 2017 Nov 24;:1-8

Authors: Tufts JB, Skoe E

Abstract
OBJECTIVE: To examine the contribution of all daily activities, including non-music activities, to the overall noise exposure of college student musicians, and to compare their "noise lives" with those of non-musician college students.
DESIGN: Continuous week-long dosimetry measurements were collected on student musicians and non-musicians. During the measurement period, participants recorded their daily activities in journals.
STUDY SAMPLE: 22 musicians and 40 non-musicians, all students (aged 18-24 years) at the University of Connecticut.
RESULTS: On every day of the week, musicians experienced significantly higher average exposure levels than did non-musicians. Nearly half (47%) of the musicians' days exceeded a daily dose of 100%, compared with 10% of the non-musicians' days. When the exposure due to music activities was removed, musicians still led noisier lives, largely due to participation in noisier social activities. For some musicians, non-music activities contributed a larger share of their total weekly noise exposure than did their music activities.
CONCLUSIONS: Compared with their non-musician peers, college student musicians are at higher risk for noise-induced hearing loss (NIHL). On a weekly basis, non-music activities may pose a greater risk to some musicians than music activities. Thus, hearing health education for musicians should include information about the contribution of lifestyle factors outside of music to NIHL risk.

PMID: 29172785 [PubMed - as supplied by publisher]

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Sound Quality as the Key to User Acceptance

Sound quality and speech recognition benefit are important to the long term benefit and use of hearing aids. This article examines key features of hearing aid signal processing that contribute to sound quality, as well as studies of sound quality with Signia Nx.

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Hearing Ecosystems: How Hearing Professionals Can Meet the Needs of Today's Hearing Aid Users

Hearing aids have limitations that mean they do not always offer optimum benefit. This article reviews evidence of how hearing aid accessories supplement hearing aid performance, and offers guidance on how to implement them in everyday fittings.

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20Q: Hearing Aid Verification - Can You Afford Not To?

An engaging Q & A with Dr. Gus Mueller that reviews the why and how of hearing aid verification, the negative consequences of not conducting verification, and discusses why this topic is more critical than ever.

from #Audiology via ola Kala on Inoreader http://ift.tt/2nfJuAR
via IFTTT

Detection and reaction thresholds for reverse alarms in noise with and without passive hearing protection

.


from #Audiology via ola Kala on Inoreader http://ift.tt/2AqhEqX
via IFTTT

Examining the noisy life of the college musician: weeklong noise dosimetry of music and non-music activities

.


from #Audiology via ola Kala on Inoreader http://ift.tt/2iqNjSj
via IFTTT

Use of beta blockers is associated with hearing loss

.


from #Audiology via ola Kala on Inoreader http://ift.tt/2AqhpMz
via IFTTT

Optimal gain control step sizes for bimodal stimulation

.


from #Audiology via ola Kala on Inoreader http://ift.tt/2ir3eA4
via IFTTT

Corrigendum

.


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A good practice guide for translating and adapting hearing-related questionnaires for different languages and cultures

.


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Applying U.S. national guidelines for ototoxicity monitoring in adult patients: perspectives on patient populations, service gaps, barriers and solutions

.


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Optimal gain control step sizes for bimodal stimulation.

Related Articles

Optimal gain control step sizes for bimodal stimulation.

Int J Audiol. 2017 Nov 24;:1-11

Authors: Spirrov D, van Dijk B, Francart T

Abstract
OBJECTIVE: Cochlear implants (CI) and hearing aids (HA) have a gain control that allows the bimodal user to change the loudness. Due to differences in dynamic range between CI and HA, an equal change of the gains of the two devices results in different changes in loudness. The objective was to relate and individualise the step sizes of the loudness controls to obtain a similar perceptual effect in the two ears.
DESIGN: We used loudness models parametrised for individual users to find a relation between the controls of the CI and the HA such that each step resulted in an equal change in loudness. We conducted loudness balancing experiments to validate the results.
STUDY SAMPLE: Eleven bimodal users of whom six were tested in a prior study.
RESULTS: The difference between the optimal gain from the loudness balancing procedure and actual gain was 3.3 dB when the new relation was applied. In contrast, the difference was 8 dB if equal step sized were applied at both sides.
CONCLUSION: We can relate the controls such that each step results in a similar loudness difference.

PMID: 29172895 [PubMed - as supplied by publisher]

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Use of beta blockers is associated with hearing loss.

Related Articles

Use of beta blockers is associated with hearing loss.

Int J Audiol. 2017 Nov 24;:1-8

Authors: Al-Ghamdi BS, Rohra DK, Abuharb GAI, Alkofide HA, AlRuwaili NS, Shoukri MM, Cahusac PMB

Abstract
OBJECTIVE: This study was conducted to investigate the hypothesis that patients using β-blockers will develop hearing loss.
DESIGN: A cross-sectional study.
STUDY SAMPLE: A total of 125 patients completed the study. A total of 63 patients were on β-blockers and 62 were not on β-blockers.
RESULTS: Carvedilol was significantly associated with hearing loss. Other beta-blockers including metoprolol and atenolol showed no association with hearing loss. Linear multiple regression analysis was run including variables of gender, age, ischaemic heart disease, cardiac failure/dilated cardiomyopathy, frusemide and carvedilol use as predictors for total hearing loss severity at all frequencies. Age and gender, as well as carvedilol, were found to be the only statistically significant predictors for hearing loss severity.
CONCLUSION: Chronic use of carvedilol was associated with significant hearing loss. This may need to be taken into account when prescribing the drug. Further randomised controlled studies with baseline audiometric hearing tests before starting treatment, and periodic follow-up tests, would provide a better assessment of the effect of carvedilol on hearing.

PMID: 29172846 [PubMed - as supplied by publisher]

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Detection and reaction thresholds for reverse alarms in noise with and without passive hearing protection.

Related Articles

Detection and reaction thresholds for reverse alarms in noise with and without passive hearing protection.

Int J Audiol. 2017 Nov 26;:1-10

Authors: Laroche C, Giguère C, Vaillancourt V, Roy K, Pageot LP, Nélisse H, Ellaham N, Nassrallah F

Abstract
OBJECTIVE: To measure masked detection and reaction thresholds for two reverse alarms (tonal and broadband) and compare results to available standards and psychoacoustic criteria for setting alarm levels.
DESIGN: Alarm detection and reaction thresholds were adaptively measured in 80-dBA background noises without hearing protection (Experiment 1), and with a passive earmuff-style hearing protection device (HPD) (Experiment 2).
STUDY SAMPLE: Twenty-four young adults with normal hearing in each experimental group.
RESULTS: Reverse alarms remained audible at levels well-below background noises [thresholds: -11 to -25 dB signal-to-noise ratio (SNR)], with and without the selected HPD. Detection was more influenced by alarm and noise type, while reaction was more susceptible to HPD use. HPD use resulted in lower detection thresholds by up to 2.5 dB compared to unprotected listening but increased reaction thresholds by 5-10 dB depending on the alarm.
CONCLUSIONS: Since noise type appears to have a more limited effect on reaction thresholds, adjusting alarms based on a global dBA method appears preferable to methods based on masked detection thresholds. However, while the >0 dB SNR recommended in ISO 9533 seems adequate for unprotected listening, an additional 5-10 dB may be warranted to elicit the same reaction when the selected HPD is used.

PMID: 29172790 [PubMed - as supplied by publisher]

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Examining the noisy life of the college musician: weeklong noise dosimetry of music and non-music activities.

Related Articles

Examining the noisy life of the college musician: weeklong noise dosimetry of music and non-music activities.

Int J Audiol. 2017 Nov 24;:1-8

Authors: Tufts JB, Skoe E

Abstract
OBJECTIVE: To examine the contribution of all daily activities, including non-music activities, to the overall noise exposure of college student musicians, and to compare their "noise lives" with those of non-musician college students.
DESIGN: Continuous week-long dosimetry measurements were collected on student musicians and non-musicians. During the measurement period, participants recorded their daily activities in journals.
STUDY SAMPLE: 22 musicians and 40 non-musicians, all students (aged 18-24 years) at the University of Connecticut.
RESULTS: On every day of the week, musicians experienced significantly higher average exposure levels than did non-musicians. Nearly half (47%) of the musicians' days exceeded a daily dose of 100%, compared with 10% of the non-musicians' days. When the exposure due to music activities was removed, musicians still led noisier lives, largely due to participation in noisier social activities. For some musicians, non-music activities contributed a larger share of their total weekly noise exposure than did their music activities.
CONCLUSIONS: Compared with their non-musician peers, college student musicians are at higher risk for noise-induced hearing loss (NIHL). On a weekly basis, non-music activities may pose a greater risk to some musicians than music activities. Thus, hearing health education for musicians should include information about the contribution of lifestyle factors outside of music to NIHL risk.

PMID: 29172785 [PubMed - as supplied by publisher]

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Biomechanical Analysis of Dance for Parkinson's Disease: A Paradoxical Case Study of Balance and Gait Effects?

Related Articles

Biomechanical Analysis of Dance for Parkinson's Disease: A Paradoxical Case Study of Balance and Gait Effects?

Explore (NY). 2017 Nov - Dec;13(6):409-413

Authors: Sowalsky KL, Sonke J, Altmann LJP, Almeida L, Hass CJ

Abstract
OBJECTIVES: This study aimed to measure the effects of a dance training program on subjective and objective balance and gait measures in a person with Parkinson's disease.
DESIGN AND SETTING: The participant was measured via clinical scales and biomechanical balance and gait analyses pre- and post-16 weeks of dance participation at the University Center for Arts in Medicine. The dance program consisted of 75 minute sessions three days a week.
RESULTS: Improved clinical scales included the Schwab and England scale (+10%), falls efficacy scale (-11 points), six-minute walk (+15.54m), and timed up and go (1.38s). Balance measures during three conditions (eyes open, eyes closed, and narrow stance) all demonstrated an increase (24-112%) in center of pressure path length, velocity (anteroposterior and mediolateral), sway area, and approximate entropy (anteroposterior and mediolateral). Spatiotemporal gait parameters improved during forward walking: velocity (+0.12m/s), cadence (+3.89steps/min), double support time (-2.02%), stride length (+0.07m), stride time (-0.03s), and backward walking: single support (+3.47%), double support (-7.0%), swing time (+3.4%), and stance time (-3.4%).
CONCLUSIONS: Classic interpretation of the above measures may indicate a detriment in biomechanical balance effects concomitant with an improvement in gait. Alternative explanations explored suggest this paradox to be illusory.

PMID: 29179887 [PubMed - in process]

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Outcomes of bacterial meningitis in children.

Related Articles

Outcomes of bacterial meningitis in children.

Med Mal Infect. 2016 Jun;46(4):177-87

Authors: Briand C, Levy C, Baumie F, Joao L, Béchet S, Carbonnelle E, Grimprel E, Cohen R, Gaudelus J, de Pontual L

Abstract
OBJECTIVE: Pediatricians are well aware of the immediate risks of bacterial meningitis in children. However, the long-term outcome of the disease has not been extensively studied. We aimed: (i) to evaluate the duration and quality of the long-term follow-up of children diagnosed with bacterial meningitis in a general pediatric department, (ii) to estimate the incidence of sequelae at the various stages of follow-up, and (iii) to compare our data with that of other studies.
METHODS: We conducted a retrospective study and included 34 children (3 months-15 years) who had been hospitalized for bacterial meningitis in the pediatric department of a University Hospital between January 1st, 2001 and December 31st, 2013.
RESULTS: Overall, 32% of patients presented with sequelae and 15% with seizures. Only one patient presented with hearing loss, but 23.5% of patients did not have any hearing test performed. Seven patients had a neuropsychological assessment performed and no severe neuropsychological sequela was observed in this group. The average follow-up duration increased during the study period (from 23 to 49months). The long-term follow-up modalities observed in other studies were highly variable. Assessing the incidence and severity of sequelae was therefore difficult.
CONCLUSION: A standardized follow-up should be implemented by way of a national surveillance network of children presenting with bacterial meningitis.

PMID: 27020729 [PubMed - indexed for MEDLINE]

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Optimal gain control step sizes for bimodal stimulation.

Related Articles

Optimal gain control step sizes for bimodal stimulation.

Int J Audiol. 2017 Nov 24;:1-11

Authors: Spirrov D, van Dijk B, Francart T

Abstract
OBJECTIVE: Cochlear implants (CI) and hearing aids (HA) have a gain control that allows the bimodal user to change the loudness. Due to differences in dynamic range between CI and HA, an equal change of the gains of the two devices results in different changes in loudness. The objective was to relate and individualise the step sizes of the loudness controls to obtain a similar perceptual effect in the two ears.
DESIGN: We used loudness models parametrised for individual users to find a relation between the controls of the CI and the HA such that each step resulted in an equal change in loudness. We conducted loudness balancing experiments to validate the results.
STUDY SAMPLE: Eleven bimodal users of whom six were tested in a prior study.
RESULTS: The difference between the optimal gain from the loudness balancing procedure and actual gain was 3.3 dB when the new relation was applied. In contrast, the difference was 8 dB if equal step sized were applied at both sides.
CONCLUSION: We can relate the controls such that each step results in a similar loudness difference.

PMID: 29172895 [PubMed - as supplied by publisher]

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Use of beta blockers is associated with hearing loss.

Related Articles

Use of beta blockers is associated with hearing loss.

Int J Audiol. 2017 Nov 24;:1-8

Authors: Al-Ghamdi BS, Rohra DK, Abuharb GAI, Alkofide HA, AlRuwaili NS, Shoukri MM, Cahusac PMB

Abstract
OBJECTIVE: This study was conducted to investigate the hypothesis that patients using β-blockers will develop hearing loss.
DESIGN: A cross-sectional study.
STUDY SAMPLE: A total of 125 patients completed the study. A total of 63 patients were on β-blockers and 62 were not on β-blockers.
RESULTS: Carvedilol was significantly associated with hearing loss. Other beta-blockers including metoprolol and atenolol showed no association with hearing loss. Linear multiple regression analysis was run including variables of gender, age, ischaemic heart disease, cardiac failure/dilated cardiomyopathy, frusemide and carvedilol use as predictors for total hearing loss severity at all frequencies. Age and gender, as well as carvedilol, were found to be the only statistically significant predictors for hearing loss severity.
CONCLUSION: Chronic use of carvedilol was associated with significant hearing loss. This may need to be taken into account when prescribing the drug. Further randomised controlled studies with baseline audiometric hearing tests before starting treatment, and periodic follow-up tests, would provide a better assessment of the effect of carvedilol on hearing.

PMID: 29172846 [PubMed - as supplied by publisher]

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Detection and reaction thresholds for reverse alarms in noise with and without passive hearing protection.

Related Articles

Detection and reaction thresholds for reverse alarms in noise with and without passive hearing protection.

Int J Audiol. 2017 Nov 26;:1-10

Authors: Laroche C, Giguère C, Vaillancourt V, Roy K, Pageot LP, Nélisse H, Ellaham N, Nassrallah F

Abstract
OBJECTIVE: To measure masked detection and reaction thresholds for two reverse alarms (tonal and broadband) and compare results to available standards and psychoacoustic criteria for setting alarm levels.
DESIGN: Alarm detection and reaction thresholds were adaptively measured in 80-dBA background noises without hearing protection (Experiment 1), and with a passive earmuff-style hearing protection device (HPD) (Experiment 2).
STUDY SAMPLE: Twenty-four young adults with normal hearing in each experimental group.
RESULTS: Reverse alarms remained audible at levels well-below background noises [thresholds: -11 to -25 dB signal-to-noise ratio (SNR)], with and without the selected HPD. Detection was more influenced by alarm and noise type, while reaction was more susceptible to HPD use. HPD use resulted in lower detection thresholds by up to 2.5 dB compared to unprotected listening but increased reaction thresholds by 5-10 dB depending on the alarm.
CONCLUSIONS: Since noise type appears to have a more limited effect on reaction thresholds, adjusting alarms based on a global dBA method appears preferable to methods based on masked detection thresholds. However, while the >0 dB SNR recommended in ISO 9533 seems adequate for unprotected listening, an additional 5-10 dB may be warranted to elicit the same reaction when the selected HPD is used.

PMID: 29172790 [PubMed - as supplied by publisher]

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Examining the noisy life of the college musician: weeklong noise dosimetry of music and non-music activities.

Related Articles

Examining the noisy life of the college musician: weeklong noise dosimetry of music and non-music activities.

Int J Audiol. 2017 Nov 24;:1-8

Authors: Tufts JB, Skoe E

Abstract
OBJECTIVE: To examine the contribution of all daily activities, including non-music activities, to the overall noise exposure of college student musicians, and to compare their "noise lives" with those of non-musician college students.
DESIGN: Continuous week-long dosimetry measurements were collected on student musicians and non-musicians. During the measurement period, participants recorded their daily activities in journals.
STUDY SAMPLE: 22 musicians and 40 non-musicians, all students (aged 18-24 years) at the University of Connecticut.
RESULTS: On every day of the week, musicians experienced significantly higher average exposure levels than did non-musicians. Nearly half (47%) of the musicians' days exceeded a daily dose of 100%, compared with 10% of the non-musicians' days. When the exposure due to music activities was removed, musicians still led noisier lives, largely due to participation in noisier social activities. For some musicians, non-music activities contributed a larger share of their total weekly noise exposure than did their music activities.
CONCLUSIONS: Compared with their non-musician peers, college student musicians are at higher risk for noise-induced hearing loss (NIHL). On a weekly basis, non-music activities may pose a greater risk to some musicians than music activities. Thus, hearing health education for musicians should include information about the contribution of lifestyle factors outside of music to NIHL risk.

PMID: 29172785 [PubMed - as supplied by publisher]

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Sound Quality as the Key to User Acceptance

Sound quality and speech recognition benefit are important to the long term benefit and use of hearing aids. This article examines key features of hearing aid signal processing that contribute to sound quality, as well as studies of sound quality with Signia Nx.

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Hearing Ecosystems: How Hearing Professionals Can Meet the Needs of Today's Hearing Aid Users

Hearing aids have limitations that mean they do not always offer optimum benefit. This article reviews evidence of how hearing aid accessories supplement hearing aid performance, and offers guidance on how to implement them in everyday fittings.

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20Q: Hearing Aid Verification - Can You Afford Not To?

An engaging Q & A with Dr. Gus Mueller that reviews the why and how of hearing aid verification, the negative consequences of not conducting verification, and discusses why this topic is more critical than ever.

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Detection and reaction thresholds for reverse alarms in noise with and without passive hearing protection

.


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Examining the noisy life of the college musician: weeklong noise dosimetry of music and non-music activities

.


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Use of beta blockers is associated with hearing loss

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Optimal gain control step sizes for bimodal stimulation

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Corrigendum

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A good practice guide for translating and adapting hearing-related questionnaires for different languages and cultures

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Applying U.S. national guidelines for ototoxicity monitoring in adult patients: perspectives on patient populations, service gaps, barriers and solutions

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Which Preschool Children With Specific Language Impairment Receive Language Intervention?

Purpose

Potential biases in service provision for preschool children with specific language impairment (SLI) were explored.

Method

In Study 1, children with SLI receiving treatment (SLI-T) and those with SLI not receiving treatment (SLI-NT) were compared on demographic characteristics and developmental abilities. Study 2 recruited children with articulation disorders receiving treatment (ARTIC-T) to determine if knowing service provision status influenced the results of Study 1.

Results

In Study 1, the SLI-T group was rated by teachers as having poorer executive functioning than children in the SLIT-NT group, and the SLI-T group also came from families whose mothers had more education. These 2 variables alone predicted SLI-T and SLI-NT group membership with 84% accuracy. In Study 2, the ARTIC-T group were perceived as having comparable executive functioning to the SLI-NT group and better than the SLI-T group, indicating that teachers' knowledge of service provision did not influence their ratings of children's executive functioning.

Discussion

Preschool children with SLI, whose mothers have higher education levels and whose teachers perceive them as having poorer executive functioning, are more likely to receive intervention. Recognizing service delivery biases is critical for improving early provision of intervention for this population.

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Which Preschool Children With Specific Language Impairment Receive Language Intervention?

Purpose

Potential biases in service provision for preschool children with specific language impairment (SLI) were explored.

Method

In Study 1, children with SLI receiving treatment (SLI-T) and those with SLI not receiving treatment (SLI-NT) were compared on demographic characteristics and developmental abilities. Study 2 recruited children with articulation disorders receiving treatment (ARTIC-T) to determine if knowing service provision status influenced the results of Study 1.

Results

In Study 1, the SLI-T group was rated by teachers as having poorer executive functioning than children in the SLIT-NT group, and the SLI-T group also came from families whose mothers had more education. These 2 variables alone predicted SLI-T and SLI-NT group membership with 84% accuracy. In Study 2, the ARTIC-T group were perceived as having comparable executive functioning to the SLI-NT group and better than the SLI-T group, indicating that teachers' knowledge of service provision did not influence their ratings of children's executive functioning.

Discussion

Preschool children with SLI, whose mothers have higher education levels and whose teachers perceive them as having poorer executive functioning, are more likely to receive intervention. Recognizing service delivery biases is critical for improving early provision of intervention for this population.

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Which Preschool Children With Specific Language Impairment Receive Language Intervention?

Purpose

Potential biases in service provision for preschool children with specific language impairment (SLI) were explored.

Method

In Study 1, children with SLI receiving treatment (SLI-T) and those with SLI not receiving treatment (SLI-NT) were compared on demographic characteristics and developmental abilities. Study 2 recruited children with articulation disorders receiving treatment (ARTIC-T) to determine if knowing service provision status influenced the results of Study 1.

Results

In Study 1, the SLI-T group was rated by teachers as having poorer executive functioning than children in the SLIT-NT group, and the SLI-T group also came from families whose mothers had more education. These 2 variables alone predicted SLI-T and SLI-NT group membership with 84% accuracy. In Study 2, the ARTIC-T group were perceived as having comparable executive functioning to the SLI-NT group and better than the SLI-T group, indicating that teachers' knowledge of service provision did not influence their ratings of children's executive functioning.

Discussion

Preschool children with SLI, whose mothers have higher education levels and whose teachers perceive them as having poorer executive functioning, are more likely to receive intervention. Recognizing service delivery biases is critical for improving early provision of intervention for this population.

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Tracking the Growth of Tense and Agreement in Children With Specific Language Impairment: Differences Between Measures of Accuracy, Diversity, and Productivity

Purpose

Composite measures of children's use of tense and agreement morphology differ in their emphasis on accuracy, diversity, or productivity, yet little is known about how these different measures change over time. An understanding of these differences is especially important for the study of children with specific language impairment, given these children's extraordinary difficulty with this aspect of grammar.

Method

We computed 3 types of composite scores from spontaneous speech samples obtained from 17 preschoolers with specific language impairment before, during, and after their participation in a language intervention study. These measures were the Finite Verb Morphology Composite (a measure of accuracy), the Tense Marker Total (a measure of diversity), and the Productivity Score (a measure of productivity).

Results

The 3 measures differed in their growth trajectories. Sample size did not alter the linear or quadratic nature of growth of any composite, although it did affect the absolute values found for the Tense Marker Total and Productivity Score.

Conclusion

Even when sample size is controlled, early growth can be seen in tense and agreement accuracy with relatively limited diversity and productivity, whereas later growth in diversity and productivity can occur with very little change in accuracy.

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Tracking the Growth of Tense and Agreement in Children With Specific Language Impairment: Differences Between Measures of Accuracy, Diversity, and Productivity

Purpose

Composite measures of children's use of tense and agreement morphology differ in their emphasis on accuracy, diversity, or productivity, yet little is known about how these different measures change over time. An understanding of these differences is especially important for the study of children with specific language impairment, given these children's extraordinary difficulty with this aspect of grammar.

Method

We computed 3 types of composite scores from spontaneous speech samples obtained from 17 preschoolers with specific language impairment before, during, and after their participation in a language intervention study. These measures were the Finite Verb Morphology Composite (a measure of accuracy), the Tense Marker Total (a measure of diversity), and the Productivity Score (a measure of productivity).

Results

The 3 measures differed in their growth trajectories. Sample size did not alter the linear or quadratic nature of growth of any composite, although it did affect the absolute values found for the Tense Marker Total and Productivity Score.

Conclusion

Even when sample size is controlled, early growth can be seen in tense and agreement accuracy with relatively limited diversity and productivity, whereas later growth in diversity and productivity can occur with very little change in accuracy.

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Tracking the Growth of Tense and Agreement in Children With Specific Language Impairment: Differences Between Measures of Accuracy, Diversity, and Productivity

Purpose

Composite measures of children's use of tense and agreement morphology differ in their emphasis on accuracy, diversity, or productivity, yet little is known about how these different measures change over time. An understanding of these differences is especially important for the study of children with specific language impairment, given these children's extraordinary difficulty with this aspect of grammar.

Method

We computed 3 types of composite scores from spontaneous speech samples obtained from 17 preschoolers with specific language impairment before, during, and after their participation in a language intervention study. These measures were the Finite Verb Morphology Composite (a measure of accuracy), the Tense Marker Total (a measure of diversity), and the Productivity Score (a measure of productivity).

Results

The 3 measures differed in their growth trajectories. Sample size did not alter the linear or quadratic nature of growth of any composite, although it did affect the absolute values found for the Tense Marker Total and Productivity Score.

Conclusion

Even when sample size is controlled, early growth can be seen in tense and agreement accuracy with relatively limited diversity and productivity, whereas later growth in diversity and productivity can occur with very little change in accuracy.

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How Was Your Otology Training? A Survey of Recent Otolaryngology Residents

Objective: To survey graduating residents or recent graduates of otolaryngology residency programs to evaluate their Otology/Neurotology (ON) experience in residency and discern if they had received adequate training in time to decide whether to pursue a fellowship in Otology or Neurotology. Study Design: Internet-based survey. Methods: A survey was distributed to all US otolaryngology residency programs to distribute to 5th year residents and recent graduates in last 4 years. The survey assessed satisfaction in ON experience, presence of ON fellows, adequacy of experience to decide on ON fellowship, post-graduate year (PGY) year at which residents observed, performed, and proficiently performed five procedures (tympanoplasty, mastoidectomy, ossiculoplasty, stapedectomy, and cochlear implant), and plan for performing these surgeries in practice. Results: 89/106 (84%) of respondents felt they had adequate training in Otology in time to decide whether or not to pursue a fellowship and were found to observe and perform surgeries significantly earlier in training by PGY including: mastoidectomy (observed PGY 1.9 versus PGY 2.3, performed PGY 2.9 versus PGY 3.5), ossiculoplasty (observed 2.1 versus 3.0, performed 3.6 versus 4.3), stapedectomy (observed 2.3 versus 3.0, performed 3.9 versus 4.5), and cochlear implant (observed 2.1 versus 2.8, performed 3.4 versus 4.1) all p 

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Morphological Characteristics of Osseous External Auditory Canal and Its Relationship With External Auditory Canal Cholesteatoma in Patients With Congenital Aural Stenosis

Objective: To investigate the characteristics of stenotic external auditory canal (EAC) (e.g., shape, length, orientation, and curvature) and to compare them with those of the cholesteatoma and no cholesteatoma groups, which may help to explain cholesteatoma formation to a certain degree. Methods: Computed tomography scans of two groups of patients (with and without EAC cholesteatoma) were analyzed. We determined the degree of microtia, the stenosis of EAC, radius and curvature of osseous EAC bending (abbreviated as OEB-r and OEB-c, respectively), and other anatomic parameters of EAC by using Mimics and Matlab. Results: There was no significant difference in the degree of microtia between the cholesteatoma and no cholesteatoma groups using the Marx grading system. Additionally, no significant difference was found in the stenosis of EAC between the two groups. The OEB-r was smaller in the cholesteatoma group (4.62 ± 0.62 mm) than in the no cholesteatoma group (7.41 ± 0.50 mm), and the OEB-c was found to be larger in the cholesteatoma group (1.55 ± 0.05 × 10 mm−1) than in the no cholesteatoma group (1.10 ± 0.10 × 10 mm−1). Moreover, the OEB-c (OR, 8.60; 95% CI, 2.67–27.75) was associated with EAC cholesteatoma formation. Conclusion: The curvature of osseous EAC in the cholesteatoma group was significantly larger than that in the no cholesteatoma group. It is suggested that the curvature of osseous EAC was a risk factor for EAC cholesteatoma formation.

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Do Measurements of Inner Ear Structures Help in the Diagnosis of Inner Ear Malformations? A Review of Literature

Objective: We conducted an extensive review of the literature relevant to inner ear measurements in normal and malformative conditions to select reproducible methods and normative ranges that may be used in clinical practice. Data Sources and Study Selection: A review of the published literature was performed in the English language using PubMed with appropriate keywords. We selected only those articles containing normative values of inner ear structures. Data Extraction and Data Synthesis: The following measurements were identified as reproducible and sensitive for the diagnosis of inner malformations: cochlear height in coronal plane; maximal diameter of bony island of lateral semicircular canal; width of vestibular aqueduct: 1) at midpoint; 2) at operculum in axial plane; cochlear canal and cochlear width in multiplanar reconstructions (MPR)/axial; cochlear length. The following cutoffs for normal inner ears are proposed based on the comparative analysis of the literature: cochlea height: >4.3 mm; lateral semicircular canal bony island: >3 mm; vestibular aqueduct: 1.4 mm and 5.4 mm. Conclusion: Measurements of inner ear structures can help in the interpretation of computed tomography images. They increase the sensitivity in detecting inner ear malformations, especially cochlear hypoplasia now considered more common than previously thought.

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Value of T1-weighted Magnetic Resonance Imaging in Cholesteatoma Detection

Objective: To reveal the usefulness of T1-weighted (T1W) imaging on diagnostic magnetic resonance (MR) imaging for cholesteatoma. Study Design: A retrospective case review. Setting: Tertiary referral center. Patients: Fifty-three patients (57 ears) suspected to have cholesteatomas and treated (6–82 yr of age). Intervention: Preoperative MR imaging, including non-echo planar (non-EP) diffusion-weighted (DW) and T1W imaging. Main Outcome Measures: Primary outcome measures included the comparison between the diagnostic accuracy for the detection of cholesteatomas using non-EP DW imaging alone (criterion 1) and non-EP DW imaging along with T1W imaging (criterion 2). Diagnostic accuracy was evaluated in each case by comparing MR imaging with surgical findings. Secondary outcome measures included the comparison of the rates of cases showing a high T1W signal between cholesteatomas and noncholesteatomas which showed a high non-EP DW signal. Results: The sensitivity, specificity, and accuracy according to criterion 1 were 93.5, 63.6, and 87.7% and those according to criterion 2 were 89.1, 100, and 91.2%, respectively. Of 43 cholesteatoma cases indicating a high non-EP DW signal, only 2 cases showed a high T1W signal (5%). On the other hand, all four noncholesteatoma cases indicating high non-EP DW signal showed a high T1W signal (100%), and these rates were significantly different (p 

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The Etiological Relationship Between Migraine and Sudden Hearing Loss

Objectives: To investigate the relationship between sudden sensorineural hearing loss (SSNHL) and migraine, assess the prevalence of migraine in patients with idiopathic SSNHL, and determine a possible common vascular etiopathogenesis for migraine and SSNHL. Study Design: Prospective cohort study. Setting: Tertiary referral center. Patients: This study initially assessed 178 SSNHL cases obtained from the Head and Neck Surgery Clinic patient database at a tertiary hospital in Turkey between January 2011 and March 2016. Ultimately, a total of 61 idiopathic SSNHL patients participated in the present study. İnterventions: Diagnostic. Main Outcome Measures: Cases with inflammation in the middle or inner ear; a retro cochlear tumor; autoimmune, infectious, functional, metabolic, neoplastic, traumatic, toxic, or vascular causes; Meniere's disease; otosclerosis; multiple sclerosis; and/or cerebrovascular diseases were excluded. Results: Of the 61 idiopathic SSHNL patients, 34 were women (55.74%); and 24 (39.34%) had migraine, according to the criteria of the International Headache Society (IHS). The mean age of the migraine patients (Group 1) was 43.83 ± 13.16 years, and that of those without migraine (Group 2) was 51.05 ± 16.49 years. The groups did not significantly differ in terms of age, sex, or SSNHL recovery rates according to the Siegel criteria (p > 0.05). Ten of the migraine patients experienced visual aura, and the recovery rates of this group were higher. Additionally, the rate of total hearing loss was lower in Group 1 (n = 3, 12.5%) than in Group 2 (n = 10, 27%). Conclusion: SSNHL patients had a higher prevalence of migraine. Although those with migraine had higher recovery rates, the differences were not statistically significant.

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Patterns of Extended High-frequency Hearing Loss Following Stapes Surgery

Objective: Thresholds in the extended high-frequency (EHF) range (> 8 kHz) often worsen after otherwise successful stapedectomy. The aims of this study were to document the prevalence of hearing loss from 0.25 to 16 kHz after stapedectomy and the relative rates of transient and permanent EHF hearing loss. Study Design: Prospective, observational, longitudinal. Setting: Tertiary referral center. Patients: Thirty-nine patients who underwent 44 primary or revision stapes surgeries. Intervention: Hearing thresholds were measured at 0.25 to 16 kHz preoperatively, and at approximately 1 week, 1, 3, 6, and 12 months postoperatively. Main Outcome Measures: Average threshold changes in bands of frequencies (0.25–1, 2–8, 9–11.2, 12.5–16 kHz) and the percentage of patients with a change in the highest frequency at which a hearing threshold could be measured were evaluated at each assessment. Results: A mean hearing loss was documented in the EHF range at all postoperative assessments. There was a decrease in the highest frequency at which a hearing threshold was measureable in 77% of patients at the first postoperative assessment, and despite some improvement over time, in 50% of patients 12 months postoperatively. Conclusion: There is a significant incidence of EHF loss after stapedectomy. Although partial recovery often occurs, more than half of patients retain an EHF hearing loss 12 months postoperatively. As hearing loss in the EHF range is more common than loss at 4 kHz, EHF measurements may be a more sensitive model to compare surgical factors and evaluate pharmacologic interventions.

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Effectiveness in Rehabilitation of Current Wireless CROS Technology in Experienced Bone-Anchored Implant Users

Objective: To compare the effectiveness of current contralateral routing of signal technology (CROS) to bone-anchored implants in experienced bone-anchored implant users with unilateral severe-profound sensorineural hearing loss. Design: Prospective, within-subject repeated-measures comparison study. Setting: Tertiary referral center. Patients: Adult, English-speaking patients (n = 12) with severe-profound unilateral sensorineural hearing loss implanted with a bone-anchored implant for the indication of single-sided deafness. Intervention: Subjects were fitted with contralateral routing of signal amplification and tested for speech in noise performance and localization error. Outcome Measures: Speech perception in noise was assessed using the BKB-SIN test materials. Localization was assessed using narrow band noises centered at 500 and 4000 Hz, as well as a broadband speech stimulus presented at random to the front hemifield by 19 speakers spatially separated by 10 degrees. Results: There was no improvement in localization ability in the aided condition and no significant difference in performance with CROS versus bone-anchored implants (BAI). There was a significant improvement in speech in noise performance for monaural listeners in the aided condition for speech poorer ear/noise better ear, speech front/noise front, and speech front/noise back. No significant difference was observed on performance with CROS versus BAI subjects. Conclusion: Contrary to earlier studies suggesting improved performance of BAIs over CROS, the current study found no difference in performance in BAI over CROS devices. Both CROS and BAI provide significant benefit for monaural listeners. The results suggest that noninvasive CROS solutions can successfully rehabilitate certain monaural listening deficits, provide improved hearing outcomes, and expand the reach of treatment in this population.

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High Incidence of Bell's Palsy After Mastoidectomy: A Longitudinal Follow-up Study

Objective: The objective of this study was to compare the prevalence of Bell's palsy in participants who underwent mastoidectomy (to treat chronic otitis media) and nonmastoidectomy participants (control). Methods: Using the national cohort study from the Korean Health Insurance Review and Assessment Service, mastoidectomy patients (2,045) and control participants (8,180) were matched 1:4 for age, sex, income, and region of residence. The prevalence of Bell's palsy in both the groups was measured from 0 to 10 years postoperation. Results: In a sample of 1,025,340 Korean individuals, 7,070 were diagnosed or treated with Bell's palsy between 2002 and 2013; the annual incidence of Bell's palsy was 0.057%. The overall prevalence of Bell's palsy was three times higher in the mastoidectomy group (1.27%) than control group (0.49%) (p 

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Prospective Evaluation of Patients Undergoing Translabyrinthine Excision of Vestibular Schwannoma with Concurrent Cochlear Implantation

Objective: Translabyrinthine (TL) vestibular schwannoma (VS) resection may be accomplished with preservation of the cochlear nerve, permitting successful, concurrent cochlear implantation. In this single institution, Food and Drug Administration-approved feasibility study, we wished to determine the success and outcomes of concurrent cochlear implantation at the time of TL resection of VS. Study Design: Prospective cohort. Setting: Tertiary referral center. Patients: Patients with small VS less than 1.5 cm in size. Intervention: Concurrent TL VS resection and cochlear implantation. Main Outcome Measure: Sound localization and speech understanding. Results: All cochlear nerves were anatomically preserved. Five out of seven patients had auditory precepts at the time of activation. At 1 month following surgery, AzBio scores (0 dB SNR, with sound front, noise to normal ear) were improved by an average of 10% with implant on, persisting to 6 months out from surgery. Localization 1 month after surgery was markedly improved with root mean square 78 degrees ±13 in the “implant off” condition and 41 ± 9 degrees in the “implant on” condition. Average tinnitus severity was reduced in subjects and speech and spatial hearing was improved on speech, spatial and qualities of hearing scale (SSQ). Conclusions: These data demonstrate preservation of electrical hearing in TL VS surgery is consistently possible, and although speech outcomes do not achieve the same levels seen with other etiologies of hearing loss, excellent improvement in sound localization, improved speech understanding, and substantial reductions in tinnitus are achieved.

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Dizziness Handicap Inventory Score Is Highly Correlated With Markers of Gait Disturbance

Objective: To evaluate the association between Dizziness Handicap Inventory—Screening version (DHI-S) score and spatiotemporal gait parameters using SoleSound, a newly developed, inexpensive, portable footwear-based gait analysis system. Study Design: Cross-sectional. Patients: One hundred eighteen patients recruited from otology clinic. Intervention(s): Subjects completed the DHI-S survey and four uninterrupted walking laps wearing SoleSound instrumented footwear on a hard, flat surface for 100 m. Main Outcome Measure(s): For each subject, mean and coefficient of variation (CV) of stride length, cadence, walking speed, foot-ground clearance, double-support time, swing period, and stance-to-swing were computed by considering 40 strides of steady-state walking within each lap. Linear regression models were employed to study correlations between these variables and DHI-S scores after adjusting for age, sex, and race/ethnicity. Results: Patients with higher DHI-S score took shorter steps and less steps per minute (−0.017 m and −1.1 steps/min per every four-point increase in DHI-S score, p 

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Mastoid and Inner Ear Measurements in Patients With Menière's Disease

Objective: To determine the relationship between radiographic temporal bone anatomy of patients with Menière's disease in medically and surgically managed populations versus controls. Study Design: Retrospective chart review. Setting: Two tertiary referral centers. Patients: Adults older than 18 years with Menière's disease treated with endolymphatic sac decompression (ESD) or medical management (non-ESD) versus controls. Interventions: Magnetic resonance imaging and computed tomography imaging studies of the temporal bones were reviewed by blinded radiologists. Main Outcome Measures: Radiographic temporal bone dimensions were measured in Menière's disease and control patients. Age, sex, symptoms, audiogram data, academy classification of Menière's disease, and follow-up were recorded. Statistical analysis was performed to compare outcome measures across groups and demographics. Results: A total of 90 imaging studies were reviewed (ESD = 22; non-ESD = 30; control = 38). ESD and non-ESD groups had similar pure-tone averages (33.9 ± 20.6 versus 41.6 ± 22.6 dB HL; p = 0.21) and frequency of definite Menière's disease (59.1% versus 53.3%; p = 0.68). There was no significant trend between groups for any measurement. One nonsignificant trend existed in mean vestibule length, increasing from the control (5.45 ± 0.54 mm), non-ESD (5.80 ± 0.97 mm), and ESD (5.94 ± 0.81 mm) group. In a combined Menière's group, mean vestibule length was significantly greater than controls (5.86 ± 0.89 versus 5.45 ± 0.54 mm; p = 0.008) and mean vestibule width significantly less (2.99 ± 0.46 versus 3.19 ± 0.39 mm; p = 0.024). Conclusion: Medical and surgical Menière's patients were similar utilizing academy classification. There was no significant trend between medical and surgical Menière's patients versus controls for any measurement. In a combined Menière's group, the longer and narrower vestibule anatomy may suggest an anatomical basis for endolymphatic hydrops.

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Risk Factors of Recurrence in Pediatric Congenital Cholesteatoma

Objective: To examine the risk factors of recurrence in pediatric congenital cholesteatoma. Study Design: Retrospective chart review. Setting: University hospital. Patients: Sixty-seven patients having tympanic type of congenital cholesteatoma under 15-years old at surgery. Interventions: Canal wall-up tympanomastoidectomy (n = 30) or transcanal atticotomy/tympanoplasty (n = 37) was performed depending on cholesteatoma extension, 16 of which were followed by second-look surgery. Preoperative computed tomography (CT) before second-look surgery or follow-up CT was performed to detect residual recurrence 1 year after the surgery. Cholesteatoma found at the second surgery was also included in the recurrence. All patients had no recurrent cholesteatoma at the last follow-up (median, 61 mo after surgery). Main Outcome Measures: Possible predictive factors were compared between the groups. Results: Residual cholesteatoma and retraction cholesteatoma occurred in 21 and 6%, respectively. There was no significant difference in age, sex, and type of cholesteatoma (open or closed) between the groups; however, Potsic stage and status of stapes involvement were more advanced in the residual cholesteatoma group. All residual lesions could be detected by follow-up CT or by second-look surgery. All of four retraction cholesteatoma patients were male, young at the surgery and in stage IV. Conclusion: Recurrence mostly occurred as residual cholesteatoma, suggesting that CT is recommended as a follow-up tool for congenital cholesteatoma. Advanced lesions had the risk of residual cholesteatoma, suggesting that complete removal of epithelium is important. Although rare, young advanced-stage patients had risk of retraction cholesteatoma and therefore normal mucosa should be preserved as much as possible for these patients.

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Pain Free 3 T MRI Scans in Cochlear Implantees

Objective: For cochlear implant recipients, undergoing magnetic resonance imaging (MRI) scans is associated with safety risks and potential side effects. Even following safety guidelines, potential complications (e.g., pain, magnet dislocation, image artifacts) are possible during 1.5 Tesla (T) MRI scans. The stronger static magnetic field of a 3.0 T scanner is associated with further risks of complication, including implant demagnetization. These complications led to the recent development of rotatable internal receiver magnets with a diametrical magnetization. The aim of this study was to evaluate the potential occurrence of pain during 3.0 T MRI scans for cochlear implant recipients with a rotatable, diametrically magnetized implant magnet. Patients: Five patients implanted with a cochlear implant diametrically magnetized magnet. Intervention: MRI scanning at 3 T. Main Outcome Measure: In the prospective patient study an MRI scan was performed on five implantees and the degree of pain was evaluated by a visual analog scale. Scans were performed initially with a magnet-supporting headband, and depending on the degree of discomfort/pain, repeated without the headband. Results: In all the patients, all the MRI scans were performed without any pain, even without the use of the supportive headband. Demagnetization was clinically not observed. Conclusion: 3.0 T MRI scanning can be performed on cochlear implant recipients with a rotatable diametrically magnetized internal magnet without risk of the most frequent cochlear-implant-related MRI complication: pain. This finding enables the expansion of MRI scanning indications up to 3.0 T without complication. Limitations in terms of MRI artifact still persist.

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Usefulness of Electrical Auditory Brainstem Responses to Assess the Functionality of the Cochlear Nerve Using an Intracochlear Test Electrode

Objective: To use an intracochlear test electrode to assess the integrity and the functionality of the auditory nerve in cochlear implant (CI) recipients and to compare electrical auditory brainstem responses (eABR) via the test electrode with the eABR responses with the CI. Setting: Otolaryngology department, tertiary referral hospital. Patients: Ten subjects (age at implantation 55 yr, range, 19–72) were subsequently implanted with a MED-EL CONCERTO CI on the side without any useful residual hearing. Interventions: Following identification of the round window (RW), the test electrode was inserted in the cochlea previous to cochlear implantation. Main Outcome Measures: To assess the quality of an eABR waveform, scoring criteria from Walton et al. (2008) were chosen. The waveforms in each session were classified by detecting waves III and V by the algorithm and visual assessment of the waveform. Speech performance was evaluated with monosyllables, disyllables, and sentence recognition tests. Results: It was possible to evoke electrical stimulation responses along with both the test electrode and the CI in all subjects. No significant differences in latencies or amplitudes after stimulation were found between the test electrode and the CI. All subjects obtained useful hearing with their CI and use their implants daily. Conclusions: The intracochlear test electrode may be suitable to test the integrity of the auditory nerve by recording eABR signals. This allows for further research on the status of the auditory nerve after tumor removal and correlation with auditory performance.

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A Multivariate Analytic Approach to the Differential Diagnosis of Apraxia of Speech

Purpose

Apraxia of speech (AOS) is a consequence of stroke that frequently co-occurs with aphasia. Its study is limited by difficulties with its perceptual evaluation and dissociation from co-occurring impairments. This study examined the classification accuracy of several acoustic measures for the differential diagnosis of AOS in a sample of stroke survivors.

Method

Fifty-seven individuals were included (mean age = 60.8 ± 10.4 years; 21 women, 36 men; mean months poststroke = 54.7 ± 46). Participants were grouped on the basis of speech/language testing as follows: AOS-Aphasia (n = 20), Aphasia Only (n = 24), and Stroke Control (n = 13). Normalized Pairwise Variability Index, proportion of distortion errors, voice onset time variability, and amplitude envelope modulation spectrum variables were obtained from connected speech samples. Measures were analyzed for group differences and entered into a linear discriminant analysis to predict diagnostic classification.

Results

Out-of-sample classification accuracy of all measures was over 90%. The envelope modulation spectrum variables had the greatest impact on classification when all measures were analyzed together.

Conclusions

This study contributes to efforts to identify objective acoustic measures that can facilitate the differential diagnosis of AOS. Results suggest that further study of these measures is warranted to determine the best predictors of AOS diagnosis.

Supplemental Materials

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Right-Ear Advantage for Speech-in-Noise Recognition in Patients with Nonlateralized Tinnitus and Normal Hearing Sensitivity

Abstract

Despite having normal hearing sensitivity, patients with chronic tinnitus may experience more difficulty recognizing speech in adverse listening conditions as compared to controls. However, the association between the characteristics of tinnitus (severity and loudness) and speech recognition remains unclear. In this study, the Quick Speech-in-Noise test (QuickSIN) was conducted monaurally on 14 patients with bilateral tinnitus and 14 age- and hearing-matched adults to determine the relation between tinnitus characteristics and speech understanding. Further, Tinnitus Handicap Inventory (THI), tinnitus loudness magnitude estimation, and loudness matching were obtained to better characterize the perceptual and psychological aspects of tinnitus. The patients reported low THI scores, with most participants in the slight handicap category. Significant between-group differences in speech-in-noise performance were only found at the 5-dB signal-to-noise ratio (SNR) condition. The tinnitus group performed significantly worse in the left ear than in the right ear, even though bilateral tinnitus percept and symmetrical thresholds were reported in all patients. This between-ear difference is likely influenced by a right-ear advantage for speech sounds, as factors related to testing order and fatigue were ruled out. Additionally, significant correlations found between SNR loss in the left ear and tinnitus loudness matching suggest that perceptual factors related to tinnitus had an effect on speech-in-noise performance, pointing to a possible interaction between peripheral and cognitive factors in chronic tinnitus. Further studies, that take into account both hearing and cognitive abilities of patients, are needed to better parse out the effect of tinnitus in the absence of hearing impairment.

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6 Steps to Treating Tinnitus

Tinnitus Causes Strange Sounds Inside the Inner Ear.

If you have tinnitus, then the constant sounds inside your ear canals can disrupt your life. Tinnitus affects numerous individuals worldwide, but researchers are still trying to understand this condition. In many cases, the cause of the strange sounds inside the ears isn’t known, making treating tinnitus more difficult. Occasionally, a physician will identify the cause of ringing in the ears because a patient has had an infection in the ear canal, or she has experienced a severe injury to the inner ear.

Six Treatments For Overcoming Tinnitus

This medical condition affects one in five individuals at some point in their lifetime, so finding ways for treating tinnitus is imperative. Here are some of the ways that experts care for the patients who have tinnitus.

Treatment 1: Making Repairs To the Inner Ear

First, a physician will perform an examination to determine if there is a problem inside the inner ear from an accident, injury or growth. Surgeons can make repairs to the tiny bones, eardrum or other structures inside the skull. If a patient has a growth or tumor, then removing it can reduce the occurrence of tinnitus.

Treatment 2: Medications For Infection or Depression

A physician can prescribe medications for tinnitus to eliminate an infection that is inside the ear’s components. When a patient feels distraught from the constant sounds in the ear, she can take antidepressants to overcome her anxious feelings.

Treatment 3: Ear Irrigation To Cleanse the Ear Canal

Professional cleaning of the ear canal can remove debris such as wax, skin or foreign bodies so that the eardrum can work normally. To have ear irrigation, a patient should visit a specialist who has the proper medical equipment.

Treatment 4: Treating an Underlying Condition

It is possible to have ringing in the ears from an underlying condition such as high blood pressure or a circulatory problem. When a physician can identify the underlying condition, you can take medications, or you can have treatments to reduce your blood pressure and to repair your blood circulation.

Treatment 5: Wearing a Hearing Aid

Wearing hearing aids is another method for treating tinnitus. In some cases, a hearing loss will lead to the perception of unusual sounds in the ear, and with the correct types of hearing aids, your tinnitus is reduced or will go away. Visit an audiologist to learn more about customized hearing aids.

Treatment 6: Living a Healthier Lifestyle

When you have tinnitus, living a healthier lifestyle is vital. If you smoke cigarettes, then your physician will recommend stopping this bad habit. Additional ways for treating tinnitus include eating a nutritious diet and exercising to lose weight.

Please note: the following information does not constitute professional medical advice, and is provided for general informational purposes only. Please speak to your doctor if you have tinnitus.

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