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Incidence and prevalence of hearing loss |
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10% of the population has a hearing loss 8% of births 50% of those over 65 |
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Pinna External Auditory Meatus Tympanic Membrane |
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Outer ear flexible cartilage covered with skin funnels the sound |
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Outer ear eardrum (boundary between outer/middle) |
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Tympanic Cavity Eustachian Tube Ossicular Chain (Middle Ear Bones) -Malleus -Incus -Stapes |
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Middle ear air-filled cavity |
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Middle ear connects the middle ear with the nasopharnyx allows for equalization of air pressure |
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(Middle Ear Bones) Malleus Incus Stapes |
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Middle Ear--Ossicular Chain attached to tympanic membrane (eardrum) |
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Middle Ear--Ossicular Chain bone that connects the two |
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Middle Ear--Ossicular Chain attached to the oval window of the inner ear (smaller bone in the human body) |
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Two parts: Auditory, Vestibular |
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Inner ear Auditory input to the cns through the cochlea |
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-coiled structure that contains the auditory receptor cells -two concentric fluid-filled labyrinths moving in opposite directions Organ of Corti: house the sensory receptor cells (hair cells), as they move they generate energy |
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Inner ear Supplies information regarding balance and spatial orientation through the vestibular system Fibers from the inner ear exit through the internal auditory meatus and join the brainstem |
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Result of deformation, malfunction, or obstruction to the outer or middle ear -intensity of sound reaching the inner ear is reduced usually temporary, not a total hearing loss |
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Chronic Fluids fill the middle ear cavity, stiffen the tympanic membrane and ossicular chain -Purulent -Acute -Chronic |
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Infection (pain, illness, drainage) |
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Rapid onset, resolved withing 3 weeks with medication |
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Conditions persist for more than 8 weeks |
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Sensorineural Hearing Loss |
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Absence, malformation, or damage to the inner ear (hair cells) Congenital or acquired Permanent loss High frequency loss Sound intensity disruption, sound distortion Negative impact on speech and language |
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Inner Ear Hearing loss due to the absence or malformation of inner ear structures during embryonic development |
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Severe to profound SL hearing loss associated with visual impairment Genetic, progressive |
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Mild to sever SL hearing loss, pigmentation discoloration (hair and iris) Genetic |
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SL hearing loss and kidney disease Genetic, progressive |
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Mother contracts rubella during pregnancy Congenital SL hearing loss (not genetic)--severe to profound |
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Bacterial infection or high fever Severe to profound SL hearing loss -Ototoxic (poisonous to the hearing system) levels from potent antibiotics can do the same acquired |
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Sudden SL often accompanied with vertigo -Unequal pressure Often resolves on its own--various treatments ringing in the ear acquired, sudden onset |
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Sudden onset Pressure build up within the inner ear, buildup of endolymphatic fluid in the cochlea Fluctuating and progressive SL hearing loss (episodic) |
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Acquired Benign and slow growing tumors, unilateral Removal leads to permanent hearing loss |
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Acquire SL hearing loss. Avoidable. Consisten exposure to sound (youth-middle age) Stresses hair cells of the cochlea--irreversible SL Generally starts as unilateral: one side. Other ear tries to compensate. |
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SL hearing loss due to short-term exposure that may recover spontaneously. Could be one single exposure. Could be permanent. |
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Occurs due to the aging process Involves not only acuity, but sound perception Cannot perceive sound location True even with insignificant loss, speech perception is affected |
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