Audiology and Hearing News

How does exposure to loud sounds damage hearing ?
The normally functioning human ear is an amazingly sensitive receptor of a wide range of sounds. Sound vibrations with a movement as small as 1/10th the diameter of a hydrogen molecule can be perceived, and early in life we can perceive pitches from as low as 20 cycles per second up to 20,000 cycles per second. Sound vibrations are collected by the outer ear and directed down the ear canal to the eardrum. This flexible, circular membrane vibrates and transmits those sounds through the three tiny bones in the middle ear called the ossicles (known by many as the hammer, anvil, and stirrup). These vibrations are then transmitted via a piston-like motion into the inner ear, or cochlea. The cochlea resembles a snail and contains a series of tubes that contain fluid. The sounds are now converted into a wave of fluid that stimulates tiny hair cells producing an electrical impulse that travels through the auditory nerve to the hearing centers in the brain. It is the hair cells that are damaged by exposure to loud sounds. Early signs of hair cell damage may include tinnitus (a ringing, roaring, or hissing sound in the ears). Conversations will become difficult to follow in the presence of competing noise. Continued exposure to damaging sound levels will result in a permanent and progressive hearing loss for high pitches. Speech will begin to sound mumbled as it becomes difficult to understand the meaning of certain words. This type of hearing damage cannot be repaired by surgery. The best solution is prevention. Avoid the damaging effects of noise by avoiding loud sounds. If your occupation or recreation exposes you to loud sounds, wear quality hearing protection consistently. Advanced digital hearing aids that are properly selected, fit and tuned can help restore the perception of these high pitched sounds by selectively providing comfortable levels of amplification for the pitches that are affected. Recent technological advances including directional microphone arrays, noise reduction algorithms and active feedback cancellation have vastly increased the benefit provided by hearing aids in challenging listening environments. High frequency amplification may also provide some relief from bothersome tinnitus.
Jeffrey D. Russell, Au.D., CCC/A, Audiologist

 

      Invisible Hearing Aids ??  Questions & Answers:

What are the tiny "nearly invisible" hearing aids I see advertised?

These are a style of hearing aid known as "Completely-In-Canal" hearing aids or "CICs".

Are CICs the best and most advanced type of hearing aid ?

The CIC is simply a "shell style". Within that shell may be a very advanced digital circuit or it may house a very primitive linear analog circuit. The shell style alone does not guarantee a high quality circuit inside. Electro-acoustic measurements can be made by an Audiologist with specialized equipment to identify the type of circuit.

So, what are the advantages of these small CIC hearing aids ?

CICs offer obvious cosmetic advantages. They are custom molded to fit in the ear canal with only a faceplate visible at the entrance to the ear canal. There can be some functional and acoustic advantages as well. The user retains more of the natural amplification provided by their unique ear shape. Telephone use can be simplified due to the depth of the aid in the ear canal. The ability to locate the source of sounds may be improved in some cases.

What are the disadvantages of CIC hearing aids?

CICs are not appropriate or preferable for everyone. Patients must have adequate canal size and shape to accommodate the shell comfortably. CICs require more maintenance and cleaning than some other styles. Batteries are smaller and battery life is reduced in CICs. Also, there is a limit as to the severity of the hearing loss that can be helped by CICs. CICs are more expensive than an identical circuit placed in a larger shell style.

How do I know if CIC are appropriate for my hearing loss ?

Generally, CICs can be considered for mild to moderate hearing losses in individuals with no recent history of ear drainage or ear disease, and with adequate ear canal size and shape. A full audiological evaluation is necessary in order to rule out any conditions that would prevent successful hearing aid use and to insure that you are a candidate for hearing aid use. CICs are not the right hearing solution for all people, but for some it is the only acceptable solution.
 
 

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Should My Child Have A Hearing Test?

 

Yes, if your child has a history which includes certain medical conditions or if you have
any of the following concerns:

Babies...
- your baby does not startle or jump to loud sounds
- your baby does not stop sucking or crying when there is a new sound
- your three-month-old baby does not coo at times
- your nine-month-old does not turn toward you when called from behind or make babbling sounds,
  such as "baba"
- your one-year-old does not babble using a variety of consonant sounds (g,m,n,b,d)
- your eighteen-month-old does not use single words to express his or her wants
- your two-year-old does not repeat words and does not use short phrases when talking
- your child has had many ear infections
- your child uses gestures to communicate

Children...
- your four-year-old's speech is difficult for most people to understand
- your child often asks for things to be repeated
- your child seems to watch your face closely when you talk
- your child seems inattentive at home or school
- your child does not communicate as well as other children the same age
- your child often responds to a question with an unrelated answer
- your child prefers the TV or radio louder than others in your family
- your child has had many ear infections

For more information on audiological testing, hearing loss & hearing solutions:
North Florida Hearing Services, Perry, Florida
Call (850) 584-3277 Monday-Wednesday
 
 
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Hearing Loss and Relationships
 

* Hearing loss affects more American families than any other health condition.

* Almost 10% of the population copes with hearing loss. Hearing Loss is not limited to the elderly.

* 65% of those with hearing loss are below age 65 with the greatest number being 35-54.

* By the year 2050, it is expected that the number of people with hearing loss will increase by 102 %.

* A dependency on others in difficult listening situations can have a negative effect on self- confidence and self-esteem and interfere with relationships.

* Communication difficulties may be perceived as a lack of interest, low intelligence or personality problems.

Self Help for the Hard of Hearing Newsletter
 
Hearing Loss in Children
 

A study of 6,166 children conducted by the National Health and Nutrition Examination Survey and published in the Journal of the American Medical Association revealed that 15% of children in this age group have at least a slight hearing loss in one or both ears.

Audiometric testing was completed from .5 kHz to 8 kHz and hearing loss was defined as a pure tone average of 16 dB Hl or greater. Most cases of hearing loss were in one ear only and in the slight hearing loss range of 16-25 dB HL. Because even minimal levels of hearing loss can affect academic performance and the development of communication skills, the authors recommended conducting hearing screenings throughout the school years.

Prevalence of hearing loss among children aged 6 to 19 years of age. C. Niskar et. Al. JAMA (1998).
 
 
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