Adult

Adult

Tinnitus Functional Index

The Tinnitus Functional Index (TFI) was reported by Henry et al (2014). They report five stages of TFI development through which prototypes were developed, tested, and revised over a four-year period. The TFI has eight subscales that address the intrusiveness of tinnitus, the sense of control the patient has, cognitive interference, sleep disturbance, auditory issues, relaxation issues, quality of life, and emotional distress.

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Re-Implanting Cochlear Implants

Mahtani et al (2014) report that the experience of some 30 adults (32 ears) who had re-implantation of their cochlear implants (CI) due to device failure for 17 patients, infection for 4 patients, pain for 2 patients, change to multi-channel device for 2 patients, head trauma for 2 patients, displaced device for 2 patients, partial insertion for 1 patient, and unknown for 2 patients.

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Expanding Cochlear Implant Criteria?

Hughes et al (2014) retrospectively evaluated post-cochlear implant (CI) performance for CI recipients who had better hearing than the established FDA criteria. Charts from 37 patients (26 adults, 11 children) from 1991 to 2013 were included and three groups were established as follows.

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Cochlear Implantation with a Normal Hearing Contralateral Ear

Blasco and Redleaf (2014) note that otologists around the world have used cochlear implants (CIs) as an effective therapy for people presenting with severe-to-profound sudden sensorineural hearing loss (SSNHL) even though the contralateral ear presents with normal hearing. Blasco and Redleaf report that more traditional therapies such as bone-anchored devices and contralateral routing of signal (CROS) provide only minimal benefit for users and those users do worse in noisy backgrounds. 

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Spatial Cues and Sensorineural Hearing Loss

Spatial cues such as inter-aural timing differences (ITDs) and inter-aural loudness differences (ILDs) allow listeners to determine the location of sounds in space (i.e., knowing where sounds originate) thus allowing the listener to know where to focus their attention. Further, inter-aural cues have been shown to allow people with normal hearing to better understand speech in degraded signal-to-noise ratios (SNRs).

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Patients and their Psychosocial Concerns

Poost-Foroosh, Jennings, and colleagues (2011) reported eight key factors occurring between the patient and clinician that influence the decision to purchase hearing aids:

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Hybrid Cochlear Implants and Localization

Lammers et al (2014) evaluated 18 subjects who had bilateral low-frequency hearing and were implanted with a hybrid cochlear implant (HCI). The authors note that when traditional cochlear implants (CIs) localize sound they depend on interaural loudness differences (ILDs). The authors queried whether the additional low-frequency acoustic information provided through HCI would provide additional localization cues through interaural timing differences (ITDs).

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Listening Effort and Fatigue

McGarrigle et al (2014) presented a discussion paper in the International Journal of Audiology in which they (the British Society of Audiology) query and explore the difference(s) between "listening effort" and "fatigue" associated with hearing loss.

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Hearing Aid Acquisition Changing at the Speed of Sound

Professions, professionals, and protocols change. For example, only a few years ago, many professionals would have said the Internet and direct mail acquisition of hearing aids has not impacted their practice, and further, many professionals refused to help patients who purchased their hearing aids online. It’s changed.

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Tinnitus Management 2014: Part One

Fagelson (2014) reports that tinnitus affects some 10 to 15 percent of the population. He reports that there is no relationship between the distress/severity of the perceived tinnitus and auditory sensitivity and indeed, some 50 percent (or more) of tinnitus sufferers have a comorbid psychological injury or illness such as post-traumatic stress disorder (PTST), depression, anxiety, obsessive compulsive disorder, stress, and more.

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