General measures Nicotine restriction (abstaining from tobacco use) including passive smoking Tobacco (smoking) – leads to a 1.7-fold risk of hearing loss, especially in the high frequencies Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day) Alcohol – in high doses (woman: > 40 g/day; man: > … Hearing Impairment: Therapy
People who suffer from hearing loss are often severely limited in their everyday life and in their perception of the world around them. Communication with fellow human beings is also significantly more difficult, as many affected people are uncomfortable asking if they have not understood something. This can lead to social isolation. Indications of early … Hearing Loss (Hypacusis): Symptoms, Complaints, Signs
The following are the most important diseases or complications that may be contributed to by hypacusis (hearing loss): Circulatory system (I00-I99) Apoplexy (stroke) (if hearing loss is untreated). Myocardial infarction (heart attack) (in untreated hearing loss). Ears – mastoid process (H60-H95). Progressive hearing loss Surditas (deafness) Psyche – nervous system (F00-F99; G00-G99) Dementia Low-grade hearing … Hearing Loss (Hypacusis): Complications
Hearing aids are still the treatment of choice for age-related hearing loss. Modern devices are small, have sophisticated microelectronic technology and can be worn either behind the ear or even in the ear canal.Today, they can compensate for almost any type of hearing loss to the extent that sufficient speech understanding and thus communication with … Hearing Loss (Hypacusis): Hearing Aids
Classification of hearing loss (hypacusis) according to severity (WHO) including clinical recommendations. Degree of hearing loss Moderate hearing loss(in pure tone audiogram* ) Clinical findings Clinical recommendation Grade 0 (normal hearing) 25 dB or better Patient can hear whispered speech(no or only mild problems with communication) Follow-up; check surgical indication for conductive hearing loss. Grade … Hearing Loss (Hypacusis): Classification
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height, etc. ENT medical examination including medical device diagnostics (e.g., sound threshold audiometry); furthermore. Tuning fork tests according to Weber and Rinne to differentiate between: middle ear-related conductive and inner ear-related sensorineural hearing … Hearing Loss (Hypacusis): Examination
1st order laboratory parameters – obligatory laboratory tests. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Smear for bacteriological / mycological examination.
Therapy target Improvement of hearing Therapy recommendations Drug therapy is not currently available for hypacusis (hearing loss. However, substances are in development that could possibly have a promoting effect on the growth of the sensitive hair cells. Presence of a hearing loss: see below hearing loss / drug therapy. Presence of acute sensorineural hearing loss: … Hearing Loss (Hypacusis): Drug Therapy
Audiometric testing procedures are used to diagnose hearing disorders.These tests include: Sound threshold audiometry – air and bone conduction to distinguish disorders of the inner ear (consisting of: Cochlea (cochlea) and the organ of equilibrium/referring to: sound sensation disorder) or the middle ear (referring to: sound conduction disorder)[Age-related hearing loss (presbycusis): symmetrical impairment of hearing … Hearing Loss (Hypacusis): Diagnostic Tests
In the cochlea (cochlea of the auditory canal), increased deletions take place in the mitochondrial DNA with age and age-related hearing loss due to the influence of free radicals, which disrupts the respiratory chain and impairs cellular energy supply. This can result in hearing loss. Within the framework of micronutrient medicine (vital substances), the following … Hearing Loss (Hypacusis): Micronutrient Therapy
Medical history (history of the patient) is an important component in the diagnosis of dysacusis (hearing loss). Family history Are there frequent problems with hearing loss in your family? Social history What is your profession? Have you had any contact with lead, carbon monoxide, mercury, carbon disulfide, tin, or other chemical compounds? Do you often … Hearing Loss (Hypacusis): Medical History
Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Alport syndrome (also called progressive hereditary nephritis) – genetic disorder with both autosomal dominant and autosomal recessive inheritance with malformed collagen fibers that can lead to nephritis (inflammation of the kidneys), sensorineural hearing loss, and various eye disorders such as a cataract Alström syndrome – genetic disease with … Hearing Loss (Hypacusis): Or something else? Differential Diagnosis