Hearing aid delivery: an expansion of medical services.
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Biomedical subjects
Publications and source records attributed to S S Graham.
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Many professionals in the hearing health care field recognize the need for change in the hearing aid delivery system. Reported herein are the results of 30 months of direct dispensing experience within a private otolaryngological-audiological clinic. A review of the dispensing of 520 aids shows numerous advantages and minimal disadvantages of this approach. Equipment requirements, patient cost, fitting procedures, and problems incurred are described. Direct dispensing, along with professional management of the rehabilitative process by the otolaryngological-audiological team is advocated on the basis of the positive results to date.
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Roles of the otolaryngologist and the audiologist in providing hearing health care are expanding as a result of current trends in amplification technology, legislation, and patient populations. Within clinic dispensing of hearing aids has become a part of this role expansion. Requirements for setting up a dispensary, fitting procedures, fee analysis, and statistical results of 4 1/2 years' experience are discussed. On the basis of the benefits described, direct dispensing is advocated.
Reports of sudden hearing loss as the first sign of an intracranial aneurysm are sparse and published primarily in the neurologic literature. A case report is presented in which the initial signs and symptoms of a lobular aneurysm in the posterior communicating artery were the sudden onset of bilateral sensorineural hearing loss, tinnitus, and headache. Following evaluation and identification of the aneurysm, this patient underwent a craniotomy with clipping of the aneurysm; hearing sensitivity improved dramatically following surgery. The world literature is reviewed for cases in which aneurysms have initially occurred as hearing loss, tinnitus, or both. Intracranial aneurysm is discussed as a rare, potential source of a sudden sensorineural hearing loss.