PubMed · 4262330
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P Pialoux, A Lucas. 1970. [Control tests in audiometric evaluation].. https://pubmed.ncbi.nlm.nih.gov/4262330/
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The hearing profile amongst school learners in the Western Cape was investigated. The University of Cape Town's hearing-screening programme at 11 primary schools (n=1101) was audited and revealed a 13.8% referral rate amongst school-aged children. The possible effects of environmental noise on hearing-screening performance at 500Hz was investigated. When the hearing-screening results at 500Hz were excluded from the audit, the referral rate was reduced from 13.8% to 7.9%. The referral rate for hearing-screening failures amongst the learners in the sample was towards the high end of the range for developing countries (3.3-13.9%). More learners had unilateral than bilateral hearing failures while laterality, gender and geographical differences were minimal. This high referral rate suggests a strong need for hearing-screening of the school-aged population.
The efficiency of titanium middle ear prosthesis for ossicular reconstruction in chronic ear disease is investigated in a Scandinavian two-center retrospective study from a Norwegian tertiary otology referral center and a Finnish otology referral center. Retrospective chart reviews were performed for procedures involving 73 titanium prostheses between 1999 and 2004. All patients that underwent surgery including the Kurz Vario titanium prosthesis were included in the study, 38 procedures including the partial ossicular replacement prosthesis (PORP) and 35 procedures including the total ossicular replacement prosthesis (TORP). Mean follow-up was 14 months. The ossiculoplasty was performed alone (29 patients) or in combination with other chronic ear surgery procedures (34 patients). Comparisons of preoperative and postoperative pure tone averages (0.5, 1, 2, and 3 kHz) according to AAO-HNS guidelines are presented, as well as data for different PTA definitions. Otosurgery procedures, complications, revisions, and extrusion rates are reported. A postoperative air-bone gap (ABG) of <or=20 dB was obtained in 77% of the patients, 89% for the Bell (Porp) prosthesis, and 63% for the Arial (Torp) prosthesis. Overall mean pure tone averages improved 20.6 dB with ABG improvement of 19.3 dB. The overall extrusion rate was 5% (4 patients). Titanium prostheses have been easy and fast to handle and effective implants for reconstruction of the ossicular chain. We found no difference between reconstruction with or without cholesteatoma surgery during the same procedure. The combination of CWD and Torp gave significant inferior hearing thresholds as compared to Torp/CWU and Porp/CWD combinations.
Failure to recognize the presence of a hearing impairment in early childhood can severely harm the development of the child. A differentiation is made between sound conduction deafness and sensorineural.deafness. The former may be temporary or permanent. The latter may be inherited or acquired. Inherited sensorineural deafness occurs within the framework of syndromes, or may be monosymptomatic. Acquired sensorineural deafness may occur prenatally, perinatally or postnatally. A range of subjective and objective audiological tests is available, which, depending on the age and state of developmental of the child, can be used in combination. Cases of syndromal deafness are investigated on an interdisciplinary basis and involve the pediatrician, geneticist, laboratory physician and radiologist.