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- ChapterSource: Valente M, Valente L, ed. Adult Audiology Casebook. 2nd Edition. Thieme; 2020. doi:10.1055/b-006-161154Comment: NA is a 61-year-old male diagnosed with Meniere’s disease 10 years ago. He reports previous fluctuating hearing loss that has stabilized for approximately 1 year. Additional symptoms include intermittent bilateral low-frequency roaring tinnitus, but no recent episodes of vertigo or imbalance. NA states the primary symptoms of his Meniere’s disease include fluctuating hearing and dizziness, and both have subsided following dietary changes (e.g., lower salt intake and no caffeine). He also reports a history of occupational noise exposure and his mother had hearing loss at a young age from an unknown cause. NA denies recent ear infections, aural fullness, or drainage.
Chapter 1. Managing Mild Hearing Loss, Selected From Pediatric Audiology Casebook, 2e, Jane R. Madell, Carol Flexer, Jace Wolfe, and Erin C. Schafer, 2020Source: Madell J, Flexer C, Wolfe J et al., ed. Pediatric Audiology Casebook. 2nd Edition. Thieme; 2019. doi:10.1055/b-006-149649
- CockpitComment: Sam is a 5-year-old who was enrolled in a longitudinal study of outcomes of children with hearing loss (Outcomes of Children with Hearing Loss, OCHL). Records indicate that Sam referred on the newborn hearing screen in both ears, and the family was given a written recommendation for a follow-up rescreen by 4 weeks of age. Medical records from his pediatrician do not mention a referral on the newborn hearing screen or any hearing-related follow-up until age 14 months when Sam presented with otitis media. He received bilateral tympanostomy tubes at 18 months after experiencing chronic middle ear effusion. Sam’s mother reported that he was fitted with hearing aids (HAs) at age 3 years and was not enrolled in early intervention services due to his late confirmation of hearing loss.
- CockpitComment: This case highlights the team approach to management of children with hearing loss, including: the importance of viewing the whole child and desired communication and educational outcomes; supporting and guiding the parents with provision of relevant information; use of the Listening Age Formula; the Cottage Acquisition Scales for Listening, Language, and Speech; and various norm-referenced speech and language tests.
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