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Communication Sciences & Disorders

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Audiology and Auditory Dysfunction
George T. Mencher, Nova Scotia Hearing and Speech Clinic, Canada
Sanford E. Gerber, Eastern Washington University
Andrew McCombe, Frimley Park Hospital, U.K.

ISBN-10: 0205161014
ISBN-13: 9780205161010

Publisher: Allyn & Bacon
Copyright: 1997
Format: Cloth; 288 pp
Published: 09/19/1996

Suggested retail price: $149.20
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Audiology and Auditory Dysfunction is a comprehensive, current, and accurate survey of both audiometry and hearing disorders. It is appropriate for beginning and intermediate students alike, and will be an essential reference for all inservice professionals.

All readers will find the book to be organized in a logical and concise fashion. Beginning with a discussion of sound, what we hear, and how to measure hearing loss, the book continues with a systematic exploration of the pathologies likely to be found at the pinna, in the ear canal, the middle ear, the cochlea, the brainstem, and the cortical levels. Each chapter concludes with a “Comment” designed to highlight the most important aspect of the material just reviewed.

In addition to being an excellent survey text, the broad scope of Audiology and Auditory Dysfunction and its systematic approach to auditory pathology make it an excellent reference book for clinicians working in Audiology and Speech-Language Pathology. Since a clinician is unlikely to encounter all the disorders reviewed in the book within a single year, the book represents a lifetime of clinical exposure. The working clinician needs to have a fundamental background and a ready reference to use when new and unusual cases appear. The text offers that combination.

  • The most interesting and informative photographs and illustrations of the pathologies likely to be encountered in a hearing clinic, provided by Dr. Michael Hawke, the world's foremost otological photographer. These illustrations help the reader to see and understand the pathologies as they are discussed.
  • “Concluding Comments” in each chapter highlight important information and “Case Studies” in almost every chapter give both students and clinicians an illustration of the problem or procedure being discussed in a practical and easily understood manner.
  • Contributions from leading experts—Dr. Anthony Jahn, whose work in auditory physiology is reknown and Drs. Dean Garstecki and Susan Erler, who have prepared the most definitive summary of the state-of-the-art of (re)habilitation of hearing loss—coupled with an author team of two audiologists and one otologist make it not only the most current text on the topic, but also one of the most authoritative.

Every chapter ends with “Comment.”

Preface.


1.  Anatomy and Physiology of the Human Ear.

Introduction.

Outer Ear.

Tympanic Membrane.

Middle Ear.

Ossicular Chain Mastoid Process Eustachian Tube.

Inner Ear.

Vestibular System Cochlea Hair Cell Activity Auditory and Vestibular Nerves and Higher Centers.



2.  What We Hear.

Acoustics.

Wavelength Speed of Sound Hertz/Frequency Amplitude/Intensity.

Psychoacoustics.

Threshold Pitch Loudness Loudness Level.

The Acoustics of Speech.



3.  Basic Audiometric Testing.

The Audiometer.

Frequency Characteristics Intensity Characteristics General Audiometer Controls Alternative Stimuli Speech Stimuli.

Calibration.

Test Procedures.

The Ascending-Descending Technique Masking Frequency Choice.

Tests of Middle Ear Function.

Bone Conduction Immitance Testing and Tympanometric Screening.

Speech Audiometry.

Speech Reception Threshold (SRT) Speech Discrimination.



4.  Acquired Disorders of the External Ear.

Infective and Inflammatory Disorders of the Pinna.

Trauma Seasonal Temperature Variations Otitis Externa Fungal Infections (Otomycosis) Herpes Infection.

Obstructions.

Collapsed Ear Canals Wax Impaction.

Neoplasms.

Exotoses Osteomas Granulomas Malignant Tumors.



5.  Anomolies of the External Ear.

Embryology.

Otogenetic Development Auditory System Development • Irregularities of the External Ear • Microtia and Atresia Facial Anomalies Additional Terminology Complex Craniofacial Anomalies.

Treatment for Complex Craniofacial Disorders.

Surgical Approaches Audiological Approaches.



6.  Otitis Media.

The Middle Ear Transformer and Conductive Hearing Impairment.

Pathology and Etiology.

Acute Suppurative Otitis Media Acute Serous Otitis Media Chronic Serous Otitis Media Chronic Suppurative Otitis Media Complications of Middle Ear Disease.

Audiological Considerations.



7.  Bony Abnormalities of the Middle Ear.

Congenital Malformations of the Middle Ear.

Pathology and Etiology • Audiological Considerations.

Otosclerosis.

Pathology and Etiology Medical and Surgical Management Audiological Management.



8.  Congenital Hearing Impairment.

Etiology and Pathology.

Congenital Genetic Deafness Forms of Pathology Associated Anomalies.

Congenital Non-Genetic Deafness.

Viral Deafness Protozoal Infections TORCHS Syndromes.

Medical Considerations.

Audiological Considerations.



9.  Acquired Hearing Impairment.

Tinnitis and Recruitment.

Tinnitis Recruitment.

Acquired Disease.

Viral Diseases Bacterial Diseases.

Sudden Onset and Degenerative Disorders.

Trauma.

Hearing Loss Associated With Systemic Disease.

Thyroid Disease Diabetes Mellitus Kidney Disease Multiple Sclerosis Connective Tissue Disease Meniere's Disease.



10.  Ototoxicity.

Pathology.

Drugs and Chemicals That Affect Hearing.

Antibiotics Loop Diuretics Analgesics and Antipyretics Anti-Malarial Agents Anti-Neoplastic or Chemotherapeutic Agents Miscellaneous Drugs Chemicals and General Toxins.

Behavioral Toxins.



11.  Noise Exposure and Hearing Loss.

Epidemiology.

Auditory Pathology.

Role of the Middle Ear Damage to the Cochlea: Temporary Threshold Shift (TTS) Damage to the Cochlea: Permanent Threshold Shift (PTS).

Associated Pathology.

General Stress Reactions Physical Disorders Mental and Emotional Difficulties Special Problems.

Prevention.

Measures of Existing Sound Levels Means to Reduce Hazardous Exposure Monitoring Programs to Ensure Safety and Compliance Treatment and Follow-Up Programs.



12.  Presbycusis.

Demographic Background.

Prevalence Contributing Factors.

Pathology.

The Outer Ear The Middle Ear The Inner Ear.

Clinical Features.

Medical Management of the Presbyacusic Patient.



13.  Disorders of the Auditory Nerve and Brainstem.

Acoustic Neuromas.

Pathology and Clinical Features Audiological Considerations Medical Considerations.

von Recklinghausen Disease.

Brainstem Lesions.



14.  Auditory Processing Disorders.

Pathology and Etiology.

Prelingual Disorders.

Auditory Discrimination Auditory Association Auditory Closure Auditory Memory Auditory Localization Auditory Figure-Ground Perception.

Postlingual Disorders.

Neoplasms Diseases Vascular Events (Cerebrovascular Accidents—CVA) Head Trauma Iatrogenesis.

Identifying Central Auditory Pathology.

Treatment/Management of Central Processing Disorders.



15.  Hearing Loss Management in Children and Adults.

Impact of Hearing Loss on Communication, Learning, and Personal Development.

Effect on Speech Effect on Language and Learning Effect on Personal Development.

The Clinical Process.

Candidacy Introduction/Orientation History Medical Evaluation Ancillary Evaluations Pre-Selection of Sensory Aids Benefit/Re-Evaluation Communication Evaluation Handicap Scales.

Considerations in Evaluations.

Sensory Aid Benefit Evaluation of Communication Skills Evaluation of Counseling Needs.

Considerations in Remediation.

Sensory Aids Communication Remediation Counseling.

Comment.



References.


Index.

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