Wednesday, June 27, 2007

Earmolds

I saw a wonderful lady who needed her hearing aids adjusted and, upon inspection, she needed new earmolds. Synth-a-flex II was chosen as the material since it will be soft and comfortable for her. Plus only a small pinhole was suggested to reduce feedback. According to Taylor and Younk, severity of loss is an important factor when choosing an earmold material. In addition, age, ear tissue, and the activity level of the patient should be considered.

See the article by Taylor and Younk here:
http://www.hearingreview.com/issues/articles/2005-11_02.asp

and here is just a good question on audiology online:
http://www.audiologyonline.com/askexpert/display_question.asp?question_id=27

Sunday, June 17, 2007

Otitis media and children

Gravel and Wallace (2000). Effects of otitis media with effusion on hearing in the first 3 years of life. Journal of Speech, Language, and Hearing Research, 43, 631-644.

http://jslhr.asha.org/cgi/reprint/43/3/631

This week I saw my first client! He came in for a audiology assessment as apart of a speech diagnostic. He has PE tubes present in both ears due to otitis media problems. He has had the tubes for 6 months and he is now 4 years old. According to Gravel and Wallace, language learning within the first three years is especially important. When a child has OM, testing needs to be often since one test tells little about their whole language development period. Also, the risk for hearing loss is much greater with OM. Another hearing evaluation once the client was older was suggested. This would allow us to test more frequencies and obtain more reliable thresholds.

Just a side note... when working with children, throw everything out the window and pull out the bears. (I couldn't find an reputable article on this topic, sorry)