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Query: UMLS:C0262471 (ENT)
 5,307 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The object of this investigation is to describe persons with hearing defects knowledge about and the offers of help from the service for the deaf and, simultaneously, to describe the attitudes in the primary health sector to hearing problems and knowledge about the audiological possibilities in the hospital sector. One hundred and three consecutive persons referred to the service for the deaf for the first time (35 men and 68 women with an average of 74 years, range 15-94 years) were included in the investigation. The sex and age distributions were representative for the adult patient clientele in this department. On investigation in the department, the patients replied to a questionnaire which could reveal: the complaint which had led to referral to the department; how possible hearing problems had been discovered; why the patient sought help just now; how long the problem had been present; the treatment he/she expected to result from the investigation; whether the patient had previously discussed the hearing problem with the ENT specialist or his own general practitioner. 86% sought help in the department on account of hearing problems which had most frequently been noticed by the patient himself and his family. 55% had had the problem for one to five years and only 13% had had the problem for one year or less. 26% had experienced the hearing problem for more than five years. 59% expected relief of the problem in the form of a hearing aid, while 28% had no expectations about improvement or relief of their problem.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[Hearing disorders--what do we know?]. 292 35

This study was undertaken in the Valby health district in Copenhagen in order to evaluate the activities and attitudes of GPs concerning hearing problems in their elderly patients. Among 55 GPs offering health services to the 2915 residents > or = 80 years of age in the district, 76% (n = 42) responded to a structured questionnaire or personal interview, evaluating their line of action concerning hearing problems, and their knowledge and attitudes towards hearing aids (HAs). Among the responding GPs, 7% always seek information on the hearing ability of their elderly patients at the defined age, whereas 14% never focus on the hearing; 45% of the GPs always refer to an ENT specialist when hearing problems are present, which causes further delay in the rehabilitation process and increases costs within the primary health care sector. GPs' attitudes to HAs seem to be changing in a positive way, 91% of them revealing a positive attitude to HAs, and 86% indicating that a HA is capable of ameliorating a hearing problem in the elderly. Irrespective of this positive attitude, the knowledge of types of HAs among GPs seems limited. The study cannot support the idea of making HAs prescribable by GPs unless they are first offered intensive courses on audiology.
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PMID:Primary physicians and the elderly hearing-impaired. Actions and attitudes. 897 97

Hearing disorders are a well-described symptom in patients with multiple sclerosis (MS). Unilateral or bilateral hyperacusis or deafness in patients with normal sound audiometry is often attributed to demyelinating lesions in the central auditory pathway. Less known in MS is a central phonophobia, whereby acoustic stimuli provoke unpleasant and painful paresthesia and lead to the corresponding avoidance behaviour. In our comparison collective, patient 1 described acute shooting pain attacks in his right cheek each time set off by the ringing of the telephone. Patient 2 complained of intensified, unbearable noise sensations when hearing nonlanguage acoustic stimuli. Patient 3 noticed hearing unpleasant echoes and disorders of the directional hearing. All patients had a clinical brainstem syndrome. ENT inspection, sound audiometry and stapedius reflex were normal. All three patients had pathologically changed auditory evoked potentials (AEPs) with indications of a brainstem lesion, and in magnetic resonance imaging (MRI) demyelinating lesions in the ipsilateral pons and in the central auditory pathway. The origin we presume in case 1 is an abnormal impulse conduction from the leminiscus lateralis to the central trigeminus pathway and, in the other cases, a disturbance in the central sensory modulation. All patients developed in the further course a clinically definite MS. Having excluded peripheral causes for a hyperacusis, such as, e.g., an idiopathic facial nerve palsy or myasthenia gravis, one should always consider the possibility of MS in a case of central phonophobia. Therapeutic possibilities include the giving of serotonin reuptake inhibitors or acoustic lenses for clearly definable disturbing frequencies.
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PMID:Central hyperacusis with phonophobia in multiple sclerosis. 1247 92

Early diagnosis of a hearing impairment, follow-up and timely effective intervention are the aims of optimal management of the hard-of-hearing patient. Today, every fifth adult has a hearing problem. This means that the general practitioner not only faces a diagnostic challenge, but also needs to concern himself with the prevention of a hearing loss or its further progression. In the event of a hearing aid being required, the individual needs of the patient must be taken into account. Currently available are behind-the-ear and in-the-ear, both as digital and analog devices. The most expensive, smallest and most modern device is not necessarily the best option for the individual patient, and fitting should be a cooperative effort on the part of the ENT physician and the hearing aid specialist. Required is a specific history, comprehensive counseling of the patient, a phase of testing at home and, where necessary, concomitant acoustic training. The German Society for the Hard-of-Hearing has advice centres in many towns and cities that provide information and counseling on rehabilitation and the legal rights of the deaf.
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PMID:[40% of hearing aids are not worn. Making sure the device doesn't wind up in the drawer!]. 1257 37

The hearing disorders of the child between 3 and 12 years are dominated by the conductive hearing loss. The questioning, looking for risk factors, as well as the otoscopy are essential to detect and diagnose a hearing disorder. Screening tests help to identify the children with risk of hearing loss. Then, the child is sent for diagnosis towards an ENT specialist or a specialized structure. In spite of the frequency of the conductive hearing loss, in case of the slightest doubt, a sensorineural hearing loss must be always looked for by a puretone audiometry examination via the headphones.
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PMID:[Hearing disorders in 3- to 12-year-olds]. 2154 27

The efficacy of neonatal screening in lowering age at diagnosis and treatment in congenital hearing loss should not mask the limitations due to the fact that hearing loss often appears or is detected after birth. Early diagnosis of secondary or progressive postnatal hearing loss is nevertheless necessary and justifies systematic screening of hearing disorder in all children seen in consultation, for whatever reason. Screening bilateral hearing loss in under-2 year-olds in a community context is feasible, using simple means: parent interview, clinical observation, and acoumetry using the voice and sound-emitting toys. In case of abnormality detected or suspected on screening, children of whatever age should be referred to an ENT specialist for complete audiometric assessment. Behavioural audiometry is feasible in very young children, and indispensable to diagnosis. The parents will only be reassured after specialized hearing examinations have been performed.
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PMID:Hearing screening by community physicians in under-2 year-olds. 2492 13