I recently came across an article discussing a person with the diagnosis of Cochlear Otosclerosis? Exactly what does the diagnosis of Cochlear Otosclerosis entail? I am assuming a person must have Otosclerosis of the middle ear first in order to get Cochlear otosclerosis? Also I realize it causes SNHL, but what sort of damage does it do to the Inner ear? Some sources mention it causes permanent SNHL but that some medications may be prescribed to prevent further damage. From the House Ear Institute website, it states "in selected cases medication may be prescribed in an attempt to prevent further nerve impairment." What kind of medications are prescribed?
Yes you are correct, a person must have Otosclerosis of the middle ear first. Cochlear otosclerosis usually occurs in long standing case of otosclerotic fixation of the stapes where the disease process invades the otic capsule. This will begin and usually is contained in the basal turn of the cochlea. The otosclerosis process usually causes a conductive loss. As the disease invades the otic capsule a concomitant sensorineural loss will appear. Radiographic studies (High resolution CT scan) may sometimes reveal the otosclerotic lesion. In the demineralizing or spongiotic stage, normally sharp outline of the capsule becomes interrupted and can disappear. There are reports of otosclerotic invasion of the semicircular canals where dizziness may be a symptom as well.
Treatment for cochlear otosclerosis can include a sodium fluoride regimen. This is used as an attempt to retard or prevent further sensorineural hearing loss. This treatment is not considered a cure but a management technique. George Cire is the Clinical Manager for Bone Anchored Solutions at Cochlear Americas in Englewood, CO. Dr. Cire received his Au.D from A. T . Still University, School of Health Sciences in Mesa, AZ. Dr. Cire has been working in the Audiology field for 29 years.
George Cire, AuD
Clinical Manager, Bone Anchored Solutions, Cochlear Americas
George Cire currently works as Clinical Manager of Bone Anchored Solutions for Cochlear Americas in Englewood, Colorado. Prior to joining Cochlear, Dr. Cire has worked as a field specialist for Phonak Hearing Systems and has been a practicing Audiologist for 30 years. He has worked both in stand-alone private practice and as the director of an ENT affiliated Audiology Practice. His specialty interests are in the areas of clinical verification of amplification and vestibular diagnostics and treatment. Dr. Cire received his BA degree from Louisiana Tech University in Ruston, LA, M.C.D. (Master of Communicative Disorders) from Louisiana State University Health Sciences Center, New Orleans, LA and Au.D. from A. T. Still University, Arizona School of Health Sciences in Mesa, AZ.
This online course is designed to introduce those familiar with the Baha System in special considerations to the evaluation and selection of the appropriate sound processor to insure proper outcomes when fitting patients with SSD or Single Sided Deafness. Topics to be discussed will include: sound processor portfolio, sound processor adjustment and the introduction of consideration of the role of transcranial attenuation and it role in choosing the appropriate sound processor for SSD patients.
**FOR A GENERAL CERTIFICATE OF PARTICIPATION (No CEUs) PLEASE DOWNLOAD THE "COCHLEAR CERTIFICATE HANDOUT" AFTER REGISTRATION**
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This will be a slide presentation showing otoscopy photos of the ear, to review normal otoscopic ear anatomy, as well as several common and some uncommon pathologies of the ear as identified otoscopically. (NOTE: for the first 10 minutes there is poor sound quality although the presenter is intelligible, and the quality is corrected at the 10 minute mark).
'Excellent presenter! The supporting slides provided clear examples of the discussed pathology'Read Reviews
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'Particularly relevant for my clinical work with many patients who have conductive/mixed hearing losses'Read Reviews
This course will review diabetes and how it relates to hearing loss and dual sensory loss. Specific changes to the auditory system will be discussed and well as ways to counsel and reach out to this population.
Please note: There is no handout for this course as much of the information is preliminary data and has not yet been published. Description: Inner ear therapy is the new frontier in treatment of hearing and balance disorders. This presentation will discuss the various strategies to deliver materials into the inner ear. This course is part of a series of webinars in 2014 presented in partnership with American Auditory Society.