AudiologyOnline Phone: 800-753-2160


CareCredit Consumer - August 2023

Tullio Phenomenon and Hearing Aid Selection

Brian Taylor, AuD

April 18, 2011

Share:

Question

I have been contacted by a potential client who is seeking an analog hearing aid because she has Tullio's phenomenon and has been advised elsewhere that a digital instruments would not work. Is there some reason this might be so? It defies logic to me.

Answer

The Tullio phenomenon consists of the combination of vertigo and abnormal eye and/or head movements provoked by sound. Dehiscence of the superior semicircular canal can also be found in certain patients with the Tullio phenomenon. When you go to PubMed and enter Tullio Phenomenon and Hearing Aids/Amplification, there are no citations from the peer reviewed published literature, which tells us that the relationship between hearing aid signal processing strategies and the Tullio phenomenon has not been studied very extensively.

When you use other search engines, such as Google Scholar and Scirus, you can learn a little more about it. In one particular study, published in the journal Neurology in 2000, five patients experienced the Tullio phenomenon when a relatively low intensity level (55-65 nHL) was used to elicit it. Dr. Timothy Hain, an Otologist in Chicago mentions the Tullio phenomenon on his website. Dr. Hain talks about the various sound generators (including a shower massager) used to diagnose it.

Based on this information, I think you can draw two conclusions:

  1. Hearing aid patients experiencing the Tullio phenomenon need to be referred to an otolaryngologist for monitoring

  2. It's unlikely that switching from a digital to an analog hearing aid is going to make any difference. (There is nothing I could find in the published literature to contradict this statement). Considering that the gain and output of a digital hearing aid can be fine tuned more easily with a digital device, you are more likely to set the output below the threshold in which dizziness is elicited.
Brian Taylor, Au.D., is the Professional Development Manager for Unitron. Brian is responsible for all Unitron initiatives related to enhancing our customer's expertise, professionalism, and effectiveness in the areas of hearing aid fitting, product selection, and practice development. Brian earned his Au.D from Central Michigan University and has over 15 years of clinical and practice management experience.


brian taylor

Brian Taylor, AuD

Director of Practice Development & Clinical Affairs

Brian Taylor is the Director of Practice Development & Clinical Affairs for Unitron. He is also the Editor of Audiology Practices, the quarterly publication of the Academy of Doctor’s of Audiology. During the first decade of his career, he practiced clinical audiology in both medical and retail settings. Since 2003, Dr. Taylor has held a variety of management positions within the industry in both the United States and Europe. He has published over 30 articles and book chapters on topics related to hearing aids, diagnostic audiology and business management. Brian is the co-author, along with Gus Mueller, of the text book Fitting and Dispensing Hearing Aids, published by Plural, Inc. He holds a Master’s degree in audiology from the University of Massachusetts and a doctorate in audiology from Central Michigan University.   Brian Taylor is the Director of Practice Development & Clinical Affairs for Unitron. He is also the Editor of Audiology Practices.


Related Courses

Current Topics in Audiology Treatment, in Partnership with Thieme Publishers
Presented by Jason Galster, PhD
Recorded Webinar
AudiologyOnline

Presenter

Jason Galster, PhD
Course: #32010Level: Introductory1 Hour
  'Nice overview!'   Read Reviews
This course will review current topics in audiology treatment that are detailed in the upcoming book by Thieme publishers. Editor Dr. Jason Galster will provide a tour of content focused on the treatment of hearing loss through amplification, implantable solutions, and a variety of additional techniques.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Neurocognitive Brain Changes in Hearing Loss, in partnership with American Auditory Society
Presented by Anu Sharma, PhD
Recorded Webinar
AudiologyOnline

Presenter

Anu Sharma, PhD
Course: #38208Level: Intermediate1 Hour
  'This was fascinating information'   Read Reviews
The course will present the latest findings on neurocognitive changes in hearing loss and effects of intervention with amplification and cochlear implantation.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Collaborating with Pharmacists on OTC Hearing Aids, presented in partnership with the University of Pittsburgh
Presented by Elaine Mormer, PhD, Lucas A. Berenbrok, PharmD
Recorded Webinar
AudiologyOnline

Presenters

Elaine Mormer, PhDLucas A. Berenbrok, PharmD
Course: #38615Level: Introductory1 Hour
  'Great topic'   Read Reviews
This course discusses how OTC hearing aids may fit into pharmacists’ current scope of practice and workflow. Strategies for collaborating with pharmacists in hearing health care will be explored.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

A Deeper Look at Sound Environments
Presented by Don Schum, PhD
Recorded Webinar
Oticon

Presenter

Don Schum, PhD
Course: #33536Level: Intermediate1 Hour
  'Very well articulated'   Read Reviews
The characteristics of the sound environment have a fundamental impact on the performance of the hearing aid user. In this course, we will describe the obvious and sometimes more subtle aspects of sound environments that will affect hearing aid performance.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

The Subjective Evaluation of a New Hearing Aid Fitting
Presented by Don Schum, PhD
Recorded Webinar
Oticon

Presenter

Don Schum, PhD
Course: #35584Level: Intermediate1 Hour
  'Very informative and pragmatic presentation regarding the importance of incorporating a subjective evaluation into the hearing aid fitting process'   Read Reviews
The final judge of the success of a new fitting will of course be the patient, and the criteria that they use may not always be in line with an objective audiological measure. This course will review some of the issues and options at play when having the patient weigh in on the value of the new devices.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.