Author: Hearing Review Staff

Classification of Audiovestibular Symptoms Related to Migraine, Part 1: Overview of Migraine

Hearing care professionals should have at least a basic understanding of migraine and its audiovestibular symptoms: vertigo, tinnitus, phonophobia, and even hearing loss present as symptoms in at least 30% of migraine patients. This article, the first of a three-part series, provides an overview

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Ampclusion Management 101: Understanding Variables

The term “ampclusion” denotes the occlusion effect experienced during hearing aid use and that during audiometric testing when the physical occlusion of the ear canal and the hearing aid amplifier gain are included in the wearer’s perception. Complaints about ampclusion may originate from shell blockage of the ear canal, to sub-optimal amplification settings for amplifying the wearer’s voice, to an over-expectation for hearing aid performance. This article provides a summary of the factors that can contribute to the wearer’s complaint of the ampclusion problem, and a follow-up article details remedies for the various causes of ampclusion.    

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NAL-N1, RECD, & REAG: Accurate and Practical Methods for Fitting Non-Linear Hearing Aids to Infants and Children

It is well accepted that the hearing aid prescription procedure for infants and young children should be based on real-ear aided gain (REAG) rather than insertion gain (REIG). A procedure based on REAG prescribes the same gain from the free field to the eardrum for the same degree of hearing loss, irrespective of the gain provided by the unaided ear canal. This paper focuses on the implementation of NAL-NL1 in fitting hearing instruments to children using a REAG approach that incorporates the measurement of individual real-ear-to-coupler difference (RECD).

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Children’s Performance: Analog vs Digital Adaptive Dual-Microphone Instruments

Children with hearing impairments have greater difficulty understanding speech in background noise than do adults and children with normal hearing. Additionally, it is generally recognized that the use of a well-established prescriptive fitting procedure—such as DSP[i/o] or NAL-NL1—is an essential step in fitting children. This article examines children’s performance with analog hearing aids compared to digital, dual-microphone aids that are set to a prescriptive target.

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Complaints About Hearing in Noise: A New Answer

Much has been written about the benefits of directional microphone hearing instruments and how to fit these devices. However, directional instruments are still underutilized. This article details some of the reasons for this, and describes a new type of directional device: an array microphone that uses a spatial distribution of three microphones to achieve its directivity. Candidacy and operational issues are addressed, and two field studies are used.

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The HR 2002 Dispenser Survey

The Hearing Review’s annual report on trends at the hearing instrument practice/business level, including statistics and analysis on pricing, number of instruments sold, client demographics and motivating behaviors, selection and fitting practices, trends in the use of hearing instrument technology, office management strategies, compensation, test equipment use, and what is projected for the remainder of 2002 and beyond. One of the most popular features of the year, the HR Dispenser Survey is used as a barometer and yardstick by hearing care professionals throughout the year.

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A New Generation Looks to Communication Facilitators

A new breed of hearing-impaired patients are demanding communication solutions that   provide the same wireless communication benefits offered by cellular phones. This article provides a look at mobile text display devices and features a Mobile Communication Profile Test that can be used to assess the wireless needs of on-the-go clients.

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Adults’ Use of FM Systems: Subjective Benefit by Adult Users

Previous studies have shown that FM systems have the potential to improve signal-to-noise ratios by as much as 15-18 dB, compared to 2-8 dB improvement for directional hearing instruments. This field study analyzes data from 28 subjects who were provided with an FM + hearing aid system. Substantial subjective improvement was experienced by most of the FM system users.

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