• Title/Summary/Keyword: Audiometry

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Unusual Tumors Obstructing the External Auditory Canal: Report of Two Cases

  • Kim, Chang-Hee;Lee, Hye Seung;Kim, Sung-Yong;Shin, Jung Eun
    • Journal of Audiology & Otology
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    • v.23 no.1
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    • pp.59-62
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    • 2019
  • Primary tumors arising from the external auditory canal (EAC) are rare. We describe two cases of mass lesions within the EAC causing slowly progressive hearing loss without otorrhea or otalgia. Otoendoscopic examination demonstrated total obstruction of the EAC, and pure tone audiometry revealed conductive hearing loss. Based on the findings of the histopathologic examination, one patient was diagnosed with venous hemangioma that was treated using surgical resection, and the other patient was diagnosed with diffuse large B-cell lymphoma (DLBCL) that was treated using external-beam radiation therapy. Although primary tumors in the EAC are rare, both benign tumors such as venous hemangiomas and malignant lesions such as DLBCL should be considered as possible differential diagnoses of mass lesions in the EAC.

Evaluation on Hearing Conservation Program in the Noisy Industries (소음발생 산업장에서의 청력보존프로그램 평가)

  • Kwak, M.S.;Lee, J.T.;Kim, J.H.;Urm, S.H.;Kim, D.H.;Shon, B.C.;Lee, C.H.
    • Journal of Preventive Medicine and Public Health
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    • v.30 no.4 s.59
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    • pp.815-829
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    • 1997
  • This study was performed to assist the employer to establish the effective program for hearing conservation of noisy industry. The study subjects were health care managers of an industry and the study industries were devided into two groups(Group I, 37 industries; have the workers diagnosed as noise-induced hearing loss, Group II, 41 industries; not have the workers diagnosed as noise-induced hearing loss) and the question method carried out through the face to face interview. The contents of questionnaire for OSHA's hearing conservation program(HCP) consisted of seven components: 5 questions of monitoring of employee noise exposures(component 1), 6 questions of the institution of engineering, work practice, and administrative controls for excessive noise(component 2), 8 questions of the provision of each overexposed employee with an individually fitted hearing protector with an adequate noise reduction rating(component 3), 14 questions of employee training and education regarding noise hazards and protection measures(component 4), 9 questions of baseline and annual audiometry(component 5), 3 questions of procedures for preventing further occupational hearning loss by an employee whenever such an event has been identified(component 6), and 1 question of recording keeping(component 7), thus total numbers of questions was 46. The numbers of statistially significant difference(p<0.05) between two groups were 2(25.0%) among 8 questions of component 3, 10(71.4%) among 14 questions of component 4, 3(33.3%) among 8 questions of component 5, 2(6.7%) among 3 questions of component 6, and 17(37.0%) among total 46 questions of questionnaire. Above results showed that the level of HCP acceptance in group I was lower than in group II. Thus employer's understanding about HCP should be precede for the effective hearing conservation program of employee and the adequate hearing protector, training and education, baseline and annual audiometry, and procedures for preventing further occupational hearning loss for hearing conservation would be more emphasized.

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A Comparison of Pure-Tone Thresholds to the Pre and Post Fogging after Refractive Correction in Normal Eyes (굴절교정된 정상안에서 운무 전후에 따른 순음청력역치의 비교)

  • Cho, Soo-Jin;Joo, Seok-Hee;Lee, Koon-Ja;Choi, In-Sil;Leem, Hyun-Sung
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.3
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    • pp.89-93
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    • 2009
  • Purpose: To purpose of this study was the pure-tone audimetry changes to compare pre and post fogging after visual correction in normally hearing adults. Methods: The estimated that no ocular and audiolar disesases, we selected (male: 30, female: 20) in corrected visual acuity over the 1.0 eye. Pre and post fogging were measured using the pure-tone audimetry. Results: To compared fre and post fogging, fre fogging was higher than fre fogging. The take value were just about every kind of Hz but 200 Hz, respectively which were statistically significant (p<.05). Low Hz area in 250 and 500 Hz were 6.8${\pm}$8.4dBHL, 4.3${\pm}$6.6dBHL, there is not all the difference between any other area, 2000 Hz in the middle Hz area was 0.8${\pm}$4.5dBHL. Conclusions: The study presents different results of measurements in within normal limits. we thought that pure-tone thresholds to the pre and post fogging after refractive correction in normal adults and would be used basic data.

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Working Environment and Scope of Otorhinolaryngology Laboratory Personnel in South Korea (국내 이비인후과 검사인력의 근무 환경과 업무 범위)

  • Younghoi AN;Minho HAN;Eul Sung HWANG;Hyun Jin PARK;Bon-Kyeong KOO;Min Woo LEE;Gibong KIM;Suhng Wook KIM
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.1
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    • pp.52-64
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    • 2023
  • This study aimed to examine the types and characteristics of otorhinolaryngology examinations performed by clinical laboratory technologists and to investigate the working environment and scope of work of otorhinolaryngology laboratory personnel using online questionnaires. Based on the research results, constructive policy measures for the University-Association-Society were also presented. Most of the survey respondents were in their 40s (34.1%). Females accounted for 80.2% of respondents and 30.8% of them had a career spanning 15 years or more. We found that laboratory personnel had a wide scope of work, high work stress and frequently suffered occupational diseases. We observed that, to reduce stress and increase satisfaction, an expansion of the workforce was necessary. Compared to other occupations, 72% of clinical laboratory technologists occupied more senior positions, occupational distribution depended on senior positions (P<0.001). Clinical laboratory technologists performed about 26 types of otorhinolaryngology examinations. The most frequent test performed daily was pure tone audiometry, and polysomnography took the longest test time, with an average of 8 hours. In conclusion, clinical laboratory technologists were in charge of various specialized otorhinolaryngology examinations. Considering the importance of clinical laboratory technologists in otorhinolaryngology, the University-Association-Society should put in additional effort into nurturing otorhinolaryngology examination experts.

Characteristics of Noise Induced Hearing Loss of Fishermen Visiting a General Hospital (일개 종합병원을 방문한 어선원에서 발생한 소음성 난청의 특징)

  • You Sun Chung;Chang Hoi Kim
    • Journal of agricultural medicine and community health
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    • v.48 no.1
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    • pp.41-49
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    • 2023
  • Objectives: To obtain audiologic basic data to diagnose the noise induced hearing loss of workers in fisheries. Methods: The charts of the referred fishermen with noise induced hearing loss from November 2022 to February 2023 at a general hospital were retrospectively reviewed. Pure tone audiometry, speech audiometry, auditory brainstem response test and auditory steady state response test were conducted. Results: All of them were men over 60 years of age, and the average duration of exposure to noise was 38.9 ± 10.8 years, and the average symptom duration of hearing loss was 13.4 ± 4.3 years. Although the hearing thresholds in the high frequencies were higher than thresholds in the low frequencies, the audiogram showed a down-sloping pattern without rebound at 8 kHz. 10.5% of the cases had thresholds greater than 75 dB in high frequencies, but 57.9% had thresholds greater than 40 dB in low frequencies. Other hearing test results of fishermen were similar to those of general noise-induced hearing loss. Conclusions: Although the fishermen were exposed to noise for a long time, they recognized hearing loss late. The hearing threshold in lower frequencies of the fishermen was higher than expected. Further studies will be needed to analyze the audiologic characteristics of noise-induced hearing loss of the fishermen after confirming noise exposure by conducting a survey on the working environment, such as the noise level and working hours.

Development of Electrical Stimulator for Auditory Stimulation (청각 자극용 전기자극기 개발)

  • Heo, Seung-Deok;Jung, Dong-Keun;Kim, Lee-Suk;Kim, Gwang-Nyeon;Kang, Myung-Koo;Kim, Jae-Ryong;Kim, Gi-Ryon
    • Speech Sciences
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    • v.11 no.3
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    • pp.201-211
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    • 2004
  • This paper introduces a development of an electrical stimulator for auditory stimulation. The electrical stimulator is useful in neurotological diagnosis, audiological evaluation, candidate selection for cochlear implantation, optimal device selection and decision making of MAP strategy for severe-to-profound hearing impaired persons. The development was based on sound parameters of auditory brainstem responses and auditory electrophysiological characteristic such as effective firing of auditory nerve and recording evoked potentials during refractory period of neuron. Besides pulse parameter could adjustable by programming for more varied electrical stimulation evoked response audiometry. Using the electrical stimulator, electrical square pulse was applied to promontory, and electrically evoked auditory brainstem response and electrically middle latency response were successfully recorded in cats.

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Asymmetrical Hearing Loss and Related Factors Among the Noise Exposed Male Workers (소음 노출 남성근로자에서 청력 역치의 비대칭성과 관련요인)

  • Lee, Nam-Soo;Lee, Kyung-Jae;Kim, Joo-Ja
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.20 no.2
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    • pp.94-101
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    • 2010
  • This study was performed to examine the asymmetry of hearing loss among the noise exposed male workers. Findings of otoscopic examination, pure tone audiometry and tympanometry were evaluated for 179 male workers working in the noise exposed workplace. And also selfadministered structured questionnaires were used for each worker's work-related and general characteristics including personal health behaviors. There were significant differences of hearing threshold between right and left ears at 1,000 Hz and 3,000 Hz(p<0.05). And also significant differences of hearing threshold were noted in the age group over 50 at 3,000 Hz, the high risk drinking group either at 3,000 Hz and 4,000 Hz, the work duration group 10-19 years at 3,000 Hz, the noise exposure group under 90 dB(A) at 3,000 Hz, the noise exposure group over 90 dB(A) at 1,000 Hz, the non-wearing protective device group at 4,000 Hz, and the wearing protective device group at 3,000 Hz(p<0.05). Further study is needed to explore the extent and the related factors of the asymmetry of hearing loss in the general population and occupationally noise exposed group.

An Extension of PC based B$\'{e}$k$\'{e}$sy Audiometer to Support Client/Server Model (클라이언트/서버 모델을 지원하기 위한 PC 기반 B$\'{e}$k$\'{e}$sy 청력검사시스템의 확장)

  • Song, Bok-Deuk;Kang, Deok-Hun;Sim, Hye-Jin;Shin, Bum-Joo;Kim, Jin-Dong;Jeon, Gye-Rok;Wang, Soo-Geun
    • Journal of Information Technology Services
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    • v.10 no.2
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    • pp.259-269
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    • 2011
  • The B$\'{e}$k$\'{e}$sy audiometer is used to determine not only hearing threshold but also assumption of recruit phenomenon and cause of disease. However, current B$\'{e}$k$\'{e}$sy audiometer takes an operational model, so called face-to-face model, in which model one audiometrist can assess only one subject at a time. As a result, the face-to-face model leads to high audiometrist's labor cost and long waiting time when there exist many subjects. To improve such weakness, this paper extends PC based B$\'{e}$k$\'{e}$sy audiometer to support client/server model in which model one audiometrist enables to concurrently access several subjects. As providing capabilities such as real-time transfer of assessment result, video monitoring of subject and video chat, the same effect as face-to-face model but overcomes weakness of face-to-face model.

Recurrent Bacterial Meningitis Secondary to Cochlear Aplasia, Right and Acquired Cribriform Plate Defect due to Trauma (두개골의 결손과 동반된 재발성 세균성 뇌막염 2례)

  • Chang, Soo Hee;Kim, Sun Jun;Kim, Jung Soo
    • Pediatric Infection and Vaccine
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    • v.5 no.2
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    • pp.283-288
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    • 1998
  • Recurrent meningitis in children is not only a potentially life threatening condition, but often involves the child in the trauma though repeated hospital admissions and multiple invasive investigations to find the underlying causes. Symptoms and signs of CSF rhinorrhea or otorrhea are infrequent in these patients and difficult to diagnose in young children. All young children treated for meningitis should then be administered an evoked potential audiometry as a post-treatment test. If sensorineural hearing loss is identified, the clinician should be alerted to the possibility of CSF leakage as the cause of the meningitis. Radiologic studies should be performed to rule out preexisting congenital, or acquired, abnormalities requiring surgical exploration. Two young children with recurrent meningitis due to a right cochlear aplasia and a cribriform plate defect caused by trauma are presented to illustrate the problems of diagnosis and management. A review of literatures will also be presented briefly.

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Relationship between the Discomfort of Tinnitus and the Quality of Life in Tinnitus Patients (이명장애와 삶의 질의 관계)

  • Park, Mi-Ok;Kim, Ju-Sung;Shin, Jae-Shin
    • The Korean Journal of Rehabilitation Nursing
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    • v.6 no.1
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    • pp.40-50
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    • 2003
  • Purpose: To investigate audiometery and characteristics related to tinnitus in tinnitus patients, and to understand the relationship between the discomfort of tinnitus and the quality of life. Methods: The subjects were 110 patients with tinnitus. The data were collected using tinnitus handicap questionnaire, quality of life, and pure tone audiometry, which measured hearing level in dB and frequency in Hz matching of tinnitus. Results: Majority of tinnitus patients (75.5%~81.8%) had normal auditory sensation. but 82.7% of patients indicated that they have heard tinnitus "frequently" or "always", and the major sounds of tinnitus were "wing, wung, wang". The matching sounds of tinnitus had various range in hearing level(dB) and frequency(Hz). Tinnitus patients reported moderate levels of the discomfort of tinnitus and the quality of life, and there were negative correlation between the discomfort of tinnitus and the quality of life(r=-.314, p<.001). Conclusion: These findings suggest that special attention is needed for tinnitus patients because the physical, psychological, and social impacts of tinnitus could be decrease their quality of life. Specialized nursing intervention considering specific conditions related to tinnitus is required to solve various health problems of tinnitus patients.

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