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ENT
Ear Clinical Aspects of Central Hearing Disorders
Built from Behrbohm — Ear, Nose and Throat Diseases with Head and Neck Surgery
What’s inside
5 sections · 40 slides
Overview
- What this deck teaches
Central Hearing
When the ear works but the brain cannot listen
- What “central” means
- Why central disorders are easy to miss
Acoustic Agnosia
Sound is heard but not recognised
- What acoustic agnosia is
- Clinical features — how it presents
- Loss of the musical sense
- Pathogenesis — what causes it
- Diagnosis
- Treatment
- Why does a hearing aid not help a patient with true acoustic agnosia?
Normal Audiogram, Real Difficulty
Hearing complaints with normal pure-tone thresholds
- The paradox
- Auditory processing disorder (APD)
- Hidden hearing loss
- Managing normal-threshold hearing difficulty
- Two causes, one normal audiogram
- A patient complains of poor hearing in restaurants, but the pure-tone audiogram is normal. What next?
Tinnitus
Perceiving sound with no external source
- What tinnitus is
- Tinnitus versus “tinnitus disorder”
- Tinnitus by the numbers
- Epidemiology
- Where tinnitus starts — and why it persists
- The abnormal brain activity behind tinnitus
- Tinnitus as a network problem
- Brain networks that sustain tinnitus
- Diagnosis of tinnitus
- Comorbidities that worsen tinnitus
- Therapy: what the S3 guidelines do and do not recommend
- Principles of treating chronic tinnitus
- Counseling — the foundation of therapy
- Correcting hearing loss as tinnitus therapy
- What is the evidence base for cognitive behavioral therapy (CBT) in chronic tinnitus?
- Three pillars of chronic tinnitus care
- Key takeaways
- References
- Ear, Nose, and Throat Diseases: With Head and Neck Surgery