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TOPIC 1. TYPES OF HEARING IMPAIRMENT. Types of Hearing Impairment. A loss of sensitivity Auditory nervous system pathology. Important Terms. Time of onset Congenital: present at birth Acquired: obtained after birth Adventitious: acquired after birth. Important Terms.
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TOPIC 1 TYPES OF HEARING IMPAIRMENT
Types of Hearing Impairment • A loss of sensitivity • Auditory nervous system pathology
Important Terms Time of onset • Congenital: present at birth • Acquired: obtained after birth • Adventitious: acquired after birth
Important Terms Time Course • Acute: sudden onset/short duration • Chronic: long duration • Sudden: rapid onset • Gradual: changes slowly over time
Important Terms Time Course • Temporary: limited duration • Permanent: irreversible • Progressive: advancing • Fluctuating: changes in degree over time
Important Terms Number of Ears Involved • Unilateral: Just one • Bilateral: Both
Hearing Sensitivity Loss “The ear is not as sensitive as normal in detecting sound” • Types: • Conductive • Sensorineural • Mixed
Conductive Hearing Loss “Caused by an abnormal reduction or attenuation of sound as it travels from the outer ear to the cochlea”
Conductive Hearing Loss An audiogram of a bilateral conductive hearing loss
Conductive Hearing Loss Differences in the air-bone gap across different types of hearing loss
Sensorineural Hearing Loss “Caused by a failure in the cochlea to transduce the sound from the middle ear to neural impulses in the VIII Nerve.”
Sensorineural Hearing Loss • Implications include: • A reduction in the sensitivity of the receptor cells in the cochlea • A reduction in the frequency resolving power of the cochlea • A reduction in the dynamic range of the system
Sensorineural Hearing Loss An audiogram of a bilateral sensorineural hearing loss
Sensorineural Hearing Loss Differences in the air-bone gap across different types of hearing loss
Mixed Hearing Loss “A loss with both a conductive and sensorineural component.”
Mixed Hearing Loss An audiogram of a bilateral mixed hearing loss
Mixed Hearing Loss Differences in the air-bone gap across different types of hearing loss
Types of Hearing Impairment • A loss of sensitivity • Auditory nervous system pathology
Auditory Nervous System Impairment Causes: • Disease • Disordered auditory nervous system development
Auditory Nervous System Impairment Kinds: • Retrocochlear disorders • Central auditory processing disorders
Auditory Nervous System Impairment • Auditory Characteristics: • Reduced ability to understand speech in a noise background • Problems understanding speech with reduced redundancy • Problems with localization and lateralization • Problems processing normal or altered temporal cues