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Hearing Loss (management (environment (reduce background noise, ensure…
Hearing Loss
management
environment
reduce background noise
ensure good lighting on speaker's face
amplificiation
hearing aids
bone anchored hearing aid (BAHA)
cochlear impants
aetiology
sensorineural
infections
postnatal
labyrinthitis
hearing loss
vertigo
OM
Mumps
meningitis
HIV
prenatal
CMV
rubella
toxoplasmosis
varicella
neoplasms
acoustic neuroma
unilateral tinnitus
deafness
cerebellopontine angle tumours
congenital
syndromic
usher syndrome
non-syndromic
perinatal causes
SGA/IUGR
sepsis
trauma
ototoxic drugs
aminoglycosides
presbycusis/age-related
conductive
cerumen impaction
middle ear effusion
OME
tympanic membrane peforation
chronic suppurative OM
cholesteatoma
otosclerosis
clinical
history
duration
nature of onset
progression and which side(s) affected
presence of absence of
tinnitus
vertigo
imbalance
otorrhoea
headache
facial nerve dysfunction
and
head trauma
ototoxic exposure
occupational or recreational noise exposure
FHx hearing impairment
examination
otoscopy
nose, nasopharynx and oral exam +/- flexible nasoendoscopy
CN examination
V
VII
VIII
rhinne and weber tuning fork tests
investigations
audiometry
imaging
CT if suspect cholesteatoma
MRI if asymmetric or unilateral SNHL