Telehealth Audiology and Virtual Hearing Screenings: A Case Report

Abstract

Clinic closures across the United States in response to the coronavirus disease 2019 (COVID-19) pandemic meant that many audiology services were reduced to phone calls, video visits, and modified services (e.g., curbside, mail-ins, drop offs). Audiologists and other providers needed a way to manage hearing- and ear-related complaints via telehealth. A simple pure tone air conduction threshold test performed at home was used to determine which patients needed to come into the clinic for an in-person appointment. This case will review a 56-year-old male who was being treated for an idiopathic sudden sensorineural hearing loss prior to clinic closure. He had on file a comprehensive audiogram at first onset of symptoms and was treated with oral steroids. Virtual hearing testing was then utilized for a variety of other patients from teenagers to adults to triage hearing- and ear-related complaints while clinics were closed for in-person visits.

Keywords

COVID-19 - audiogram - hearing loss - telehealth - virtual audiogram - uHear - hearing test - sudden hearing loss

Publikationsverlauf

Artikel online veröffentlicht:
02. August 2021

• References

• 1 World Health Organization.. 2017 Deafness and Hearing Loss. Accessed February 27, 2017 at: http://www.who.int/mediacentre/factsheets/fs300/en/
• 2 Schmucker C, Kapp P, Motschall E, Loehler J, Meerpohl JJ. Prevalence of hearing loss and use of hearing aids among children and adolescents in Germany: a systematic review. BMC Public Health 2019; 19 (01) 1277
• 3 Swanepoel W, Clark JL, Koekemoer D. et al. Telehealth in audiology: the need and potential to reach underserved communities. Int J Audiol 2010; 49 (03) 195-202
• 4 Bright T, Pallawela D. Validated smartphone-based Apps for ear and hearing assessments: a review. JMIR Rehabil Assist Technol 2016; 3 (02) e13
• 5 Jerger J. The evolution of the audiometric pure-tone technique. Hearing Review. 2018; 25 (09) 12-18
• 6 Carhart R, Jerger JF. Preferred method for clinical determination of pure-tone thresholds. J Speech Hear Disord 1959; 24 (04) 330-345
• 7 Masalski M, Grysiński T, Kręcicki T. Hearing tests based on biologically calibrated mobile devices: comparison with pure-tone audiometry. JMIR Mhealth Uhealth 2018; 6 (01) e10
• 8 Masalski M, Grysiński T, Kręcicki T. Biological calibration for web-based hearing tests: evaluation of the methods. J Med Internet Res 2014; 16 (01) e11
• 9 Xie W, Dai Q, Liu J, Liu Y, Hellström S, Duan M. Analysis of clinical and laboratory findings of idiopathic sudden sensorineural hearing loss. Sci Rep 2020; 10 (01) 6057
• 10 Kuhn M, Heman-Ackah SE, Shaikh JA, Roehm PC. Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis. Trends Amplif 2011; 15 (03) 91-105
• 11 Mattox DE, Simmons FB. Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 1977; 86 (4, Pt 1): 463-480
• 12 Shemirani NL, Schmidt M, Friedland DR. Sudden sensorineural hearing loss: an evaluation of treatment and management approaches by referring physicians. Otolaryngol Head Neck Surg 2009; 140 (01) 86-91
• 13 Frank T. ANSI update: maximum permissible ambient noise levels for audiometric test rooms. Am J Audiol 2000; 9 (01) 3-8
• 14 Hearing Aid Sales Registration Law. P.L. 1182, No. 262. 1976