Download PDF
J Neurol Surg B Skull Base 2019; 80(02): 111-119
DOI: 10.1055/s-0039-1678564
Invited Review
Georg Thieme Verlag KG Stuttgart · New York

Introduction to the Audiological Evaluation: Case-Based Applications to Patients with Skull Base Disease

Kelsey A. Dumanch
1   Division of Audiology, Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota, United States
2   Department of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa, United States
,
Gayla L. Poling
1   Division of Audiology, Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota, United States
› Author Affiliations
Further Information

Publication History

21 April 2018

31 December 2018

Publication Date:
04 February 2019 (online)

    Permissions and Reprints

Abstract

Objectives To provide an introduction to the role of audiological evaluations with special reference to patients with skull base disease.

Design Review article with case-based overview of the current state of the practice of diagnostic audiology through highlighting the multifaceted clinical toolbox and the value of mechanism-based audiological evaluations that contribute to otologic differential diagnosis.

Setting Current state of the practice of diagnostic audiology.

Main Outcome Measures Understanding of audiological evaluation results in clinical practice and value of contributions to interdisciplinary teams to identify and quantify dysfunction along the auditory pathway and its subsequent effects.

Results Accurate auditory information is best captured with a test battery that consists of various assessment crosschecks and mechanism-driven assessments.

Conclusion Audiologists utilize a comprehensive clinical toolbox to gather information for assessment, diagnosis, and management of numerous pathologies. This information, in conjunction with thorough medical review, provides mechanism-specific contributions to the otologic and lateral skull base differential diagnosis.

Keywords

hearing - assessment - hearing loss - audiology - normal hearing
 

  • References

  • 1 Lin FR, Niparko JK, Ferrucci L. Hearing loss prevalence in the United States. Arch Intern Med 2011; 171 (20) 1851-1852
    CrossrefPubMedGoogle Scholar
  • 2 Chia EM, Wang JJ, Rochtchina E, Cumming RR, Newall P, Mitchell P. Hearing impairment and health-related quality of life: the Blue Mountains Hearing Study. Ear Hear 2007; 28 (02) 187-195
    CrossrefPubMedGoogle Scholar
  • 3 Weinreich HM. Hearing loss and patient-physician communication: the role of an otolaryngologist. JAMA Otolaryngol Head Neck Surg 2017; 143 (10) 1055-1057
    CrossrefPubMedGoogle Scholar
  • 4 Committee on Quality Health Care in America, Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press; 2001
    Google Scholar
  • 5 Wen J, Schulman KA. Can team-based care improve patient satisfaction? A systematic review of randomized controlled trials. PLoS One 2014; 9 (07) e100603
    CrossrefPubMedGoogle Scholar
  • 6 Jerger JF, Hayes D. The cross-check principle in pediatric audiometry. Arch Otolaryngol 1976; 102 (10) 614-620
    CrossrefPubMedGoogle Scholar
  • 7 Hall III JW. The crosscheck principle in pediatric audiology today: a 40-year perspective. J Audiol Otol 2016; 20 (02) 59-67
    CrossrefPubMedGoogle Scholar
  • 8 American Academy of Audiology. Audiology clinical practice algorithms and statements. Audiology Today, Special Issue. 2000;32–49
    PubMedGoogle Scholar
  • 9 American Speech-Language-Hearing Association. Preferred practice patterns for the profession of audiology. 2006. Available at: https://www.asha.org/policy/ . Accessed April 14, 2018
    PubMedGoogle Scholar
  • 10 Saliba I, Martineau G, Chagnon M. Asymmetric hearing loss: rule 3,000 for screening vestibular schwannoma. Otol Neurotol 2009; 30 (04) 515-521
    CrossrefPubMedGoogle Scholar
  • 11 Borg E. On the neuronal organization of the acoustic middle ear reflex. A physiological and anatomical study. Brain Res 1973; 49 (01) 101-123
    CrossrefPubMedGoogle Scholar
  • 12 Lyon MJ. The central location of the motor neurons to the stapedius muscle in the cat. Brain Res 1978; 143 (03) 437-444
    CrossrefPubMedGoogle Scholar
  • 13 Emanuel DC. Acoustic reflex threshold (ART) patterns: An interpretation guide for students and supervisors. 2009; Audiology Online. Available at: https://www.audiologyonline.com/articles/acoustic-reflex-threshold-art-patterns-875 . Accessed April 1, 2018
    PubMedGoogle Scholar
  • 14 Jerger J, Harford E, Clemis J, Alford B. The acoustic reflex in eighth nerve disorders. Arch Otolaryngol 1974; 99 (06) 409-413
    CrossrefPubMedGoogle Scholar
  • 15 Silman S, Silverman CA. Auditory Diagnosis: Principles and Applications. San Diego: Academic Press; 1991
    Google Scholar
  • 16 Olsen WO. A historical perspective of hearing tests of peripheral auditory function. J Am Acad Audiol 1990; 1 (04) 209-216
    PubMedGoogle Scholar
  • 17 Dirks DD, Kamm C, Bower D, Betsworth A. Use of performance-intensity functions for diagnosis. J Speech Hear Disord 1977; 42 (03) 408-415
    CrossrefPubMedGoogle Scholar
  • 18 Muchnik C, Hildesheimer M, Rubinstein M, Gleitman Y. Validity of tympanometry in cases of confirmed otosclerosis. J Laryngol Otol 1989; 103 (01) 36-38
    CrossrefPubMedGoogle Scholar
  • 19 Shanks J, Shohet J. Tympanometry in clinical practice. In: Katz J, Medwetsky L, Burkard R, Hood LJ. , eds. Handbook of Clinic Audiology. Maryland: Lippincott Williams & Wilkins; 2009: 157-188
    Google Scholar
  • 20 Stachler RJ, Chandrasekhar SS, Archer SM. , et al; American Academy of Otolaryngology-Head and Neck Surgery. Clinical practice guideline: sudden hearing loss. Otolaryngol Head Neck Surg 2012; 146 (3, Suppl): S1-S35
    CrossrefPubMedGoogle Scholar
  • 21 Kemp DT. Stimulated acoustic emissions from within the human auditory system. J Acoust Soc Am 1978; 64 (05) 1386-1391
    CrossrefPubMedGoogle Scholar
  • 22 Gorga MP, Neely ST, Ohlrich B, Hoover B, Redner J, Peters J. From laboratory to clinic: a large scale study of distortion product otoacoustic emissions in ears with normal hearing and ears with hearing loss. Ear Hear 1997; 18 (06) 440-455
    CrossrefPubMedGoogle Scholar
  • 23 Konrad-Martin D, Poling GL, Dreisbach LE. , et al. Serial monitoring of otoacoustic emissions in clinical trials. Otol Neurotol 2016; 37 (08) e286-e294
    CrossrefPubMedGoogle Scholar
  • 24 Bunch CC. Age variations in auditory acuity. Arch Otolaryngol 1929; 9: 625-636
    CrossrefPubMedGoogle Scholar
  • 25 Ahmed HO, Dennis JH, Badran O. , et al. High-frequency (10-18 kHz) hearing thresholds: reliability, and effects of age and occupational noise exposure. Occup Med (Lond) 2001; 51 (04) 245-258
    CrossrefPubMedGoogle Scholar
  • 26 Fletcher JL, Cairns AB, Collins FG, Endicott J. High frequency hearing following meningitis. J Aud Res 1967; 7 (03) 223-227
    PubMedGoogle Scholar
  • 27 Dreschler WA, van der Hulst RJ, Tange RA, Urbanus NA. Role of high-frequency audiometry in the early detection of ototoxicity. II Clinical Aspects. Audiology 1989; 28 (04) 211-220
    CrossrefPubMedGoogle Scholar
  • 28 Tange RA, Dreschler WA, van der Hulst RJ. The importance of high-tone audiometry in monitoring for ototoxicity. Arch Otorhinolaryngol 1985; 242 (01) 77-81
    CrossrefPubMedGoogle Scholar
  • 29 van der Hulst RJ, Boeschoten EW, Nielsen FW, Struijk DG, Dreschler WD, Tange RA. Ototoxicity monitoring with ultra-high frequency audiometry in peritoneal dialysis patients treated with vancomycin or gentamicin. ORL J Otorhinolaryngol Relat Spec 1991; 53 (01) 19-22
    CrossrefPubMedGoogle Scholar
  • 30 Robles L, Ruggero MA. Mechanics of the mammalian cochlea. Physiol Rev 2001; 81 (03) 1305-1352
    CrossrefPubMedGoogle Scholar
  • 31 Amos NE, Humes LE. Contribution of high frequencies to speech recognition in quiet and noise in listeners with varying degrees of high-frequency sensorineural hearing loss. J Speech Lang Hear Res 2007; 50 (04) 819-834
    CrossrefPubMedGoogle Scholar
  • 32 Moore D, Hunter L, Munro K. Benefits of extended high-frequency audiometry for everyone. Hear J 2017; 70 (03) 50-55
    PubMedGoogle Scholar
  • 33 Grant KW, Walden TC. Understanding excessive SNR loss in hearing-impaired listeners. J Am Acad Audiol 2013; 24 (04) 258-273 , quiz 337–338
    Article in Thieme ConnectPubMedGoogle Scholar
  • 34 Lee J, Dhar S, Abel R. , et al. Behavioral hearing thresholds between 0.125 and 20 kHz using depth-compensated ear simulator calibration. Ear Hear 2012; 33 (03) 315-329
    CrossrefPubMedGoogle Scholar
  • 35 Paulraj MP, Subramaniam K, Yaccob SB, Adom AH, Hema CR. Auditory evoked potential response and hearing loss: a review. Open Biomed Eng J 2015; 9: 17-24
    CrossrefPubMedGoogle Scholar
  • 36 Hal Martin W, Shi Y. Intraoperative neurophysiology: monitoring auditory evoked potentials. In Katz J, Medwetsky L, Burkard R, Hood LJ. , eds. Handbook of Clinic Audiology. Maryland: Lippincott Williams & Wilkins; 2009: 351-371
    Google Scholar