Evaluation and Treatment of Severe Hyperacusis
Open accessAbstract
A 52-year-old male was evaluated by the authors after initially reporting fullness in his left ear while traveling on an airplane. A unique feature of the patient's complaint was the development of severe bilateral hyperacusis (loudness discomfort levels of between 20–34 dB HL) in spite of the fact that the hearing loss was initially reported in the left ear. To achieve loudness comfort, the patient was initially fit with ER-25 musician earplugs that proved to be unsuccessful. The patient next purchased earplugs and earmuffs from a gun shop in order to obtain relief from the pain and discomfort caused by his exposure to everyday environmental sounds. This paper describes the use of hearing devices that proved to be effective in providing attenuation sufficient that the patient rarely needs to rely on earplugs and ear-muffs for relief from his hyperacusis. Abbreviations: CBC = complete blood count, ESR = erythrocyte sedimentation rate, LDL= loudness discomfort level
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- Authors
- Valente, M., Goebel, J., Duddy, D., Sinks, B., & Peterein, J.
- Affiliations
- Washington University in St. Louis (US)
- ORCID
- Valente, Michael
- Venue
- Journal of the American Academy of Audiology
- Publisher
- American Academy of Audiology
- Published
- 2000-06
- Volume
- 11
- Issue
- 06
- Pages
- 295-299
- ISSN
- 1050-0545 (ISSN-L)
- 2157-3107
- OpenAlex
- W1538341055
- Cited by
- 27
- References
- 14
- Citations by year
- 2024: 5 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 1 · 2013: 1
- FWCI
- 0.56
- Type
- journal article
- Language
- en
- Open access
- Locations
- Journal of the American Academy of Audiology (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons@Becker (Washington University School of Medicine) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hearing Loss and Rehabilitation
- Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
- Health Sciences › Health Professions › Speech and Hearing › Noise Effects and Management
- Keywords
- hyperacusis, loudness discomfort level, aircraft cabin noise, noise-induced hearing loss, hearing protection, earplugs, earmuffs
- MeSH terms
- Anti-Inflammatory Agents, Audiometry, Audiometry, Evoked Response, Diuretics, Hearing Loss, Sensorineural, Humans, Male, Methylprednisolone, Middle Aged, Hyperacusis, Severity of Illness Index, Tinnitus, Valsalva Maneuver, Evoked Potentials, Auditory, Brain Stem
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