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Otosclerosis  Hongyan  Jiang  MD&PhD Otorhinolaryngology Hospital,The First Affiliated Hospital of Sun Yat-sen University
Background  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The term otosclerosis is derived from the Greek words for “hardening of the ear.” Politzer first recognized otosclerosis in 1893
PREVALENCE ,[object Object],[object Object],[object Object],[object Object],[object Object],In postmortem examinations of temporal bones
PREVALENCE ,[object Object],[object Object],[object Object]
PREVALENCE ,[object Object],[object Object],[object Object],[object Object]
Etiology  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object],[object Object]
Symptoms  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Examination
Image study  ,[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differential diagnosis ,[object Object],[object Object],[object Object],[object Object]
Differential diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Differential diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Differential diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differential diagnosis ,[object Object],[object Object],[object Object],[object Object]
Surgical interventions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical interventions ,[object Object]
Surgical interventions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Non-surgical interventions ,[object Object],[object Object],[object Object]
Non-surgical interventions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Non-surgical interventions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tests  ,[object Object],[object Object],[object Object]
Meniere’s Disease Hongyan  Jiang  MD&PhD Otorhinolaryngology Hospital,The First Affiliated Hospital of Sun Yat-sen University
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Women>Men
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal membranous labyrinth  Dilated membranous labyrinth in Meniere's disease (Hydrops)
[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object]
History ,[object Object],[object Object],[object Object]
Physical Examination ,[object Object],[object Object],[object Object]
Physical Examination (con’t) ,[object Object],[object Object],[object Object],[object Object]
Lab studies ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lab studies ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Diagnostic Scale for Meniere’s Disease of the American Academy of Otolaryngology-Head and Neck Surgery
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Diagnostic Scale for Meniere’s Disease of the American Academy of Otolaryngology-Head and Neck Surgery In all scales, other causes must be excluded using any technical methods (eg, imaging, laboratory, etc).
Differential Diagnosis ,[object Object],[object Object]
Differential Diagnosis Differential Diagnosis of Vertigo Based on Time Frame of Vertigo and Presence or Absence of Hearing Loss
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical interventions  ,[object Object],[object Object],[object Object]
Prognosis ,[object Object],[object Object],[object Object]
Prognosis  Cont’d ,[object Object],[object Object],[object Object],[object Object]
House institution experiences ,[object Object],[object Object]
House institution experiences ,[object Object]
Karolinska hospital policy ,[object Object],[object Object],[object Object]
Karolinska hospital policy ,[object Object],[object Object]
Labyrinthectomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Deafness and its rehabilitation Hongyan  Jiang  MD&PhD Otorhinolaryngology Hospital,The First Affiliated Hospital of Sun Yat-sen University
Background  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Morbidity ,[object Object],[object Object],[object Object],[object Object],[object Object]
Classification  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Degree of hearing loss ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conductive hearing loss ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conductive hearing loss ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conductive hearing loss ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conductive hearing loss ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
Sensorineuronal hearing loss ,[object Object]
Sensorineuronal hearing loss ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sensorineural hearing loss ,[object Object],[object Object]
Sensorineural hearing loss ,[object Object],[object Object],[object Object],[object Object]
Sensorineural hearing loss ,[object Object],[object Object]
Sensorineural hearing loss ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Behind-The-Ear Instruments ,[object Object],[object Object],[object Object],[object Object],[object Object],SXT 115 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SXT 100 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SXT 110
In-The-Ear Instruments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SXT 320 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SXT 200 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SXT 410 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SXT 400
-10 0 10 20 30 40 50 60 70 80 90 100 110 120 250 500 750 1000 1500 2000 3000 4000 6000 4 Channel Instrument 16 Channel Instrument Multi-Channel Amplification Error
-10 0 10 20 30 40 50 60 70 80 90 100 110 120 250 500 750 1000 1500 2000 3000 4000 6000 ChannelFree Interpolates For accuracy ChannelFree TM  Precision
 
 
Thanks for your attention!

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8 otosclerosis

  • 1. Otosclerosis Hongyan Jiang MD&PhD Otorhinolaryngology Hospital,The First Affiliated Hospital of Sun Yat-sen University
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
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  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29. Meniere’s Disease Hongyan Jiang MD&PhD Otorhinolaryngology Hospital,The First Affiliated Hospital of Sun Yat-sen University
  • 30.
  • 31.
  • 32.
  • 33. Normal membranous labyrinth Dilated membranous labyrinth in Meniere's disease (Hydrops)
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44. Differential Diagnosis Differential Diagnosis of Vertigo Based on Time Frame of Vertigo and Presence or Absence of Hearing Loss
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55. Deafness and its rehabilitation Hongyan Jiang MD&PhD Otorhinolaryngology Hospital,The First Affiliated Hospital of Sun Yat-sen University
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.  
  • 66.  
  • 67.  
  • 68.
  • 69.
  • 70.
  • 71.
  • 72.
  • 73.
  • 74.  
  • 75.
  • 76.
  • 77. -10 0 10 20 30 40 50 60 70 80 90 100 110 120 250 500 750 1000 1500 2000 3000 4000 6000 4 Channel Instrument 16 Channel Instrument Multi-Channel Amplification Error
  • 78. -10 0 10 20 30 40 50 60 70 80 90 100 110 120 250 500 750 1000 1500 2000 3000 4000 6000 ChannelFree Interpolates For accuracy ChannelFree TM Precision
  • 79.  
  • 80.  
  • 81. Thanks for your attention!

Notas do Editor

  1. The early phase is characterized by multiple active cell groups including osteocytes, osteoblasts, and histiocytes. It develops a spongy appearance because of vascular dilation secondary to osteocyte resorption of bone surrounding blood vessels. This can be seen grossly as red hue behind the tympanic
  2. Paracusis of Willis :Patients report improved speech understanding in a noisy environment.
  3. Carhart’s notch is characteristic of otosclerosis and appears as a sensorineural hearing loss at 2 kHz that is spurious since the bone conduction in the mid-frequency range is not reliable.
  4. Here are some important comments with regard to these figures: 1. The indicated gain values may be reached in full , because of the Adaptive Feedback Canceller. 2. The low battery consumption allows for a total operating time of, approximately: 77 hours for CIC with battery 10 143 hours for ITC with battery 312 255 hours for ITE with battery 13 3. N ote the wide frequency range effectively covering the frequencies which are important for speech understanding.
  5. Here are some important comments with regard to these figures: 1. The indicated gain values may be reached in full , because of the Adaptive Feedback Canceller. 2. The low battery consumption allows for a total operating time of, approximately: 77 hours for CIC with battery 10 143 hours for ITC with battery 312 255 hours for ITE with battery 13 3. N ote the wide frequency range effectively covering the frequencies which are important for speech understanding.
  6. Let’s look at ChannelFree precision in terms of an audiogram… Here we have the measured thresholds, but in reality the audiogram is probably not a straight line, And in red we have the UCL information. If we try to fit this audiogram with a 4 channel instrument, you can see that we have areas of overamplification and areas of underamplification, If we move to 16 channels, we have a better fit, but we introduce even more temporal smearing as we’ll see a bit later
  7. Symbio XT’s ChannelFree system interpolates the gain where it is needed for accuracy. A little later in the talk I’ll show you how you control the gain where needed during a fitting.