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Tinnitus and hearing loss Bath & Bristol

Bellow is an informative new paper released in September 2019. If you suffer from hearing loss and Tinnitus it could be something to look at.

 

Does Tinnitus Get Worse as Hearing Loss Increases in Severity?

Our results suggest that tinnitus will likely get louder, but not by very much,” write Hashir Aazh, PhD, and Richard Salvi, PhD, in their recent study published in JAAA which shows only a weak association between tinnitus loudness and puretone average (PTA) thresholds.

When patients ask an audiologist or hearing care professional if their tinnitus (ringing in the ears) is going to get worse as their hearing loss progresses, what answer do they usually receive? Most hearing care professionals will reassure the patient by telling them that, although it’s possible for this to occur, it’s generally not a problem they’ve observed in their practice. Now there is some clinical science to back up this answer.

paper published in the September 2019 edition of the Journal of the American Academy of Audiology by Hashir Aazh, PhD, and Richard Salvi, PhD, shows that the relationship between tinnitus loudness and puretone average (PTA) thresholds are only weakly associated.

Tinnitus and hearing loss Bath & Bristol

Hashir Aazh, PhD

The researchers looked at a retrospective cross-sectional sample of 445 consecutive patients at the Tinnitus and Hyperacusis Therapy Specialist Clinic in Guildford, UK, who had been surveyed with audiological and self-report questionnaires. The patients were seen from 2013 to 2016 and had an average age of 54.4 years, with an even split between males (49%) and females (51%). Questionnaires included the visual analog scale (VAS), tinnitus handicap inventory (THI), hyperacusis questionnaire (HQ), hospital anxiety and depression scale (HADS), and the insomnia severity index (ISI).

Richard Salvi, PhD

In the sample, a total of 12% of patients had no tinnitus handicap on the THI, while 32% had mild, 24% had moderate, and 33% had severe tinnitus handicap. Based on PTA for the better ear, 66% of the tinnitus patients had no hearing loss, 29% had mild hearing loss, and 5% had moderate hearing loss. For the worse ear, 49% of patients had no hearing loss, 36% had a mild loss, 13% had a moderate loss, while 0.6% and 0.9% had a severe and profound hearing loss respectively.

When analyzing tinnitus severity and hearing loss via a regression model, a .036 increase in loudness per 1-dB increase in PTA threshold was found at a significant level of confidence. “This relationship is very weak and the linear model explains only 4% of the variance in tinnitus loudness, suggesting that factors other than severity of hearing loss may contribute to self-report tinnitus loudness,” write the authors.

However, correlations were noted between tinnitus severity and the other variables measured in the questionnaires. These included:

  • Based on the HQ score, 32% experienced hyperacusis (unusual sensitivity/aversion to louder sounds) with 4% being diagnosed with severe hyperacusis.
  • While 31% did not have insomnia, 29.5% had mild insomnia, while 27.5% and 12% had moderate or severe insomnia respectively.
  • Tinnitus loudness was more strongly correlated with tinnitus annoyance and tinnitus life effect than PTA.

The authors hypothesise that the weak association between PTA and tinnitus severity could be explained by an increase in spontaneous activity within the central nervous system (CNS) after cochlear damage, as cited in other studies. However, the authors also note the weak correlation “may be due to the fact that threshold measures do not accurately capture some forms of cochlear pathology that may trigger tinnitus.” For example, it’s possible that some forms of tinnitus might arise from damaged inner hair cells or afferent synapses, but these types of cochlear damage are often not reflected in an audiogram (eg, cochlear synaptopathy or “hidden hearing loss”).

Drs Aazh and Salvi conclude, “Tinnitus patients often ask whether the loudness of their tinnitus will increase if their hearing gets worse. Our results suggest that tinnitus will likely get louder, but not by very much.” They note that the study was limited to information gathered in day-to-day clinics and did not include psychoacoustic measures of tinnitus loudness which might be useful in further research.

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Dr Aazh is head of the Tinnitus and Hyperacusis Therapy Specialist Clinic at the Royal Surrey County Hospital NHS Foundation Trust in Guildford, UK. Dr Salvi is the co-founder and director of the Center for Hearing and Deafness at the University of Buffalo. —KES

Original paper: Aazh H, Salvi R. The relationship between severity of hearing loss and subjective tinnitus loudness among patients seen in a specialist tinnitus and hyperacusis therapy clinic in UK. J Am Acad Audiol. 2019;30(8)[Sept]:712-719.

About the author: Karl E. Strom is editor of The Hearing Review and has been reporting on hearing healthcare issues for over 25 years.

 

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New custom hearing aids Bath

New custom hearing aids Bath, at the Keynsham hearing centre near Bristol and Bath

 

 

New custom hearing aids Bath are now available at the Keynsham hearing centre. Hearing aids have transformed the way people live and work in recent technology advances. Today hearing aids can be tailored to an individual like never before.  The days of plain analogue amplification of every noise in the room or outdoors have pretty much gone.  The latest digital hearing aids are so clever that they can in most instances only increase the level of the frequency loss and not any other frequency making the hearing aids more uncomfortable sonic wise.

Hearing aids Bath

Here at Keynsham hearing we know what how to get the best from your new hearing aids. After a comprehensive hearing test we will know what level of hearing loss you maybe experiencing.  With this knowledge we then can decide what type of hearing aid you may need to make your hearing a lot better.  Once we have this information we can then go onto tailoring the actual aid. New to the market are hearing aids that sit in the ear canal and are now more powerful in helping you hear far better than the traditional over the ear type. This is new and exciting times fro hearing aids. Stephen Neal is an expert audiologist at Keynsham and will gladly take you through the process of getting your hearing back on track.

Below is a press release explaining how the new in ear hearing aids have advanced. It’s an interesting read!

 

Please call or book an appointment with Anita on reception to start your journey back to hearing again.

 

 

Keynsham Hearing News:

 

Great Sound in Miniature: GN Hearing Introduces New Custom-crafted Hearing Aids

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Aug. 30, 2019 11:00 UTC

BALLERUP, Denmark–(BUSINESS WIRE)– GN Hearing, the global leader in hearing aid connectivity, today launched a suite of new custom-crafted hearing aids. The new portfolio packages the industry renowned ReSound LiNX Quattro™ technology – a brilliant experience with Layers of Sound, great speech intelligibility even in noisy situations, and excellent streaming – into discreet custom-crafted hearing aids. While taking up as little space as possible in the ear canal, users will benefit from an impressive listening experience.

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Great hearing is in high demand. Not only are 466 million people around the world living with disabling hearing lossi, ReSound LiNX Quattro has also seen a positive reception in the market, which has led to the launch of new custom hearing aids for this popular model. The new custom-crafted hearing aids can enrich people’s lives with all the qualities of hearing, such as socializing, learning, and working optimally. In addition, each hearing aid is designed to fit exactly to the ear canal of every individual user, using a 3D scanner and advanced personalized modelling. Sitting discreetly in the ear canal, the design can also bring extra confidence to the user.

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ReSound LiNX Quattro is a clear number one for streaming. In an independent study, streaming music and speech from an iPhone was top-rated for ReSound LiNX Quattro compared to other hearing aidsii. Users can benefit from using the new small and discreet custom-crafted hearing aids for taking calls and streaming their favourit music and TV shows. They can also stream sound directly to the hearing aids from an iPhone with no need for intermediate devices and the hearing aids are built for direct Android™ streaming, tooiii.

“ReSound LiNX Quattro has been very well received by people with hearing loss. We are dedicated to bringing the technological benefits to more users, who prefer wearing their hearing aids discreetly in the ear canal,” said Jakob Gudbrand, President and CEO of GN Hearing. “These technological wonders in miniature are truly personalized and custom-crafted to fit each person’s hearing, yet with the brilliant experience with Layers of Sound and excellent streaming that people appreciate.”

Four new options are available: the first Completely-in-Canal (CIC) 2.4 GHz wireless hearing aid for direct streaming, high-quality In-the-Canal (ITC) and In-the-Ear (ITE) models, and the industry’s only Mic-in-Helix (MIH) hearing aid. Each custom-crafted hearing aid comes in five skin-tone colors to ensure that they are personal and discreet for every user.

Browse the ReSound customs portfolio.

The new custom-crafted hearing aids are now also available in the Beltone AmazeTM collection.

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Independent Bath hearing company

 

Independent Bath hearing company at the Keynsham hearing centre.  Stephen Neal audiologist at Keynsham hearing is an expert in ear wax removal using Microsuction.  Microsuction ear wax removal is a safe, easy painless way of removing wax. You can watch our ear wax removal video here.

We also conduct hearing test in the Bath area including dispensing the very latest hearing aids form all the main manufacturers. We are a family run company so are very friendly and not like the large high street stores. Stephen and Anita Neal are the owners and that is who you will see when you arrive for a consultation.

 

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Ear wax removal Bath at the Keynsham hearing centre, by Stephen Neal

 

 

Keynsham hearing news:

 

Phonak Marvel Receives Gold Stevie Award, Named ‘Innovation of the Year’

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Stevie Awards

Phonak announced its Marvel hearing aid solution has won a Gold Stevie Award and was named Innovation of the Year—Consumer Products Industries in the 2019 International Business Awards. According to comments obtained from judges, the multifunctional hearing solution received top honors for being “the world’s first hearing aid to combine universal Bluetooth connectivity, lithium-ion rechargeability, and top-rated sound quality into a single device.” The Gold Stevie marks the fourth major product honor awarded to Phonak Marvel this year, placing it among the company’s most highly-awarded products ever, according to Phonak.

iba19_gold_winner

“We are thrilled that Phonak Marvel has received a Gold Stevie award and was named an Innovation of the Year,” said Martin Grieder, Group Vice President, hearing instruments marketing. “Marvel truly is the culmination of so many of our innovations into one product—including rechargeability, universal Bluetooth connectivity, Binaural VoiceStream Technology, and various eSolutions, just to name a few. All this technology works together to produce clear, rich sound quality from the very first fit.”

The Gold Stevie award is the latest product honor awarded to Phonak Marvel this year. In June, Marvel received the 2019 MedTech Breakthrough Award for its ability to fully support stereo audio streaming from Android and iOS devices. Also in June, Phonak eSolutions, optimized for Marvel, was the winner of the 2019 Mobile Business Awards. Phonak Marvel also received a Silver Edison Award in April and was named a 2019 CES Innovation Award Honoree in January.

A record total of more than 4,000 nominations from organizations of all sizes and in virtually every industry were submitted this year for consideration in a wide range of categories, including Company of the Year, Marketing Campaign of the Year, Best New Product or Service of the Year, Startup of the Year, Corporate Social Responsibility Program of the Year, and Executive of the Year, among others.

Stevie Award winners were determined by the average scores of more than 250 executives worldwide who participated in the judging process from May through early August, according to Phonak’s announcement.

For more information about Phonak Marvel, visit: www.phonak.com. Details about The International Business Awards and the lists of Stevie Award winners are available at: www.StevieAwards.com/IBA.

Source: Phonak, International Business Awards

Images: International Business Awards