Audiologic Report

Subjective:

The patient indicates they are having difficulty hearing in noise. The mother stated that her daughter was having trouble hearing in her kindergarten classroom. The spouse indicates that her husband. The patient complained of tinnitus. They also indicated a lengthy history of working in noise. The patient reported they had operated farm equipment for the past 20 years, served in the artillery division of the Marines for four years, and is an avid user of firearms for hunting. The mother reports other family with a unilateral hearing loss including the mother’s brother.

Objective:

The patient is a 5-year-old Caucasian female from Sioux Falls, SD, evaluated at our clinic on March 2, 2005.

The otoscopic examination revealed clear ear canals with the tympanic membranes visible and intact.

A physical exam of the ear shows a large growth on the right outer ear. The ears are very low set. The child has a cleft palate. The child has been diagnosed with Down Syndrome and has low set ear.

The results of pure tone air conduction testing reveals a mild low frequency loss dropping precipitously in the mid range to a profound loss in the higher frequencies, AD; and a reverse sloping loss, mild in the low frequencies with normal hearing in the high frequencies, AS.

Bone conduction results indicate the loss is mixed, AD; and conductive, AS.

Speech recognition thresholds (SRT) are 25 dB HL, AD; and 30 dB HL, AS in quiet. Pure tone averages are 20 dB, AD; and 32 dB, AS, and these results are consistent with the SRT which indicates test reliability.

Speech recognition scores are 36% at 25 dB SL, AD; and 50% at 45 dB SL, AS. These scores are below the lower confidence levels. These scores are extremely poor.

The tympanogram, AD, is a type A, or normal. The tympanogram, AS, is a type C indicating negative air pressure. The static compliance is 1.2, AD, which is in the normal range. The static compliance is 2.6, AS, which is above the normal range indicating a the middle ear is above normal in mobility. Contralateral acoustic reflexes, AD, are in the normal range. Ipsilateral acoustic reflexes were elevated but present. OAEs were present in the normal range.

ABR indicates.

Assessment:

The results of audiologic testing indicate a bilateral symmetrical severe sensorineural hearing loss. These results indicated the patient will have difficulty communicating in work, personal, recreation and social environments. The results coincide with the subjective information provided by the patient and communication partners.

Plans:

The following recommendations are in order: 1. refer patient to ENT due to the 2. refer patient to family 3. patient referred for a hearing aid or 4. provide aural rehab for patient and family to improve skills