Comments on: Unusual Middle Ear Mischief http://audiologyjobs.co.uk/67/diary-of-an-audiologist/unusual-middle-ear-mischief/ Making Locum and Permanent Job Vacancies Audible Sun, 05 Feb 2012 06:46:42 +0000 http://wordpress.org/?v=2.2.1 By: Steve http://audiologyjobs.co.uk/67/diary-of-an-audiologist/unusual-middle-ear-mischief/#comment-4085 Steve Wed, 07 Oct 2009 15:14:36 +0000 http://audiologyjobs.co.uk/67/diary-of-an-audiologist/unusual-middle-ear-mischief/#comment-4085 Did the audiogram show an overt Carhart Notching type morphology I wonder? Hmmm. Looking at that scarring/ ?sclerosing, thinking big trans-tympanic resonance dip > therefore be aware this could be an audiometric-artefactual snhl? Speech test result may have helped disambiguate? (Over-driven Cochlea usually more circa 4kHz dip. Wonder if subsequent MRI result showed much ossicular involvement too?) Aided gain preferences/ functionals at any subsequent hearing instrument fitting could be the ultimate give-away though, but, good luck with decent feedback-suppression on your open-fit! Hope the chap not too troubled by tinnitus. Thanks Dezi for bringing up another typical real-life interesting case from your diary! Regards, Steve. Did the audiogram show an overt Carhart Notching type morphology I wonder? Hmmm.

Looking at that scarring/ ?sclerosing, thinking big trans-tympanic resonance dip > therefore be aware this could be an audiometric-artefactual snhl?

Speech test result may have helped disambiguate?

(Over-driven Cochlea usually more circa 4kHz dip. Wonder if subsequent MRI result showed much ossicular involvement too?)

Aided gain preferences/ functionals at any subsequent hearing instrument fitting could be the ultimate give-away though, but, good luck with decent feedback-suppression on your open-fit!
Hope the chap not too troubled by tinnitus.
Thanks Dezi for bringing up another typical real-life interesting case from your diary!
Regards, Steve.

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