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Surgery 1 - Third Year BHMS

Contents

Surgery 1 - Third Year BHMS

Contents

CoursesBHMSSurgery 1 - Third Year BHMSDEAFNESS

DEAFNESS

Content

Deafness

Definition: Permanent hearing loss in an individual.

Types of Deafness:

  • Sensorineural Deafness: Due to damage to the inner ear or the auditory nerve.
  • Conductive Deafness: Due to problems with the middle ear.
  • Mixed Deafness: Combination of sensorineural and conductive deafness.

Causes of Deafness:

  • Aging: Hearing loss due to the natural aging process.
  • Genetics: Inherited hearing loss.
  • Noise Exposure: Prolonged exposure to loud noises can cause permanent hearing loss.
  • Infections: Middle ear infections or meningitis can cause hearing loss.
  • Trauma: Head injuries or blows to the ear can cause damage to the inner ear or auditory nerve.

Clinical Features of Deafness:

  • Difficulty Hearing: Person has trouble understanding conversations or hearing sounds.
  • Tinnitus: Ringing or other sounds in the ear when there is no external source.
  • Vertigo: Feeling of spinning or dizziness.
  • Cochlear Hypoplasia: Underdeveloped inner ear.
  • Otosclerosis: Abnormal bone growth in the middle ear.

Investigations for Deafness:

  • Pure Tone Audiometry (PTA): Measures hearing thresholds in different frequencies.
  • Speech Audiometry: Tests speech recognition in quiet and noisy environments.
  • Impedance Audiometry: Measures middle ear function.
  • Tympanometry: Evaluates middle ear function.
  • Electrocochleography (ECOG): Measures electrical activity in the cochlea.

Complications of Deafness:

  • Depression: Feeling of sadness or hopelessness.
  • Anxiety: Feeling of worry or nervousness.
  • Social Isolation: Avoiding social interactions due to hearing loss.
  • Cognitive Decline: Reduced cognitive function due to hearing loss.

Management of Deafness:

  • Hearing Aids: Devices that amplify sound to improve hearing.
  • Cochlear Implants: Electronic devices that bypass damaged parts of the ear.
  • Bone-Anchored Hearing Aids (BAHAs): Devices that transmit sound through the skull.
  • Middle Ear Implants: Devices that restore middle ear function.

Hearing Aids:

  • Conventional Hearing Aids: Amplify sound to improve hearing.
  • Digital Hearing Aids: Use digital signal processing to improve sound quality.
  • Programmable Hearing Aids: Can be adjusted to different sound settings.

Cochlear Implants:

  • Cochlear Implant Surgery: Surgical procedure to implant the device.
  • Cochlear Implant Components: Include a sound processor and electrode array.
  • Cochlear Implant Rehabilitation: Training to improve hearing with the implant.

Bone-Anchored Hearing Aids (BAHAs):

  • BAHA Surgery: Surgical procedure to implant the device.
  • BAHA Components: Include a sound processor and anchor.
  • BAHA Rehabilitation: Training to improve hearing with the device.

Homoeopathic Remedies for Deafness:

  • Aurum metallicum: Useful for tinnitus and hearing loss due to loud noises.
  • Calcarea carbonica: Useful for hearing loss due to ear infections or trauma.
  • Hydrastis canadensis: Useful for hearing loss due to aging or earwax buildup.
  • Kali iodatum: Useful for hearing loss due to thyroid problems or ear infections.
  • Lycopodium clavatum: Useful for hearing loss due to otosclerosis or ear infections.
  • Silica: Useful for hearing loss due to earwax buildup or ear infections.
  • Thyroidinum: Useful for hearing loss due to thyroid problems or ear infections.
  • Vinca minor: Useful for hearing loss due to ear infections or trauma.

Note: Homoeopathic remedies should be used under the guidance of a qualified homoeopathic practitioner.