Treatments for Noise-Induced Hearing Loss
Treatments for Noise-Induced Hearing Loss
The list of treatments mentioned in various sources
for Noise-Induced Hearing Loss
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
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Book Excerpts: Treatment of Noise-Induced Hearing Loss
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Hearing Loss:
Treatment
(In a Page: Signs and Symptoms)
-
In many cases, the physical exam is therapeutic, because it involves cleaning the ear canal
-
For middle ear effusions, a course of antibiotics and observation is usually sufficient; if symptoms persist, myringotomy and tube placement may be indicated
-
Hearing aids are helpful for most cases of conductive or sensorineural hearing loss
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Middle ear implantable devices for moderate to severe sensorineural hearing loss
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Cochlear implants may be indicated for severe to profound sensorineural hearing loss if hearing aids are of minimal or no benefit
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Reconstructive middle ear surgery may be necessary, and includes tympanoplasty and stapedectomy
-
Prevention of additional hearing loss by ear protection
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Tinnitus:
Treatment
(In a Page: Signs and Symptoms)
-
Treat underlying cause if possible
-
Discontinue ototoxic medications
-
Presbycusis: Hearing aids
-
Tinnitus retraining therapy may reduce tinnitus by habituation training
-
Masking devices may be used to create a low level sound to decrease or eliminate perceived tinnitus
-
Biofeedback or stress reduction may be useful, because tolerance to tinnitus decreases with stress and fatigue
-
Surgery to correct conductive defect with outer or middle ear disease or to remove tumors
-
Cochlear implants are indicated for severe hearing loss in patients that do not benefit from hearing aids
-
Botulinum toxin injection is used for myoclonus of palatal muscles
-
Treat underlying depression and insomnia if present
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Tinnitus:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Treat underlying cause; treat underlying depression and insomnia; benzodiazepines may be helpful in depression
-
Refer to ENT or neurotologist for vascular etiology
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Stop ototoxic medications
-
Tinnitus retraining therapy can reduce tinnitus by habituation training
-
Masking devices: Low-level sound to decrease or eliminate tinnitus
-
Biofeedback/stress reduction
-
Surgery: Correct conductive defect with outer or middle ear disease, remove tumor
-
Hearing aids: Presbycusis; cochlear implants: Severe hearing loss, not benefiting from hearing aids
-
Botulinum toxin injection: Myoclonus of palatal muscles
-
Many medications treat tinnitus, yet none has proven very effective in double-blind placebo controlled trials without significant side effects
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Hearing Loss – Acquired:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Cerumen removal
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Tympanostomy tube placement for chronic MEE lasting >3 months if bilateral, >6 months if unilateral
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Tympanoplasty for TM perforation
-
Tympanomastoidectomy for cholesteatoma
–Effort to keep external auditory canal wall intact, with second look procedure planned for 6 months later
-
Ossicular chain reconstruction (OCR, ossiculoplasty) with prosthesis or incus graft for ossicular anomalies
–Including after cholesteatoma resection
-
Exploratory tympanotomy for suspected PLF
–If present, seal off oval and round windows
-
Resection of CPA tumor
-
Steroids for autoimmune SNHL (systemic or intratympanic)
-
Cochlear implants for profound pre- or postlingual deafness
-
Habilitation of any post-treatment hearing loss
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Hearing Loss – Congenital:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Identify children with hearing loss early
-
Treat medically treatable cause, if any
–Syphilis (steroids and penicillin), Lyme disease, toxoplasmosis, hypercholesterolemia
-
Intravenous gancyclovir for congenital CMV
-
Habilitate by age 6 months if possible
–Amplification
–Bone-anchored hearing aids
–Tympanostomy tube placement
–Middle ear reconstruction
–Perilymphatic fistula closure
–Cochlear implant (after age 12 months)
-
Periodic follow-up necessary
–Ensure auditory habilitation is working
–Check for hearing loss progression
>
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Hearing loss:
Treatment
(Professional Guide to Diseases (Eighth Edition))
After the underlying cause is identified, therapy for congenital hearing loss refractory to surgery consists of developing the patient’s ability to communicate through sign language, speech reading, or other effective means. Measures to prevent congenital hearing loss include aggressively immunizing children against rubella to reduce the risk of maternal exposure during pregnancy; educating pregnant women about the dangers of exposure to drugs, chemicals, or infection; and careful monitoring during labor and delivery to prevent fetal anoxia.
Treatment for sudden deafness requires prompt identification of the underlying cause. Prevention necessitates educating patients and health care professionals about the many causes of sudden deafness and the ways to recognize and treat them.
Hyperbilirubinemia can be controlled by phototherapy and exchange transfusions. Children need the appropriate immunizations. Medications that may be ototoxic should be used judiciously in children and monitored closely. Reduction of exposure to loud noises generally prevents high-frequency hearing loss.
In people with noise-induced hearing loss, overnight rest usually restores normal hearing in those who have been exposed to noise levels greater than 90 dB for several hours; but not in those who have been exposed to such noise repeatedly. As hearing deteriorates, treatment must include speech and hearing rehabilitation, because hearing aids are seldom helpful. Prevention of noise-induced hearing loss requires public recognition of the dangers of noise exposure and insistence on the use, as mandated by law, of protective devices such as earplugs during occupational exposure to noise.
Amplifying sound, as with a hearing aid, helps some patients with presbycusis, but many patients have an intolerance to loud noise and wouldn’t be helped by a hearing aid.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Open trauma wounds:
Treatment
(Professional Guide to Diseases (Eighth Edition))
If hemorrhage occurs, stop bleeding by applying direct pressure on the wound and, if necessary, on arterial pressure points. If the wound is on an extremity, elevate it if possible. Don’t apply a tourniquet except in a life-threatening hemorrhage. If you must do so, be aware that resulting lack of perfusion to tissue could require limb amputation. (For a description of types of wounds and specific management, see Managing open trauma wounds.)
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Abdominal trauma:
Treatment (Tx)
(Professional Guide to Diseases (Eighth Edition))
I.V. fluid replacement, surgical repair, analgesics, antibiotics
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Rape trauma syndrome:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment consists of supportive measures and protection against venereal disease, human immunodeficiency virus (HIV) testing and, if the patient wishes, testing for pregnancy.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Hearing loss:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Instruct the patient to avoid exposure to loud noise and to use ear protection to arrest hearing loss. If the patient has an upper respiratory tract infection, tell him to avoid flying and driving.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Tinnitus:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Advise the patient to avoid exposure to excessive noise, ototoxic agents, and other factors that may cause cochlear damage. Inform him that even people with normal hearing may experience intermittent periods of mild, high-pitched tinnitus that can last for several minutes.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Hearing loss:
Treatment
(Handbook of Diseases)
Measures for treating each type of hearing loss vary.
Congenital hearing loss
After identifying the underlying cause, therapy for congenital hearing loss refractory to surgery consists of developing the patient’s ability to communicate through sign language, speech reading, or other effective means.
Measures to prevent congenital hearing loss include aggressively immunizing children against rubella to reduce the risk of maternal exposure during pregnancy; educating pregnant women about the dangers of exposure to drugs, chemicals, or infection; and careful monitoring of the fetus during labor and delivery to prevent fetal anoxia.
Sudden hearing loss
Treatment of sudden hearing loss requires prompt identification of the underlying cause. Prevention requires educating patients and health care professionals about the many causes of sudden hearing loss and the ways to recognize and treat them.
Noise-induced hearing loss
Overnight rest usually restores normal hearing in those who have been exposed to noise levels greater than 90 dB for several hours but not in those who have been exposed to such noise repeatedly. As hearing deteriorates, treatment must include speech and hearing rehabilitation because hearing aids are seldom helpful.
Prevention of noise-induced hearing loss requires public recognition of the dangers of noise exposure and insistence on the use, as mandated by law, of protective devices, such as earplugs, during occupational exposure to noise.
Presbycusis
Patients with presbycusis usually require a hearing aid.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Wounds, open trauma:
Treatment
(Handbook of Diseases)
❑ If hemorrhage occurs, stop bleeding by applying direct pressure on the wound and, if necessary, on arterial pressure points. If the wound is on an extremity, elevate it if possible. Don’t apply a tourniquet except in a life-threatening hemorrhage. If you must do so, be aware that resulting lack of perfusion to tissue could require limb amputation. (For a description of types of wounds and specific management, see Managing open trauma wounds, pages 911 to 914.)
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Rape trauma syndrome:
Treatment
(Handbook of Diseases)
The rape victim should receive supportive care and protection against venereal disease and, if she wishes, against pregnancy.
Antibiotics are given to prevent venereal disease. To prevent pregnancy as a result of the rape, the patient may be given the “morning-after pill” (norqestrel/ethinyl estradiol) within 72 hours of the assault. If a pregnancy test is negative, two pills are given and the dose is repeated in 12 hours. Menses follows in 3 to 4 days. Or she may wait 3 to 4 weeks and undergo a dilatation and curettage or a vacuum aspiration to abort a pregnancy.
If the patient has vulvar lacerations and minor cuts, the area will be cleaned and the lacerations repaired after all the evidence is obtained. Topical use of ice packs may reduce vulvar swelling.
All victims of rape should be offered testing for human immunodeficiency virus infection and receive medical counseling and follow-up. Testing for hepatitis B and C should be considered and prophylaxis given.
Recovery from rape, which may be prolonged, consists of the acute phase (immediate reaction) and the reorganization phase. During the acute phase, physical aspects include pain, loss of appetite, and wound healing; emotional reactions typically include shaking, crying, and mood swings. Feelings of grief, anger, fear, or revenge may color the victim’s social interactions.
Counseling helps the victim identify her coping mechanisms. She may relate more easily to a counselor of the same sex.
During the reorganization phase, which usually begins a week after the rape and may last months or years, the victim is concerned with restructuring her life. Initially, she may have nightmares in which she’s powerless; later dreams should show her gradually gaining more control. When she’s alone, she may also suffer from “daymares” — frightening thoughts about the rape. She may have reduced sexual desire or may develop fear of intercourse or mistrust of men.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Hearing loss:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Instruct the patient to avoid exposure to loud noise and to use ear protection to arrest loss. If the patient has an upper respiratory tract infection, tell him to avoid flying and driving. Explain the importance of completing the full course of prescribed antibiotics.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Tinnitus:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Advise the patient to avoid further exposure to excessive noise, ototoxic agents, and other factors that may cause cochlear damage. Inform him that even people with normal hearing may experience intermittent periods of mild, high-pitched tinnitus that can last for several minutes.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Hearing loss:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ When talking with the patient, remember to face him and speak slowly.
▪ Don't shout, smoke, eat, or chew gum when talking.
▪ Prepare the patient for audiometry and auditory evoked-response testing.
▪ Provide an alternate means of communication, if necessary.
Patient teaching
▪ Explain interventions to the patient, such as a hearing aid or cochlear implant to improve his hearing.
▪ Discuss the importance of ear protection and avoidance of loud noise.
▪ Stress the importance of following instructions for taking prescribed antibiotics.
▪ Explain the underlying cause of the hearing loss and its treatment.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Tinnitus:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Treat the underlying disorder.
▪ Have the patient use a hearing aid, as prescribed, to amplify environmental sounds, thereby obscuring tinnitus.
Patient teaching
▪ Explain the underlying disorder and treatment plan.
▪ Educate the patient about strategies for adapting to the tinnitus, including biofeedback and masking devices.
▪ Provide information about avoiding excessive noise, ototoxic agents, and other factors that may cause cochlear damage.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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