AUDI9411 Lecture Notes - Lecture 99: Shingles, Cerebellopontine Angle, Otology
Document Summary
A 52-year-old male was evaluated by the authors after initially reporting fullness in his left ear while travefing on an airplane. A unique feature of the patient"s complaint was the devel(cid:173) opment of severe bilateral hyperacusis (loudness discomfort levels of between 20-34 db hl) in spite of the fact that the hearing loss was initially reported in the left ear. To achieve loud(cid:173) ness comfort, the patient was initially fit with e. r-25 musician earplugs that proved to be unsuccessful. The patient next purchased earplugs and earmuffs from a gun shop in order to obtain relief from the pain and discomfort caused by his exposure to everyday environ(cid:173) mental sounds. This paper describes the use of hearing devices that proved to be effective in providing attenuation sufficient that the patient rarely needs to rely on earplugs and ear(cid:173) muffs for relief from his hyperacusis. Key words: central hyperacusis, herpes zoster, hyperacusis, loudness discomfort !eve!, musi(cid:173) cian earplugs, phonophobia.
