One type of hearing of hearing loss is known as a conductive hearing loss. This type of hearing loss occurs when there is damage or blockage in the outer or middle ear which prevents sounds from being sent to the inner ear. Causes of conductive hearing loss can include:
– Complete wax build up
– Absence of the ear canal or a extremely narrow ear canal
– Hole in the eardrum
– Fluid behind the eardrum
– Displacement of the three tiny bones (ossicles) behind the eardrum
A bone anchored hearing aid (BAHA) is a treatment option to improve the hearing of people with conductive hearing loss . The BAHA is a surgically implanted post that works together with an external processor to bypass the outer and middle ear and deliver sound directly to the inner ear.
Recently a new processor was introduced by Med El that does not require surgery and is available at a much lower cost than the traditional BAHA. The ADHEAR processor uses an adhesive piece that sits behind the ear to send sound to the organ of hearing.
To learn if you are a candidate for the ADHEAR please contact Jacksonville Hearing & Balance Institute at 904-399-0350.
Please plan to join us at the next meeting of your Acoustic Neuroma Support Group.
We welcome you to learn about the latest treatment options, to network with other acoustic neuroma patients and find encouragement and support.
Saturday, September 8, 2018
1:00 – 3:00 p.m.
UF Health North – Tower A, First Floor, Classroom #4
15255 Max Leggett Parkway
Jacksonville, FL 32218
Take I95 to the Jacksonville International Airport Exit. Follow signs to Max Leggett Parkway.
Park in the parking lot closest to Tower A and enter through the main doors.
● Caring, Sharing, Networking and Support
Hearing aids are getting more and more advanced. With all the extra processing power and new features in today’s hearing aids, you can typically get 3-10 days off a single battery. Why is the life of a hearing aid battery so unpredictable, where one battery may last a week, and another just two or three days? Much depends on your amount of hearing aid use, streaming, and how you care for your hearing aids.
Still, there are steps you can take to maximize the life of your batteries and optimize the performance of your hearing aids.
1. Let the battery “breathe” for 3-5 minutes. After removing the tab from the battery, let the battery sit for 3-5 minutes before installing it in your hearing aid. This “activation” time allows air to reach the materials inside the battery and activate them.
2. Wash your hands thoroughly before changing batteries. Grease and dirt on the batteries may damage the hearing aid. Also, grease and dirt can clog up the air pores in the battery.
3. Open the battery door at night. When you’re not wearing your hearing aid, turn it off or open the battery door to minimize battery drain. Leave the battery compartment of your hearing device open at night so moisture can escape. Doing so will keep the battery from corroding and damaging the hearing aid.
4. Use a hearing aid dehumidifier. A hearing aid dehumidifier will help absorb moisture out of your hearing aid and battery. This will allow the battery power to be used more efficiently. The dehumidifier is also a great place to store your hearing aids.
5. Remove the batteries entirely if you won’t be using the device for an extended period of time. This also helps avoid corrosion and damage from trapped moisture.
6. Check the expiration date on the batteries. The further out the batteries are, the fresher they are. Over time, batteries will drain slightly while sitting on the shelf. Ideally, you should buy batteries that have an expiration date a year or further from your purchase date.
7. Use the oldest pack of batteries first. The newest packs will have the furthest expiration date than your older packs of batteries. You want to ensure that you use the oldest batteries first, so that you are getting the most life out of them.
8. Keep the stickers on the battery. The sticker tab on the battery keeps the battery “fresh.” As soon as the sticker is removed, the battery is activated and starts draining. You want to make sure you don’t peel the sticker tab off until you need to use that battery.
9. Keep the batteries in a cool dry place. Storing new, unused batteries in extreme temperatures can cause the battery to drain/have a shorter life.
10. Invest in a rechargeable battery hearing device. Rechargeable hearing aids and batteries are starting to come out into the market. Rechargeable batteries allow you to charge the battery at night and get a full day’s worth of use the next day. If you’re interested in the new technology, make an appointment to discuss the various rechargeable options currently available on the market.
While hearing aids and cochlear implants are better known options for assisting those with hearing impairments, there is another device that may be more appropriate for your hearing loss. A BAHD, also known as a bone-anchored hearing aid (BAHA), is made up of a surgically implanted portion and a removable external processor. These devices are unique in that they send signals to your inner ear via vibrations. These vibrations are interpreted by your inner ear the same as any other sound signal.
As you can see in the above below, the sound processor sits just behind the ear.
Who is a candidate for the bone-anchored hearing device?
Patients with middle ear issues (chronic ear infections, previous surgeries, etc.) are often successful users of a BAHD because it bypasses the middle ear and directly stimulates the inner ear. The device is also beneficial for those with single-sided deafness. The BAHD is placed on the side of the head with the severe-to-profound hearing loss and the signal is sent to the better hearing ear.
New options with the BAHD!
Previously, the BAHD could only be worn by attaching it to an abutment that projected out from under the skin or by wearing a headband. There is now an option for attaching the external processor to the internal implant via a magnet. The image on the left demonstrates the magnet attachment.
In addition to the new wearing options, BAHDs have Bluetooth capabilities!
If you and your family are interested in learning more about BAHDs and want to know if you are a possible candidate, please do not hesitate to contact our clinic at 904-399-0350.
If you or a loved one has a cochlear implant there is no need to miss out on the joys of enjoying time with friends or family in the pool or at the beach. Each cochlear implant company offers a solution to enjoy conversation around water.
o For their on-the-ear style processors (N6 and N7)Cochlear offers the Aqua Kit which includes a waterproof case and cable/coil. A clip is also available to attach the waterproof case to a ponytail, bathing suit or T-shirt for worry free swimming.
o The off-the-ear style offers the Kanso Activity Kit which includes a waterproof case that can be held in place with a sweat band or with goggles.
• Advanced Bionics:
o The Naida processor offers a waterproof case and cable/headpiece that can be clipped to a bathing suit, T-shirt or even your swim trunks thanks to a range of cable lengths.
o The Neptune processor is a fully waterproof processor that needs no extra case or cover. The Neptune can be clipped to a T-shirt, goggles or bathing suit.
• Med El:
o The on-the ear Sonnet processor kit includes a waterproof sleeve and adhesive system to allow the processor to become fully waterproof.
o The Rondo is an off-the-ear processor that is also available with a sleeve that can be held in place with a clip for added safety.
When using a waterproof solution be sure to use a rechargeable or alkaline battery rather than the 675 Zinc Air cochlear implant battery. It I also recommended that after you remove your processor from the waterproof case to place the equipment in the dry-kit. Waterproof devices can be included in your initial cochlear implant kit or are available for purchase out of pocket.
If you would like more information regarding whether a cochlear implant is an appropriate treatment option for your hearing loss contact Jacksonville Hearing and Balance Institute at 904-399-0350 to discuss your options.
Frequency Asked Questions about Lithium-Ion Batteries in Hearing Aids
- Is a lithium-ion battery safe in hearing aids?
Lithium-ion is the popular rechargeable battery choice used in many everyday consumer electronics such as cellular phones and tablets. It is also the rechargeable solution for cochlear implants. Currently, it is the fastest growing and most promising battery technology and has been thoroughly tested. Note that the hearing aid must be stored within the operating temperature of 33 degs to 104 degs Fahrenheit (0 degs to +40 degs Celsius) to ensure safe conditions.
- How many hours per day can lithium-ion hearing aids last on a single charge?
This depends on the hearing loss, the power of the receiver, and the amount of streaming. However, this usually ranges from 20 hours to 24 hours.
- Will the performance of the lithium-ion battery deteriorate after 1 year and require replacing?
No. With the Phonak system, the electronics surrounding the lithium-ion battery have been specially designed so that the battery will last up to 4 years. After 4 years, the performance of the battery may deteriorate slightly, but this should not have a large impact on use.
- Are lithium-ion hearing aids safe to use during air travel?
Yes. Airline rules state that lithium-ion batteries less than 25 grams may be brought on to the plane in carry-on luggage. Phonak rechargeable hearing aid batteries are less than 1 gram and therefore fall far below the dangerous goods level. Commercial airline regulations do not permit lithium-ion batteries to be placed in checked luggage.
- How do I dispose of a lithium-ion hearing aid?
Lithium-ion batteries are 100% recyclable and can be used to create new products. If you wish to dispose of the hearing aid, please return it to your audiologist or contact Phonak for more information.
A cochlear implant can be a life changing treatment for people with severe hearing loss who receive little benefit from hearing aids. An important component of the cochlear implant process is to approach the first several weeks after activation with realistic expectations, commitment and patience. A cochlear implant is designed to bypass the damaged hair cells of the hearing organ, the cochlea, and deliver sounds to the brain by directly stimulating the auditory nerve. The brain then interprets the sound as a meaningful message. This mechanism is very different than the way our natural hearing system is designed so right away the brain is unable to recognize the sounds delivered by the cochlear implant. The good news is that the brain is an amazing organ and capable of learning new things all the time. The brain will learn to recognize speech and environmental sounds with exposure, experience and practice.
Exposure: Once the cochlear implant is activated the brain needs to hear sound in order to begin to learn to adapt. Although conversation will likely sound strange and unclear at first the only way to make progress is to expose yourself to all kinds of sound; conversation, music, environmental sounds…anything!
Experience: A key part of cochlear implant process is experience; wearing the cochlear implant all day every day, allows speech and other sounds to become more pleasant and clear. Think of the adjustment to a cochlear implant as being a marathon rather than a sprint.
Practice: Finally practice, practice, practice! Similar to completing physical therapy exercises at home following a hip replacement surgery, listening therapy must be completed to teach the brain to listen with a cochlear implant. There are many types of listening exercises that can make practice enjoyable. These can be done on your own or with a partner.
Keep in mind everyone progresses at their own pace, have patience with the process and know that the benefits will be worth the journey.
May was designated as the Better Hearing and Speech Month by the American Speech-Language-Hearing Association (ASHA) in 1927. The goals of Better Hearing and Speech month is to bring awareness to hearing and speech deficits, educate the population on how these issues effect the community, and empower individuals to take action if they suspect they have a speech or hearing deficit.
Hearing loss is the third most common health issue in the United States, effecting one in every eight people over the age of 12. Difficulty communicating with others can lead individuals to be withdrawn, negatively impacting them both socially and emotionally. The primary goal of an audiologist, when working with these patients, is to provide the tools they need to maintain an active lifestyle and minimize the effect of their hearing loss. The National Institute of Health (NIH) developed a short questionnaire* to see if you could benefit from having your hearing evaluated by an audiologist.
- Do you feel frustrated when talking to members of your family because you have difficulty hearing them?
- Do you have difficulty hearing or understanding co-workers, clients, or customers?
- Do you feel restricted or limited by a hearing problem?
- Do you have difficulty hearing when visiting friends, relatives, or neighbors?
- Do you have trouble hearing in the movies or in the theater?
- Does a hearing problem cause you to argue with family members?
- Do you have trouble hearing the TV or radio at levels that are loud enough for others?
- Do you feel that any difficulty with your hearing limits your personal or social life?
- Do you have trouble hearing family or friends when you are together in a restaurant?
If you answered “YES” to three or more of above questions, feel free to contact our clinic at (904) 339-0350 to schedule an appointment with a provider. Together you will develop an individualized plan to improve your hearing healthcare.
*Adapted from: Newman, C.W., Weinstein, B.E., Jacobson, G.P., & Hug, G.A. (1990). The Hearing Handicap Inventory for Adults [HHIA]: Psychometric adequacy and audiometric correlates. Ear Hear, 11, 430-433.
Identifying and Treating Tinnitus
Jacksonville Hearing and Balance Institute (JHBI) is excited to partner with WJCT to host a speaker series on Friday, March 23rd, on the diagnosis and management of tinnitus, or ringing in the ears.
The event will take place at WJCT studios at 100 Festival Park Ave, Jacksonville FL, 32202. While registration opens at 11:30 am, the main speaking event, which includes a presentation and a question and answer session, will run from 12:00 until 1:00 pm. Complimentary lunch will be provided.
Dr. Douglas Green Jr., the founder of JHBI and the practice’s neurotologist, will be speaking on the medical causes and subsequent diagnosis of tinnitus. Dr. Janelle Kelley, a clinical audiologist at JHBI, will be discussing the audiological evaluation of tinnitus and several management strategies ranging from at-home smart phone app usage to hearing aids.
Space is limited! If you are interested in attending, please RSVP by March 21st at 5pm by calling 904-358-6322 or visiting wjct.org/jhbi.
The Hearing Center at Jacksonville Hearing & Balance Join Kilwins Ice Cream Run (5K and One Mile)
The Hearing Center at Jacksonville Hearing & Balance Institute is proud to join Kilwins to be a sponsor of this year’s Kilwins Ice Cream Run (5K and One Mile) to benefit Clarke Schools for Hearing and Speech in Jacksonville. The Clarke mission is to provide children who are deaf or hard of hearing with the listening, learning and spoken language skills they need to succeed. Clarke impacts the lives of children and adults through education and early childhood programs, hearing services, mainstream services, research, curriculum development, and the teachers and professionals trained by Clarke who take their special skills to all parts of the world. They teach children who are deaf and hard of hearing how to listen and talk using the latest technology – all so each person who receives the caring and compassionate services delivered by Clarke is able to reach his or her full potential. The Hearing Center’s audiologists, along with Douglas A. Green Jr., MD and the staff at Jacksonville Hearing & Balance Institute, know Clarke is more than a school, it is a place that allows new horizons for those they serve. Register now and come along with us – run and walk to help this extraordinary organization! Sign up today – and bring your friends: //www.clarkeschools.org/icecreamrun
An event to Benefit
Clarke Schools for Hearing and Speech
Saturday, March 3, 2018
St. Johns Town Center, Jacksonville, FL