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Hearing is defined as the detection of acoustic energy borne in the fluid medium surrounding the animal, air, or water.

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I

Introduction

Hearing loss, which affects 25% to 40% of individuals over the age of 65, is associated with depression, difficulty communicating, and reduced mobility. Clinicians using casual assessment in the office overlook significant hearing loss approximately half the time. The causes of hearing loss are either neurosensory (i.e., damage to the auditory nerve or cochlear hair cells) or conductive (i.e., damage to the parts of the ear that conduct sound from air to the cochlea). Most neurosensory hearing loss is due to presbyacusis (the degenerative hearing loss of aging). Less common causes are Meniere disease and acoustic neuroma. The most common causes of conductive loss are impacted cerumen, otitis media, perforated eardrum, and otosclerosis.

Read full chapter

Steven McGee MD, in Evidence-Based Physical Diagnosis (Third Edition) , 2012

I

Introduction

Hearing loss, which affects 25% to 40% of individuals over the age of 65 years, is associated with depression, difficulty communicating, and reduced mobility. Clinicians using casual assessment in the office overlook significant hearing loss about half the time. The causes of hearing loss are either neurosensory (i.e., damage to the auditory nerve or cochlear hair cells) or conductive (i.e., damage to the parts of the ear that conduct sound from air to the cochlea). Most neurosensory hearing loss is due to presbycusis (the degenerative hearing loss of aging). Less common causes are Ménière disease and acoustic neuroma. The most common causes of conductive loss are impacted cerumen, otitis media, perforated eardrum, and otosclerosis.

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Hearing is a process comprising ( Fig. 19.2 ):

transmission of acoustic waves through the external and middle ear

reception and conversion of acoustic waves into electric impulses of the auditory nerve fibers in the inner ear

auditory processing of the electric impulses in the central parts of the auditory pathway (auditory nerve, cochlear nuclei, midbrain, subcortical and cortical auditory centers).

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Mediterranean cuisine|Classic cuisine
One MICHELIN Star : High quality cooking, worth a stop! Good standard. Our best addresses.

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Patrick Zimmermann (formerly head chef at a Michelin starred restaurant in Vevey) gives his classically based cuisine a modern twist at Viva. Choose from the clean modern lines of the dining room or the lovely terrace. Shorter menu at lunchtimes.
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