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HYPERACUSIS: ASSESSMENT AND MANAGEMENT

HYPERACUSIS: ASSESSMENT AND MANAGEMENT

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Therapy for Hyperacusis:<br />

Conclusions<br />

� Audiologists are the professionals who should evaluate and manage patients with<br />

hyperacusis<br />

� Hyperacusis may be a symptom or characteristic of a number of serious<br />

neurological and other medical diseases and disorders. Management includes ruling<br />

out possible pathologic etiologies.<br />

� DPOAEs and high frequency audiometry<br />

� Include in the assessment of hyperacusis<br />

� Findings have therapeutic value in verifying absence of self-inflicted cochear<br />

dysfunction<br />

� AIT and other “listening therapies” cannot be recommended due to lack of evidence<br />

based research<br />

� Audiologic therapy (management) should include<br />

� Proper referrals to other specialists<br />

� In depth counseling with accurate information<br />

� Environmental sound enrichment<br />

� A desensitization program<br />

� Extended treatment (e.g., TRT or Neuromonics) in selected cases not<br />

responding to initial management program<br />

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