The ICF core sets for hearing loss project: Functioning and disability from the patient perspective

Granberg, Sarah; Pronk, Marieke; Swanepoel, De Wet; Kramer, Sophia E.; Hagsten, Hanna; Hjaldahl, Jennie; Möller, Claes; Danermark, Berth

doi:10.3109/14992027.2014.938370

Cited by 61 publications

(61 citation statements)

References 40 publications

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“…For example, in functional impairment category, hearing problems and tinnitus were reported for PQ, whereas emotional problems were identified by the LEQ. Regarding environmental factors, previous research has identified a number of human-related environmental factors as relevant for adults with bilateral HL, reinforcing the results of the present study 9,10 . Furthermore use of an open-ended questionnaire allowed tapping into some of the nonauditory problems that these individuals may experience.…”

Section: Discussionsupporting

confidence: 88%

Creating a Neoconchal Complex Using the Adjustable Conchal Sliding Technique in Prominent Ear Correction

Yazar

Basat

Bi̇çer

et al. 2012

Journal of Craniofacial Surgery

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An oversized aural concha plays a significant role in prominent ear deformities and should be taken into consideration during preoperative examination. In the current study, we present a procedure known as the conchal sliding technique as an alternative to more disruptive methods. Twenty-four patients (9 females and 15 males; 47 ears in total) underwent a conchal sliding procedure between 2006 and 2010. During the surgery, a wide subperichondrial dissection is performed after a posterior elliptical incision. After the concha is exposed as a hemisphere, it is split along its long axis to reveal the medial and lateral cartilage segments. These segments are gently scrolled upon each other. Transposition of the lateral segment posteriorly to the medial segment replaces the whole ear toward the posterior direction. Three mattress sutures (4Y0 polypropylene) reliably secure the repositioned and setback conchal bowl. If needed, an antihelix can be formed using neoconchal-scaphal mattress sutures. Median follow-up period was 24.3 months (range, 6Y48 mo). A unilateral hematoma developed in 1 patient and an anterior step deformity occurred in another. No recurrence, infection, necrosis of the skin, distortion of the auditory canal, or formation of keloid was observed in any of the patients. The median cephaloauricular angle was measured as 46 degrees before the surgery and 26 degrees after the surgery, whereas the distance between the helix and the mastoid was 23 mm before the surgery and 11 mm after the surgery. All the patients were satisfied with the results. This technique provides stable and natural results by creating a safe neoconchal complex. It may be a safe and reliable solution to an oversized aural concha, enabling natural-looking and positive cosmetic results.A prominent ear is characterized by an increase in the cephaloauricular angle, and it is a common deformity of the auricle with an incidence rate of 5%. 1,2 It can arise from a lack of development of the antihelical fold or from a wide and protruded conchal bowl. McDowell's 3 basic goals should be considered in the correction of a prominent ear deformity: (1) All upper third ear protrusion must be corrected.(2) The helix should be seen beyond the antihelix.(3) A smooth antihelical fold should be created. (4) The postauricular sulcus should not be distorted. (5) The distance from the helix to the mastoid should be 10 to 12 mm in the upper third of the helix. Furthermore, the normal auriculomastoid angle is often stated to be about 30 degrees 4 at the level of the upper insertion point of the ear.Various techniques have been described since the first published otoplasty by Dieffenbach. 2 Unfortunately, most techniques described in the literature focus solely on the creation of the antihelical fold. 5,6 However, an oversized aural concha plays a significant role in prominent ear and should be considered during the preoperative period to avoid relapses and undesirable outcomes. In this study, we aimed to present a conchal sliding technique that presents as a ...

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Section: Discussionsupporting

confidence: 88%

Creating a Neoconchal Complex Using the Adjustable Conchal Sliding Technique in Prominent Ear Correction

Yazar

Basat

Bi̇çer

et al. 2012

Journal of Craniofacial Surgery

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“…M's findings are discussed using the ICF framework because it highlights the broad impact of hearing loss, auditory processing difficulties, aphasia, and other poststroke disabilities on people's lives. [5][6][7][8][9][10] EFFECTS OF STROKE ON COMMUNICATION AND AUDITORY PROCESSING Stroke continues to be a major cause of disability internationally despite evidence for declining rates of intracerebral hemorrhage in some populations. [11][12][13][14][15] As stroke is more common in older patients 16 ; hearing professionals are likely to encounter clients with hearing difficulties who have experienced a stroke.…”

Section: Abstract: Stroke Aphasia Auditory Processing Icf Hearingmentioning

confidence: 99%

Aphasia and Auditory Processing after Stroke through an International Classification of Functioning, Disability and Health Lens

et al. 2016

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Aphasia is an acquired language impairment affecting speaking, listening, reading, and writing. Aphasia occurs in about a third of patients who have ischemic stroke and significantly affects functional recovery and return to work. Stroke is more common in older individuals but also occurs in young adults and children. Because people experiencing a stroke are typically aged between 65 and 84 years, hearing loss is common and can potentially interfere with rehabilitation. There is some evidence for increased risk and greater severity of sensorineural hearing loss in the stroke population and hence it has been recommended that all people surviving a stroke should have a hearing test. Auditory processing difficulties have also been reported poststroke. The International Classification of Functioning, Disability and Health (ICF) can be used as a basis for describing the effect of aphasia, hearing loss, and auditory processing difficulties on activities and participation. Effects include reduced participation in activities outside the home such as work and recreation and difficulty engaging in social interaction and communicating needs. A case example of a young man (M) in his 30s who experienced a left-hemisphere ischemic stroke is presented. M has normal hearing sensitivity but has aphasia and auditory processing difficulties based on behavioral and cortical evoked potential measures. His principal goal is to return to work. Although auditory processing difficulties (and hearing loss) are acknowledged in the literature, clinical protocols typically do not specify routine assessment. The literature and the case example presented here suggest a need for further research in this area and a possible change in practice toward more routine assessment of auditory function post-stroke.

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“…The comprehensive and brief core sets for hearing loss, as described in Meyer et al (this issue), offer a standard for hearing health professionals to document patients' functioning and a system for policy makers and researchers to quantify profiles of health conditions. 24 To date, just one publication purposefully linked the brief core set for hearing loss to audiological assessment. 23 In this article, we will use the core sets for hearing loss to describe the functioning and disability of an older adult with hearing impairment and a significant other.…”

Section: Clinical Use Of the Icfmentioning

confidence: 99%

The International Classification of Functioning, Disability and Health as a Framework for Providing Patient- and Family-Centered Audiological Care for Older Adults and Their Significant Others

et al. 2016

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Hearing impairment is highly prevalent in the older population, and it impacts communication and quality of life for both the people with the hearing difficulties and their significant others. In this article, typical audiological assessment and management of an older adult is contrasted with a best practice approach wherein the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework is applied. The aim of the comparison is to demonstrate how the ICF expands our focus: rather than merely focusing on impairment, we also consider the activities, participation, and contextual factors for both the person with the hearing impairment and his or her family. A case example of an older patient and her spouse is provided, and their shared experience of the patient's hearing impairment is mapped onto the ICF framework. Family-centered hearing care is recommended for individualizing care and improving outcomes for older patients and their families.

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The ICF core sets for hearing loss project: Functioning and disability from the patient perspective

Cited by 61 publications

References 40 publications

Creating a Neoconchal Complex Using the Adjustable Conchal Sliding Technique in Prominent Ear Correction

Creating a Neoconchal Complex Using the Adjustable Conchal Sliding Technique in Prominent Ear Correction

Aphasia and Auditory Processing after Stroke through an International Classification of Functioning, Disability and Health Lens

The International Classification of Functioning, Disability and Health as a Framework for Providing Patient- and Family-Centered Audiological Care for Older Adults and Their Significant Others

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