Sensory - Hearing Abnormalities: Difference between revisions
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[[File:Hearing_cartoon.jpg|right|400px]] | |||
==Introduction== | ==Introduction== | ||
[[File:Newborn_hearing_test.jpg|thumb|Newborn hearing test]] | |||
How and why do things go wrong in development? Developing of hearing requires a complex origin, organisation, and timecourse means that abnormal development of any one system can impact upon the development of hearing. There are many different abnormalities of hearing development that can result in hearing loss and can broadly be divided into either conductive or sensorineural loss. These abnormalities can have genetic, environmental or unknown origins. In addition, abnormalities of the external ear (position and structure) is used as a clinical diagnostic tool for developmental abnormalities in other systems. | |||
In Australia, there is now an early postnatal screening of neonatal hearing as part of a NSW State Wide Infant Screening Hearing (SWISH) Program using [[A#Automated Auditory Brainstem Response|Automated Auditory Brainstem Response]] (AABR). | |||
:{{Template:Hearing Links}} | [http://embryology.med.unsw.edu.au/Notes/ear.htm original page] | |||
:{{Template:Abnormality Links}} | :{{Template:Abnormality Links}} | ||
==Some Recent Findings== | ==Some Recent Findings== | ||
* '''Review - The etiology of otosclerosis'''<ref><pubmed>20513039</pubmed></ref> "Otosclerosis is a common form of hearing loss characterized by abnormal bone remodeling in the otic capsule. It is a complex genetic disease, caused by a combination of genetic and environmental factors. During the past decade, several attempts have been made to identify factors for otosclerosis." | |||
==Inner Ear Abnormalities== | |||
Common cavity, severe cochlear hypoplasia | |||
===Cholesteatoma=== | |||
Epithelium trapped within skull base in development, erosion of bones: temporal bone, middle ear, mastoid | |||
==Middle Ear Abnormalities== | |||
Rare and can be part of first arch syndrome. | |||
Fixation of the middle ear ossicles Malleus, Incus and Stapes | |||
==Outer Ear Abnormalities== | |||
[[File:Microtia.jpg|thumb|Microtia]] | |||
[[File:Preauricular sinus.jpg|thumb|Preauricular sinus]] | |||
Several genetic effects and syndromes, Environmental Effects | |||
* Microtia - abnormally small external ear | |||
* Preauricular sinus - occurs in 0.25% births, bilateral (hereditary) 25-50%, unilateral (mainly the left), duct runs inward can extend into the parotid gland, Postnatally sites for infection | |||
Fetal Alcohol Syndrome | |||
[[File:FASface.jpg|thumb|Fetal Alcohol Syndrome Face]] | |||
* Postion- Lower or uneven height, "railroad track” appearance, curve at top part of outer ear is under-developed, folded over parallel to curve beneath | |||
== Congenital Deafness == | |||
'''Sensorineural''' - cochlear or central auditory pathway | |||
'''Conductive '''- disease of outer and middle ear | |||
===Sensorineural=== | |||
Cochlear or central auditory pathway | |||
* Hereditary | |||
* recessive- severe | |||
* dominant- mild | |||
** can be associated with abnormal pigmentation (hair and irises) | |||
* Acquired | |||
** rubella (German measles), maternal infection during 2nd month of pregnancy, vaccination of young girls | |||
** cytomegalovirus <ref><pubmed>20500943</pubmed></ref> | |||
** streptomycin | |||
** antibiotic | |||
** thalidomide | |||
===Conductive=== | |||
Disease of outer and middle ear | |||
* produced by otitis media with effusion, is widespread in young children. | |||
* temporary blockage of outer or middle ear | |||
==Newborn Hearing Screening== | |||
[[File:Newborn_hearing_test.jpg|thumb|Newborn hearing test]] | |||
In Australia, there is now an early postnatal screening of neonatal hearing as part of a NSW State Wide Infant Screening Hearing (SWISH) Program using [[A#Automated Auditory Brainstem Response|Automated Auditory Brainstem Response]] (AABR). | |||
* Very low birthweight infants and universal newborn hearing screening in a developing country<ref><pubmed>20450464</pubmed></ref> | |||
'''Links:''' [http://www.health.nsw.gov.au/initiatives/swish/index.asp NSW Statewide Infant Screening - Hearing (SWISH) Program] | |||
==Bionic Ear== | |||
The "Cochlear Implant" was pioneered in development by Professor Graeme Clark (1960s, Australia).<ref><pubmed>18816421</pubmed>[http://www.rehab.research.va.gov/jour/08/45/5/Clark.html JRRD]</ref> It consists of an array of electrodes implanted within cochlea, that directly electrically stimulate the auditory nerve fibres. | |||
* Young children with cochlear implants compared with children with normal hearing.<ref><pubmed>20452685</pubmed></ref> | |||
== References == | |||
<references/> | <references/> | ||
===Online Textbooks=== | |||
* '''Clinical Methods''' [http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=cm.chapter.1949 63. Cranial Nerves IX and X: The Glossopharyngeal and Vagus Nerves] | [http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=cm.chapter.3847 The Tongue] | [http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=cm.chapter.3777 126. The Ear and Auditory System] | [http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=cm.chapter.3627#3654 An Overview of the Head and Neck - Ears and Hearing] | [http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=cm.chapter.3897 Audiometry] | |||
* '''Health Services/Technology Assessment Text (HSTAT)''' Bethesda (MD): National Library of Medicine (US), 2003 Oct. [http://www.ncbi.nlm.nih.gov:80/books/bv.fcgi?db=Books&rid=hstat1a.section.25014#25029 Developmental Disorders Associated with Failure to Thrive] | |||
* '''Search Bookshelf''' [http://www.ncbi.nlm.nih.gov/sites/entrez?db=Books&cmd=search&term=hearing%20development hearing development] | |||
===Reviews=== | ===Reviews=== | ||
* The International Journal of Developmental Biology [http://www.ijdb.ehu.es/web/contents.php?vol=51&issue=6-7 Vol. 51 Nos. 6/7 (2007) Ear Development] | |||
===Articles=== | ===Articles=== | ||
Line 18: | Line 99: | ||
'''Search Pubmed:''' [http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed&cmd=search&term=Hearing%20Development%20Abnormalities Abnormalities] | '''Search Pubmed:''' [http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed&cmd=search&term=Hearing%20Development%20Abnormalities Abnormalities] | ||
==Additional Images== | |||
<gallery> | |||
File:Inner_ear_haircells.jpg|Inner ear hair cells | |||
File:External ear anatomy.jpg|External ear anatomy | |||
File:Preauricular_tag_01.jpg|Preauricular tag | |||
File:Preauricular_tag_02.jpg|Preauricular tag | |||
</gallery> | |||
==External Links== | |||
* Embryo Images - [http://www.med.unc.edu/embryo_images/unit-ear/ear_htms/eartoc.htm Hearing] | |||
* NIDCD - [http://www.nidcd.nih.gov/health/balance/balance_disorders.asp Balance Disorders] | |||
* NSW Health - [http://www.health.nsw.gov.au/initiatives/swish/index.asp NSW Statewide Infant Screening - Hearing (SWISH) Program] | |||
* American Academy of Audiology - [http://www.audiology.org/Pages/default.aspx American Academy of Audiology] | [http://www.audiology.org/news/Pages/JudyGravel.aspx In Memoriam: Judy Gravel] | |||
Revision as of 10:17, 5 June 2010
Introduction
How and why do things go wrong in development? Developing of hearing requires a complex origin, organisation, and timecourse means that abnormal development of any one system can impact upon the development of hearing. There are many different abnormalities of hearing development that can result in hearing loss and can broadly be divided into either conductive or sensorineural loss. These abnormalities can have genetic, environmental or unknown origins. In addition, abnormalities of the external ear (position and structure) is used as a clinical diagnostic tool for developmental abnormalities in other systems.
In Australia, there is now an early postnatal screening of neonatal hearing as part of a NSW State Wide Infant Screening Hearing (SWISH) Program using Automated Auditory Brainstem Response (AABR).
Abnormality Links: abnormal development | abnormal genetic | abnormal environmental | Unknown | teratogens | ectopic pregnancy | cardiovascular abnormalities | coelom abnormalities | endocrine abnormalities | gastrointestinal abnormalities | genital abnormalities | head abnormalities | integumentary abnormalities | musculoskeletal abnormalities | limb abnormalities | neural abnormalities | neural crest abnormalities | placenta abnormalities | renal abnormalities | respiratory abnormalities | hearing abnormalities | vision abnormalities | twinning | Developmental Origins of Health and Disease | ICD-11 | ||
|
Some Recent Findings
- Review - The etiology of otosclerosis[1] "Otosclerosis is a common form of hearing loss characterized by abnormal bone remodeling in the otic capsule. It is a complex genetic disease, caused by a combination of genetic and environmental factors. During the past decade, several attempts have been made to identify factors for otosclerosis."
Inner Ear Abnormalities
Common cavity, severe cochlear hypoplasia
Cholesteatoma
Epithelium trapped within skull base in development, erosion of bones: temporal bone, middle ear, mastoid
Middle Ear Abnormalities
Rare and can be part of first arch syndrome.
Fixation of the middle ear ossicles Malleus, Incus and Stapes
Outer Ear Abnormalities
Several genetic effects and syndromes, Environmental Effects
- Microtia - abnormally small external ear
- Preauricular sinus - occurs in 0.25% births, bilateral (hereditary) 25-50%, unilateral (mainly the left), duct runs inward can extend into the parotid gland, Postnatally sites for infection
Fetal Alcohol Syndrome
- Postion- Lower or uneven height, "railroad track” appearance, curve at top part of outer ear is under-developed, folded over parallel to curve beneath
Congenital Deafness
Sensorineural - cochlear or central auditory pathway Conductive - disease of outer and middle ear
Sensorineural
Cochlear or central auditory pathway
- Hereditary
- recessive- severe
- dominant- mild
- can be associated with abnormal pigmentation (hair and irises)
- Acquired
- rubella (German measles), maternal infection during 2nd month of pregnancy, vaccination of young girls
- cytomegalovirus [2]
- streptomycin
- antibiotic
- thalidomide
Conductive
Disease of outer and middle ear
- produced by otitis media with effusion, is widespread in young children.
- temporary blockage of outer or middle ear
Newborn Hearing Screening
In Australia, there is now an early postnatal screening of neonatal hearing as part of a NSW State Wide Infant Screening Hearing (SWISH) Program using Automated Auditory Brainstem Response (AABR).
- Very low birthweight infants and universal newborn hearing screening in a developing country[3]
Links: NSW Statewide Infant Screening - Hearing (SWISH) Program
Bionic Ear
The "Cochlear Implant" was pioneered in development by Professor Graeme Clark (1960s, Australia).[4] It consists of an array of electrodes implanted within cochlea, that directly electrically stimulate the auditory nerve fibres.
- Young children with cochlear implants compared with children with normal hearing.[5]
References
Online Textbooks
- Clinical Methods 63. Cranial Nerves IX and X: The Glossopharyngeal and Vagus Nerves | The Tongue | 126. The Ear and Auditory System | An Overview of the Head and Neck - Ears and Hearing | Audiometry
- Health Services/Technology Assessment Text (HSTAT) Bethesda (MD): National Library of Medicine (US), 2003 Oct. Developmental Disorders Associated with Failure to Thrive
- Search Bookshelf hearing development
Reviews
- The International Journal of Developmental Biology Vol. 51 Nos. 6/7 (2007) Ear Development
Articles
Search Pubmed
Search Pubmed: Abnormalities
Additional Images
External Links
- Embryo Images - Hearing
- NIDCD - Balance Disorders
- NSW Health - NSW Statewide Infant Screening - Hearing (SWISH) Program
- American Academy of Audiology - American Academy of Audiology | In Memoriam: Judy Gravel
Glossary Links
- Glossary: A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | Numbers | Symbols | Term Link
Cite this page: Hill, M.A. (2024, May 1) Embryology Sensory - Hearing Abnormalities. Retrieved from https://embryology.med.unsw.edu.au/embryology/index.php/Sensory_-_Hearing_Abnormalities
- © Dr Mark Hill 2024, UNSW Embryology ISBN: 978 0 7334 2609 4 - UNSW CRICOS Provider Code No. 00098G