[Central hearing loss in patients with fronto-basal fractures of the skull (author's transl)]. 1975

H G Dieroff

23 persons were examined with regard to post-traumatic hearing damage after having had a frontobasal injury of the skull. The occurrence of central hearing damages was especially looked for. On the basis of preceding experiences with central hearing test methods gathered on persons with noise-induced hearing damage 21 victims of accidents had to undergo the following three special tests apart from the usual audiometrical procedures: Dichotic discrimination test, acoustic trigger action of the impedance jump and direction audiometry. The investigations had the following results: 1. Damages of the inner ear in the high frequency range originate for the most part also in frontobasal fractures of the skull--basocochlear type. 2. Damages of the inner ear are small and indicate a continuous increase towards higher frequencies. 3. The dichotic discrimination test is positive only in a few cases (4 out of 21). 4. Direction audiometry clearly indicates the existence of central damages (increase of the lateral position angles). 5. With transanimated cases the deviations of central hearing damages equal the average. As a consequence of the studies under consideration a search for central hearing damages after frontobasal fractions of the skull is recommended. In these cases investigation methods of direction audiometry seem to be particularly convincing.

UI MeSH Term Description Entries
D007759 Labyrinth Diseases Pathological processes of the inner ear (LABYRINTH) which contains the essential apparatus of hearing (COCHLEA) and balance (SEMICIRCULAR CANALS). Inner Ear Disease,Ear Disease, Inner,Ear Diseases, Inner,Inner Ear Diseases,Labyrinth Disease
D003051 Cochlea The part of the inner ear (LABYRINTH) that is concerned with hearing. It forms the anterior part of the labyrinth, as a snail-like structure that is situated almost horizontally anterior to the VESTIBULAR LABYRINTH. Cochleas
D003638 Deafness A general term for the complete loss of the ability to hear from both ears. Deafness Permanent,Hearing Loss Permanent,Prelingual Deafness,Deaf Mutism,Deaf-Mutism,Deafness, Acquired,Hearing Loss, Complete,Hearing Loss, Extreme,Acquired Deafness,Complete Hearing Loss,Deafness, Prelingual,Extreme Hearing Loss,Permanent, Deafness,Permanent, Hearing Loss,Permanents, Deafness
D004192 Discrimination, Psychological Differential response to different stimuli. Discrimination, Psychology,Psychological Discrimination
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001299 Audiometry The testing of the acuity of the sense of hearing to determine the thresholds of the lowest intensity levels at which an individual can hear a set of tones. The frequencies between 125 and 8000 Hz are used to test air conduction thresholds and the frequencies between 250 and 4000 Hz are used to test bone conduction thresholds. Audiometries
D001307 Auditory Perception The process whereby auditory stimuli are selected, organized, and interpreted by the organism. Auditory Processing,Perception, Auditory,Processing, Auditory
D012887 Skull Fractures Fractures of the skull which may result from penetrating or nonpenetrating head injuries or rarely BONE DISEASES (see also FRACTURES, SPONTANEOUS). Skull fractures may be classified by location (e.g., SKULL FRACTURE, BASILAR), radiographic appearance (e.g., linear), or based upon cranial integrity (e.g., SKULL FRACTURE, DEPRESSED). Linear Skull Fracture,Skull Fracture, Linear,Skull Fracture, Non-Depressed,Non-Depressed Skull Fracture,Fracture, Non-Depressed Skull,Fracture, Skull,Fractures, Linear Skull,Fractures, Non-Depressed Skull,Fractures, Skull,Linear Skull Fractures,Non Depressed Skull Fracture,Non-Depressed Skull Fractures,Skull Fracture,Skull Fracture, Non Depressed,Skull Fractures, Linear,Skull Fractures, Non-Depressed
D013028 Space Perception The awareness of the spatial properties of objects; includes physical space. Perception, Space,Perceptions, Space,Space Perceptions
D013060 Speech Communication through a system of conventional vocal symbols. Public Speaking,Speaking, Public

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