Question
I have a 16 yr old patient who has been receiving AIT for treatment of CAPD for the last 18 mos. (her parents fly her to California for this several times a year). I see her only for pre- and post- treatment audiograms. When she started with the AIT, her thresholds were all in the -5 to 10 dB range. Subsequent audiograms have shown a gradual decline in thresholds, to the point where she now has a slight SNHL. She now shows thresholds at 25 - 30 dB, particularly at 1000, 1500, 6000 and 8000Hz (with 3-4000 Hz rebounding to 0 - 5 dB). I am wondering if this decrease in thresholds can actually be due to AIT or if it is a coincidental progressive loss? Have detrimental effects been shown for AIT (other than wasting a lot of money if it doesn't work)?
Answer
I am unaware of any reports in the literature to implicate AIT and acquired hearing loss. In order to know about this specific case it would be necessary to have the details of the treatment. Nevertheless, until more is understood about this progressive hearing loss I would be extremely cautious in continuing, and would want complete otologic and audiologic testing to determine what is going on. Robert W. Keith, Ph.D. Board Certified in Audiology Professor and Director Division of Audiology University of Cincinnati Medical Center P.O. Box 670528 Cincinnati, Ohio 45267-0528
Robert Keith, PhD
Related Courses
1https://www.audiologyonline.com/audiology-ceus/course/cortical-auditory-evoked-potentials-in-39954Cortical Auditory Evoked Potentials in a Pediatric PracticeThis course explores how to use the Cortical Auditory Evoked Potential for verifying hearing technologies on the user, evaluating the severity of Auditory Neuropathy Spectrum Disorder, and evaluating pediatric patients with Auditory Processing Disorders. Real world Cortical tracings and how to apply normative data to them are discussed.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comCortical Auditory Evoked Potentials in a Pediatric PracticeThis course explores how to use the Cortical Auditory Evoked Potential for verifying hearing technologies on the user, evaluating the severity of Auditory Neuropathy Spectrum Disorder, and evaluating pediatric patients with Auditory Processing Disorders. Real world Cortical tracings and how to apply normative data to them are discussed.39954OnlinePT60M
This course explores how to use the Cortical Auditory Evoked Potential for verifying hearing technologies on the user, evaluating the severity of Auditory Neuropathy Spectrum Disorder, and evaluating pediatric patients with Auditory Processing Disorders. Real world Cortical tracings and how to apply normative data to them are discussed.
2https://www.audiologyonline.com/audiology-ceus/course/20q-auditory-processing-disorders-there-3945420Q: Auditory Processing Disorders - Is There a Gold Standard?This course describes the origins and current views on the auditory processing disorder (APD) construct. This course includes a discussion of the identification of the “gold” or reference standard test (or test battery) used for the diagnosis of an APD.textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.com20Q: Auditory Processing Disorders - Is There a Gold Standard?This course describes the origins and current views on the auditory processing disorder (APD) construct. This course includes a discussion of the identification of the “gold” or reference standard test (or test battery) used for the diagnosis of an APD.39454OnlinePT120M
This course describes the origins and current views on the auditory processing disorder (APD) construct. This course includes a discussion of the identification of the “gold” or reference standard test (or test battery) used for the diagnosis of an APD.
3https://www.audiologyonline.com/audiology-ceus/course/using-amplification-to-address-functional-37924Using Amplification to Address Functional Hearing Loss and Auditory Processing DisordersThis presentation is designed to discuss the role of hearing aids/amplification in the treatment of functional hearing losses/auditory processing disorders.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comUsing Amplification to Address Functional Hearing Loss and Auditory Processing DisordersThis presentation is designed to discuss the role of hearing aids/amplification in the treatment of functional hearing losses/auditory processing disorders.37924OnlinePT60M
This presentation is designed to discuss the role of hearing aids/amplification in the treatment of functional hearing losses/auditory processing disorders.
4https://www.audiologyonline.com/audiology-ceus/course/auditory-processing-disorder-and-blast-31270Auditory Processing Disorder and Blast TraumaThis course will focus on the current approach to blast trauma and the role of the audiologist in working with this population. Characteristics, assessment tools, and treatment will be discussed.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comAuditory Processing Disorder and Blast TraumaThis course will focus on the current approach to blast trauma and the role of the audiologist in working with this population. Characteristics, assessment tools, and treatment will be discussed.31270OnlinePT60M
This course will focus on the current approach to blast trauma and the role of the audiologist in working with this population. Characteristics, assessment tools, and treatment will be discussed.
5https://www.audiologyonline.com/audiology-ceus/course/auditory-processing-disorder-counseling-38443Auditory Processing Disorder: CounselingThis course provides information on interpretation of case history information and test results, and will guide DoD and VA audiologists in discussing the complexities of hearing health with patients experiencing subjective communication issues in the presence of background noise. Recommendations and additional referral considerations are discussed in detail.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comAuditory Processing Disorder: CounselingThis course provides information on interpretation of case history information and test results, and will guide DoD and VA audiologists in discussing the complexities of hearing health with patients experiencing subjective communication issues in the presence of background noise. Recommendations and additional referral considerations are discussed in detail.38443OnlinePT60M
This course provides information on interpretation of case history information and test results, and will guide DoD and VA audiologists in discussing the complexities of hearing health with patients experiencing subjective communication issues in the presence of background noise. Recommendations and additional referral considerations are discussed in detail.
