AudiologyOnline Phone: 800-753-2160


Oticon Work - September 2024

Degrees of Auditory Dys-Synchrony

Yvonne S. Sininger, PhD

February 21, 2005

Share:

Question

Are there degrees of Auditory Dys-Synchrony? Can children have such a slight degree of Auditory Dys-Synchrony that they can speak clearly?

Answer

Yes, the symptoms, and certainly the severity of the disease process, can vary widely in cases of auditory neuropathy. The degree of hearing loss by pure tone thresholds can vary from normal to profound and the ABR abnormality can vary from very poor waveform morphology with some identifiable peaks to completely absent waveforms. The degree that the speech perception and speech production are affected varies as well. It is also possible to have a normal auditory system (and speech development) and have auditory neuropathy signs develop later. In this case, the speech production might be maintained through a variety of mechanisms.

Yvonne Sininger is Professor in the Division of Head and Neck Surgery at University of California in Los Angeles. She received her Masters degree in Audiology from Indiana University and her Ph.D. from University of California. Her research has long focused on human infant hearing and pediatric audiologic disorders. Previous projects, funded by the National Institute of Health included a study to define auditory sensitivity in healthy newborns using ABR and collaboration on a multi-center study on the efficacy of ABR and OAEs for newborn hearing screening. Dr. Sininger's interest in ABR and its use in measurement of hearing function along with my continual affiliation with clinical audiology led to an interest in children with Auditory Neuropathy. She has recently completed a project with Dr. Arnold Starr funded by Deafness Institute of the NIH on Auditory Neuropathy to characterize that disorder. That project and a related symposium led to our book entitled Auditory Neuropathy: A New Perspective on Hearing Disorders. Her current research project evaluates factors that influence the auditory outcomes of infants and children with hearing loss who receive amplification. This is a five year, multi-center project to study the effects of age at appropriate fitting of amplification as well as degree of hearing loss on the development of speech perception and speech production.


yvonne s sininger

Yvonne S. Sininger, PhD

Professor in Residence

Yvonne Sininger is a Professor in the Division of Head and Neck Surgery at UCLA and a licensed audiologist.  Her research is focused on infant hearing and pediatric audiologic disorders.  She has completed a project funded by the NIH Deafness Institute on Auditory Neuropathy with Dr. Arnold Starr and they are editors of the book Auditory Neuropathy: A New Perspective on Hearing Disorders published by Singular Press.


Related Courses

Empowerment and Behavioral Insights in Client Decision Making, presented in partnership with NAL
Presented by Simon Alperstein, MSc BE, Paola Incerti, MAudiology, AAudA
Recorded Webinar
AudiologyOnline

Presenters

Simon Alperstein, MSc BEPaola Incerti, MAudiology, AAudA
Course: #37124Level: Intermediate1 Hour
  'The information was relevant, and I was able to relate to example given and found the suggestions to address these could be implemented in clinic'   Read Reviews
Behavioral Insights can be used to understand and support hearing health decision-making, particularly in the appointment setting. An overview of empowering the individual's first awareness of hearing loss to hearing aid fitting and then to becoming an active hearing aid user will be covered.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Innovative Audiologic Care Delivery
Presented by Rachel Magann Faivre, AuD, Lori Zitelli, AuD, Heather Malyuk, AuD, Ben Thompson, AuD
Recorded Webinar
AudiologyOnline

Presenters

Rachel Magann Faivre, AuDLori Zitelli, AuDHeather Malyuk, AuDBen Thompson, AuD
Course: #38661Level: Intermediate4 Hours
  'informative'   Read Reviews
This four-course series highlights the next generation of audiology innovators and their pioneering approaches to meeting unmet audiologic needs in their communities and beyond. This peer-to-peer educational series highlights researchers, clinicians, and business owners and their pioneering ideas, care delivery models, and technologies which provide desperately needed niche services and audiologic care.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

20Q: Healthy Hearing Over the Lifespan - Effective and Efficient Diagnostic Assessment
Presented by James W. Hall III, PhD
Text/Transcript
AudiologyOnline

Presenter

James W. Hall III, PhD
Course: #37136Level: Intermediate1 Hour
  'I really liked learning about the six reasons not to use Bone Conduction threshold testing'   Read Reviews
Accurate diagnosis and effective management of hearing loss is best achieved with a patient-specific test battery that includes sensitive measures of peripheral and central auditory function. Healthy Hearing Over the Lifespan - Effective and Efficient Diagnostic Assessment reviews an approach for selection of auditory test procedures based on patient history and chief complaint, and their likely value in early detection and accurate diagnosis of impaired hearing function and related disorders, such as tinnitus. With careful analysis of the pattern of results for a patient-specific test battery, and consideration of information from patient history including comorbid conditions and lifestyle factors, audiologists have an opportunity to prevent or mitigate hearing loss over the lifespan.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

20Q: Assessing Auditory Wellness in Older Adults
Presented by Larry E. Humes, PhD
Text/Transcript
AudiologyOnline

Presenter

Larry E. Humes, PhD
Course: #37392Level: Intermediate1 Hour
  'It is good to see that the perception of loss is important'   Read Reviews
A discussion of perceived hearing difficulty in adults, including correlation with pure-tone audiometry, relationship to auditory wellness, and effect on candidacy for intervention.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Navigating Case History, Candidacy and Clinical Considerations for Vestibular Evaluations
Presented by Kaitlin Ryan, AuD, CCC-A
Recorded Webinar
AudiologyOnline

Presenter

Kaitlin Ryan, AuD, CCC-A
Course: #38933Level: Intermediate1 Hour
This course will help audiologists and vestibular providers alike solidify their knowledge of obtaining a case history and other patient information that is useful for vestibular testing. Asking more direct questions, determining candidacy, using functional assessment tools, helping to appropriately counsel, and clinical considerations for testing are covered in this course.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.