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46 Cards in this Set

  • Front
  • Back

What are ear molds used for?

  • transmitting sounds from BTE aid to TM (coupling)
  • acoustically modifying output of HA
  • create an acoustic seal
  • HA retention

What encompasses a successful fitting?

  • fine tuning of a digital aid
  • controlling output with digital aid
  • creating a frequency response by prescribing gain at discrete frequencies

important factors for EMIs

  • quality of impression
  • length
  • open vs closed jaw impression

what can alter the quality of EMI?

air bubble? helix? concha bowl? tragus?

What are some possible fit issues due to jaw movement?

it can change the canal shape and create less of a seal for earmold

Where do you want to make a mark on impression for direction microphones?

where their eyes are

contraindications for EMI

  • active draining
  • fungal infections/inflammation
  • impacted cerumen
  • TM perforation or other abnormality
  • foreign objects
  • enlarged external auditory canal *often due to mastoid surgery)

What are precautions for enlarged auditory canal?

the end of their canal is longer than the front, can't pull impression out

Why was there only one frequency response curve back in the day?

they couldn't individualize them like today so they just used one that fit the most patients (SNHL in high frequencies)

Where is the natural ear canal resonance?

2.7 kHz

What happens when you have insertion loss?

occlusion of natural open ear thus reducing signal transmission

reduction in high frequencies not low frequencies because it is reducing the effectiveness of the pinna and external ear

What contributes to localization and naturally enhancing incoming sound?

external ear

What causes the natural enhancement of 10-20 dB at the TM?

resonance characteristics

How do you know front to back localization?

pinna shapes frequency information to give that localization

What does the pinna do?

disturbs the sound field around the EAM allowing the brain to extract information (IID/ITD) for directional processing



alters spectral characteristics

What does the concha do?

influences direction of sound sources



contributes to directional hearing

What are the implications for hearing aid fittings?

stlye? (BTE vs ITE vs CIC)

What are earmolds used for?

  • transmit sound from BTE aid to TM (coupling)
  • acoustically modify output of HA
  • create and acoustic seal
  • HA retention

Deciding on EM is a balance between...

audiological information, patient characteristics, and patient wants/needs

Upon deciding on EM, look at...

  • Severity of HL
  • texture of ear
  • peds/adult
  • dexterity
  • allergies (hypoallergenic silicone)

EM materials

  • acrylics
  • semi-softs (vynl)
  • silicones

What has reduced reliance on silicone material for severe to profound losses?

feedback suppression

blue = more response in HF



green = less response to low and high frequency

prior to digital signal processing, acoustics of amplification werre heavily influenced by

use of EM acoustics

examples of difficult losses, pre-digital

reverse slope


cookie bite


high frequency only

tubing length

longer tubing shifts mid frequency peak to lower frequency and shorter tubing shifts peak to higher frequency

tubing diameter

tubing internal diameter can affect frequency response



smaller internal tubing diameter = reduced high frequency gain

sound bore length

longer bore length reduces high frequency responses



shorter bore length increases high frequency responses

sound bore diameter

wider diameter increases high frequency response (horns)



narrower diameter decrease high frequency response (reverse horns)

Why would you use a sound bore?

it is a natural HF technique opposed to just turning up HF gain (good for extended bandwidth)

what is the traditional amplification bandwidth?

5-6 kHz

increasing diameter of libby horn increases...

high frequency output

venting option

  • pressure vent
  • small/medium/large vent
  • SAV
  • BAV

venting

consequences of large vent

reduces low frequency response

consequences of diagonal venting

can adversely affect high frequency response

dampers/filtering

filtering or damping affects the mid frequency region of the frequency response



effects will vary based on placement of the filter

prior to feedback management, what was used to control feedback?

dampers and filters because it reduced peaks in frequency response

As you move damper close to where sound exits, what happens?

you reduce peakiness of sound output

venting improves sound quality but reduces...

occlusion

vents reduce loss of amplification at __ kHz and below

1 kHz

How do open fits affect directionality?

the natural and processed sounds are entering the ear

How do you account for limited fitting range?

offer a high power receiver

directional mice are directional to HF sounds with open fits

...

How do you account for directional rolloff?

add them back in if you need gain in that region (base boost)