Tinnitus

Have you ever experienced a “ringing in your ears” or “noise in your head”? This sound is referred to as tinnitus. Most people have tinnitus at some point in their lives – for some individuals it occurs very infrequently and for others it may be constant; it can also be in both ears or in only one ear. Approximately 40 million people in the U.S. have tinnitus at the present time. The sound of the tinnitus can also vary among people and has been described as ringing, hissing, buzzing, roaring, pulsing, whoosing, chirping, whistling, or clicking.

What causes tinnitus? Tinnitus is a symptom of a problem so it is important to determine the underlying issue in order to determine how to treat it. It may be a sign of hearing loss or may be caused by excessive exposure to noise, which may be occupational, military, or recreational (hunting, target-shooting, concerts). Certain ear diseases, injury involving damage to the ear, wax in the ear, barometric pressure changes (scuba diving), or circulation changes in the inner ear are other auditory causes of tinnitus. It can also be due to medical problems such as allergies, high or low blood pressure, tumors, diabetes, and thyroid issues. In addition, there are several medications that can cause or worsen tinnitus. Caffeine, nicotine, and stress also tend to aggravate tinnitus.

What should you do if you have tinnitus? You should see your physician to determine the cause of the tinnitus. If it is not caused by a medical problem or a medication, it may have an auditory etiology. An audiological evaluation would therefore be necessary to determine if you have a hearing loss or if there is another auditory cause. Unfortunately, there is no cure for tinnitus at this time but there are options available to help reduce the tinnitus. Hearing aids are an option for individuals who have both hearing loss and tinnitus. Masking devices can be used to make the tinnitus less noticeable. Tinnitus retraining therapy is available to help reduce the brain’s focus on the phantom sound and therefore, provide relief. Certain medications can be used if the cause is related to stress or depression. There are also tinnitus support groups in communities to help people cope with the tinnitus.

Tinnitus can be very distracting and cause difficulty concentrating. It is important to determine the cause of the tinnitus and what options you have to help alleviate it. For more information, please visit the American Speech Language Hearing Association website at www.asha.org or contact a hearing health specialist at Coastal Hearing and Balance Center 732-280-7855; www.coastalhearing.com.
Kristen Olsen is a Doctor of Audiology at Coastal Ear, Nose and Throat in Neptune, NJ, and can be contacted at 732-280-7855; kmolsen@coastalhearing.com; http://www.coastalhearing.com

Increase in Hearing Loss in Adolescents Courtesy of Coastal Ear, Nose & Throat

During the holiday season, you are probably overwhelmed with determining what gift to get for your teenage family members. How about preserving their hearing? The number of adolescent children with a slight hearing loss has significantly increased in recent years. Even a slight degree of hearing loss can result in more difficulty with understanding speech in a classroom setting.

The Journal of the American Medical Association published an article in August 2010 regarding the prevalence of hearing loss in children age 12-19 years in the United States. The researchers compared data from the Third National Health and Nutrition Examination Survey regarding the hearing sensitivity of teenagers in the 1988-1994 timeframe to 2005-2006. There was a significant increase in the prevalence of a slight hearing loss in this age group, rising from 14.9% in 1988-1994 to 19.5% in 2005-2006. Hearing loss has become more commonly unilateral (only present in one ear) and tends to primarily affect the high frequencies in teenagers today.

There is speculation that the recent increase in hearing loss in teenagers may related to the increased use of personal music devices by this age group. If you can hear the music coming from someone’s ear buds or headphones, the volume is set too high. Noise cancelling headphones instead of ear buds may be considered to allow for MP3 players and IPODs to be enjoyed at a lower volume setting. Repeated exposure to noise at a dangerously loud level can result in a permanent hearing loss. Portnuff and Fligor (2006) evaluated the safe listening volumes over time for several portable music players. They recommended that the volume may be set at 70% for no more than 4.6 hours of use per day in order to avoid a permanent noise-induced hearing loss. Higher volume levels put children at a higher risk for permanent damage to their hearing – for example, 80% volume setting should not be used for more than 1.2 hours at a time. There are now ways that parents can limit the maximum volume levels on the IPOD to prevent children from listening at a potentially harmful level. Instructions on limiting IPOD volume can be found at: www.ilounge.com/index.php/articles/comments/limiting-your-ipods-maximum-volume. More tips on protecting kids’ hearing can also be found at: www.noisyplanet.nidcd.nih.gov or contact a hearing health specialist at Coastal Hearing and Balance Center 732-280-7855; www.coastalhearing.com.

Remember to enjoy your holiday season and protect your young family members!
Suzanne McCorry is Doctor of Audiology at Coastal Ear, Nose and Throat in Neptune, NJ, and can be contacted at 732-280-7855; sbmccorry@coastalhearing.com; http://www.coastalhearing.com

Movie Captioning Access Update

Deaf and hard-of-hearing people who have a hard time understanding dialogue at the movies benefit from closed captioning in a movie theater. Closed captioning technology for movie theaters allows hearing impaired patrons to read the movie dialogue as captions. The entire audience does not see the captions; only the patrons with the captioning device see the words. The reflectors are available at the theater's customer service desk. It can be very frustrating to miss that critical plot twist because you didn’t hear all of the words. How does the technology work? A captioning device displays reversed captions on an LED text display which is mounted in the rear of a theater. Deaf and hard-of-hearing patrons use transparent acrylic panels attached to their seats to reflect the captions so that they appear superimposed on the movie screen. The reflective panels are portable and adjustable, enabling the caption user to sit anywhere in the theater. Recently, there have been two major court rulings in movie captioning access. On April 30, 2010, a unanimous, three-judge panel of the U.S. Court of Appeals for the Ninth Circuit ruled that the Americans with Disabilities Act (ADA) requires closed-captioning access in movie theaters. This is the second time a federal court has ruled that the ADA requires some captioning access (a federal court in Washington, D.C., ruled this way in 2004), and the first time that a federal court of appeals has ruled this way, overturning a lower court decision. Many theaters across the country already offer closed-captioning systems. In New Jersey in September 2004, the Attorney General’s Office and the Division on Civil Rights reached voluntary settlement agreements with four major multiplex theater chains operating in New Jersey regarding the installation of new deaf captioning technology. Under terms of the settlement agreements, American Multi Cinema (AMC), Loews Cineplex Theaters, Clearview Cinemas and National Amusements agreed to either equip their theaters with new captioning technology or, in multiplexes where the technology was already installed, to expand the number of screens offering such captioning. Please visit our website at http://www.coastalhearing.com/under helpful links to take the Better Hearing Institute hearing test. # # # Dr. Suzanne McCorry is Director of Audiology at Coastal Ear, Nose and Throat in Neptune, NJ and can be contacted at 732-280-7855; sbmccorry@coastalhearing.com; http://www.coastalhearing.com/

Dr. Fuchs Joins Coastal

Coastal Ear, Nose and Throat is proud to announce Tara L. Fuchs has joined the staff of Coastal Hearing and Balance Center Dr. Fuchs is a hearing-health professional with an audiologic career that spans over a decade. Dr. Fuchs earned her Master of Arts in Audiology from The College of New Jersey in 1997 followed by her Doctorate in Audiology from the University of Florida in 2003. During Dr. Fuch’s audiology tenure, she also became a member of both the American Academy of Audiology and the NJ Association of Hearing Health Professionals. She has spent time working as an Adjunct Professor at The College of New Jersey to help educate the next generation of hearing-health professionals. As both an industrial and clinical audiologist, Dr. Fuch’s professional experience spans from pediatric through geriatric patients.

Please visit our website at http://www.coastalhearing.com/for more information on healthy hearing.

Dr. McCorry is Director of Audiology at Coastal Ear, Nose and Throat in Neptune, NJ and can be contacted at 732-280-7855; sbmccorry@coastalhearing.com; http://www.coastalhearing.com/

Hearing Loss

What are the primary causes of hearing loss?

Coastal Ear, Nose and Throat along with Healthy Hearing would like to educate the public on the primary causes of hearing loss.

There are three types of hearing loss: conductive, sensorineural and mixed hearing loss, all of which have different causes.

Conductive hearing loss is caused by issues with the middle ear such as fluid in the middle ear space or issues with the middle ear bones. Many types of conductive hearing loss are not permanent and can be treated by medical intervention. A full hearing evaluation followed with a medical evaluation by an ear physician will help to determine the cause of the conductive hearing loss. Once the cause is identified, the physician will recommend medical treatment.

Most causes of sensorineural (nerve) hearing loss are never known; however, through a hearing evaluation and medical evaluation, various causes of hearing loss can be suspected based on the outcome of the evaluations. The most common causes of sensorineural hearing loss are genetics, aging and noise exposure. Medications, diseases associated with small vessel disease, arthritis, diabetes, and heart disease are all associated with a higher incidence of hearing loss.

Recent studies have also found persons who smoke increase their probability of having hearing loss. Finally, high levels of blood lipids and cholesterol have been associated with an increased incidence of hearing loss, possibly through the promotion of small vessel disease.

Currently, noise-induced hearing loss is the only type of hearing loss that can be fully prevented by the use of ear protection. Noise induced hearing loss may be caused by a single exposure to excessive noise or from many years of being exposed to loud levels of noise.

Mixed hearing loss is a combination of conductive and sensorineural hearing loss, and is caused by the previously mentioned causes.

Unfortunately, even if you live healthy and take all precautions possible, the majority of us will slowly develop hearing loss due to the natural aging process. The inner ear hair cells do not replace themselves and once they are lost, their function is not recovered.

Recent studies have found high doses of antioxidants may be associated with the prevention of noise induced hearing loss. Other studies have shown a diet rich in folates may also help prevent hearing loss by up to 20% (2009, AOO-HNSF); however, further research is needed.

Joanne Slater M.S. CCC-A. Copyright 2009, www.HealthyHearing.com - The leading web resource on hearing loss and hearing aids. This article was reprinted with permission. Article Source: http://www.healthyhearing.com

Please visit our website at www.coastalhearing.com for more information on healthy hearing.
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Suzanne McCorry is Director of Audiology at Coastal Ear, Nose and Throat in Neptune, NJ and can be contacted at 732-280-7855; sbmccorry@coastalhearing.com; http://www.coastalhearing.com

Hearing Aid Dispenser

Coastal Ear, Nose and Throat is proud to announce Jessica Miller has joined the staff of Coastal Hearing and Balance Center. Dr. Miller received both her Bachelor’s and Doctorate in Audiology degrees from James Madison University in Virginia. She is a licensed Audiologist and Hearing Aid Dispenser. Jessica also holds a Certificate of Clinical Competence in Audiology from the American Speech-Language Hearing Association. After experiencing a variety of clinical settings including hospitals, VA medical centers, ENT offices, & private practice, she has found her niche working with hearing aids.

Call (732) 280-7855 or visit us on our website to make an appointment.

Telephone Use with Hearing Aids

Courtesy of Coastal Ear, Nose & Throat

During the holidays, we have the opportunity to spend time our family members and friends who we might not get to see often throughout the rest of the year. Why not enhance your daily communication with those close to you by improving hearing ability on the telephone? Understanding speech on the phone is a significant area of difficulty for the majority of individuals with hearing loss.
Our ability to understand speech is augmented by the cues provided by looking at someone’s face when they are talking and by binaural listening (hearing with two ears). Communication via the telephone can be extremely difficult due to the loss of visual cues and relying on only one ear. In the past, individuals with hearing aids may have experienced whistling when attempting to use the telephone in conjunction with their hearing aid. The technology available today allows for improved telephone communication.
Hearing aids can now come equipped with a telecoil to improve telephone use. The telecoil circuit allows for electromagnetic communication between the telephone and the hearing aid by positioning them appropriately close together – a program button can be provided on the hearing aid if an individual has difficulty with maintaining the position of the phone. How do you obtain the most optimal telecoil response with a hearing aid? Your landline phone should have at least a 100 milliamps per meter (mA/m) magnetic strength in order to achieve a good connection to the hearing aid telecoil. If your phone is not emitting a strong enough magnetic field, a magnet can be placed on the phone receiver. Cell phones should have a minimum of a M3/T3 rating. The M refers to use with the hearing aid microphone; whereas the T refers to the use with the hearing aid telecoil. The higher the rating, the better compatibility is with the hearing aid – M4/T4 provides the best compatibility.
Even more exciting … some of the hearing aid manufacturers have recently developed technology that allows the hearing aid to automatically send the telephone response to both hearing aids simultaneously to regain the binaural listening, which is lost with traditional telephone use. In addition, many hearing aids are Bluetooth compatible to allow for hands-free cell phone use without having to take out the hearing aids to use a hands-free Bluetooth device for the cell phone while driving.
Individuals with a more severe degree of hearing loss may require use of a captioned telephone or phone relay service. Captioned telephones have a visual display of every word that the person you are communicating with to improve your ability to understand speech on the phone. IP Relay Service is available for individuals who use American Sign Language as their primary means of communication to allow for telephone communication.

Remember to enjoy your holiday season and keep in touch with the ones you love!

Suzanne McCorry is Doctor of Audiology at Coastal Ear, Nose and Throat in Neptune, NJ, and can be contacted at 732-280-7855; sbmccorry@coastalhearing.com; http://www.coastalhearing.com

Sean Houston, MD

Sean Houston, MD

Dr. Sean Houston received his undergraduate degree in Biology from Georgetown University and his Medical Doctorate from the Georgetown School of Medicine. He completed his internship and residency at the University of Pittsburgh.

Dr. Houston is a contributing author to a textbook entitled Decision Making in Ear, Nose and Throat Disorders and has been a featured speaker at the Academy of Otolaryngology, Head and Neck Surgery Annual Conference.

In 2007, Dr. Houston was voted by his peers as one of New Jersey Monthly's Top Doctors. He serves as a Clinical Instructor for the Residency Program at Jersey Shore University Medical Center.

Dr. Houston is Board Certified to treat both adult and pediatric Otolaryngology patients.

Mary Mitskavich, MD

Mary Mitskavich, MD

Founder, Coastal Ear, Nose and Throat

Dr. Mary Mitskavich is the founder of Coastal Ear, Nose and Throat, LLC and is the managing partner. She received her undergraduate degree in Pharmacy from Duquesne University, graduating Summa Cum Laude as the class Valedictorian. She worked as a registered Pharmacist until deciding to pursue a career in medicine.

Dr. Mitskavich completed medical school, internship and residency at the University of Pittsburgh where she was elected to the Alpha Omega Alpha Honor Society. Dr. Mitskavich has had multiple scientific publications and presentations at national meetings. Grant money was awarded to fund her clinical research.

Currently, Dr. Mitskavich serves as a clinical instructor at Jersey Shore University Medical Center. She serves on the management committee of the Center for Advanced Surgery and Pain Management. She was on the Board of Directors of Meridian Ambulatory Care, Inc. She was recently selected to participate in the Meridian Physician Leadership Program. In 2007, Dr. Mitskavich was voted by her peers as one of New Jersey Monthly's Top Doctors.

Dr. Mitskavich is Board Certified in Pediatric and Adult Otolaryngology. She specializes in Balloon Sinuplasty, a less invasive endoscopic sinus surgery. You can see her interviewed on our Balloon Sinuplasty video.

www.coastalhearing.com

sbmccorry@coastalhearing.com

Coastal Ear, Nose and Throat Urges Area Residents to Listen Up in a Down Economy
and Address Hearing Loss During Better Hearing and Speech Month

Neptune, May 1, 2009—May 1 marks the start of Better Hearing and Speech Month, a month dedicated to educating consumers about the need to assure that their hearing is healthy. This year, Coastal Ear, Nose and Throat is joining with the Better Hearing Institute (BHI) to educate Americans on how hearing health affects job security, performance, and employment opportunities. Coastal Ear, Nose and Throat is encouraging people of all ages who are either seeking employment or who want to protect their jobs to make sure that unaddressed hearing loss doesn’t pose a barrier to employment success. BHI is offering an online hearing test where people can quickly and confidentially assess if they need a comprehensive hearing check by Coastal’s hearing professionals. Please visit our website at http://www.coastalhearing.com/ under helpful links to take the Better Hearing Institute hearing test.
“Never before has good hearing been so important,” says Suzanne McCorry, an audiologist in Neptune. “Hearing your best can be a smart job security strategy in a tough job market. How an employee is perceived by employers is effected by how he or she hears. Job candidates need to sound sharp during an interview. And employees who aren’t sure what an employer is asking can’t answer their best.”
According to the International Listening Association (ILA), listening is one of the top skills employers seek in entry-level employees and in those being promoted. Individual performance in an organization is found to be directly related to listening ability or perceived listening effectiveness.
When people with even mild hearing loss use hearing aids, they improve their job performance, increase their earning potential, enhance their communication skills, improve their professional and interpersonal relationships, stave off depression, and better their quality of life.
According to a BHI national study—“Impact of Hearing Loss on Household Income"—Americans with unaddressed hearing loss make less money than people with normal hearing. The study found that wearing a hearing aid reduces the amount of income lost. Specifically, untreated hearing loss negatively affects household income, on average, up to $23,000 per year depending on the degree of hearing loss. The use of hearing aids mitigates those negative effects by about 50 percent.

“Treating hearing loss early is no longer an option,” says Sergei Kochkin, PhD, Executive Director of BHI. “It is a career imperative. Great workplace communication is critical to both job performance and to getting a job. Great communication starts with great listening. And great listening starts with the ability to hear. We urge everyone to take that first, most critical step to ensuring career success by visiting http://www.hearingcheck.org/. Do it today.“
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Suzanne McCorry is Director of Audiology at Coastal Ear, Nose and Throat in Neptune, NJ, and can be contacted at 732-280-7855; sbmccorry@coastalhearing.com; http://www.coastalhearing.com/