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Case 4 Age: 54 Gender: F The patient reports a history of left middle ear reconstructive surgery, the last surgery being 10-12 years ago

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Case 4 Age: 54 Gender: F The patient reports a history of left middle ear reconstructive surgery, the last surgery being 10-12 years ago. She indicates that her left ear is still “poor” and is concerned about a possible decrease in hearing in the right ear. She reports having to request repetitions more frequently than in the past, and she might consider hearing aid use. She denies tinnitus, ear pain, aural fullness, and recent ear infections. She reports vertigo with slight nausea, triggered by sudden movements. The episodes are brief.
SRT
WRS %
@ HL
Right
20
100%
45
Left
35
92%
65
• Describe the type and severity of the loss.
• Based on the SPRINT chart, is this patient’s WRS what would be expected for the patient’s hearing loss in each ear? Explain your answer.
• What is the ear canal volume for the right ear? Is it normal or abnormal?
• What is the static compliance for the right ear? Is it normal or abnormal?
• What is the middle ear pressure for the right ear? Is it normal or abnormal?
• What is the ear canal volume for the left ear? Is it normal or abnormal?
• What is the static compliance for the left ear? Is it normal or abnormal?
• What is the middle ear pressure for the left ear? Is it normal or abnormal?
• Are the tympanometry findings for each ear what you would expect given the audiometric results? Why or why not?