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THE ABOVE LECTURE LASTED FOR AN HOUR. ONE CASE EACH OF TUBERCULOID, LEPROMATOUS LEPROSY AND A CASE WITH TROPHIC ULCER AND CONTRACTURE WERE DEMONSTRATED. THREE CASES OF FUNGAL INFECTION AND A CASE OF SENILE PRURITUS WERE DEMONSTRATED.

-A. Kotteeswaran

ENT DISEASES

Types of hearing loss

1. Presbyacusis of various degrees (i.e.)
- high tone loss alone, high and middle tones loss
- high, middle and low tones loss
2. Noise induced type and acoustic trauma
3. Advanced otosclerosis-sensorineural/ mixed loss
4. CSOM of Early period of life and hearing loss associated with severe degree of conductive/ mixed/ sensorineural loss
5. Mild to moderate conductive loss due to other ear problems and associated problems.
6. Oto-toxicity producing sensorineural loss, etc.
7. Progressive type of loss due to other systematic diseases.

How to detect

History

1. Family history
2. Personal and medical history
3. Occupational history
4. Environmental history-urban, rural, noisy surroundings, slums, etc.

Behavioural observations

- Using cupped hand behind the ear while listening to others
- Repeatedly asking to repeat
- Ask the other person to talk louder
- Watching the person's face very keenly while talking (i.e.) lip reading
- Finding it difficult to answer when the face of speaker is not clearly visible or is turned away
- Localisation of head and turning of head close to the sound source
- May find it difficult to understand a Radio Talk Loudspeaker etc. Whereas he find it easy while the speaker's face is visible
- Speaks in a soft voice irrespective of the surrounding noise level
- Speaks in a very loud voice (shouting) with others
- Slurring of speech-Misarticulated speech-Loss of certain phonemes or words during speech
- Change of general quality of voice

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