jenny bashiruddin departemen tht fkui-rscm jakarta
TRANSCRIPT
![Page 1: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/1.jpg)
Jenny BashiruddinDepartemen THT FKUI-RSCM
Jakarta
![Page 2: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/2.jpg)
Introduction Presbyacusis : sensory neural hearing
loss, gradually ,in elderly, degeneration disorders, bilateral, symmetric, start in high frequencies
Limitation in communicationIsolated
![Page 3: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/3.jpg)
Epidemiology demography1990, >65 yr : 6,7 million people 2020 estimation :18,8 million
people Prevalence presbyacusis >65 yr : 30 %>75 yr : 50%
Presbyacusis in Indonesia : 9,3 million peopleUS census Bureau International
Data Base th 2004
![Page 4: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/4.jpg)
Epidemiology1 off 3 American, age 65-75 yr suffer
hearing loss The National Institute on Deafness &
other Communication Disorders
(NIDCD)
8,58 million England suffer hearing loss : 75% age >60 yr
The UK National Study of Hearing Disorder 1995
Industrial population >>
![Page 5: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/5.jpg)
Prevalence
National Academy on an aging society Hearing loss-A Growing Problem that effect quality of life.Des 1999
![Page 6: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/6.jpg)
EtiologiAtherosclerosis /cardiovascular diseasesDiet and metabolismAccumulation noise inducedDrugs/ toxic substances StressGenetic
![Page 7: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/7.jpg)
DIAGNOSIS• Screening • Anamnesis Otoscopy Tuning fork tes Pure tone Audiometri Speech Reception Test (SRT) Speech discrimination scor (SDS)
![Page 8: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/8.jpg)
Anamnesis : Aged >60 yearsHearing impaired slowly, progressive,&
symmetries, TinnitusDifficulties hearing in noise
(Cocktail party deafness)Pain in hearing loud sound(recruitment)
Diagnosis
![Page 9: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/9.jpg)
SymptomSlowlyImpaired in high frequenciesWomen and children voice difficult to hearTinnitusRecruitment
![Page 10: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/10.jpg)
Sign and Symptom
High frequency hearing loss. Gradually, bilateral and symetricDifficulty in differentiated the consonant
s, r, n, c , h, ch. Coctail party deafness. Recruitment : over increasing sensitivity
![Page 11: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/11.jpg)
Audiology Test DiagnosticPure tone
Audiometry
Speech Reception Test (SRT)
Speech Discrimination Score (SDS)
![Page 12: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/12.jpg)
Physical examination/ Otoscopy normal
Audiogram : sensory neural hearing loss in >1000Hz frequency
Speech Audiometric test : Speech discrimination score decrease
![Page 13: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/13.jpg)
![Page 14: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/14.jpg)
Presbyacusis: sensoris
Atrophy epithel, hair cell, organ Corty
Basal chochleaHigh frequency
loss.Steeply sloping
high frequency hearing loss
![Page 15: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/15.jpg)
Presbyacusis NeuralAtrophy neuron cell in
cochleaSpiral gangglion, in
auditory central pathway2100 neuron loss every
decadeSpeech Discrimination
score loss unproporsional
Regresi fonemSloping audiogram
![Page 16: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/16.jpg)
Presbyacusis metabolic (strial)
Atrophy stria vascularBioelectrika dan
biochemical endolimfaFlat audiogramSpeech
Discrimination score normal
Aged 30-60 yrGenetic influence
![Page 17: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/17.jpg)
Presbyacusis mechanicThickening basal
membrane cochleaHigh frequency
loss, slowly progressive
Slowly progressive sloping high frequency sensoryneural hearing loss
![Page 18: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/18.jpg)
Management:NeurotonicAvoid loud noise, ototoxic Annual hearing testRehabilitation:
Hearing aid, lip reading & auditory training
![Page 19: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/19.jpg)
ManagementHearing aidHearing devicesLip readingImplant cochleaConsultationDietActivities
![Page 20: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/20.jpg)
PrognosisProgressiveAvoid etiology factors
![Page 21: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/21.jpg)
Impact of lifeQuality of lifeSocial isolatedLess activitiesDepression emotional problemFrustrated othersLess Interpersonal relationship Lonely
![Page 22: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/22.jpg)
Quality of life Hearing problem could impact function
and psichosocial life such as :Daily comunication Phone comunication (social and
emergency) Social attitudeFamily relationship, activity and time
leisureSafetyIndependent living.
![Page 23: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/23.jpg)
SummaryChanges in Presbyacusis :Changes cochlea structures and audit0ry
nerves Atrophy and hair cell degeneration in organ
CortyChanges vascularisation and decreasing
volume and size of nerves
![Page 24: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/24.jpg)
SummaryPresbyacusis could
managed properlyNeed early
identification Psychosocial impact
should be consider Try to identification of
etiology and specific problem.
Need support from family, friends and surrounding
![Page 25: Jenny Bashiruddin Departemen THT FKUI-RSCM Jakarta](https://reader035.vdocuments.net/reader035/viewer/2022062408/56649e305503460f94b21647/html5/thumbnails/25.jpg)