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mardi, 22 avril 2014

Phonak lance un programme acouphènes - interview avec Maarten Barmentlo et Bryan Homes

Article original sur AudiologyOnline (voir bas de page lien)

Introducing Lyric 3, Phonak’s Tinnitus Program & Other Practice Development Opportunities

Maarten Barmentlo, Bryan Holmes

Interview with Maarten Bartmentlo and Bryan Holmes

Carolyn Smaka: Maarten and Bryan, nice to see you both again. My first question is regarding trends you see in the market and how can professionals leverage them for their businesses. What are some of your thoughts?

Bryan Holmes: I think one obvious trend is demographics, and the aging population. As you know, the percentages of hearing aid penetration have not changed, when we look at how many people need hearing aids versus how many actually use them. Now, we see a very active aging baby boomer population. There is a saying that 60 is the new 40. Seniors today have a very different lifestyle than the previous generation. People are working longer and staying active longer. Lyric appeals to the active lifestyle of the baby boomers – they’re invisible and can be worn throughout all daily activities like exercising, showering and sleeping.

Our data show that Lyric is making a difference with this demographic that we have failed to penetrate with other hearing aids in the past. We have talked about the 25/7, with the 25% percent penetration rate that has been stable for many years, and with a 7 year waiting period from when they find out they have a hearing loss to when they actually do something about it. What we see with Lyric is that younger, active patients and those who are still in the workforce are enthusiastic about it. Adding Lyric to your portfolio will incrementally bring in new patients from this demographic.

With the recently launched Lyric 3, there are many technical advancements including the next generation, low-power chip that enables enhanced signal processing; increased fitting flexibility; easier programming; additional moisture protection and more.

Carolyn: It seems like a whole new product from the first generation.

Bryan: It is. Lyric has gone through three iterations. It originally launched in 2007 and was in development for years before that as well. The miniaturization and the extreme low power consumption of the new chip is a technological marvel. There is nothing else like it, which is why I think it has been so successful making inroads with patients that we have not been able to reach with other hearing aids.

Maarten Barmentlo: In today’s market, there is always a need to evolve and stay competitive. Mark Sanford recently published an article in Hearing Review about how Lyric is growing his audiology practice, and he provides suggestions on how other practices can utilize this opportunity.

Carolyn: In addition to the baby boomers and aging population, what other trends or opportunities do you see today?

Maarten: Another trend we see is a growing acceptance of tinnitus treatment. In the past, there were misperceptions about tinnitus, both among consumers as well as professionals. The majority of professionals still do not offer tinnitus treatment services, which may be missed opportunities. The misperceptions include that you can’t make money offering tinnitus services, and that it takes too much time. In reality, 80% of people with tinnitus also have hearing loss, which is an enormous business development opportunity.

Last year, we launched a Tinnitus Program for professionals who already offered tinnitus services in their practices, and it was extremely well received. However, we found that particularly in the U.S., there were many professionals who wanted to expand into tinnitus treatment, but were uncertain how to do so. To address this need, we are launching a new program to help these practices be successful in adding tinnitus management to their services.

Carolyn: What does the Tinnitus Program include?

Maarten: Our Tinnitus Balance Portfolio contains the technology and tools necessary to treat both tinnitus and hearing loss effectively, regardless of the professional’s preferred approach or philosophy to tinnitus treatment.

In addition to hearing solutions with a unique broadband noise generator, we offer the Tinnitus Balance App to enable patients to build a personal library of music and sounds to help them relax.

One important component of our program is education for professionals on tinnitus basics, treatment approaches, and determining who is a candidate for treatment. We have also created great counseling materials so that they can have a confident conversation with consumers about tinnitus and treatment options. We also provide in-depth training about the solutions that we offer. We are covering the whole picture in order to help practices to be successful.

“We make sure to make Lyric as accessible as possible for our patients. The exceptional way that patients hear with Lyric and the resulting renewal success has been phenomenal,” said Shelley Borgia, Au.D, CCC-A, FAAA, Founder and Doctor of Audiology at NYC Hearing Associates in New York City. “Given the fact that you can’t find it online has played a big part in leveraging it to differentiate our practice. Speaking for myself , Lyric is the product that I lead with when talking to patients about hearing technology options. It’s been instrumental in changing my career, my passion for this field and my patients’ lives.”

Carolyn: What kind of results have you seen?

Maarten: First, we have seen that tinnitus is a very good marketing tool. If you look at searches online, there are far more searches done on tinnitus than there are on hearing aids. Marketing campaigns focusing on tinnitus definitely drive patients to your door.

Carolyn: Yes, I believe tinnitus is searched more than 100,000 times per month just in North America.

Maarten: Right. There are a lot of people out there looking for information about it. In addition, people are more motivated to seek treatment for tinnitus than for hearing loss, as there is less of a stigma associated with tinnitus. Tinnitus is viewed as a medical problem that requires treatment, while unfortunately hearing loss is often associated with getting old. So, the prevalence of tinnitus is high, the need is generally unmet, and consumers are very motivated. This is why tinnitus is a good lead generator, as we have seen in a number of markets across the country.

Bryan: That is exactly right. Maarten hit on an important point. Most people with tinnitus also have hearing loss. What we see time and again is that when patients come in and get a solution for their tinnitus, they then enjoy better hearing as a result as well. As we know, amplification often improves tinnitus.

Maarten: We see that 75% of consumers report relief as a result of amplification alone.

Tinnitus treatment also creates differentiation that highly trained clinicians are interested in. It has a more clinical component, as does Lyric, which involves working deeper in the ear canal. This differentiation helps practices stand out against competition.

Lyric by Phonak.

Carolyn: That brings me to my next question. As a manufacturer, you have the collective knowledge or insight into hundreds or maybe thousands of practices. Are there independent practices that are really thriving today, and what are they doing differently?

Maarten: There are certainly practices that are thriving, and Mark Sanford is a good example. There are many others. We do an annual survey of hearing care practices where we look at various aspects of their business and correlate them with business results. The data provides insight as to what practices that have above-average profitability are doing differently.

Carolyn: Does size of the practice play a role in profitability?

Maarten: It is not in the size of the practice that is one of the big drivers of profitability, because there are profitable practices that are very small and there are profitable practices that are large.

So what are the more successful practices doing? There are several things. If you compensate your staff partly with a fixed salary and partly on a commission, that correlates with success. Marketing also plays a role in differentiating the more profitable practices. Having a formal marketing plan and a marketing budget is highly correlated with higher profitability. Tracking the effectiveness of marketing activities is another activity that separates the more successful practices.

Then you can look at some of the tools that are associated with more successful businesses, such as websites. Websites that are tailored to generate leads from consumers correlate with success. We also see that practices that use web analytics consistently are more successful.

In terms of post-fitting activities, we see that patient follow-up, patient referral programs, and patient retention programs drive business. The point is to ensure customers return to your practice regularly so that you can maintain that relationship. Lyric is great in this regard, because patients have a subscription and return for device replacement.

So, these are some of the insights that we have found in these surveys, which we have conducted for the past 7 years. We share these insights with the industry, and use the information in our business development program to help all practices to be more successful. In the end, that is what we want as it helps all of us - we want every channel of distribution to be efficient and successful.

Carolyn: And we can’t leave the consumer out of the equation. They certainly benefit from the programs and services you’re talking about as well.

Maarten: Definitely. It is a win-win. Lyric is an example. Ninety-four percent of consumers who use Lyric would recommend it to a friend. That is an amazingly high number and speaks to patient satisfaction. Our Tinnitus Program is another example. Another example is professionals who are recommending Roger for a broader patient population outside of the traditional school setting. These are all opportunities for practices that also bring fantastic new benefits to consumers. In the long-term, these types of patient successes will translate into business success for the practice.

One other program that fills a large consumer need is our initiative to teens. If you look at the needs of teens, they are very different from pediatrics or adults. They are in a phase in life where they start to challenge the traditional authorities. Their peers become the truth. We see use of traditional hearing solutions – hearing aids and FM – may go down. Teens do not want to be different from anyone else - they want to blend in.

We conducted extensive market research to understand what drives and motivates teens and how we can make hearing solutions compelling to them. What is important to them? Their social life is very important. For some it is activities, sports, or music. We developed a dedicated micro site, http://www.bringsoundtolife.com, specifically tailored to teens. On this micro site, we have used their interests to show how technology fits in and enhances their experience.

The first hook that we used is music. We created a video that starts with a teen wearing hearing aids and listening to music through the Roger Pen, which has brought connectivity to each and every cellphone, MP3 player and TV. Then she connects to her cellphone to call her boyfriend and arrange a date. Then she will go in a noisy club and use her Roger Pen to have a conversation. The site also includes a number of interactive elements, including a playlist of songs that sound great with hearing aids, a color customization tool for Sky Q and Roger Pen, and an “Ask your audiologist” tool to ensure teens get the most out of the micro site according to their individual needs and preferences. This site really speaks to teens, and we are very excited about it.

Carolyn: What I like about the teen micro site along with the other programs we discussed is that they speak to the whole solution for treatment of hearing loss. It is not just about the latest gadget but a total package that includes services and resources and expert guidance from a professional. Thanks for your time in detailing these with me today.

For more information about Phonak’s solutions and business development opportunities, please visit www.phonakpro.com or the Phonak Expo on AudiologyOnline. Continuing education and training courses from Phonak can be found in the Phonak course library on AudiologyOnline.

mercredi, 09 avril 2014

Phonak lance un programme acouphènes - AAA 2014Titre de la note

Issue on AudiologyOnLine: find it out here

Phonak Tinnitus Program: Be the Expert


Phonak Tinnitus Balance Portfolio, in-depth training and counseling support allow even more audiologists to expand their business.

Orlando, Florida / Staefa, Switzerland (March 26, 2014) – The new Phonak Tinnitus Program offers audiologists everything they need to develop their business with tinnitus clients. It contains all the technology and tools required to treat hearing loss and tinnitus simultaneously and effectively – all while giving audiologists the freedom to follow their preferred tinnitus management philosophy. A comprehensive package of support and counseling material allows them to either augment their expertise or add tinnitus management to their skills. In addition, the lead generation component of the program supports audiologist in generating new tinnitus clients.

It is a known fact that tinnitus is a growing problem in today’s society. What most people do not know: four out of five tinnitus clients also experience hearing loss1. For many of these patients, amplification is proven2 to bring instant relief.

This is where Phonak comes in with its new Tinnitus Program: “Leveraging on their hearing care experience while expanding their tinnitus expertise offers huge business development potential to audiologists”, says Maarten Barmentlo, Group Vice President Marketing for Phonak. “To make tinnitus management more accessible for non-experts, we have now added a complete package of support and counseling material to our Phonak Tinnitus Balance Portfolio that we successfully launched one year ago”.

Outstanding products combined with a flexible tinnitus portfolio

The flexible Phonak Tinnitus Balance Portfolio contains all the technology and tools required to treat hearing loss and tinnitus simultaneously and effectively. It enables audiologists to create individualized treatment plans for every patient, irrespective of their preferred tinnitus management philosophy.

Phonak Audéo Q: state-of-the-art hearing aid technology bundled with a Tinnitus Balance noise generator.

At the core of the portfolio are the Phonak tinnitus-optimized hearing aids which contain a unique broadband noise generator. In addition, the Tinnitus Balance App allows patients to build their own personalized library of music and sounds. A complete package of support and counseling materials, accompanied by in-depth tinnitus training, assists audiologists in confidently educating and treating their patients. “These tools, along with experienced counseling, can be very effective in treating tinnitus”, explains Ann L. Rhoten, AuD, owner of Kentucky Audiology and Tinnitus Services and member of the American Tinnitus Association and the Tinnitus Practitioner’s Association.

Proven benefits of hearing aids in tinnitus management

Several surveys have proven the benefits of hearing aids in the treatment of tinnitus. In a recent US survey3 of hearing care professionals, 60% of patients were reported to have gained tinnitus relief from using hearing aids. Another study of patients themselves found that 75% who wore hearing aids gained relief either frequently, most or all of the time.4

The training and lead generation program will initially be available in selected markets, including the US and Canada.

About Phonak

Headquartered near Zurich, Switzerland, Phonak, a member of the Sonova Group, has developed, produced and globally distributed state-of-the-art hearing systems and wireless devices for more than 60 years. The combination of expertise in hearing technology, mastery in acoustics and strong cooperation with hearing care professionals allows Phonak to significantly improve people’s hearing ability and speech understanding and therefore their quality of life.

Phonak offers a complete range of digital hearing instruments, along with complementary wireless communication systems. With a worldwide presence, Phonak drives innovation and sets new industry benchmarks regarding miniaturization and performance.

For more information, please visit www.phonakpro.com or the Phonak Expo Page on AudiologyOnline.

[1] Axelsson A, Prasher, 2000

[2] Henry JA, Dennis KC, & Schechter MA (2005). General review of tinnitus: Prevalence, mechanisms, e­ffects, and management. Journal of Speech, Language, and Hearing Research, 48, 1204-1235.

[3] Kochkin S., Tyler R. Tinnitus treatment and the effectiveness of hearing aids: hearing care professional perceptions. Hearing Review. 2008;15(13):14-18.

[4] Kochkin S., Tyler R., Born J. MarkeTrak VIII: The Prevalence of Tinnitus in the United States and the Self-reported Efficacy of Various Treatments. Hearing Review. 2011;18(12):10-27.

jeudi, 23 janvier 2014

Après Acuitis, c´est Amplifon qui s´attaque à la communication sur les acouphènes

De Audio-Infos, consulter ICI

© Amplifon

Crédits photo: Amplifon

Depuis son lancement en février 2013, plus de 140 médecins ont demandé le logiciel d’Amplifon pour les patients acouphéniques, et une trentaine de centres Amplifon ont été formés à la prise en charge de cette pathologie.

L’acouphène et l'hyperacousie peuvent être à l'origine d'une souffrance nécessitant une prise en charge spécifique, notamment par les ORL et les audioprothésistes. C’est pourquoi le docteur Laurence Renaud-Picard, ORL au CHU de Besançon, a développé, dans le service du Pr Tavernier et avec Amplifon, cet outil numérique. Il a pour but d’apporter au patient une meilleure connaissance de sa pathologie, étape nécessaire à son adhésion au traitement et à l’amélioration de son quotidien.

Le logiciel permet également aux professionnels de l’audition de disposer de questionnaires d’évaluation médicale pour quantifier l’acouphène, son impact et en suivre l’évolution, d’un test d’acouphénométrie en hautes fréquences pour mieux objectiver l’acouphène et d’un arbre décisionnel thérapeutique qui pourra les aider à mieux choisir les traitements. Il propose aussi des conseils pour la prise en charge personnalisée et des réponses aux questions les plus fréquemment posées par les patients.

L’application, dont l’accès est gratuit pour les médecins, peut être obtenue auprès d’Amplifon en écrivant à cette adresse : eric.baillymasson@amplifon.com

Katia Delaval

samedi, 28 décembre 2013

Solution pour gérer les acouphènes par Widex - ZEN2GO

Excellent PDF sur la technologie ZEN de Widex qui vise à soulager la perception de l'acouphène à télécharger ICI ou à retrouver dans la colonne de droite du blog acouphènes dans la section White Papers - Widex:

widex, ZEN, tinnitus management

jeudi, 21 novembre 2013

Widex proposes 5 ways to relieve the rininging in teh ears

FROM THE WIDEX BLOG: Tinnitus Relief: 5 Ways to decrease ringing in ears


Is there a whooshing, buzzing, or ringing in your ears that is interfering with your sleep, concentration, and quality of life? If so, then it’s probably tinnitus. Tinnitus symptoms can range from a slight annoyance to a debilitating condition. Luckily there are ways to get tinnitus relief.

Here are five tips for turning down the volume on tinnitus:


1. Tune out Tinnitus - An important element in tinnitus treatment is the use of sound. Amplified sound from hearing aids, environmental influences, music, or noise generators can help minimize the contrast between the buzzing or ringing of tinnitus and the surrounding sound environment.

2. Avoid Tinnitus Triggers – Noise exposure is thought to be a leading cause of tinnitus. Wear ear protection when around loud sounds.

3. Get a Tinnitus Evaluation – Assessment and counseling with an experienced hearing healthcare professional trained in managing tinnitus can help determine the cause of the tinnitus and minimize the negative impact it may have on your quality of life. The effects of tinnitus can often be lessened by a combination of counseling and sound stimulation.

4. Use a Tinnitus Management Device – Tinnitus management devices look like hearing aids and have special technology, including fractal tones, to help you get relief from tinnitus. If you have tinnitus and a hearing loss, the Zen tones can also be incorporated in a number of Widex hearing aids. If the tinnitus is not accompanied by hearing loss, Widex ZEN tones are available in the ZEN2GO devices. Hear an example of our ZEN tones here.

5. Relax – Stress can often make tinnitus worse. Read a book, go for a walk, and practice breathing techniques and other methods of enhancing your ability to relax. 

Quick Facts

What is tinnitus?

Tinnitus is the perception of hearing sounds in your head that are not produced by any external source. Usually, this perception is inaudible to others. Most often, it is a consequence of having a hearing loss, of any degree. It usually sounds like ringing, hissing, or buzzing in the ears.

What causes tinnitus?

Tinnitus can be caused by thousands of things, including hearing loss, ear infections, noise exposure, ear wax, stress, extreme weight change, and a variety of medications.

Is there a tinnitus cure?

Depending on the cause, there may be no actual cure for tinnitus, but tinnitus management devices, sound therapy, and counseling can help those suffering from it to better manage the condition. Your hearing health care provider can help you learn methods of coping and helping your brian to ignore tinnitus, just like it does to many external, unimportant sounds.

Where can I find out more about tinnitus?

The American Tinnitus Association (www.ata.org) and the British Tinnitus Association (www.tinnitus.org.uk) provide support and information for people with tinnitus. Your local hearing professional can also provide you with information. Find yours here: http://www.widex.com/en/shopfinder/dispenserlocator/ less


mardi, 16 avril 2013

Starkey entre dans la sphère acouphénique

starkey,ric,xino tinnitus,iq,phonak

Ici un article de Audio-Infos sur la dernière nouveauté des Laboratoires Starkey. En effet la firme américaine s´attaque en 2013 aux acouphènes en offrant un outil de type générateur de bruit(s) aux audioprothésistes afin de proposer la thérapie sonore aux patients se plaignant d´acouphènes. Je vais tacher de creuser le produit dans les jours prochains et en rendre compte. Je dois également souligner qu´étant présent au congrès des audioprothésistes la semaine dernière (11/13 avril) au CNIT, j´ai pu discuter avec la firme Suisse Phonak de leur nouvelle option acouphènes présent dans 3 niveaux de prix. Je reviendrais là aussi plutard sur les nouveautés. Les fabricants d´aides auditives proposant des solutions pour lutter contre les acouphènes sont désormais: GN ReSound, Siemens Audiology, Widex, Phonak et Starkey. Chez les majors il ne manque donc plus qu´Oticon.

Le Xino Tinnitus de Starkey, nouvelle solution pour traiter les acouphènes


starkey,ric,xino tinnitus,iq,phonak

Du nouveau chez Starkey ! Xino Tinnitus, la nouvelle solution auditive dans le traitement des acouphènes, sera disponible dès le 15 avril. Elle est dotée de la technologie Multiflex, en instance de brevet, dont le but est de créer un stimulus sonore qui soit le plus proche possible du bruit de confort du patient et ainsi permettre une thérapie personnalisée. Selon la firme, la nouveauté de ce produit réside dans le développement d’outils d’aide à l’adaptation et à la détection de l’acouphène. Dans son communiqué, la firme explique qu’avec ce produit, elle « a souhaité mettre les audioprothésistes dans les meilleures conditions pour répondre aux demandes souvent complexes des patients acouphéniques».

starkey,ric,xino tinnitus,iq,phonak

Xino, Starkey dessine ici une technologie miniaturisée et élégante. La firme américaine confirme sa mission d´innovation pensée pour le malentendant aussi bien que la personne souffrant d´acouphènes

Le nouvel appareil de Starkey prend la forme d’un RIC 10. Il est doté d’un système « Best Fit » du bruit masquant. Dans un premier temps, le réglage de base est réalisé à partir de l’audiométrie du patient. Dans un second temps, grâce à la technologie SoundPoint Tinnitus, ce sont les patients qui seront mis à contribution afin d’identifier d’un signal masquant permettant de générer le bruit blanc qui les soulagera le mieux de leurs acouphènes.

starkey,ric,xino tinnitus,iq,phonak


Enfin, le Xino Tinnitus dispose de toutes les performances de la plate-forme X Series 90 : 12 canaux et 12 bandes, anti-Larsen AFI, réducteur de bruit Voice iQ² et Spectral iQ (qui améliore l’audition dans les fréquences aiguës). Xino Tinnitus est proposé en 40, 50 et 60 dB de gain (2cc) en écouteur Standard et 60 et 70 dB en écouteur sur mesure.

Crédit photo : Starkey

B.S. avec Starkey (15/04/2013)

samedi, 09 février 2013

Grand Audition investit dans la prise en charge acouphénique

GrandAudition crée le premier pôle sophrologie et acouphènes en France !

Article de relationclientsmag.fr

communiqué d'entreprise, 19/07/2011

GrandAudition souhaite aider aux mieux ses clients acouphéniques à travers ce nouveau service, unique en France.

Monique Bitton, sophrologue diplômée de l’Institut de Formation à la Sophrologie de Paris, spécialisée dans la prise en charge des acouphènes, travaille en collaboration avec les médecins ORL et des audioprothésistes. Voici les questions que nous lui avons posé :

En deux mots, qu’est-ce que la sophrologie ?

« La sophrologie est une science de la conscience. La pratique de la sophrologie est une démarche dont l’objectif est avant tout d’étudier les différents états de conscience possible pour l’être humain en vue d’applications pratiques dans son quotidien aussi bien pour son équilibre, sa santé et son mieux-être. Basée sur des techniques de relaxation et de respiration, la sophrologie est à même notamment, d’accompagner les personnes acouphéniques dans leur quotidien. »

Pourquoi avoir choisi de créer un pôle sophrologie et acouphènes chez GrandAudition ?

« Avant tout, pour soulager nos clients face à ce malaise récurrent. Nous avons constaté que de plus en plus de personnes souffrent d’acouphènes. Il faut savoir qu’en France, plus de 5 millions de personnes, soit 8% de la population française est concernée par cette pathologie. Chez GrandAudition, nous nous devons de toujours offrir un service de qualité et en adéquation avec les attentes de nos clients, ainsi nous avons décidé de créer ce nouveau service qui n’existe dans aucun autre centre à ce jour. Ce service de sophrologie nous tient particulièrement à cœur car il nous permet de continuer à mieux accompagner nos clients dans leur quotidien et ainsi, de participer à l’amélioration de leur qualité de vie. »

Comment se déroulent les séances de sophrologie chez GrandAudition ?

« Durant nos séances, le client acouphénique pourra mettre des mots sur sa souffrance, et ainsi, mieux comprendre les symptômes. Ensuite, grâce aux exercices de respiration proposés, la personne va pouvoir se détendre, apprendre à lâcher prise, à se sentir calme ; ceci, dans le but de renforcer son estime de soi, son harmonie et sa sérénité. Ces échanges vont permettre de mettre à distance tous les bruits parasites pour retrouver un équilibre et un mieux-être en quelques mois. »

Site internet : www.grandaudition.com

Contact Presse anne-lise.bouillet@grandaudition.com 

dimanche, 23 septembre 2012

Widex: l'aide auditive se penche sérieusement sur les acouphènes

Widex est un des principaux fabricants d'aides auditives au monde. Fondée et installée au Danemark, cette société familiale est reconnue par les professionels comme un fournisseur qui se démarque par la qualité de fabrication et la robustesse de ses produits ainsi que l'excellente qualité sonore qui les caractérise.

Depuis un certains temps, le fabricant danois s'est penché sur la question qui nous intéresse au premier plan ici sur le Blog Acouphènes. Et sa solution ZEN développée avec le très reconnu Pr Robert Sweetow, semble désormais prendre toute sa dimension dans cette société puisque c'est avec un intérêt certain ainsi qu'une satisfaction non dissimulée que je constate que la filiale française organise un "Roadshow", c'est à dire une tournée en France en direction des professionnels (les audioprothésistes) afin de présenter la solution et de former ces derniers sur l'adaptation des solution Widex équipée de l'option ZEN.

Je ne saurais que préconniser aux lecteurs du Blog Acouphènes de se renseigner auprès d'un audioprothésiste sur cette solution qui ne saurait vous engager financièrement et définitivement mais qui pourrait cependant vous apporter peut-être une solution à long terme sur votre problème acouphénique.

widex, robert sweetow, ZEN, mind

Cliquer sur le logo Widex ci-dessus afin d'accéder directement à leur page consacrée aux acouphènes

Du reste si certains d'entres vous tentent l'expérience d'un essais de cette solution, je vous solicite par avance de venir en témoigner ici.

vendredi, 08 juin 2012

La TRT chez l´audioprothésiste: la question de la surdité

1. L’acouphène avec une surdité

Il y a dès lors plusieurs types d’appareillages :

  1. Pour une forte perte d’intelligibilité, la prothèse conventionnelle
  2. Un intracanal classique + un souffle axé sur la fréquence de l’acouphène
  3. Un intracanal sur aigu + un souffle axé sur la fréquence de l’acouphène

Le souffle va dépendre du niveau de sortie. Il faut dès lors un bon compromis entre intelligibilité prothétique et non stimulation de l’acouphène par la prothèse. L’acouphène doit être perçu au-dessus du Bruit Blanc dans une pièce calme mais avec une bonne intelligibilité.

intra canal, otolens, starkey, surdité, bruit blanc, thérapie sonore

Représentation anatomique du positionnement de l´intra-canal OTOlens de Starkey.

Plus d´information sur cette aide auditive sur le site Audio-infos ICI

ou sur le site de la société Starkey ICI

2. L’acouphène sans surdité

On utilisera ici le générateur de bruit avec un évent pour une bonne intelligibilité. L’acouphène doit aussi être perçu au dessus du bruit. L’évent doit être maximum. La taille du conduit auditif externe va guider le choix du type de générateur (intracanal, contour).

mercredi, 06 juin 2012

La TRT chez l´audioprothésiste: les appareils utilisables - 2/2


2. Les générateurs de bruits blancs


Leur utilisation se fonde comme nous venons de le voir sur la thérapie d’habituation et vise :

- à re-conceptualiser son symptôme en modifiant les pensées négatives qui lui sont associées en informant sur l’origine et le devenir de l’acouphène. Il est nécessaire aussi d’expliquer la logique des propositions thérapeutiques afin de favoriser sa collaboration à son propre traitement.

-  à introduire un bruit de fond de faible intensité


générateur de bruit,masqueurs,combinés


3. Les combinés


Ils sont utilisés quand le résultat des appareils de correction auditive est insuffisant. L’appareil de correction auditive peut être combiné soit à un masqueur, soit à un générateur de bruit(s). Ils peuvent se présenter sous la forme de petits sabots venant se fixer sur l’appareil de correction auditive.

générateur de bruit, masqueurs, combinés

ReSound Alera TS

4. Les masqueurs d’acouphènes

Il reste intéressant de rappeler l’existence des masqueurs d’acouphènes dont l’utilisation est fondée sur le phénomène de masquage mais qui ne sont pas très appréciés par les patients. Le paramètre décisif est la largeur de bande, en effet, plus les bandes sont larges et plus les résultats seront positifs.

générateur de bruit, masqueurs, combinés

Le Silent Star