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AUD 6352: MEDICAL AUDIOLOGY SUMMER SEMESTER, 2005 Instructor: Location: Office Hours: Angela G. Shoup, Ph.D.

& Christina Oliver, M.S. Room J.204 After class & by appointment. COURSE OBJECTIVES To provide the student with sufficient information to understand the following: 1.) the etiology and pathology of various auditory disorders; 2.) the effects of gender and race on prevalence of various disorders; and 3.) the audiological and otologic evaluation/management of auditory disorders. GENERAL OUTLINE v The Outer Ear: Auricle & External Auditory Canal Ø Brief review of anatomy and physiology Ø Otologic and audiologic evaluation/management of outer ear disorders, including the following: § Congenital malformations • Of the auricle • Of the external auditory meatus § Occlusion • Excessive cerumen • Collapsing ear canals • Foreign bodies • Keratosis obturans § Inflammatory disorders • Otitis externa (diffuse, sclerosing, necrotizing, otomycosis, viral, furunculosis, perichondritis, chondritis, etc.) • Dermatologic disorders (atopic dermatitis, contact dermatitis, seborrheic dermatitis, eczema, etc.) § Trauma § Neoplasms • Cysts (sebaceous, postauricular or sinus) • Tumors ♦ Benign (hemangiomas, osteomas, exostoses, keloids) ♦ Malignant (squamo us cell carcinoma, basal cell carcinoma, malignant melanoma, sarcomas) v The Tympanic Membrane & Middle Ear Ø Brief review of anatomy and physiology Ø Otologic and audiologic evaluation/management of middle ear disorders, including the following: § Congenital malformations • Ossicular fixation – malleus fixation • Absence of an ossicle • Misshapen ossicles § Traumatic disorders • Perforations of the tympanic membrane • Discontinuity of the ossicular chain § Eustachian tube dysfunction § Infection and inflammatory disorders • Otitis media • Cholesteatoma § Tumors • Glomus jugulare tumors • Epitheliomatas • Carcinomas Phone: (214)648-7861 Time: M/Th:5:15-9:15 pm

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Diseases, metabolic and genetic disorders • Otosclerosis • Paget’s disease The Inner Ear – Auditory Portion Ø Brief review of anatomy and physiology Ø Otologic and audiologic evaluation/management of inner ear disorders, including the following: § Congenital SNHL • Genetic • Nongenetic ♦ Rubella ♦ Cytomegalovirus ♦ Congenital syphilis ♦ Herpes simplex virus ♦ Toxoplasmosis ♦ Hyperbilirubinemia ♦ Rh incompatibility § Acquired infectious disorders • Acquired syphilis • Herpes zoster oticus • Labyrinthitis § Degenerative, metabolic and idiopathic disorders • Diabetes mellitus • End-stage renal disease • Presbyacusis • Sudden (idiopathic) SNHL § Sensory hearing loss due to trauma or insult • Trauma • Perilymph fistula • Noise-induced hearing loss • Ototoxicity § Vascular and circulatory disorders The Vestibular System Ø Brief review of anatomy and physiology Ø Otologic and audiologic evaluation/management of vestibular disorders The Eighth Cranial Nerve Ø Brief review of anatomy and physiology Ø Otologic and audiologic evaluation/management of eighth nerve disorders\ The Seventh Cranial Nerve Ø Brief review of anatomy and physiology Ø Otologic and audiologic evaluation/management of seventh nerve disorders The Central Auditory Pathways Ø Brief review of anatomy and physiology Ø Otologic and audiologic evaluation/management of retrocochlear/central auditory disorders

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TEXT: Roland PS, Marple BF, Meyerhoff WL (1997). Hearing Loss. New York: Thieme. ISBN 0-86577-623-7. RECOMMENDED SUPPLEMENTS: Becker W, Naumann HH, Pfaltz CR (1994). Ear, nose, and throat diseases: A pocket reference. New York: Thieme. ISBN 0-86577-536-2. Black B (1999). An introduction to ear diesease. San Diego: Singular Publishing Group, Inc. ISBN 0-7693-0012-X Dirckx JH (1997). Stedman’s concise medical dictionary for the health professions (3rd edition). Baltimore: Williams & Wilkins, Inc. ISBN 0-683-40019-3.

EVALUATION PROCEDURES Examinations (50%): There will be a mid-term (20%) and a final examination (30%) consisting of multiple choice, short answer and essay type questions. The examinations will include information from class lectures and assigned readings. The final examination will be cumulative. Short answer and essay questions must be answered with complete sentences. Annotated Bibliography (25%): Each student will complete an annotated bibliography on a topic selected from a list provided by the instructor. This topic must be approved by the instructor by May 26, 2005. Bibliographies should not exceed 20 pages and are due Monday, June 20, 2005. Copies must be distributed to all class members. Examples of the required format will be provided by the instructor. Bibliographies will be graded on content, writing, and format. Bibliographies will not be accepted late. Presentation (20%): Each student will prepare and present a 20 minute presentation on the topic of his/her annotated bibliography. The student should prepare appropriate readings and/or handouts prior to the presentation. Presentations will be on June 16 and June 20, 2005. Class Participation and Quizzes (5%): Students are expected to read assigned materials in advance and to participate in every session. If students do not participate voluntarily, pop quizzes may be administered. IMPORTANT DATES

May 16, 2005: May 30, 2005: June 2, 2005 June 16 & 20, 2005 June, 20, 2005 June 21, 2005:

First day of class Memorial Day; University Holiday Mid-term examination Class presentations Annotated bibliographies due Final examination TOPICS FOR PRESENTATION AND BIBLIOGRAPHY

Tinnitus Hypoxemia Diabetes Mellitus Renal disease Cocaine AIDs Multiple sclerosis Mastoiditis Fetal alcohol syndrome Herpes Zoster Oticus Facial nerve dysfunction Perilymph fistula Meningitis Toxoplasmosis (Other topics may be considered but must be cleared by the instructor)