Clinical Audiology II

Base Knowledge

It is recommended that the student has already acquired notions of anatomy and physiology, in curricular
units from previous years in the course of study of the Audiology course, in order to be able to follow the
teaching of the various subjects, where, for the understanding of the techniques used, it is necessary to
understand the anatomy and physiology underlying the assessment methodology. It is also important that the student has already attended the Clinical Audiology I course.

Teaching Methodologies

Expository and practical classes (application of the different knowledge acquired in the Audiology Laboratory), where students are expected to acquire knowledge of the testing techniques and methodologies taught in the TP component.

The student’s performance throughout classes and their regular presence will be evaluated by the teacher who accompanies them, accounting for 20% of the PL component evaluation grade, in the continuous evaluation.

Practical classes in a hospital context
Carrying out exercise sheets.

Resolution of practical exercises during T/P classes, with small group work analyzing and relating clinical cases.
Monitoring of knowledge acquired through practical classes;

Assistance to students in the teachers’ offices.

Discussion, during class teaching, of doubts presented during PL and T/P classes.

Possibility of online classes up to 20%.

Learning Results

Understand the importance of the analysis of sensory and conductive mechanisms in performing the ATS – The Importance of masking;
To understand the importance of the auditory process in speech and to identify the various methods of evaluation of speech perception, adjusting them according to parameters such as age, technical and behavioral conditions.
Identify the structures and mechanisms involved in the process of generating Acoustic Otoemissions (OAS).
Identify the various supraliminal methods of identifying the site of the lesion, understanding the advantages and disadvantages of its use.
Relate and understand the changes in the processing of auditory information, locating the possible sites of the lesion through the interpretation of the results obtained in the various tests.
Clinically perceive the relevance of these alterations through the study of clinical cases.

Program

– Presentation and scheduling of evaluation dates. (2h)

1. Masking (8h)

– The clinical need for masking.
– Changes in thresholds – Phantom curves.
– Masking rules for the air route and bone route.

2. Tinnitus (2h)

– Definition of tinnitus.

– Classification and Etiology of Tinnitus.

– Methods for performing acuphenometry according to unilaterality or bilaterality.

3. Vocal audiometry (8h)

Objectives of the assessment and main factors to take into account. Clinical Applications.

4. Otoacoustic emissions (8h)

– Types of Otoemissions – Evoked and spontaneous. Clinical applications.
– Otoemissions by Suppression. Clinical importance of studying the efferent system. Clinical applications.

5. Supraliminal Tests. (5 hours)
– Behavioral assessment of the injury site
– Tests to assess cochlear and retrocochlear function

6. Clinical Cases. (5h)

– Analysis of the results obtained in the different tests according to the different pathologies.

– Discussion of the approach to be taken in each clinical situation and possible difficulties.

7. Exercise Sheets (4h)

8. Clarification of doubts and T/P assessment (3 Hours).

PL classes: Application of the test methodologies taught. Students will be divided into PL groups with a rotating class schedule in order to attend the hospital environment.

Curricular Unit Teachers

Cláudia Isabel Trindade dos Reis

Internship(s)

NAO

Bibliography

Main Bibliography:

Bess, Fred, H. Humes, Larry (2008). Audiology: the fundamentals (4a ed.). Philadelphia: Lippincott Williams & Wilkins.
Gelfand, S. (2016). Essentials of Audiology (4rd Ed.). New York: Thieme Medical Publishers, Inc.
Hall, James. W. (2000). Handbook of Otoacoustic Emissions. Canada: Singular Publish Group – Thompson Learning.
Hall, James W. III, De Wet Swanepoel. (2010) Objective assessment of hearing. San Diego ; Oxford : Plural Publishing.
Katz, J. (2014). Handbook of clinical audiology (7th ed.). Philadelphia: Lippincott Williams and Wilkins.
Kramer, S., & Brown, D. K. (2018). Audiology: Science to Practice, Third Edition. Plural Publishing, Incorporated.
Robinette, M; Glattket, T. (2007). Otoacoustic Emissions, Clinical Aplications. New York: Thieme Medical Publishers, Inc.
Yost, W. (2014). Fundamentals of Hearing: An Introduction. (5th ed.) Cambridge, Massachusetts: Academic Press, Elsevier, Inc.