Perilymph fistula (PLF) is an abnormal communication between the fluid-containing spaces of the inner ear and the air-containing spaces of the temporal bone that can cause hearing loss, tinnitus, aural fullness, vertigo, and postural instability. Diagnosis of PLF and management of those with presumed PLF are discussed. (Contains extensive…

This article discusses the causes of tinnitus, sound or noise in the ears or head without any external stimulation. Classification of tinnitus, the essentials of medical evaluation of a patient with tinnitus, essential test procedures, and current concepts in the management of tinnitus are addressed. (CR)

This article discusses otosclerosis, a metabolic bone disease affecting the bones of the ear, but no other bones in the human body. It explains that otosclerosis results in progressive hearing loss that begins in the late twenties or early thirties and can be treated successfully with hearing aids or surgery. (Author/CR)

Patients with a sudden dramatic decline in hearing usually require rapid diagnosis and treatment. Unfortunately, the treatment of this condition continues to be controversial and an exact etiology in most cases has been inconclusive. Nevertheless, physicians have reached a consensus regarding several broad principles, which are presented in this…

Meniere's disease is characterized by unpredictable spells of severe vertigo and fluctuations in hearing and tinnitus. This article discusses the incidence of Meniere's disease, the present status of our understanding of this disease, controversies in its diagnosis, and the multiple therapeutic modalities recruited in its treatment. (Contains…

Temporal envelope and spectral cue resolution were evaluated simultaneously in seven adults with severe/profound hearing impairments. Results revealed that the Auditory Numbers Test (ANT) is differentially sensitive to responses based upon gross temporal envelope and spectral cues in the speech signal. The ANT is endorsed as a screening tool for…