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Hearing Disorders: HELP
Articles by Joseph J. Montano
Based on 3 articles published since 2009
(Why 3 articles?)
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Between 2009 and 2019, Joseph J. Montano wrote the following 3 articles about Hearing Disorders.
 
+ Citations + Abstracts
1 Guideline Clinical practice guideline: sudden hearing loss. 2012

Stachler, Robert J / Chandrasekhar, Sujana S / Archer, Sanford M / Rosenfeld, Richard M / Schwartz, Seth R / Barrs, David M / Brown, Steven R / Fife, Terry D / Ford, Peg / Ganiats, Theodore G / Hollingsworth, Deena B / Lewandowski, Christopher A / Montano, Joseph J / Saunders, James E / Tucci, Debara L / Valente, Michael / Warren, Barbara E / Yaremchuk, Kathleen L / Robertson, Peter J / Anonymous4970719. ·Department of Otolaryngology, Henry Ford Hospital, Detroit, Michigan 48202, USA. rstachl1@hfhs.org ·Otolaryngol Head Neck Surg · Pubmed #22383545.

ABSTRACT: OBJECTIVE: Sudden hearing loss (SHL) is a frightening symptom that often prompts an urgent or emergent visit to a physician. This guideline provides evidence-based recommendations for the diagnosis, management, and follow-up of patients who present with SHL. The guideline primarily focuses on sudden sensorineural hearing loss (SSNHL) in adult patients (aged 18 and older). Prompt recognition and management of SSNHL may improve hearing recovery and patient quality of life (QOL). Sudden sensorineural hearing loss affects 5 to 20 per 100,000 population, with about 4000 new cases per year in the United States. This guideline is intended for all clinicians who diagnose or manage adult patients who present with SHL. PURPOSE: The purpose of this guideline is to provide clinicians with evidence-based recommendations in evaluating patients with SHL, with particular emphasis on managing SSNHL. The panel recognized that patients enter the health care system with SHL as a nonspecific, primary complaint. Therefore, the initial recommendations of the guideline deal with efficiently distinguishing SSNHL from other causes of SHL at the time of presentation. By focusing on opportunities for quality improvement, the guideline should improve diagnostic accuracy, facilitate prompt intervention, decrease variations in management, reduce unnecessary tests and imaging procedures, and improve hearing and rehabilitative outcomes for affected patients. RESULTS: The panel made strong recommendations that clinicians should (1) distinguish sensorineural hearing loss from conductive hearing loss in a patient presenting with SHL; (2) educate patients with idiopathic sudden sensorineural hearing loss (ISSNHL) about the natural history of the condition, the benefits and risks of medical interventions, and the limitations of existing evidence regarding efficacy; and (3) counsel patients with incomplete recovery of hearing about the possible benefits of amplification and hearing-assistive technology and other supportive measures. The panel made recommendations that clinicians should (1) assess patients with presumptive SSNHL for bilateral SHL, recurrent episodes of SHL, or focal neurologic findings; (2) diagnose presumptive ISSNHL if audiometry confirms a 30-dB hearing loss at 3 consecutive frequencies and an underlying condition cannot be identified by history and physical examination; (3) evaluate patients with ISSNHL for retrocochlear pathology by obtaining magnetic resonance imaging, auditory brainstem response, or audiometric follow-up; (4) offer intratympanic steroid perfusion when patients have incomplete recovery from ISSNHL after failure of initial management; and (5) obtain follow-up audiometric evaluation within 6 months of diagnosis for patients with ISSNHL. The panel offered as options that clinicians may offer (1) corticosteroids as initial therapy to patients with ISSNHL and (2) hyperbaric oxygen therapy within 3 months of diagnosis of ISSNHL. The panel made a recommendation against clinicians routinely prescribing antivirals, thrombolytics, vasodilators, vasoactive substances, or antioxidants to patients with ISSNHL. The panel made strong recommendations against clinicians (1) ordering computerized tomography of the head/brain in the initial evaluation of a patient with presumptive SSNHL and (2) obtaining routine laboratory tests in patients with ISSNHL.

2 Article Adult-children's perspectives on a parent's hearing impairment and its impact on their relationship and communication. 2015

Preminger, Jill E / Montano, Joseph J / Tjørnhøj-Thomsen, Tine. ·a * University of Louisville, School of Medicine , Louisville , USA. · b Weill Cornell Medical College , New York , USA. · c National Institute of Public Health, University of Southern Denmark , Copenhagen , Denmark. ·Int J Audiol · Pubmed #26083719.

ABSTRACT: OBJECTIVE: The aim of the study was to describe third-party disability experienced by adult-children as a result of hearing impairment (HI) in a parent. DESIGN: Using semi-structured interviews, participants were asked to describe the impact of a parent's HI on their relationship and communication. Interpretative phenomenological analysis, a qualitative method to explore participant's perceptions and viewpoints, was used as the method of analysis. STUDY SAMPLE: Twelve participants between the ages of 22 and 58 who each had a parent with confirmed HI who owned hearing aids. RESULTS: Within the contextual factors of family relationships, communication situations, and the parent's personality, adult-children considered their coping strategies and feelings that arose as a result of the HI. Coping strategies included putting forth effort in communication, yelling as an ineffective communication strategy, and providing support to the parent with HI. The described feelings included frustration, uncertainty, and loss surrounding their communication and relationship with their parent with HI. These feelings arose as a result of implementing coping strategies, plus these feelings drove the employment of coping strategies. CONCLUSIONS: Adult-children of parents with HI experience third-party disability, however, the participation restrictions and activity limitations experienced by children appear less than experienced by spouses.

3 Article A new web-based tool for group audiologic rehabilitation. 2013

Montano, Joseph J / Preminger, Jill E / Hickson, Louise / Gregory, Melanie. · ·Am J Audiol · Pubmed #23975127.

ABSTRACT: PURPOSE: The Group Rehabilitation Online Utility Pack (GROUP) was developed to encourage hearing health care professionals to offer group audiologic rehabilitation (GAR) as an integral part of adult hearing rehabilitation and to provide these professionals with the necessary tools to develop and offer GAR in their clinical practice. METHOD: The GROUP is a dynamic interactive web-based program that allows visitors to craft and create GAR for their professional use. The tool includes the evidence for implementing GAR, content for preparation and planning, instruction for facilitating groups, and actual GAR activities. Each section includes ethnographic videos, allowing professionals to observe GAR in action. CONCLUSION: The GROUP program available on the Ida Institute website was developed with the intent to provide clinicians, academicians, researchers, and students a resource to facilitate the development and implementation of GAR programs throughout the world.