George S. Osborne College of Audiology

Elkins Park 2014 Workshops

Workshop I: July 10 - 13, 2014
Diagnosis and Management of External and Middle Ear Function

(2.4 CEUs/1.15 Tier 1 CEUs)

Distinguished Faculty

Gregory Artz, MD | Victor Bray, PhD | Jeff Brocket, EdD | Rita Chaiken, AuD | Jiovanne Hughart, AuD | Harry Levitt, PhD | Sherman Lord, AuD | Chris Sanford, PhD

Learning Objectives

Participants will be taught to:

  • Describe the physical properties and fundamentals of sound
  • Describe the transmission, reflection, absorption and transduction of sound
  • Describe the free-field properties of sound and its effect on reflection, reverberation, diffraction and critical distance
  • Measure properties of impedance, reflectance, admittance, group delay and  resonance
  • Describe the linear and non-linear characteristics of the auditory system and implication for audiological management
  • Evaluate the strengths and limitations of conventional admittance tympanometry tests.
  • Conduct the expanded functions of conventional immittance technology and interpret disorder-focused special tests
  • Explain how multi-frequency tympanometry can be used to differentiate among stiffness- and a mass-dominated middle ear disorders
  • Relate the importance of using 1000 Hz tympanometry in infant middle ear assessment
  • Recognize the relationship between acoustic stapedial reflexes (ASR) and middle ear status
  • Compare and contrast Wideband Acoustic Immittance (WAI) and conventional tympanometry by outlining the strengths, potential uses, and limitations of WAI
  • Demonstrate the ability to perform WAI and conventional immittance tests
  • Describe the nature of cerumen
  • Perform basic or more advanced cerumen management techniques, depending on their previous experience
  • Identify various instruments and/or equipment used to perform cerumen management

Planned Course of Study

Day 1
  • 8:30-9:00     Introduction to Advances in Middle Ear Assessment: Chris Sanford, PhD
  • 9:00-12:00   Sound Transmission to the Cochlea: Harry Levitt, PhD
  • 1:00-2:30    Getting the Most out of Your Acoustic Immittance Toolbox Single Frequency Tympanometry: Chris Sanford, PhD
    • 226 Hz tympanometry….tell me something I don’t know!
    • 1000 Hz tympanometry…infant ears are different?
  • 2:50-4:30     When a Wrench Becomes a Hammer: Jeff Brockett, EdD
    • Is more, better?
    • ENTs love Eustachian tube function tests
    • Finding fistulas
    • Patulous Eustachian tube assessment
    • Documenting pulsatile tinnitus
Day 2: Getting the Most out of Your Acoustic Immittance Toolbox
  • 8:30-10:20   Multiple Frequency Tympanometry:  Are You Using This Tool? Chris Sanford, PhD
    • Not just a test for neural function
    • Is more, better?
    • Which is dominating….mass or stiffness?
    • I thought the BGs were a disco group?
    • How do I estimate resonance frequency? 
  • 10:20-12:00 Acoustic Stapedial Reflex TestJeff Brockett EdD
    • The Acoustic Reflex Arc
    • Not just a test for neural function
    • Communicating findings: Are we on the same page?          
  • 1:00-4:00     The Art and Science of the Otoscopic Examination: Greg Artz, MD
    • Making sense of the Otoscopic Examination: How to diagnose and treat   common problems of the middle ear
Day 3: New Tools In Your Acoustic Immittance Toolbox
  • 8:30-10:20   Old School….New Tools: Chris Sanford, PhD
    • Wideband Acoustic Immittance overview
    • Pediatric applications
    • Beyond the Type B tympanogram
    • Predicting conductive hearing loss
    • Wideband acoustic stapedial reflexes
    • I’ve got a new tool, now what?
    • Where do we go from here?
  • 10:30-12:00 Cases and Clinical Presentations: Using Wideband Acoustic Immittance Tools:  Chris Sanford, PhD /Jeff Brockett EdD
    • Infants
    • Children
    • Adults
  • 1:00-4:30     Hands On Demonstrations and Labs: Chris Sanford, PhD /Jeff Brockett EdD /Rebecca Blaha, AuD
    • Vendor presentations/orientation
    • Hands on labs: Conventional immittance equipment
    • Hands on labs: Wideband acoustic immittance equipment
    • Group discussion/wrap up
Day 4:  Cerumen Management
  • 8:30-9:00    Introduction to Cerumen Management:  Rita Chaiken, AuD
  • 9:00-10:00   Diagnosis and Management of External Ear Canal Pathology:   Greg Artz, MD
  • 10:20-12:30 Getting the Most out of Cerumen Management: Rita Chaiken, AuD
    • Properties and Characteristics of Cerumen
    • Lighting
    • Methods of Cerumen Management
  • 1:30-3:00     Interactive Session with All Equipment: Rita Chaiken, AuD
  • 3:15-5:00     Post Cerumen Management Problems: Rita Chaiken, AuD
    • Conditions of the Outer Ear
    • Infection Control
    • Liability
    • Reimbursement