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CROS, BICROS, and BC Hearing Aids
Hearing Aids 2
15
Audiology
Graduate
04/05/2018

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Cards

Term
Candidacy: ___ configuration is for normal or near
normal hearing in one ear & the opposite ear cannot benefit from amplification
Definition
CROS
Term
CROS System – The Essentials:
-For patients with ___ loss; single-sided deafness
-Only ___ sound from one side of the head to the other
-Should not ___ sound; if it does, the disadvantages
will likely outweigh the advantages
Definition
unilateral; transfers; amplify
Term
What is an advantage and disadvantage of a CROS system?
Definition
-Advantage: improves speech understanding in noise
(compared to unaided) when speech originates on the side of ear with significant SNHL.
-Disadvantage: decreases speech understanding when speech
originates from side with the normal hearing ear.
Term
Considerations When Fitting CROS for SSD:
-Include the option to ___ the offside mic when it contributes to a poorer SNR
-Choose an ___ coupling system in the better hearing ear
-Consider other technology (e.g .___ ___) on the better
ear if listening in a classroom or group in noise & when talkers are positioned on the poorer side.
Definition
disable; open; FM system
Term
Transcranial CROS (a.k.a. Power CROS):
-Candidacy?
-Controversial fitting configuration: power instrument is fit to the ___ ear
Definition
profound unilateral SNHL; non-hearing
Term
How does the power CROS work?
Definition
Vibrations produced on the side with poor hearing travel
via bone-conduction to the opposite side of the head (e.g. ear with normal hearing)
Term
What style HA is the power CROS?
Definition
Typically BTE or ITE, but some have advocated fitting CICs this way
Term
The BICROS system has the mic, amp, and receiver on the ___ ear (___ ear) and the mic only on the ___ ear (___ SNHL)
Definition
aidable; better; unaidable; profound
Term
What is the candidacy for BICROS system
Definition
-Individuals with SNHL (aidable) in one ear and significant (often profound) SNHL (unaidable) in the other ear
Term
What is an advantage and disadvantage of the BICROS system?
Definition
-Advantage: works best if the signal of interest originates in front of listener. Signals/inputs from other azimuths reach the 2 mics out of phase; so mic outputs combine less effectively.
-Disadvantage: less clear signal by mic on “far ear” side will be added to the clearer signal from closer mic (this reduces clarity of clearer signal)
Term
Bone-conduction Hearing Aids:
-Vibrate ___ structures without sending the sounds the typical way through the ME
-A bone conductor is the output transducer which has to be coupled to the ___ usually via a headband
Definition
cochlear; head
Term
Why would you use a BC hearing aid?
Definition
Any malformation of the outer or middle ear, significant CHL for any reason, or SSD
Term
Disadvantages of BC HAs:
-Transducer needs to fit ___ against the head; pressure from oscillator can cause ___ problems.
-Can easily ___
-Highly ___
-Can not measure ___
-Cable & plugs between the aid & BC transducer can be ___
-IA for BC sounds is less than for AC sounds; can pick up different signals on each side of the head, but unable to deliver them independently to the respective ___ (smaller binaural differences; but enough to localize)
-Limits of BC oscillator & attenuation from skin results in ___ LF and HF responses
Definition
snuggly; skin; dislodge; visible; output; unreliable; cochlea; reduced
Term
What are some advantages of a BC HA?
Definition
-May provide adequate auditory input while individuals await other surgical/medical interventions
-Doesn't require surgery or anesthesia
Term
Findings with CROS systems:
-improved speech perception in noise when the target was
presented on the ___ side
Definition
poorer
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