Excerpt: Tinnitus: Clinical and Research Perspectives summarizes contemporary findings from basic and clinical research regarding tinnitus mechanisms, effects, and interventions. The text features a collection of international authors, active researchers, and clinicians who provide an expansive scope of material that ensures relevance for patients and professionals. Reviews and reports of contemporary research findings underscore the text s value for classroom use in audiology and otolaryngology programs. Patients and students of audiology will benefit from the text s coverage of tinnitus mechanisms, emerging practice considerations, and expectations for outcomes--for example, recent successes of cognitive behavioral therapy, neuromodulation, and hearing aid use. These and other topics, such as the effects of noise and drugs on tinnitus, are reported in a way that enhances clinicians ability to weave such strategies into their own work. The influence of tinnitus on all aspects of life is explored, from art to medicine and communication to isolation, thereby providing clinicians and patients a deeper understanding of and greater facility managing a tinnitus experience. Finally, this text includes case studies that provide a practical view of tinnitus effects and management approaches. The editors hope that the consideration of mechanisms, interventions, and outcomes resonates with patients, clinicians, and students of audiology.

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This presentation will provide participants basic information regarding tinnitus mechanisms, special populations, and interventions. Contemporary findings from imaging and surgical studies will be summarized and audiologic implications addressed. The presenters will review intervention approaches that employ hearing aid fittings as well as emerging sound-based and counseling strategies for tinnitus management

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It is well established that modern directional microphones in hearing aids provide listeners with an improved speech understanding in noise. De-spite this, the impact of directional microphones in real life conditions is limited. In fact, hearing in noise remains one of the biggest problems for hearing aid users. Fortunately, recent developments in super-directional technology, at least in laboratory settings, promise to deliver significant benefits to hearing aid users. Experiments suggest large improvements in speech understanding in noise and significant preference for highly directional systems. This advantage is often extrapolated to suggest equal advantages in real world listening situations. However, it is increasingly apparent that hearing in noise entails various complex tasks for the listener. Consequently, super-directional technology may be advantageous in some situations but may also have some limitations in its usage. Here we present a discussion of super-directional microphone technology based on several studies. In our research we have examined various factors that influence benefit such as beam width design, adaptation speed, preservation of spatial cues, vent sizes, acoustic scene, and reverberation. Our evidence appears to be confounded by individual characteristics of the listener such as age, hearing loss, personality traits, and cognition. All these factors combined will guide our discussions and thoughts about future research and development of super-directional systems.

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