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Best and cheapest earwax removal in Somerset. Stephen Neal.

The cheapest earwax removal using Microsuction and traditional water ear irrrigation.

 

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Salt- or Sugar-Based Solution May Diminish Noise-Induced Hearing Loss

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It’s well known that exposure to extremely loud noises—whether it’s an explosion, a firecracker, or even a concert — can lead to permanent hearing loss. But knowing how to treat noise-induced hearing loss, which affects about 15% of Americans, has largely remained a mystery. That may eventually change, thanks to new research from the Keck School of Medicine of USC, which sheds light on how noise-induced hearing loss happens and shows how a simple injection of a salt- or sugar-based solution into the middle ear may preserve hearing, the school announced on its website.  The results of the study were published in PNAS.

Deafening sound

To develop a treatment for noise-induced hearing loss, the researchers first had to understand its mechanisms. They built a tool using novel miniature optics to image inside the cochlea, the hearing portion of the inner ear, and exposed mice to a loud noise similar to that of a roadside bomb.

They discovered that two things happen after exposure to a loud noise: sensory hair cells, which are the cells that detect sound and convert it to neural signals, die, and the inner ear fills with excess fluid, leading to the death of neurons.

“That buildup of fluid pressure in the inner ear is something you might notice if you go to a loud concert,” said the study’s corresponding author John Oghalai, MD, chair and professor of the USC Tina and Rick Caruso Department of Otolaryngology–Head and Neck Surgery and holder of the Leon J. Tiber and David S. Alpert Chair in Medicine. “When you leave the concert, your ears might feel full and you might have ringing in your ears. We were able to see that this buildup of fluid correlates with neuron loss.”

John Oghalai, MD

John Oghalai, MD

Both neurons and sensory hair cells play critical roles in hearing.

“The death of sensory hair cells leads to hearing loss. But even if some sensory hair cells remain and still work, if they’re not connected to a neuron, then the brain won’t hear the sound,” Oghalai says.

The researchers found that sensory hair cell death occurred immediately after exposure to loud noise and was irreversible. Neuron damage, however, had a delayed onset, opening a window of opportunity for treatment.

A simple solution

The buildup of fluid in the inner ear occurred over a period of a few hours after loud noise exposure and contained high concentrations of potassium. To reverse the effects of the potassium and reduce the fluid buildup, salt- and sugar-based solutions were injected into the middle ear, just through the eardrum, three hours after noise exposure. The researchers found that treatment with these solutions prevented 45–64% of neuron loss, suggesting that the treatment may offer a way to preserve hearing function.

The treatment could have several potential applications, Oghalai explained.

“I can envision soldiers carrying a small bottle of this solution with them and using it to prevent hearing damage after exposure to blast pressure from a roadside bomb,” he said. “It might also have potential as a treatment for other diseases of the inner ear that are associated with fluid buildup, such as Meniere’s disease.”

Oghalai and his team plan to conduct further research on the exact sequence of steps between fluid buildup in the inner ear and neuron death, followed by clinical trials of their potential treatment for noise-induced hearing loss.

Original Paper: Kim J, Xia A, Grillet N, Applegate BE, Oghalai JS. Osmotic stabilization prevents cochlear synaptopathy after blast trauma. PNAS. 2018. Available at: http://www.pnas.org/content/early/2018/05/01/1720121115.short?rss=1

Source: Keck School of Medicine of USC, PNAS

Image: Keck School of Medicine of USC

Which hearing aids are best for me?

Which hearing aids are best for me?

Bristol and Bath hearing aid centre, Stephen Neal is the hearing and earwax specialist for Somerset and Wiltshire.

You’ve been diagnosed with hearing loss and the hearing healthcare professional says you’ll benefit from wearing hearing aids, but which devices are best for you? The decision you make will depend greatly on the severity of your hearing loss as well as your health and the lifestyle you lead. Before you sit down to discuss options with your hearing healthcare provider, here are a few things to consider.

Are you a technology buff?

best hearing aids for me

Stephen Neal, hearing aid and wax removal specialist. Frome, Somerset.

Your hearing aids should be as individual
as you are!

Hearing aids have changed a lot in the last ten years. Today’s devices are nothing like those your parents or grandparents may have worn, mainly because of advances in technology. While your parents’ hearing aids had to be adjusted with a tiny screwdriver by a hearing care provider, today’s digital devices are programmed via computer. Gone are the days of fiddling around with bulky volume control wheels and buttons. Most of today’s devices can be controlled discreetly by the wearer with smartphone apps as listening environments change. Bluetooth technology allows hearing aids to connect wirelessly to that smartphone you bought the moment it became available, tablets, televisions or car audio.

How much of a techie are you? Chances are, there’s a hearing aid that can keep up with your fascination for cutting edge gadgets. If you’re not a technology lover, don’t despair – the technology in your new hearing aids can also work behind the scenes automatically so you can just focus on hearing your best.

Is your world noisy?

Let’s face it — life can be loud! Depending upon what you do for a living and how often you’re socially engaged with people you love spending time with, directional microphone technology can help you make sense of that noise. Dual microphones in the hearing aid work to help you understand speech in challenging listening environments such as noisy conventions, crowded restaurants and bars or a family room filled with chattering children by focusing on the sound directly in front of you and minimizing sound to the sides and back.

Nearly all hearing aids today have some form of noise reduction built in. This technology is best for increasing your comfort in noisy situations, but it’s the directional microphones that have a noticeable impact on your ability to understand conversation in these same situations. Be honest about your lifestyle and talk with your hearing care provider about which features you need.

Are you self-conscious about your hearing loss?

Let’s be clear: there’s absolutely nothing wrong with wearing hearing aids — no matter whether they’re visible to others standing close to you or fit snugly out of sight inside your ear canal. These miracle devices not only help you hear your favorite sounds, they also alert you to emergency warning signals and decrease your risk of falling, developing dementia and feeling depressed. What’s not to love?

Unfortunately, some prefer to be more discreet about their hearing loss. For those individuals, tiny receiver-in-the-canal (RIC) or receiver-in-the-ear (RITE) styles with ultra-thin tubing and an availability of colors which blend with skin or hair may be desirable. For even more invisibility, invisible-in-the-canal (IIC) or completely-in-the-canal (CIC) styles may be an option.

The discretion of small hearing aids can come with some tradeoffs. Your hearing healthcare professional can help you decide, given the severity of your hearing loss and your personal preferences, which style is best for you.

Do you have dexterity issues?

Diabetes, Parkinson’s disease and other health conditions can cause numbness in the fingers or a decline in fine motor skills. The smaller the hearing aid, the smaller the features — such as the battery door or volume control. If you struggle with putting on jewelry or activities which require fine motor skills, you will likely benefit from wearing hearing aids that fit behind-the-ear (BTE) or a larger custom style. It’s much better to own devices you can operate confidently and effectively than one which frustrates you so much it spends more time in your nightstand than in your ear.

Summary

It’s important to remember that no two people or their hearing losses are alike, but there are hearing aids to suit most every need. The best hearing aids are the ones that work for you. Instead of waiting to make a decision because you’re afraid you’ll make the wrong one, find a hearing healthcare professional to guide you. Working as a team, the two of you can determine which devices will work for your unique hearing situation. Check out our directory of consumer-reviewed clinics to get started.

GN Hearing Launches Rechargeable Battery Option for ReSound Linx 3D

Stephen Neal the earwax specialist for Bath, Bristol and the Somerset area.

image

GN Hearing—the medical device division of the GN Group—has introduced a rechargeable battery option for the ReSound LiNX 3D hearing aids, the company announced. The rechargeable battery solution, available in North America and other major markets from September 1, gives ReSound users more options to choose from. The rechargeable option is also available for Beltone Trust in North America, and from September 1, this will be extended to other major markets.

The rechargeable battery option is made available based on an understanding of user expectations as well as a commitment to empower users to choose the solution best suited for their needs and preferences. The announcement follows GN Hearing’s release of the innovative 5thgeneration 2.4 GHz wireless technology ReSound LiNX 3D hearing aids, which offer unmatched sound quality, an enhanced fitting experience, and comprehensive remote fine-turning, giving users a new hearing care experience, GN Hearing said.

According to the company, ReSound LiNX 3D rechargeable has all of the benefits of ReSound LiNX 3D, now combined with the all-day power of a rechargeable battery. With overnight charging, users will experience the advantage of all-day power, without the need to change batteries.

ReSound Linx 3D rechargeable accessory.

ReSound LiNX 3D rechargeable accessory.

“GN Hearing is pleased to provide yet another option for hearing aid users, built on our commitment to providing unmatched sound quality and user experience,” said Anders Hedegaard, president & CEO, GN Hearing. “This new rechargeable battery solution allows hearing care professionals to offer an additional option to their clients, and gives hearing aids users even more choices to tailor their hearing experience to their unique preferences,” he added.

Source: GN Hearing 

Image: GN Hearing 

Visual Cues May Help Amplify Sound, earwax can be the cause.

Visual Cues May Help Amplify Sound, University College London Researchers Find

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Ear wax removal, somerset, Wiltshire, Bath, Bristol, Norton St Philip, Glastonbury

Ear wax removal and hearing aids, Bath, Bristol, Frome, Glastonbury

Looking at someone’s lips is good for listening in noisy environments because it helps our brains amplify the sounds we’re hearing in time with what we’re seeing, finds a new University College London (UCL)-led study, the school announced on its website.

The researchers say their findings, published in Neuron, could be relevant to people with hearing aids or cochlear implants, as they tend to struggle hearing conversations in noisy places like a pub or restaurant.

The researchers found that visual information is integrated with auditory information at an earlier, more basic level than previously believed, independent of any conscious or attention-driven processes. When information from the eyes and ears is temporally coherent, the auditory cortex —the part of the brain responsible for interpreting what we hear—boosts the relevant sounds that tie in with what we’re looking at.

“While the auditory cortex is focused on processing sounds, roughly a quarter of its neurons respond to light—we helped discover that a decade ago, and we’ve been trying to figure out why that’s the case ever since,” said the study’s lead author, Dr Jennifer Bizley, UCL Ear Institute.

In a 2015 study, she and her team found that people can pick apart two different sounds more easily if the one they’re trying to focus on happens in time with a visual cue. For this latest study, the researchers presented the same auditory and visual stimuli to ferrets while recording their neural activity. When one of the auditory streams changed in amplitude in conjunction with changes in luminance of the visual stimulus, more of the neurons in the auditory cortex reacted to that sound.

“Looking at someone when they’re speaking doesn’t just help us hear because of our ability to recognize lip movements—we’ve shown it’s beneficial at a lower level than that, as the timing of the movements aligned with the timing of the sounds tells our auditory neurons which sounds to represent more strongly. If you’re trying to pick someone’s voice out of background noise, that could be really helpful,” said Bizley.

The researchers say their findings could help develop training strategies for people with hearing loss, as they have had early success in helping people tap into their brain’s ability to link up sound and sight. The findings could also help hearing aid and cochlear implant manufacturers develop smarter ways to amplify sound by linking it to the person’s gaze direction.

The paper adds to evidence that people who are having trouble hearing should get their eyes tested as well.

The study was led by Bizley and PhD student Huriye Atilgan, UCL Ear Institute, alongside researchers from UCL, the University of Rochester, and the University of Washington, and was funded by Wellcome, the Royal Society; the Biotechnology and Biological Sciences Research Council (BBSRC); Action on Hearing Loss; the National Institutes of Health (NIH), and the Hearing Health Foundation.

Original Paper: Atilgan H, Town SM, Wood KC, et al. Integration of visual information in auditory cortex promotes auditory scene analysis through multisensory binding. Neuron. 2018;97(3)[February]:640–655.e4. doi.org/10.1016/j.neuron.2017.12.03

Source: University College London, Neuron

GN Store Nord Develops Device to Protect Soldiers’ Hearing

GN Store Nord Develops Device to Protect Soldiers’ Hearing

Published on 

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GN Store Nord has announced a “first of its kind, fully fledged hearing protection solution, enabling defense and security forces to hear more, do more, and be more.” With this advanced tactical hearing-protection solution, GN reports that it is leveraging unique leading competencies within intelligent audio solutions in both hearing aids and headsets to create an unparalleled noise management solution. The product will be manufactured at its Bloomington, Minn, facility where ReSound is also located.

The global market for military communication systems is estimated to be about $630 million, and features competitors such as Peltor (3M), INVISIO, Silynx, Racal Acoustics, and MSA Sordin, according to long-time hearing industry analyst Niels Granholm-Leth of Carnegie Investment Bank in Copenhagen.  GN has embarked on several projects in its GN Stratcom organization, which is currently part of GN Hearing, although the company could eventually establish it as a stand-alone division alongside its Hearing (ReSound, Beltone, and Interton) and Headset divisions (Jabra).

The new patented hearing protection solution is designed specifically for defense and security forces. GN says the solution offers the user a communication headset which is designed to be comfortable, highly durable, and protects the user against high volume noise. At the same time, by leveraging GN’s expertise within situational awareness, the solution allows its user to clearly identify important sound in 360°.

Anders Hedegaard

Anders Hedegaard

“The GN Group encompasses consumer, professional, and medical grade hearing technology under the same roof,” says CEO of GN Hearing, Anders Hedegaard. “This unique platform makes it possible to expand GN’s business into adjacent opportunities within the sound space. With our user-centric approach we aim to be the leader in intelligent audio solutions to transform lives through the power of sound.”

GN will be starting to build a small, swift group related to this new business opportunity. This year, GN will participate in military tenders in the United States and with other NATO-countries. The new product line will, under the name GN FalCom, include:

  • Comfort. Designed for optimal physical comfort allowing for multiple hours of use in extreme combat situations;
  • Clarity. Enables users to localize sounds all around them without the need to remove the earpiece. To maintain high quality communications at all times, GN FalCom will integrate seamlessly with military radio technology, and
  • Protection. Allows users to stay connected while benefitting from noise protection. For example, users will experience the highest level of safety without blocking out wanted sounds.

The  hearing protection solution builds on GN’s expertise in sound processing from both GN Hearing and GN Audio—and across R&D teams in the United States and Denmark. It is a successful result of corporate level investments made through GN’s Strategy Committee guided initiatives to explore opportunities outside of, but related to, GN’s existing business areas. According to the company, the hearing protection solution will be manufactured at GN’s existing production facilities in Bloomington, Minn, and will not impact GN’s financial guidance for 2018.

Oticon Opn™ A new hearing aid.

Oticon Opn™ A new digital hearing aid.

 

Stephen Neal audiologist at the Keynsham Hearing Centre knows all about hearing aids and earwax removal using Microsuction and ear irrigation techniques, and shares the latest hearing aid from Oticon. Digital hearing instruments really are the latest option for a living in a digital world. Contact Stephen Neal to book an appointment at his Keynsham hearing centre. Stephen also does out of hours appointments too.

Hearing

The challenge of hearing clearly amidst background noise is a complaint hearing care professionals commonly encounter. Houston-based audiologist Jana Austin discusses how the Oticon Opn helped Bryan Caswell, a chef, manage the “tornado” of background noise coming at him from all directions in a busy restaurant environment. With its OpenSound Navigator and Spatial Sound LX working in tandem to identify sounds and manage noise, Caswell can hear a conversation from across the kitchen that he likens to a dart of sound that he’s catching. For Austin, the Opn reaffirms her ability to improve a patient’s quality of life.

Stephen Neal at Keynsham hearing centre near Bristol and Bath can help with supply and fit of this hearing aid or any other hearing aid on the market today. With Digital hearing instruments now so advanced you will be surprised on how yoru life can be totally changed within a few days of fitting.

Stephen Neal is a registered HCPC dispenser and works with all the large hearing aid/instrument manufacturers. With his expert advice and fitting, you will be surprised on how digital technology in the hearing world really has changed in recent years. Ask Stephen for a demo on how connecting with your smart phone, iPad and T.V. can transform your world.

Ear wax removal

Micro-suction, Microsuction, earwax removal, Bath, Bristol, keynsham,

Stephen Neal, specialist ear wax and micro suction technique. Based in Keynsham

Earol :http://www.lloydspharmacy.com/en/earol-olive-oil-spray

MICROSUCTION (EAR WAX REMOVAL)

Oticon Opn™ Delivers a Better Hearing Experience

 

 

The challenge of hearing clearly amidst background noise is a complaint hearing care professionals commonly encounter. Houston-based audiologist Jana Austin discusses how the Oticon Opn helped Bryan Caswell, a chef, manage the “tornado” of background noise coming at him from all directions in a busy restaurant environment. With its OpenSound Navigator and Spatial Sound LX working in tandem to identify sounds and manage noise, Caswell can hear a conversation from across the kitchen that he likens to a dart of sound that he’s catching. For Austin, the Opn reaffirms her ability to improve a patient’s quality of life.

Microsuction earwax removal video

Microsuction and Irrigation
£70 for one £90 for two ears and a £30 appointment fee 
Please contact us on 0117 986 4242 for more information or to arrange an appointment.

Ear Irrigation / Ear Syringing Wax Removal

During this procedure, the patient sits in a chair and the ear is rinsed with warm water from an electronic irrigator. The wax and water is collected in a basin or cup-shaped device which the patient holds under their ear.

Ear irrigation does make some noise but this is not excessive or uncomfortable. Most people who have irrigation find it to be a fairly pleasant procedure.

Stephen can also do out of hours appointments between 5pm and 7pm, there is a non refundable £30 deposit for out of hours appointments.
Three methods of wax removal may be used:

1. Micro Suction Wax Removal

2. Ear Irrigation using the Pro-pulse Irrigator

3. Removal of wax deposits using a Jobson Horn Probe

 

 

 

Mr Stephen Neal (RHAD FSHAA) has undertaken training and achieved competency in wax removal and will use best-practice procedures to minimise any risk of harm. However, as with any wax removal procedure even when performed with the upmost care, there is a small risk involved of damage to or infection of the skin of the ear canal or the ear-drum during the procedure.

Gene Editing Technique May Help Preserve Hearing in Individuals with Genetic Mutation

Gene editing could someday help people at risk of hearing loss from genetic mutations, according to research by a new Rice University faculty member, the Texas-based university announced on its website.

Xue (Sherry) Gao, who joined Rice in the fall as the Ted N. Law Assistant Professor of Chemical and Biomolecular Engineering, is co-lead author of a new Nature paper that reports on the promise of gene editing to treat autosomal dominant hearing disease.

Xue (Sherry) Gao, Ted N. Law Assistant Professor of Chemical and Biomolecular Engineering, Rice University.

Xue (Sherry) Gao, Ted N. Law Assistant Professor of Chemical and Biomolecular Engineering, Rice University.

Gao performed the research while a postdoctoral associate under the guidance of David Liu at Harvard University. She said that while hearing diseases are typically not life-threatening, hearing loss is the most common human sensory impairment and has a substantial impact on individuals and society.

Many genetic mutations affect the sensory hair cells that amplify acoustic vibrations and translate them into electrical nerve signals. Gao said humans are born with about 12,000 hair cells that do not regenerate spontaneously if damaged. It has been reported that one in every 1,000 infants born in the United States has genetic mutations that contribute to deafness. Nevertheless, she said, few treatments are available to slow or reverse genetic deafness.

The researchers used rodent models of human genetic disease since a rodent cochlea—the organ in the inner ear that sends sounds to the brain—is strikingly similar to that of humans, Gao said. They focused on editing hair cells inside the cochlea, which they found suitable for the delivery of one-time, nonreplicable edits through Cas9/single-guide RNA. The RNA is a ribonucleotide (RNP) protein complex designed to specifically disrupt genes associated with hearing loss.

“Delivering the RNP complex instead of DNA into the cochleae showed significantly fewer off-target effects,” Gao said. This enabled the researchers to effectively disrupt one genomic site containing a single point mutation and avoid the billions of other sites available for modification.

Eight weeks after injecting the protein complex into the cochleae of rodents with progressive, genetic hearing loss, the researchers observed higher hair cell survival rates compared with those in a control group that did not receive the injection.

In a new Nature paper, a Rice University professor outlines a strategy that uses gene editing to slow the progression of a genetic hearing disease. Illustration by Xue (Sherry) Gao

In a new “Nature” paper, a Rice University professor outlines a strategy that uses gene editing to slow the progression of a genetic hearing disease. Illustration by Xue (Sherry) Gao

Tests that measured brain waves in response to audio cues showed the treatment significantly preserves the animals’ hearing compared with the control group. The treatment also helped preserve the injected animals’ acoustic behavioral reflexes, according to the researchers.

“We believe this is a leading study on using CRISPR-Cas9 genome editing technology to treat genetic hearing diseases,” said Gao, whose lab is at Rice’s BioScience Research Collaborative. “We hope to develop more advanced genome-editing tools and test them on other animal species to demonstrate their safety and effectiveness as we move them toward humans.

“I’m definitely looking for collaborators at Rice, the Texas Medical Center, and in Houston who also are interested in developing genome-editing technology,” she said.

Gao’s primary collaborators on the Nature paper were co-lead author Yong Tao and Zheng-Yi Chen of the Massachusetts Eye and Ear Infirmary.

The Defense Advanced Research Projects Agency (DARPA) and the National Institutes of Health supported the research.

Original Paper: Gao X, Tao Y, Lamas V, et al. Treatment of autosomal dominant hearing loss by in vivo delivery of genome editing agents. Nature. December, 2017. doi:10.1038/nature25164

Source: Rice University, Nature

Images: Rice University, Xue (Sherry) Gao