{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T23:33:59Z","timestamp":1792020839480,"version":"4.4.0"},"reference-count":0,"publisher":"American Academy of Audiology","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2006,1,1]]},"abstract":"<jats:p>Fitting amplification to a patient with M\u00e9ni\u00e8re's disease (MD) can present several challenges to the dispensing audiologist. These challenges include the presence of fluctuating hearing loss, a rising audiometric configuration, unilateral or asymmetrical hearing loss,\n reduced dynamic range, and reduced word-recognition scores. The presence of any one of these characteristics could create obstacles for a successful hearing aid fit. The presence of most if not all of these characteristics in a single patient can readily challenge the skills of even the most\n experienced dispensing audiologist. In addition to the audiometric challenges, this patient population has the added psychological problems associated with feeling ill due to the nausea secondary to vertiginous attacks and the anxiety associated with the unpredictable nature of the course\n of these attacks. This paper summarizes numerous strategies and technologies that could be implemented by the audiologist to address these unique challenges and provide a greater opportunity for a successful hearing aid fit. These suggestions include (1) advantages offered by digital signal\n processing; (2) using directional microphones and assistive listening devices to improve speech recognition in noise; (3) using wireless hearing aids as well as the bone anchored hearing aid; (4) counseling patients on the realistic expectations from amplification in noisy listening situations\n and for those with poor speech recognition; (5) using multiple programs for patients with fluctuating hearing loss; and (6) offering suggestions on programming the frequency-gain\/output response for a rising configuration. La amplificaci\u00f3n de un paciente con enfermedad de M\u00e9ni\u00e8re\n (MD) ofrece varios retos al audi\u00f3logo que adapta auxiliares auditivos. Estos retos incluyen la presencia de una hipoacusia fluctuante, una configuraci\u00f3n audiom\u00e9trica en ascenso, una p\u00e9rdida auditiva unilateral o asim\u00e9trica, un rango din\u00e1mico reducido,\n y de puntajes disminuidos en el reconocimiento de palabras. La presencia de cualquiera de estas caracter\u00edsticas podr\u00eda crear obst\u00e1culos para la adaptaci\u00f3n exitosa de un auxiliar auditivo. La presencia de la mayor\u00eda, sino de todas estas caracter\u00edsticas\n en un \u00fanico paciente, desaf\u00eda las habilidades hasta de aquellos audi\u00f3logos con mayor experiencia. Adem\u00e1s de los retos audiol\u00f3gicos, esta poblaci\u00f3n de pacientes muestran los problemas psicol\u00f3gicos adicionales asociados con sentirse enfermos debido\n a la n\u00e1usea secundaria a los ataques vertiginosos, y a la ansiedad asociada con la naturaleza impredecible del curso de dichos ataques. Este art\u00edculo resume numerosas estrategias y tecnolog\u00edas que pueden ser implementadas por el audi\u00f3logo para manejar estos desaf\u00edos\n singulares y proporcionar una mejor oportunidad para lograr una adaptaci\u00f3n exitosa. Estas sugerencias incluyen: (1) las ventajas ofrecidas por el procesamiento digital de la se\u00f1al; (2) la utilizaci\u00f3n de micr\u00f3fonos direccionales y de sistemas auditivos de apoyo para\n mejorar el reconocimiento del lenguaje en ruido; (3) el uso de auxiliares auditivos inal\u00e1mbricos al igual que de auxiliares auditivos \u00f3steo-implantados; (4) la consejer\u00eda a los pacientes para lograr expectativas realistas sobre la amplificaci\u00f3n en situaciones ruidosas\n y para aquellos pacientes con pobre reconocimiento del lenguaje; (5) el uso de m\u00faltiples programas para pacientes con hipoacusias fluctuantes; y (6) la oferta de sugerencias para programar la respuesta de ganancia frecuencial\/salida para una configuraci\u00f3n en ascenso.<\/jats:p>","DOI":"10.3766\/jaaa.17.1.2","type":"journal-article","created":{"date-parts":[[2008,4,22]],"date-time":"2008-04-22T19:54:28Z","timestamp":1208894068000},"page":"6-15","source":"Crossref","is-referenced-by-count":20,"title":["Problems and Solutions for Fitting Amplification to Patients with M\u00e9ni\u00e8re's Disease"],"prefix":"10.3766","volume":"17","author":[{"given":"Michael","family":"Valente","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Mispagel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen L.","family":"Valente","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Hullar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2087","container-title":["Journal of the American Academy of Audiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/aaa\/jaaa\/2006\/00000017\/00000001\/art00002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T18:15:09Z","timestamp":1738779309000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.3766\/jaaa.17.1.2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,1,1]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2006,1,1]]}},"alternative-id":["1050-0545(20060101)17:1L.6;1-"],"URL":"https:\/\/doi.org\/10.3766\/jaaa.17.1.2","relation":{},"ISSN":["1050-0545"],"issn-type":[{"value":"1050-0545","type":"print"}],"subject":[],"published":{"date-parts":[[2006,1,1]]}}}