Categories

Presentation M.Goriany: Innovative Knowledge Sharing amongst the Global Medical Society

On September 4, 2009 this presentation was held at the ENT Conference 2009 in Yerevan, Armenia.

Here you can watch and/or download the presentation:

Presentation-Neonatal Hearing Screening

Dr. Dr. h.c. Monika Lehnhardt: Neonatal Hearing Screening – An Overview on the Situation worldwide:

Presentation-Carina the fully implantable hearing system

Dr. Dr. h.c. Monika Lehnhardt: Carina – the fully implantable hearing system

Profile: Dr. Dr. h.c. Monika Lehnhardt

Monika Lehnhardt was born in Vienna and graduated from the University Alma Mater Rudolfina in Vienna. She obtained her PhD is in philology, psychology and philosophy.

She has held various positions in companies such as Schering (Berlin), Monsanto (Düsseldorf and Brussels), Pharmacia (Freiburg) and she established Cochlear Europe in Basel in 1987. Between the years 1987 and 1999, as Chief Executive Officer, Cochlear Europe grew from two to seventy employees and additional offices were opened in London and Hannover.

In 1999 she decided to step aside and continued to work in a Management position for business development and customer relations. In 2001 she accepted the offer from Sydney headquarters to continue as a consultant to Cochlear Europe. In this position
she travelled extensively in Europe and also to the US. In autumn 2004 she became a full time employee of Cochlear Europe again and held the position of Area Manager Central & Eastern Europe until her retirement in January 2008. Her area of responsibility comprised 18 countries from Russia to the Baltic, Ukraine and Kazachstan.

She lectures at scientific conferences and organises congresses for professionals and parents of children with cochlear implants. She is a published author on various topics related to cochlear implants (technical, audiological and rehabilitation aspects).

Since 2002, she has been Managing Director of the Professor Ernst Lehnhardt-Foundation and served for a couple of years as a member of the Board of Auditory Verbal International, Inc. (AVI. Inc.).

She actively participated in the QESWHIC Project (Qualification of Educational Staff Working with Hearing Impaired Children), a three years programme (2002 to 2005) developing training material online under the sponsorship of the European Community as one of the Comenius actions. This is accessible under www.lehn-acad.net

In July 2007 she was awarded the title of Honorary Doctor by the International Academy of Otorhinolaryngology-Head and Neck Surgery, St. Petersburg. The ceremony took place at the Hofburg in Vienna.

In 2007 she established her own company together with Simone Lei Hugentobler under the name of Monsana AG in Basel, Switzerland.

Abstract: Neonatal Hearing Screening

Dr. Dr. h.c. Monika Lehnhardt – Prof. Ernst Lehnhardt-Foundation, Badenweiler, Germany: Neonatal Hearing Screening

Statistics worldwide agree: a significant hearing impairment is the most frequent disorder in newborns. Depending on the applied protocol 1 – 3 babies out of 1.000 are identified to be bilaterally severely hearing impaired. In the group of risk babies it is 2 – 4 out of 100. The high level of incidence and the proven long-term negative effects of a severe hearing impairment or deafness on the development of the child as a personality sufficiently justify neonatal hearing screening for all newborns. The availability of appropriate technology to identify the problem and to intervene professionally with excellent chances for success to integrate and to include the child into the world of hearing is another convincing factor.
In January 2009 – after 10 years of lobbying – a law to introduce neonatal hearing screening was finally passed in Germany. The responsibility for implementation, however, lies with the federal countries and differs greatly as a consequence. As major obstacles to a high quality implementation all over the country we identified lack of suitable test equipment, insufficiently trained personnel, lack of central data processing and administration, insufficient counselling of parents and serious problems in financing.
In many other countries in Europe, in the US and in Canada the situation is much better. Examples in Europe are Austria, Belgium, the Netherlands, Switzerland, the United Kingdom, Poland and Croatia. In some countries neonatal hearing screening is in a start-up phase (e.g. Russia), some countries are still a “white spot” (e.g. Africa, many Asian countries).

Download of Abstract:

Abstract: The Carina™ fully implantable hearing system

Dr. Dr. hc. Monika Lehnhardt:
The Carina™ fully implantable hearing system: A stable and flexible solution for challenging cases of conductive, mixed and sensorineural hearing loss.

Introduction: The Carina™ hearing system is a fully implantable, active middle ear implant, comprising a subcutaneous microphone, electronics capsule and an electromagnetic transducer.

Objectives: Provide a viable treatment to moderate to severe hearing impaired patients confronted by the limitations of conventional amplification. These limitations are encountered in cases of recurrent ear canal allergies and chronic inflammation, or in cases of severe mixed hearing loss, where stability of passive prostheses is questionable and output of other amplifications may be limited. Patients also face limitations in dusty, or wet, working environments, where the use of conventional amplification can be restricted.

Methods: In cases of sensorineural hearing loss, the Carina™ transducer is placed directly in contact with the incus body, bypassing ear canal limitations, including the occlusion effect. Specifically designed reconstructive ossicular prostheses can be attached to the Carina™ transducer and placed in contact with the head of the stapes, oval or round windows, in cases of conductive, or mixed hearing loss.
Carina™ may be used for congenital aural atresia, for patients who have undergone multiple surgical procedures, due to the instability of previous ossiculoplasties (prior middle ear pathologies, blast injury) and for patients presenting elevated bone conduction thresholds that can no longer be effectively addressed by conventional therapies, due to their limited output.

Results: Published data show an average functional gain ranging from 20 to 36dB in cases of round window, head of stapes and incus body stimulation in mixed, conductive and sensorineural hearing losses respectively. The Carina™ fully implantable system provides proven clinical benefit in challenging environments where exposed electronics are vulnerable.

Conclusion: The Carina™ is an effective CE marked treatment, for difficult cases across the hearing loss spectrum, where conventional therapies have failed.

Profile-Prof. George A. Tavartkiladze


Professor George A. Tavartkiladze, M.D., PhD.

Director of the National Research Center for Audiology and Hearing Rehabilitation,

Head of the Chair on Clinical Audiology, Russian Medical Academy for Postgraduate Training.

MAIN TOPICS OF RESEARCH:

Experimental and clinical Audiology (investigations of cochlear frequency selectivity,otoacoustic emissions, i.e. properties, generation mechanisms, clinical application); hearing electrophysiology – Acoustically and electrically evoked auditory potentials; Hearing Rehabilitation: Cochlear implantation; hearing aid fitting.

FELLOWSHIPS AND MEMBERSHIPS IN PROFESSIONAL SOCIETIES:

President, International Society of Audioloigy (2004-2008);

President, Collegium Oto-Rhino Laryngologicum Amicitiae Sacrum (CORLAS) (2006-2007);

President of International Academy of Otorhinolaryngology-Head and Neck Surgery;

President of the Russian Society of Audiology;

Member of the American Academy of Audiology;

Member of the American Auditory Society

Member of the European Academy of Otology and Neurootology;

Member of the International Academy of Siences;

Member of the International Collegium of Rehabilitative Audiology;

Member of the Council of the International Evoked Response Audiometry Study Group.

SPECIAL EXTRAMURAL ACTIVITIES

Member of the Expert Advisory Panel, World Health Organization;

Representative of the Russian Federation in the European Federation of Audiology Societies (EFAS);

Member of the Editorial Boards of the journals:

“Acta Otolaryngologica” (Stockh.), International Journal of Audiology,  International Journal of Pediatric Otorhinolaryngology,

“ORL (Basel)”, “Otorhinolaryngologica Nova”, “Central and East European Journal of Oto-Rhino-Laryngology and  Head and Neck Surgery”, “Folia Otorhinolaryngologica” (Rus), “Vestnik Otorhinolaryngologii” (Rus).

CONTACTS WITH National Institutes of Health (NIDCD/NIH, USA):

1991 – NIDCD/NIH, Visiting Lecturer – “Frequency selectivity of the auditory periphery”.

1993 , 1994, 2008  – Professional Service Contracts with NIDCD/NIH.

INVITED LECTURES

Visiting Professor – Vanderbilt University, Nashville, USA, 1993, 1994, 1995.

Guest of Honour, Invited Lecturer – Workshops on Electrocochleography, Otoacoustic Emissions and Intraoperative Monitoring, Denver, CO, USA, 1993, 1994.

Invited International Faculty – Workshop on Electrocochleography and Otoacoustic Emissions, Santa Ana, California, USA, 1994.

Invited International Faculty – Otoacoustic Emissions: Generation Mechanisms – Brigham Yong University, Provo, Uhta, USA, 2000.

CONGRESSES ORGANIZER

President of International Congresses “Modern Problems in Physiology and Pathology of Hearing” in 1990 (Telavi, USSR), 1993, 1995, 1998, 2001, 2004, 2006 and 2007 (Russia), Chairman and organizer of 15 National Conferences and Workshops in audiology, epidemiology of hearing disorders and hearing rehabilitation (cochlear implantation, hearing aid fitting),

XXII International Biennial IERASG Symposium in Moscow (International Evoked Response Audiometry Study Group) -2011; XXXI World Congress of Audiology, Moscow – 2012.

PUBLICATIONS:

More than 320 publications dealing with various aspects of experimental and clinical audiology, including hearing electrophysiology, frequency selectivity of the auditory periphery, otoacoustic emissions, early detection, diagnosis and rehabilitation of hearing disorders, cochlear implantation, hearing aid fitting.
>> Prof. George A. Tavartkiladze’s Presentation

Presentation-Prof. George A. Tavartkiladze

Presentation in 5 Parts see below. Only available in Russian.

Summary in English:

Zusammenfassung in Deutsch:

Subscribe for being kept informed and tell us your opinion

We cordially invite you to write into the comments field your questions, remarks, etc.

and tell us in case you want the further informations about what is planned and offered.

Appeal: Armenian diaspora helping deaf children at home

Hearing impairment is the most frequent disorder in newborns worldwide. 1 – 2 out of 1.000 newborns suffer from a permanent severe hearing loss. This applies also to Armenia – 40 – 80 children out of 44.000 newborns every year are severely hearing impaired or deaf. In the past practically all of them had no chance to get access to hearing and acquire speech and spoken language.

Continue reading Appeal: Armenian diaspora helping deaf children at home