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Sensorineural Hearing Loss - Medical Animation



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6/6/20
Sensorineural Hearing Loss - Medical Animation
 
This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this animation for other purposes, click here.

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Sensorineural Hearing Loss - Medical Animation
MEDICAL ANIMATION TRANSCRIPT:
Hearing begins with the external ear funneling sound waves through the external auditory canal to the tympanic membrane. The tympanic membrane vibrates in response to the sound waves. Three connected bones called the malleus, incus, and stapes transmit the vibrations through the middle ear. Movement of the stapes causes vibrations of the membranous oval window of the inner ear. Oval window vibrations create fluid waves in the two perilymph-filled chambers in the cochlea ending at the round window. These waves of perilymph also push on a third fluid-filled chamber called the cochlear duct. Inside the cochlear duct, sensory receptor cells called hair cells line one of the walls of the duct called the basilar membrane. The tectorial membrane covers the hair cells. Collectively, this group of structures is called the organ of Corti. Fluid pressure in the perilymph pushes on the basilar membrane and its attached hair cells which bend when pushed against the stationary tectorial membrane. This event sets off a chain reaction within the hair cells converting the pressure wave to a nerve impulse in the nerve fibers. Nerve fibers throughout the cochlea combine to form the cochlear branch of the vestibulocochlear or auditory nerve which transmits the sound nerve impulse to the brain. Sensory neural hearing loss is caused by disease or damage to the nervous pathway from the organ of Corti to the vestibulocochlear nerve and central auditory system in the brainstem. Damage to the auditory nerve pathway can result from aging, chronic loud noise, viral infections, or physical trauma to the temporal bone. Another common cause of hearing loss is Meniere's disease in which a build up of perilymph fluid left untreated which result in the rupture of the membranous labyrinth. Diagnostic tests include tuning fork test and audiometer testing. Depending on the cause and severity of auditory nerve damage, sensory neural hearing loss is treated with devices such as hearing aides or cochlear implants. ♪ [music] ♪

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"Thank you for the splendid medical-legal art work you did for us in the case of a young girl who was blinded by a bb pellet. As a result of your graphic illustrations of this tragic injury, we were able to persuade the insurance company to increase their initial offer of $75,000.00 to $475,000.00, just short of their policy limits.

We simply wanted you to know how pleased we were with your work which, to repeat, was of superlative character, and to let you know that we would be more than willing to serve as a reference in case you ever need one. Many thanks for an extraordinary and dramatic depiction of a very serious injury which clearly "catapulted" the insurance company's offer to a "full and fair" amount to settle this case."

Philip C. Coulter
Coulter &Coulter
Roanoke, VA

"Medical Legal Art has always performed quality and efficient work. The doctors that review the exhibits are always amazed at the precise descriptions and drawings."

Michael Beckman
Viles Law Firm, P.A.
Fort Meyers, FL

"There is nothing like a great graphic depicting the real nature and extent of a victim's injuries to get full value for your client. I use Medical Legal Art for mediations as well as trial."

Geoff Wells
Greene, Broillet, Panish & Wheeler
Santa Monica, CA

"I wanted to thank you for the terrific job you did illustrating my client's injuries. The case was settled at the pre-suit mediation, and I believe a good part of the success we had was due to the medical legal art you prepared.

Your work received the ultimate compliment at the conclusion of the mediation. The hospital risk manager took the exhibit with them at the conclusion of mediation, and will be using it to train nurses on how to prevent bed sores..."

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Troy, Yeslow & Koeppel, P.A.
Fort Myers, FL

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