Craig W. Newman's research while affiliated with Cleveland Clinic and other places

Publications (68)

Article
Clinical decision-making strategies used to promote tinnitus relief vary widely depending upon the burden tinnitus places on an individual. This paper will discuss a care path for managing patients with tinnitus using an interprofessional collaborate model.
Article
Full-text available
This study developed new test materials by applying various reverberation treatments to sentences having high and low contextual redundancy. The Speech Perception in Noise-Revised (SPIN-R) sentences were modified (SPIN-Reverb) with reverberation times (RT60) from simulated environments: unprocessed; RevCond 1 (RT60 = 600 ms); RevCond 2 (RT60 = 1200...
Article
Full-text available
The American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) has published a supplement to this issue featuring the new Clinical Practice Guideline: Tinnitus. To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 13 recommendations developed addr...
Article
Full-text available
Objective: Tinnitus is the perception of sound without an external source. More than 50 million people in the United States have reported experiencing tinnitus, resulting in an estimated prevalence of 10% to 15% in adults. Despite the high prevalence of tinnitus and its potential significant effect on quality of life, there are no evidence-based,...
Article
Background: It has been estimated that as many as 50 million Americans do experience or have experienced tinnitus. For approximately 12 million of these individuals, tinnitus makes it impossible for them to carry out normal everyday activities without limitation. These are the patients that present to audiology clinics for assessment and managemen...
Article
Sound therapy coupled with appropriate counseling has gained widespread acceptance in the audiological management of tinnitus. For many years, ear level sound generators (SGs) have been used to provide masking relief and to promote tinnitus habituation. More recently, an alternative treatment device was introduced, the Neuromonics Tinnitus Treatmen...
Article
Chronic subjective tinnitus is a prevalent condition that causes significant distress to millions of Americans. Effective tinnitus treatments are urgently needed, but evaluating them is hampered by the lack of standardized measures that are validated for both intake assessment and evaluation of treatment outcomes. This work was designed to develop...
Article
Full-text available
Tinnitus affects about 10-15% of the general population and risks for developing tinnitus are rising through increased exposure to leisure noise through listening to personal music players at high volume. The disorder has a considerable heterogeneity and so no single mechanism is likely to explain the presence of tinnitus in all those affected. As...
Article
An abstract is unavailable. This article is available as HTML full text and PDF.
Article
Tinnitus is distressing and affects the quality of life for many patients. Because primary care physicians may be the entry point for patients seeking help for tinnitus, we urge them to acknowledge this symptom and its potential negative impact on the patient's health and quality of life. Physicians should actively listen to the patient and provide...
Article
The purpose of this study is to evaluate the efficacy of a customized acoustical stimulus (Neuromonics) system in the treatment of chronic tinnitus. Multi-institutional prospective. Nine U.S. Tertiary Otological referral centers; ambulatory. Fifty-two adults with chronic tinnitus for a minimum of 6 months, with poor or no response to previous treat...
Article
It's time to make sure infants with positive screens for hearing loss get the follow-up treatment they need--and deserve. This tool can help.
Article
The Baha auditory osseointegrated implant system is gaining clinical acceptance as an alternative treatment option for patients with single-sided deafness (SSD). As satisfaction is related to expectations, if postfitting performance with the Baha matches or exceeds initial expectations, the patient may consider this management a success and have sa...
Article
Simply asking elderly patients whether they have trouble hearing is an effective start to screening for hearing loss. Refer elderly patients with suspected hearing impairment for audiologic diagnosis and nonmedical rehabilitation treatment, including hearing aids. To assess a patient's risk of falling, review gait, balance disorders, weakness, envi...
Article
A backward masking paradigm was employed to investigate temporal resolution capabilities in normal-hearing subjects of increasing chronological age. Results have documented: (1) a 2-, 4-, 8-, and 11-fold decibel magnitude difference for averaged psychoacoustic functions when comparing data obtained from young adults to those of elderly listeners; (...
Article
To analyze the short-, medium-, and long-term benefits from and satisfaction with the Baha for patients with profound unilateral sensorineural hearing loss (SNHL). Prospective clinical study. Head and Neck Institute at the Cleveland Clinic. Eight patients with acquired profound unilateral SNHL. Patients underwent unaided baseline testing and aided...
Article
Tinnitus is a distressing symptom affecting the health-related quality of life of many individuals. Yet most audiologists feel ill equipped in providing clinical services to these patients. This article presents an overview of a clinical pathway for patients seen in the multidisciplinary Tinnitus Management Clinic at the Cleveland Clinic. The model...
Article
To develop a screening version of the Tinnitus Handicap Inventory (THI-S) and establish its psychometric characteristics. : Prospective clinical study to analyze 1) the level of predictability between THI and THI-S; 2) test-retest reliability of the THI-S; 3) 95% confidence intervals (critical difference scores) for the THI-S; and 4) a THI-S cutoff...
Article
Full-text available
This is the final report of the American Academy of Audiology Task Force on the Health-Related Quality of Life (HRQoL) Benefits of Amplification in Adults. A systematic review with meta-analysis examined evidence pertaining to the use of hearing aids for improving HRQoL for adults with sensorineural hearing loss (SNHL). Relevant search strings appl...
Article
There is a wide range of assessment techniques for tinnitus, but no consensus has developed concerning how best to measure either the presenting features of tinnitus or the effects of tinnitus treatments. Standardization of reliable and valid tinnitus measures would provide many advantages including improving the uniformity of diagnostic and screen...
Article
Screening for hearing loss should be part of the routine physical examination, but it is often not done because of time constraints. We present a quick and easy office screening test that measures the functional impact of hearing loss. We also review the steps of audiologic management that follow referral by the primary care physician.
Article
To determine the surgical efficacy of a simplified retrosigmoid approach for vestibular nerve sectioning. A retrospective analysis. Tertiary academic referral center. Twenty-eight consecutive patients who underwent vestibular nerve sectioning for intractable peripheral vestibular disorders. All patients had a simplified retrosigmoid approach for ve...
Article
The Three-Clinic Hearing Aid Selection Profile (HASP) was developed to assess a patient's beliefs about a number of basic considerations felt to be critical to the hearing aid selection (HAS) process. These characteristics are felt to be key to the acceptance of amplification and include motivation, expectations, cost of goods and services, appeara...
Article
Clinical decision-making has become more complex as newer, more costly, hearing aid (HA) technologies become available. The expanding array of more expensive HAs demands that clinical researchers continue to justify the value of these instruments relative to the substantial increase in cost to both the provider and consumer. In the present report,...
Article
This study assessed the test-retest reliability/repeatability and 95 percent confidence intervals (CIs) of the Tinnitus Handicap Inventory (THI) and developed categories for classifying self-perceived tinnitus handicap severity. Twenty-nine adults with tinnitus as their primary auditory complaint served as subjects. The THI was administered on two...
Article
Self-focused and somatic attention were examined in a sample of 51 patients with tinnitus using the Self-Focus Sentence Completion Test, Private Self-Consciousness Subscale of the Self-Consciousness Scale, Modified Somatic Perception Questionnaire, and the Somatization Subscale of the Symptoms Checklist-90-Revised. Two subgroups of patients emerged...
Article
Using the Hearing Handicap Inventory for Adults (HHIA), we assessed self-perceived hearing handicap in a sample of 63 patients having either unilaterally normal hearing or a mild hearing loss (pure tone average < or = 40 dB hearing level). Large intersubject variability in responses to the HHIA confirmed observations that reactions to minimal heari...
Article
To evaluate long-term hearing results and quality of life in patients with Ménière's disease. Detailed audiometric evaluation and disease-specific as well as global health quality evaluation of patients with Ménière's disease. Ambulatory evaluation was conducted in a large multispecialty clinic. Ménière's disease in only one ear, were at least 1 ye...
Article
The present investigation was conducted in an attempt to determine whether selective auditory attention abilities differed between normal subjects and subjects with bothersome tinnitus. Subjects were 37 adults with tinnitus and high-frequency hearing loss (not affecting thresholds at 500 and 1000 Hz) and 15 subjects who were audiometrically and oto...
Article
Full-text available
To develop a self-report tinnitus handicap measure that is brief, easy to administer and interpret, broad in scope, and psychometrically robust. A standardization study of a self-report tinnitus handicap measure was conducted to determine its internal consistency reliability and convergent and construct validity. Audiology clinics in tertiary care...
Article
Full-text available
The usefulness of a monothermal warm caloric screening test (MWST) for predicting alternate binaural bithermal test abnormalities has been reexamined. Previously, researchers have reported false-negative rates for the MWST ranging from 0% to over 35%. Alternate binaural bithermal test data from 504 consecutive patients were evaluated with MWST fail...
Article
We have reported previously that the 25-item Headache Disability Inventory has good internal consistency reliability, robust long-term (2 month) test-retest stability, and good construct validity. We conducted further investigations to evaluate the short-term (1 week) test-retest reliability and spouse perceptions of patients' self-perceived headac...
Article
The test-retest stability of the Tinnitus Handicap Questionnaire was assessed for a sample of 32 tinnitus patients. The questionnaire is a self-report measure that quantifies the physical, emotional, and social consequences of tinnitus (factor 1), the interfering effects of tinnitus on the hearing ability of the patient (factor 2), and the patients...
Article
The electronystagmographic auditory brainstem response and magnetic resonance imaging findings for a 33-year-old male with a 3.5 cm left vestibular schwannoma are presented. Of particular interest was the presence of an unusual positioning nystagmus following the Dix-Hallpike maneuver in the right head-hanging position. The patient demonstrated a n...
Article
We have developed a unique method of quantitative computed tomography (QCT) that enables measurement of the density of the cochlear capsule in vivo. We performed pure-tone audiometry and QCT on 67 ears from 35 subjects with radiographically confirmed Paget's disease of the skull and on 40 ears from twenty volunteer subjects. The Pearson product-mom...
Article
Auditory brainstem responses (ABRs) were recorded in 64 ears with radiographically confirmed Paget's disease involving the skull. Responses were absent in eight ears, all of which had elevated high pure-tone thresholds. Auditory brainstem responses were interpreted as normal in 56 ears; none were abnormal. Computed tomography and digital image anal...
Article
To quantify the impact of headache of daily living, we developed a 25-item headache disability inventory (HDI). The alpha version of the HDI (alpha-HDI) consisted of 40 items, each requiring a "yes" (four points), "sometimes" (two points), or "no" (zero points) response based on items derived empirically from case history responses of subjects with...
Article
Tinnitus is often a disturbing symptom which affects 6-20% of the population. Relationships among tinnitus pitch and loudness judgments, audiometric speech understanding measures and self-perceived handicap were evaluated in a sample of subjects with tinnitus and hearing loss (THL). Data obtained from the THL sample on the audiometric speech measur...
Article
The false negative rate of the auditory brainstem response (ABR) for the detection of vestibular schwannoma (VS; acoustic neuroma) has been reported to range from 2 to 9 percent. The introduction of magnetic resonance with gadolinium contrast (Gd MRI) may be expected to raise the false negative rate, because smaller tumors can now be detected. We p...
Article
Self-report hearing handicap scales are gaining widespread acceptance among clinicians as a technique for quantifying hearing aid benefit. Both auditory and nonauditory (e.g., personality, health, motivation) factors contribute to an individual's response to hearing loss and ultimately to perceived hearing aid benefit. Among the recognized extra-au...
Article
Gender differences in the source location of the auditory evoked field (AEF) component N1m have been reported previously in a small group of subjects. The present study was conducted to evaluate further the existence of gender differences in a larger sample. Neuromagnetic recordings of AEFs were obtained from young normal hearing subjects using a 1...
Article
A great deal of information about the characteristics of components N1m and P2m of the auditory evoked cortical fields (AEFs) has accumulated since the late 1970s. However, a number of fundamental issues have not been addressed. For instance, some previous investigators have suggested that P2m is present consistently in normals, whereas others sugg...
Article
A great deal of information about the characteristics of components N1m and P2m of the auditory evoked cortical fields (AEFs) has accumulated since the late 1970s. However, a number of fundamental issues have not been addressed. For instance, some previous investigators have suggested that P2m is present consistently in normals, whereas others sugg...
Article
Magnetoencephalographic (MEG) applications in auditory evoked field (AEF) recordings have demonstrated that both tonotopicity and amplitopicity exist in the auditory cortex. The present study was conducted to determine whether previously reported characteristics of the AEF could be identified in multichannel cortical auditory evoked potential N1e (...
Article
Recently, Hoke et al. (1989) and Pantev et al. (1989) demonstrated that the auditory evoked cortical magnetic field (AECMF) M100 component was larger, and M200 was smaller and occurred later in subjects with unilateral tinnitus compared with normal subjects. These group amplitude differences resulted in an M200/M100 amplitude ratio that was smaller...
Article
Balance Function test data alone cannot capture the reaction that a patient has to balance system disease. The present investigation examined the relations among components of the balance function examination (electronystagmography, rotational testing, and platform posturography) and self-perceived dizziness handicap, as quantified by the Dizziness...
Article
The test-retest reliability of the Hearing Handicap Inventory for Adults (HHIA) was assessed on a sample of 28 hearing-impaired adults. Reliability estimates were obtained to set the stage for using the HHIA as an outcome measure in aural rehabilitation. The test-retest reliability was quite high (r = 0.97) and the standard error of measurement was...
Article
Recently, Hoke et al. (1989) and Pantev et al. (1989) demonstrated that the auditory evoked cortical magnetic field (AECMF) M100 component was larger, and M200 was smaller and occurred later in subjects with unilateral tinnitus compared with normal subjects. These group amplitude differences resulted in an amplitude ratio that was smaller for the s...
Article
A Madsen IGO 1000 was used to assess six assistive listening devices (ALDs) (Sound Plus Infrared, Minicon Induction Floor Loop, Phonic Ear Phonear, Radio Shack Realistic Personal Amplifier, Williams Sound PockeTalker with induction neck loop and Williams Sound PockeTalker permanently wired) worn by a single subject. In situ measures determined prod...
Article
Self-assessment handicap scales are gaining recognition as objective measures of audiologic intervention, including benefit derived from hearing aid use. A short form of the Hearing Handicap Inventory for the Elderly (HHIE-S) comprised of 10 items (5 emotional and 5 social/situational) was administered to 91 new hearing aid users prior to and 3 wee...
Article
Multichannel brain-mapped middle latency auditory evoked potential (MLAEP) data obtained from 15 normal subjects and three neurologically impaired subjects using the common average reference (CAR) were converted off-line to source current density (SCD). This technique is sensitive to activity generated in the superficial cerebral cortex. The SCD ma...
Article
The Hearing Handicap Inventory for the Elderly (HHIE) was modified for use with younger hearing-impaired adults (less than 65 years of age). Similar to the HHIE, the Hearing Handicap Inventory for Adults (HHIA), is a 25-item self-assessment scale composed of two subscales (emotional and social/situational). Replacement questions from the HHIE which...
Article
The Hearing Handicap Inventory for the Elderly (HHIE) was modified for use with younger hearing-impaired adults (< 65 years of age). Similar to the HHIE, the Hearing Handicap Inventory for Adults (HHIA), is a 25-item self-assessment scale composed of two subscales (emotional and social/situational). Replacement questions from the HHIE which form th...
Article
The head-shaking nystagmus (HSN) test has been reported to be a sensitive screening test for the presence of peripheral and central vestibular system disease. Previous investigations have utilized few subjects who were drawn from well-defined patient populations. The purpose of the present investigation was twofold: first, to determine the prevalen...
Article
• Conventional vestibulometric techniques are inadequate for quantifying the impact of dizziness on everyday life. The 25-item Dizziness Handicap Inventory (DHI) was developed to evaluate the selfperceived handicapping effects imposed by vestibular system disease. The development of the preliminary (37 items) and final versions (25 items) of the DH...
Article
The results of recent investigations have suggested that the Middle Latency Auditory Evoked Potential (MLAEP) Pa component derives its physiological origins from both cortical and subcortical sources. The purpose of the present investigation was to determine if support for this hypothesis could be obtained from the off-line manipulation of the topo...
Article
From 1984 to 1989 the Infant Hearing Screening (IHS) program at Henry Ford Hospital identified 1,300 infants as being "at risk" for hearing loss. The prevalence of significant sensorineural hearing loss in this sample was 1.4%. Additionally, 80 infants who passed the IHS program and reached 3 years of age were found to have normal hearing sensitivi...
Article
Previous investigation with the Hearing Handicap Inventory for the Elderly demonstrated high test-retest reliability for face to face/face to face and paper-pencil/paper-pencil administration techniques. From a practical standpoint, a face to face administration followed by a paper-pencil readministration may be a preferable method. The present stu...
Article
Brain-stem auditory evoked potential (BAEP) rate studies have been incorporated into evoked potential protocols in an attempt to identify demyelinating lesions. A group of 9 patients with clinically definite MS are described who showed abnormal BAEP P1-P5 interwave latencies at slow repetition rates and failed to demonstrate a significant enhanceme...
Article
The effects of aging on the amplitude of the surface-recorded tibial nerve spinal somatosensory-evoked potential P21 component (L5-T12 electrode derivation) were studied in 79 subjects. The results of this investigation indicate that a significant moderately negative correlation (r = -0.46) exists between subject age and the amplitude of component...
Article
Hearing impairment in older adults is associated with psychological and social difficulties. The goal of hearing aid fitting is to reduce the perceived handicap resulting from the hearing loss. Measures of self-perceived handicap are being increasingly incorporated into the clinicians armamentarium as an objective measure of the outcome of interven...

Citations

... Characteristics of hearing loss such as the degree of loss, hearing asymmetry, and loss due to medical condition are captured. The audiologist works with patients to identify early indicators of progressive noise-induced hearing loss and advises patients on the use of hearing protection and hearing assistive devices, established to improve health-related quality of life [20]. ...
... Auditory selective attention or selective hearing refers to an ability to selectively focus on a signal while ignoring the rest. Evidence suggests that individuals with tinnitus might have impaired attention processing networks (Folmer, Griest, & Martin, 2001;Husain, Akrofi, Carpenter-Thompson, & Schmidt, 2015;Jacobson et al., 1996;Jastreboff, 1990;Mannarelli et al., 2017). ...
... The primary outcome measures will be change in dizziness and neck pain and disability from baseline to the last available follow-up, measured using the DHI [27] and Neck Disability Index [28]. Secondary outcome measures will include other scales of self-reported change in symptoms (to include severity, frequency, and duration) such as verbal or visual analog scales for dizziness or neck pain. ...
... or asking the patient to list difficulties associated with the tinnitus. 8 Health care professionals have the pivotal role of assisting the patient with knowing treatment/management options and encouragement that such options are available. As represented in Mac's case study, there was disconnection in his understanding how a hearing aid could benefit his situation, given his hyperacusis. ...
... Jacobson (92) argued that changes in the latency and amplitude of the N1 response can be used as objective indicators of neural abnormality in clinical groups, including cerebrovascular disease, schizophrenia, and tinnitus. The P2 (M200 or P2m for MEG) typically occurs~200 ms post stimulus onset but its presence in normal participants is not ubiquitous with some investigators reporting P2m to be low in amplitude (95) or failing to report it all together (96). The next deflection of the evoked response is the P3 (M300 or P3m for MEG), which has a more variable latency and occurs between 250 and 400 ms post stimulus. ...
... [1][2][3] It occurs predominantly in older persons: 29% of people aged 50-59 years, 45% of those aged 60-69 years, 68% of those aged 70-79 years, and 89% of those aged ≥80 years. 4 Its adverse effects include isolation, lower income, 5 poorer cognitive function 6,7 and physical health, 8,9 reduced life quality, 7,10-13 depression, 8,14 functional decline, 15 impaired social interaction, 16,17 and dependence on social support systems. 18 Nevertheless, 75% of HL remains underdiagnosed and undertreated. ...
... Hiller et al. (1997) even suggested that tinnitus should be considered as somatoform symptom on its own and that tinnitus and somatisation may be linked through a common mechanism of arousal and somatic anxiety. Newman et al. (1997) examined a sample of 51 outpatients with tinnitus on self-focused attention (attention directed toward one's own thoughts and feelings) and somatic attention (an individual's awareness of bodily sensations). Two subgroups of patients emerged following a cluster analysis of the attentional tasks. ...
... 27 In 2 different studies, in which the "C-shaped" incision was used, PH was reported in 4% and 7.5%, respectively. 22,28 In 2018 Chibbaro et al 12 proposed a modified C-shaped skin incision, reporting no retroauricular pain in a series of 40 patients who underwent to retrosigmoid approach for vestibular schwannoma. Recently, Cohen-Gadol et al 3 proposed a modified reverse "U" incision, previously described by Walter Dandy. ...
... Study participants additionally completed validated questionnaires to evaluate the impact of hearing loss on everyday tasks (Hearing Handicap Inventory for Adults (HHIA)), 23 vestibular toxicity (Vertigo Handicap Questionnaire) 24 and tinnitus (Tinnitus Handicap Questionnaire). 25 ...
... In these situations, an in-office pure-tone screening could be implemented to demonstrate the need for more in-depth assessment. Detecting hearing loss is important for providing appropriate treatment and management, yet due to time constraints, lack of knowledge, and underresourced clinics, hearing screenings are often not routinely incorporated into primary care appointments (Cohen et al., 2005;Newman & Sandridge, 2004). In fact, Mahboubi et al. (2018) found only 14.6% of physicians screened for hearing loss at an appointment. ...