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Nowadays, several options are available to treat patients with conductive or mixed hearing loss. Whenever surgical intervention is not possible or contra-indicated, and amplification by a conventional hearing device (e.g., behind-the-ear device) is not feasible, then implantable hearing devices are an indispensable next option. Implantable bone-conduction devices and middle-ear implants have advantages but also limitations concerning complexity/invasiveness of the surgery, medical complications, and effectiveness. To counsel the patient, the clinician should have a good overview of the options with regard to safety and reliability as well as unequivocal technical performance data. The present consensus document is the outcome of an extensive iterative process including ENT specialists, audiologists, health-policy scientists, and representatives/technicians of the main companies in this field. This document should provide a first framework for procedures and technical characterization to enhance effective communication between these stakeholders, improving health care.
This article discusses the function of tension in autobiographies written by eighteenth-century doctors George Cheyne, Francis Fuller, Claude Revillon, and the Viscount de Puysegur. It studies how their rhetorical strategies stir tensions in readers through the narration of their own periods of infirmity and search for a remedy. The descriptions of their recoveries offer resolution, legitimate their medical practices, and help diffuse their works. Through the staging of these reversals, the authors suggest a shift in the way the role of medical doctors was perceived as well as a fundamental change in their relationship to illness.
