Abstract
In the last decade, a paradigm shift has occurred in our vision for the prevention and treatment of hearing impairment. No longer are the solutions restricted to hearing aids, surgery, and implants to restore hearing, control of serum levels to prevent drug-induced ototoxicity, hearing protectors to prevent noise-induced hearing loss (NIHL), and for hereditary loss: wait and hope. Obviously all but the latter practices are of vital continued value, but the promise of more varied and more effective opportunities to prevent hearing loss and to restore hearing have provided increased hope and opportunity. Our future vision is now filled with complex pharmaceutical, cellular, and molecular strategies to modulate hereditary loss, replace and regenerate tissues of the inner ear, and prevent drug-induced hearing loss and NIHL. This future holds the promise of dramatically reducing the lost educational and job opportunities, the social isolation, and the reduced quality of life that accompanies hearing impairment and deafness, and with it the enormous economic costs associated with health care and lost productivity (estimated by the World Health Organization at >2% world GNP). This future molds and reshapes the practices of audiology and otolaryngology to place far greater efforts on the prevention of hearing impairment and the use of local and systemic drug treatment to restore hearing.
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References
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Acknowledgments
The authors’ research was supported by NIH/NIDCD grants U01 DC008423, R01 DC003820, R01 DC004058 and P30 DC005188 and The Ruth and Lynn Townsend Professorship for Communication Disorders, and MECSST grants (11557125, 17659527, 20390440). We also acknowledge the editorial contributions to the paper made by Diane Prieskorn and Susan DeRemer. We also thank the editors for their helpful comments and changes.
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Yamasoba, T., Miller, J.M., Ulfendahl, M., Altschuler, R.A. (2012). Frontiers in the Treatment of Hearing Loss. In: Le Prell, C.G., Henderson, D., Fay, R.R., Popper, A.N. (eds) Noise-Induced Hearing Loss. Springer Handbook of Auditory Research, vol 40. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9523-0_14
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