For specific information about your Health Plan benefits, please see your Evidence of Coverage. The Permanente Medical Group, Kaiser Foundation Health Plan, Inc., and Kaiser Foundation Hospitals have a financial interest in the provision of these services. Photos of models shown, not actual patients. Clinical services are provided by The Permanente Medical Group providers or contractors. Otherwise, services described here are provided on a fee-for-service basis, separate from and not covered under your Health Plan benefits. Kaiser Permanente members have coverage for medically necessary hearing tests, which are generally conducted at Kaiser Permanente facilities, and some members may have coverage for hearing aids. Learn more about your rights and protections related to the No Surprises Act (HR133). A person who has diminished ability to hear sounds of all frequencies would have what is known as a “flat” hearing loss configuration. The reverse is also possible, with a person having trouble hearing low frequency sounds but having no problem hearing high pitched sounds. This person would continue to demonstrate a normal ability to hear low frequency sound. For instance, a person may be experiencing only high-frequency hearing loss, or the inability to hear higher pitched sounds. By understanding the configuration of your hearing loss, your audiologist can develop a picture of your hearing health based on types of sounds. This attribute refers to how much the ability to hear has been reduced at each sound frequency. Sound attenuation is very important in daily life by limiting the sounds produced during chewing and the sound of one’s own voice while talking.This attribute refers to hearing loss severity, and is measured by the softest decibel level (dB) of sound a A pair of skeletal muscles, the tensor tympani and stapedius, contract to reduce the vibration of the malleus and stapes in response to loud sounds. The secondary function of the auditory ossicles is the attenuation of sound waves to control the volume of sounds reaching the inner ear. Finally, the vibrations of the stapes push its base back and forth through the oval window to form new waves in the endolymph of the inner ear. The malleus conducts its vibrations into the incus through its synovial joint and the incus likewise conducts vibrations into the stapes. These vibrations are conducted into the malleus, which is connected to the tympanic membrane through its handle region. Sound waves entering the ear pass through the auditory canal of the outer ear and trigger vibrations in the tympanic membrane. The main function of the auditory ossicles is the conduction of sounds to the inner ear where they transduced into nerve signals and sent onward to the brain. These columns end suddenly at the flat, oblong base that rests within the oval window and conducts sounds into the inner ear. The stapes begins with a tiny cylindrical head where it meets the incus before splitting into two parallel columns of bone known as the anterior and posterior crus. The stirrup-shaped stapes is the smallest ossicle with a hollow space in the middle. The incus is widest where it meets the malleus and tapers to a thinner projection known as the lenticular process where it meets the stapes. The anvil-like incus is the middle ossicle that forms synovial joints with the malleus on its lateral side and the stapes on its medial side. It is connected to the tympanic membrane, or eardrum, at the handle and forms a synovial joint with the incus at the head. The hammer-like malleus is the most lateral of the ossicles and has a large, rounded head on its superior end, which tapers to a narrow neck and handle on its inferior end. Each bone is named in Latin for its shape: The three auditory ossicles - the malleus, incus, and stapes - are tiny bones found in the middle ear. These bones play an important role in the sense of hearing by transmitting sounds to the inner ear. The bones of the ear, also known as the auditory ossicles, are the three smallest bones in the human body.
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