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Background: Girls tend to acquire language skills faster than boys do. Furthermore, specific language impairment and dyslexia are diagnosed more often in males than in females. We investigated whether auditory verbal learning skills in boys are inferior to those of girls as a possible cause for gender dependency in language acquisition. Methods: In a retrospective study, data from 386 children (245 male, 141 female) age 6 years to 9 years 11 months were investigated. The Auditory Verbal Learning Test (Verbaler Lern- und Merkfähigkeitstest) was administered. Results: After gender, age, and IQ matching, girls showed a small advantage in long-term memory and recognition. Discussion: Our results are in contrast to findings that suggest superior verbal memory and learning in adult females compared with males. © Springer Medizin Verlag 2009.

Ptok M.,Klinik und Poliklinik fur Phoniatrie und Padaudiologie
Deutsches Arzteblatt | Year: 2011

Background: 1-2 out of 1000 newborns have markedly impaired hearing. Methods: Review of the pertinent literature, which was retrieved with a selective search of the following databases: NHS EED (Economic Evaluation Database), HTA (Health Technology Assessment), DARE (Database of Abstracts of Reviews on Effectiveness), Clinical Trials, CDSR (Cochrane Database of Systematic Reviews), and PubMed. Results: The current scientific evidence favors universal neonatal hearing screening (UNHS) for the early detection of hearing impairment. UNHS is best performed in two stages: first measurement of otoacoustic emissions and then automated assessment of the brainstem auditory evoked response. To be effective, UNHS programs must have a high coverage rate, high sensitivity and specificity, and proper tracking with a low rate of loss to follow-up. Children with positive screening tests for hearing impairment should undergo confirmatory testing as soon as possible and then receive the appropriate treatment. Early intervention is particularly critical for speech acquisition. Conclusion: The early detection and treatment of hearing impairment in newborns and infants has a beneficial effect on language acquisition.

Jungheim M.,Klinik und Poliklinik fur Phoniatrie und Padaudiologie | Ptok M.,Klinik und Poliklinik fur Phoniatrie und Padaudiologie
HNO | Year: 2011

Background: Extraesophageal reflux disease often requires diagnosis and treatment by a phoniatry or ear, nose and throat specialist. The disease needs to be differentiated from gastroesophageal reflux disease. Objective: A new oropharyngeal pH measuring system with a single channel probe has recently been introduced. The aim of this study was to compare oropharyngeal pH-metry with the existing diagnostic methods for extraesophageal reflux disease and to present initial results in our own patients. Methods: A literature search for oropharyngeal pH-metry was performed in the databases NHS EED, HTA, DARE, Clinical trials, Cochrane reviews and Medline/PubMed. A selective literature search was also carried out on the problem of extraesophageal reflux disease. Results: Evaluation scales, trial proton pump inhibitor therapy or pH-metry, for example, can be used to diagnose extraesophageal reflux disease. pH-metry can be performed using a classical two-channel pH-metry system; a new oropharyngeal pH measuring system has recently been introduced. This new method has been evaluated in initial studies for normative data and has been compared to two-channel pH-metry. Prospective randomised studies to diagnose extraesophageal reflux disease with the new oropharyngeal pH-metry method are still lacking. Discussion: Oropharyngeal pH-metry has some potential advantages compared to classical two-channel pH-metry; however, a lot of questions remain unanswered. These will be discussed and illustrated with the help of a number of own patient case reports. © 2011 Springer-Verlag.

Ptok M.,Klinik und Poliklinik fur Phoniatrie und Padaudiologie | Ptok A.,Klinik und Poliklinik fur Phoniatrie und Padaudiologie
HNO | Year: 2012

Background: Chronic hoarseness, globus sensation or mucous obstruction are among a wide range of symptoms possibly related to laryngopharyngeal reflux (LPR). Method and results: A selective literature research was carried out using PubMed, in which original articles and reviews in German and English were included. Altogether, 2541 articles were found. Despite the large number of publications, there are still open questions regarding aspects of LPR. Discussion: It can be assumed that refluxate reaching the larynx can damage it. Due to the fact that the symptoms possibly related to LPR can, however, be linked to other causes, a careful consideration of the patient's medical history is of the utmost importance, followed by mandatory laryngoscopy. Diagnostic procedures, such as the trial administration of proton pump inhibitors (PPI) or long-term pH measurement should be used selectively. Depending on the individual symptoms, breathing or voice therapy and/or PPI therapy might be useful. Lifestyle changes including dietary measures should also be contemplated. © 2012 Springer-Verlag.

Ptok M.,Klinik und Poliklinik fur Phoniatrie und Padaudiologie | Dunkelmann A.,Klinik und Poliklinik fur Phoniatrie und Padaudiologie
HNO | Year: 2011

Background: We recently proposed test material for the purpose of testing phonological processing. While data regarding validity and reliability could already be established, normative data for preschool children are lacking. Material and Methods: A total of 203 preschool children aged 5.0-5.11 years participated in the study. Low level phonological processing was tested using minimal pairs for both words and non-words (logatoms). The items were chosen with respect to age-appropriate vocabulary, phoneme features, phoneme contrast and phoneme position. Results: Our results indicate that overall test results follow a normal distribution. In contrast, the test subscales exhibited a skew. However, no significant ceiling effect was observed. There were no significant gender differences but differences among mono- versus bilingually raised children. Discussion: As predicted from previous results and calculations our data now confirm a distribution following a Gaussian curve. Thus, one important prerequisite for using this test material for clinical purposes has been met. This material can now be applied for preschool children and individual raw scores may be transformed to percentile ranks. Ceiling effects of individual subscales can be explained by each specific level of difficulty. © 2010 Springer-Verlag.

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