Conclusion
Utilizing the ICF framework revealed auditory limitations to be the predominant disability, negatively affecting daily functioning, conversations, and work. While structural aberrancy underlies the root pathology in B-SCD, a functioning-based management plan focused on performance education tailored to the patient’s activity priorities proved helpful. Though surgery may be indicated, conservative management with avoidance of sound and vibration triggers and monitoring symptom progression using the ICF functioning profile is a reasonable initial approach, as exemplified in this case.