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If the bone conduction levels differ from the air conduction levels, sound waves are probably being obstructed on their passage through the eardrum and middle ear.
If air and bone conduction are the same, it indicates that the problem is likely to be located in the inner ear. So, if you have a moderate sensorineural unilateral hearing loss caused by infectious parotitis don’t panic. It is just the medical way of saying you have nerve deafness in one ear caused by mumps and have problems hearing sounds which are quieter than 41dB. Please do not be afraid to ask the ENT doctor or audiologist to explain your hearing chart to you. Modern Digital Hearing Aids and other assistive listening devices can provide a solution that is a significant benefit and comfort to those suffering from this type of hearing loss. Conductive hearing loss occurs when sound is not conducted efficiently through the outer ear canal to the eardrum and the tiny bones, or ossicles, of the middle ear.

Conductive hearing loss usually involves a reduction in sound level, or the ability to hear faint sounds. In most cases, medical treatment helps to eliminate the condition and improve the transmission of sound. Alternatively, patients may also achieve significant benefit from the use of hearing aids. Mixed hearing loss is a combination of both conductive and sensorineural hearing loss at the same time.
This hearing disorder can also occur when a person first just has a permanent sensorineural hearing loss and then also develops a conductive hearing loss. Surgery, medical treatment, hearing aids and assistive listening devices are all treatment options.
By comparing the air conduction thresholds (O or X) with the bone conduction thresholds ([, ?, ] or ?) at each pitch, we can determine if a hearing loss is conductive or sensorineural.

With age related hearing loss a person can usually hear low-pitched sounds better than high-pitched sounds. Thus, the person with this audiogram will be able to hear high-pitched sounds better than low-pitched sounds in the left ear. The audiograms below show (a) bilateral mild sensorineural hearing loss and (b) bilateral moderate sensorineural hearing loss.

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