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This type of loss is due to the inability of sound to pass through the outer and middle ear. This type of hearing loss occurs when there is damage to the cochlea (inner ear) or to the auditory nerve that goes to the brain. Without amplification, the child can hear most conversations up close and in quiet environments, but is likely to miss parts of words. Until recently, children with unilateral hearing loss did not have their hearing loss detected until they were in school.
The audiogram is a graph that represents how loud a sound at a specific pitch has to be for the child to hear the sound.
Configuration of hearing loss - is the shape of the hearing loss due to the amount of hearing loss at each frequency. An audiogram is a graph that shows the softest sounds a person can hear at different pitches or frequencies. The pitches shown on the audiogram are those most important for hearing and understanding conversation. If air conduction testing shows a hearing loss, another device called a bone vibrator is placed behind the ear to send sounds directly to the inner ear.
When something stops sounds from moving through the eardrum and middle ear, bone conduction hearing levels will be better than air conduction levels. After testing is completed, the audiologist will explain the results to help you understand the symptoms you're experiencing. Sensorineural hearing loss refers to a hearing loss due to damage in the inner ear (cochlear) or auditory nerve. Conductive hearing loss refers to a hearing loss due to damage or blockage in the outer or middle ear. The sound is prevented from passing through the middle ear due to a blockage such as wax, a foreign object in the ear canal, infection in the middle ear or malformation of the pinna, ear canal or middle ear bones.

Sensorineural hearing loss cannot be medically or surgically corrected therefore this damage is permanent. There is a problem with the outer and middle ear and damage to the cochlea or auditory nerve.
The possible effects of a hearing loss depends on degree of loss, early identification services, amplification, and parent involvement. If loss is from birth, spoken language and speech may not develop spontaneously, or could be severely delayed unless modifications and interventions are taken. The child may rely on vision rather than hearing as the primary means for communication and learning. Now, with newborn hearing screening, unilateral hearing loss is detected during the first months of life.
Usually frequencies of 250-8000 Hz are used in testing because this range represents where normal conversation speech occures, although the human ear can detect pitches from 20-20,000 Hz. A child with this hearing loss may only hear very loud speech or loud environmental sounds, such as a fire truck siren or a door slamming. A child with this hearing loss will have difficulty hearing regular speech, even at close distances. A child with this hearing loss will have trouble hearing and understanding soft speech, speech from a distance or speech in a background of noise. To best illustrate the nature of your hearing loss, the audiologist will refer to your audiogram. A conductive hearing loss is usually correctable through medical management such as surgery, medication, or removal of the obstruction. Proper amplification and intervention should enable the child to hear and recognize most sounds.
With early and consistent use of hearing aids, many children will be able to detect sounds such as speech.

Speech and oral language will not develop spontaneously without modifications and intervention. This is a graphical representation, completed during testing, that records the specific pitches (frequencies) and loudness (intensity) levels that you can hear with each ear.
Sensorineural hearing loss is not medically or surgically treatable but use of hearing aids or other amplification devices are very effective.
The child is at risk for significant delays in spoken language speech understanding, language comprehension and voice quality. Spoken language is significantly delayed, abnormal speech patterns may develop and voice quality is usually diminished. The audiologist will use this information to classify your level and type of hearing loss, and to recommend appropriate treatment options.The terms used to indicate the degree of hearing loss are mild, moderate, severe and profound. Audiology staff provide complete services for the selection, fitting, dispensing and management of hearing aids, as well as other amplification devices. These terms reflects the numbers on the graph not the actual impact of a certain hearing loss.
May have difficulty understanding spoken conversations coming from the side of the head that has the hearing loss.
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