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Author: admin | 18.12.2013 | Category: Tinnitus Hearing Loss

Exploratory tympanotomy is used when the diagnosis is in doubt and it is felt that direct microscopic visualization will significantly aid diagnosis and enhance planning of middle ear surgery.
To detect conductive hearing loss caused by ossicular fixation, incus discontinuity and otosclerosis is easier with 3D CT imaging. No need of exploratory tympanotomy for diagnostic purpose alone, but can be useful if surgery is considered at the same time.
Otosclerosis is a condition that affects the stapes, one of the tiny bony ossicles in the middle ear. 3D CT proved valuable in detecting otosclerosis, foci of demineralization, and changes in bony texture and enables the easy recognition of subtle radiographic findings. 3D CT proved valuable in determining otosclerotic changes of the oval window and otic capsule.
Hearing aids can be very helpful and it makes sense to try them before considering surgery. Dr Paulose FRCS, DLO is a Consultant ENT Plastic & Laser Surgeon with over 38 years of world class experience in Ear, Nose, Throat and Laser Surgery treating patients across the world from UK, US, Middle East to Asia. Conductive hearing lossA is caused by anything that blocks the transmission of sound waves on their passage from the outer to the inner ear.
Perforated eardrumSometimes, head injury or other accidental trauma damages the structures of the outer or middle ear. Blocked earA buildup of wax or a foreign body lodged in the ear canal dulls your hearing because the sound waves can't reach the eardrum. Colds, flu and allergiesOrdinary coughs, colds, flu, tonsillitis and sinusitis can lead to fluid buildup and swelling or blockage of the Eustachian tubes.
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The material on this website is provided for entertainment, informational and educational purposes only and should never act as a substitute to the advice of an applicable professional.
In patients who presents with conductive hearing loss due to middle ear abnormalities can be diagnosed by 3DCT imaging. To have normal hearing, the ossicles need to be able to move freely in response to sound waves.

Bone is continually being broken down and remodeled but the remodeling process of the stapes becomes faulty.
The stapes footplate is fixed when the spongiotic focus expands and invades the oval window.
However, otosclerosis will continue to progress and hearing aids will not stop you developing profound deafness in the long term. However, if you suffer from tinnitus, surgery may not relieve this and if your inner ear is also affected, surgery may not improve your hearing either. Most common is a perforated eardrum, where the delicate membrane dividing the outer from the middle ear is damaged. This article focuses on hearing loss in infants. Causes About 2 - 3 infants out of every 1,000 live births will have some degree of hearing loss at birth. When the tympanic membrane is intact, the only way to find out the state of the middle ear structures are by doing an operation called exploratory tympanotomy. This can happen as a result of a blow to the ear or rapid pressure changes when flying or scuba diving. Never push cotton swabs deep into your ear a€” not only could you damage the eardrum but you may also push the wax and compact it against the drum. Left untreated, the cyst can grow and damage the middle ear structures, causing hearing loss and dizziness.
This abnormal bone reduces the movement of the stapes, which reduces the amount of sound that is transferred to the cochlea.
Visit a clinic where a health professional will check your ears for wax and clean them if need be. When fluid builds up in the middle ear and gets infected, it's known as otitis media a€” a common complaint in young children because their short, horizontal Eustachian tubes make them more susceptible.
Other symptoms include a sensation of fullness in one ear, a smelly discharge, and nighttime earaches in or behind the ear.
Profound hearing loss is what most people call deafness. Some cases of hearing loss are progressive (they get worse over time).
Very often, misguided attempts to clear wax from the ear canal can also result in a perforated eardrum.

A perforated eardrum may cause short-term pain, temporarily reduced hearing and sometimes a discharge, but it usually heals on its own within a few weeks.
In the meantime keep your ear dry, as water from showering or swimming could lead to infection and permanent damage. Causes of mixed hearing loss can include any combination of the above SNHL and CHL causes. Central hearing loss results from damage to the auditory nerve itself, or the brain pathways that lead to the nerve. If they do not reach these milestones, hearing loss since infancy may be the cause. Some children may not be diagnosed until they are in school.
Inattention and falling behind in class work may be the result of an undiagnosed hearing loss problem. Exams and Tests Hearing loss results in a baby's inability to hear sounds below a certain level. A baby with normal hearing will hear sounds below that level. The health care provider will examine your child. The exam may show problems such as bone problems or signs of genetic changes that may cause hearing loss. The doctor will use an instrument called an otoscope to see inside the baby's ears.
This test uses patches, called electrodes, to determine how the auditory nerve reacts to sound. Otoacoustic emissions (OAE) test.
If there is no echo, it is a sign of hearing loss. Older babies and young children can be taught to respond to sounds through play. These tests, known as visual response audiometry and play audiometry, can better determine the child's range of hearing. Treatment Over 30 states in the United States now have mandatory hearing screenings of newborns. Early treatment of hearing loss can allow many infants to develop normal language skills without delay.
In infants born with hearing loss, treatments should start as early as possible, preferably by 6 months of age. Treatment depends on the baby's overall health and cause of hearing loss.
Advances in hearing aid technology and speech therapy allow many children to develop normal language skills at the same age as their peers with normal hearing.
Vaccinations against several types of bacteria that cause meningitis are available, and may reduce the risk of the disease in a child with a cochlear implant.

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