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Author: admin | 09.04.2014 | Category: Tinnitus Causes And Treatments

Timely diagnosis and management of severe hearing loss may significantly improve your quality of life.
In this article, you'll learn the causes and types of severe hearing loss, and what signs to look out for so that you can get diagnosed as quickly as possible. If you lose hearing, either suddenly or over time, you'll have trouble making out the details of conversations.
Often, people with severe hearing loss become socially withdrawn because they are embarrassed at having to ask family and friends to repeat themselves over and over again. Normal hearing is considered to be in the range of 0 to 20 dB -- which denotes the softest intensity where sound is heard. Conductive hearing loss occurs from a problem in the ear canal, tympanic membrane (eardrum), or the middle ear that prevents sound from being carried effectively to the inner ear.
Sensorineural hearing loss most commonly results from damage to the hair cells in the inner ear. Mixed hearing loss is a combination of conductive and sensorineural hearing loss, meaning that there may be a problem in the outer or middle ear, as well as in the inner ear (cochlea) or auditory nerve.
Hearing loss occurs when there is a problem with the structures of the ear that process sound. Loud noise. Exposure to loud noises -- for example, from power tools, airplanes, firearms, or from listening to loud music on a personal listening device -- can damage the hair cells in the cochlea.
Illnesses or infections. Measles, mumps, meningitis, and Meniere's disease are just a few of the conditions that can cause hearing loss.
Malformed ear. Some people are born with poorly formed ear structures, which prevent them from hearing well.
Trauma. Injuries such as a skull fracture or a punctured eardrum can cause severe hearing loss. Medications. Some types of drugs, including the aminoglycoside class of antibiotics (streptomycin, neomycin, kanamycin), large quantities of aspirin, chemotherapy drugs (cisplatin, carboplatin), Vicodin (in large quantities), macrolide antibiotics (erythromycin) can cause hearing loss. Genes. Scientists have identified certain genes that make people more susceptible to severe hearing loss, particularly age-related hearing loss.
Please use the 'Report an Issue' button at the bottom of each page to let us know about inappropriate content or behavior. In order to receive the proper treatment for hearing loss, our audiologists need to perform certain tests, evaluate your symptoms, and review your medical history. The 3 bones form a chain; they are called the anvil (or incus), the stirrup (or stapes), and the hammer (or malleus). The 3rd bone in the chain (the stapes), will interface with fluid that fills the hearing portion of the inner ear (called the cochlea). Conductive hearing loss: This hearing impairment occurs when the transmission of sound from the environment to the inner ear is impaired. Sensorineural hearing loss: This hearing impairment occurs because of abnormalities in the inner ear or the auditory division of the 8th cranial nerve. If fluid sits in the middle ear for weeks at a time, otitis media with effusion will occur. We will start out by talking about the Eustachian tube— a narrow channel which connects the inside of the ear to the back of the throat.
When a ear is healthy, the fluid will drain down in the Eustachian tube, which gets assisted by the tiny hair cells, and gets swallowed.
However, when the Eustachian tube fails to do its job, a patient may experience an ear infection.
Children have Eustachian tubes that are much shorter, more horizontal, and straighter than adult’s Eustachian tubes. These 3 factors also make it harder for the ears to clear the fluid since it cannot drain with the help of gravity. The child’s Eustachian tubes are also floppier, which creates a smaller opening that easily clogs.
When patients have been diagnosed with a middle ear infection or if they have fluid, they also experience some degree of hearing loss. If a patient has fluid in his or her ears, they can expect a hearing loss of an average of 24 decibels.
If a patient has thicker fluid in his or her ears, they can expect greater hearing loss of up to 45 decibels. Patients often wonder whether a hearing test should be performed when it is related to frequent infections or fluid. Hearing tests should be performed for children who: experience frequent ear infections, have fluid in the middle ear for more than 3 months, or experience hearing loss that lasts more than six weeks.
Our audiologists typically use state-of-the-art medical devices (tympanometer, audiometer, otoscopy) to test your hearing, the flexibility of the ear drum, and the Eustachian tube function.
If you would like to get your hearing tested and receive proper treatment, call Northeast Atlanta ENT today.
Welcome to Northeast Atlanta Ear Nose & Throat , where we are committed to excellence in caring for our patients. Recent Blog PostsRadiofrequency Ablation (RFA): Everything You Need to KnowTrouble Swallowing?
If there is a problem in the outer or middle part of the ears, this affects the way sound is carried, or conducted, through to the inner ear and the rest of the auditory system.
Hearing loss that results from damage to or disorders of the outer and middle ear is therefore referred to as conductive hearing loss. The most common cause of conductive hearing loss, which mainly affects children, is otitis media. While an estimated 43% of adults over the age of 65 have hearing loss, roughly only 25% wear hearing aids. Complete hearing tests for children from age four to adults of any age provided by licensed clinical audiologists who hold the Doctor of Audiology degree. The practice of audiology requires that ear canals be unobstructed from occluding debris, including cerumen, or earwax.


Because speech understanding in noise cannot be reliably predicted from the audiogram, this test may be administered to help understand the unique difficulties some patients encounter when trying to understand speech imbedded in noise. The Acceptable Noise Level Test is used to predict whether a person will be a successful hearing aid user by finding out how well they tolerate noise and speech when presented together. A common condition among millions of Americans who perceive a sound within the ear or head in the absence of a corresponding sound in the environment. A wide variety of hearing instruments featuring the latest technology is offered at Audiology of Nassau. We are sensitive to your concerns and financial constraints and we emphasize the limitations and explore your expectations prior to recommending any particular device. Amplification decisions also include an analysis of your daily activities and communication requirements. Additional services include a minimum of four follow-up visits within the first forty five day trial period to ensure a reasonable and acceptable adjustment to the fit and sound of the devices.
Soundfield testing of the devices provide objective measures to ensure audibility and acceptable, individual speech clarity in quiet. These are test procedures also used to validate acceptable hearing performance measured at the level of the eardrum using Real Ear protocol.
Verification using speech mapping is a procedure that uses a probe microphone and live speech to see and understand the benefits of a recommended device.
At Audiology of Nassau we take pride in offering counseling and aural rehabilitation that maximizes our patients’adjustment and appreciation of hearing enhancement.
We recommend routine cleaning and maintenance after your hearing aid is dispensed to ensure you receive optimum performance and benefit from your hearing aids. In some cases, hearing aids are not the single answer to address all communication difficulties. Today’s modern hearing aids use wireless technology to connect your  new devices to the television,  mobile phone, computer,  Ipads or Ipods.
All patients can be reassured that they will be referred for appropriate medical followup in the event that their audiometric results call for otology intervention, or for the removal of impacted cerumen, for removal of a foreign body, when fluid is detected in the ear, for complaints of tinnitus and dizziness. Sensorineural hearing loss is another type of hearing loss also known as SNHL or Sensor neural hearing loss.
Mixed hearing loss is the type of hearing loss that conductive hearing loss and sensorineural hearing loss is in combination.
Profound Hearing Loss A person with a profound hearing loss will not hear any speech and only very loud sounds.
Additionally, hearing loss can be a side effect of other conditions and diseases such as autism, Down syndrome, and measles. If you see any signs of deafness in your child, the first step you should take is scheduling a hearing test. As soon as you start experiencing the signs of hearing loss, see your doctor for an evaluation.
People with hearing loss also withdraw from others because they are afraid of misunderstanding the conversation and answering with inappropriate or embarrassing comments.
Doctors determine the degree of hearing loss by looking at the range of decibels (dB) -- a measure of sound intensity -- you can hear.
People with normal hearing are able to discern sounds as faint as human breathing, which measures about 10 dB.
That problem can be caused by an ear infection, tumor, or fluid or an object (such as wax buildup) in the ear. Other potential causes include damage to the 8th nerve (the nerve for hearing) or the brain. Mixed hearing loss can be caused by a head injury, chronic infection, or an inherited disorder. They travel through your inner ear to a shell-shaped tube called the cochlea, which is filled with fluid. Hearing impairment severity depends on the loudness of the sound and the length of the exposure. Earwax -- the thick, sticky substance that normally prevents bacteria and other foreign substances from entering the ear -- can sometimes build up and harden in the ear, decreasing the ability to hear.
Sometimes these effects are temporary and hearing will return once you stop taking the drug, but in most cases the hearing loss is permanent.
Don't post any information, articles, and ideas that are not your own without providing the source (this is very important and can get you banned). The outer ear, which is the part of the ear you can visibly see, will pick up the sound waves, and then direct them into the outer ear canal. The movement of the 3 bones will transmit and amplify the sound waves toward the inner ear. It can become impaired because of an abnormality of the external auditory canal or the middle ear. Draining the fluid will help to prevent build up and help to prevent the build up from bursting the thin ear drum.
We can schedule an appointment at either of our office locations— Johns Creek, GA or Lawrenceville, GA. However, in cases where medical or surgical intervention is not appropriate, individuals with conductive hearing loss may be managed with hearing aids, including such special devices as bone-anchored hearing aids (BAHA) or bone conductor hearing aids. Many are in denial about their hearing loss, often because it is a gradual process and are truly unaware that there is a problem. Anyone getting into a car and turning on the ignition has a tremendous responsibility; the life of the driver, passengers, pedestrians and other motorists is in many senses in a heighten state of vulnerability. But drivers with hearing loss needn’t necessarily hang up their keys, instead they should seek help. Hearing impairments affects older people’s ability to drive in the presence of distracters. Evaluations include measurements of hearing sensitivity for air and bone conducted sounds, measurements of word recognition ability, and assessment of the middle ear functions.


It can help distinguish between the sensory and neural components of “nerve loss” hearing because of its sensitivity to cochlear function. The test is used to compare each individuals speech in noise abilities compared to normal listeners.
An area of the cochlea with complete loss of function of inner hair cells is known as a 'dead region'.
Our best choice for amplification is only as effective as the quality and consistency of the follow-up and counseling sessions that we provide as an included service with your newly dispensed device. There are many other devices available to help you in your most difficult listening environments.
Remote microphones offered by some manufacturers can help reduce the difficulty of hearing speech in noise. If you child falls under any of these categories, it’s a good idea to have their hearing tested. Hearing exams are completely painless and will allow an audiologist to get a better grasp on the level of hearing loss, as well as how to treat it. Mild hearing loss is in the range of 26 to 40 dB, and moderate hearing loss ranges from 41 to 55 dB. This type of hearing loss is often caused by age-related changes to the nerves and sensory cells of the inner ear.
If you experience a sudden hearing loss, you should see an ear, nose, and throat specialist as soon as possible. As the fluid moves, it sets in motion thousands of tiny hairs which convert the sound vibrations into nerve impulses. However, if ear infections aren't treated, they can lead to more serious long-term problems. People who have a tumor might also experience numbness or weakness of the face and ringing in the ear. Actually, it is possible for the fluid to remain in the middle ear for a period of weeks to many months. The Eustachian tube maintains the middle ear pressure, which is equal to the air outside of the ear. It is characterized by the formation of soft, vascular bone leading to progressive conductive hearing loss. Others are concerned that admitting to a hearing loss or assisting it with amplification will make them look “old.” Although, untreated hearing loss has been known to lead to social isolation and depression and recent studies have correlated a decrease in auditory stimulation to dementia, untreated hearing loss poses safety issues as well, especially for drivers. Careful driving requires engagement of visual and auditory senses to make informed often, very quick decisions to navigate safely. If you suspect you or a loved one has a hearing loss, see an audiologist for an audiologic evaluation.  If you have a diagnosed hearing loss, see your audiologist annually to monitor for changes. It useful for differential diagnosis, monitoring of progressive loss due to ototoxicity and consistent exposure to loud music or noise, and for testing uncooperative patients or individuals with developmental disabilities  or very small children.
Dead regions can be identified by measuring detection thresholds for pure tones in quiet and in threshold-equalizing noise (TEN). These devices include television listening systems, special doorbells, alarm clocks, fire alarms, captel telephone systems. It’s mostly permanent because sensorineural hearing loss’ is very hard to be cured by medicals or surgery. She specializes in the treatment of sinusitis, sleep apnea, tonsillitis, and more ENT conditions. Those impulses are then sent to your brain where they are processed into sounds you can recognize. In addition, during the process of the air in the middle ear space escaping into the bloodstream, a partial vacuum is formed. Although it is usually easily treatable, the incidence of otitis media is significantly higher among Indigenous children, for whom it represents a serious health and educational issue.
People with severe hearing loss have trouble hearing speech, although they can make out loud sounds, like a truck that backfires or an airplane taking off.
It is treated (if the fluid is in the middle ear) by draining the middle ear and inserting a tympanostomy tube.
This vacuum will begin to absorb even more bacteria from the nose and mouth into the ear regions. As a result, sensorineural hearing loss may become evident due to the involvement of the cochlear duct. Parents who have concerns about their child's responsiveness to sound, language development, or behaviour should talk to their doctor. We practice infection control and ensure proper cleaning and disinfection or sterilization of patient-care equipment and environmental surfaces and we wear protective gloves.
Also it’s known that some drugs are making toxic effect and creating sensorineural hearing loss. There are lots of researches why depression is causing hearing impairment and it’s known that depression in every age may cause hearing loss. This will prevent germs (residing in the mouth and nose) from entering into the middle ear. Living troubles on understanding what people say in standard sound is the most known symptom. Also listening TV on higher than normal volume continuously and depression based hearing loss are the main symptoms of hearing impartibility.
Some deep head traumas may cause sensorineural hearing loss and also rarely but aging may cause it.



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