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Author: admin | 01.06.2014 | Category: Tinnitus Causes And Treatments

Ongoing Exposure to Noise on the JobLong-term exposure to continuous loud noise can cause lasting hearing loss. Michael Rothschild, MD, director, pediatric otolaryngology, Mount Sinai Medical Center, New York. National Institute on Deafness and Other Communication Disorders, National Institutes of Health. 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? There are many things that can cause damage to the auditory system, but the most common is noise damage. Please visit the NIH’s Interactive sound ruler for examples of various types of sounds and their hazard levels.
Musicians work in a high decibel environment in which hearing loss, tinnitus, hyper-sensitivity to sound and sound distortion can result.  Traditional earplugs are not a good choice for the professional musician, as they reduce sound by muffling low-to-mid-range frequencies, which change the frequency spectrum of what they are hearing. Hunting requires the ability to hear very soft sounds, while still having a need for protecting the ear from the peak noise levels of a gun blast. There are two general types of hearing loss: Conductive hearing loss and Sensorineural hearing loss. Conductive hearing loss is caused by any disruption in the passage of sound from the external ear via the middle ear to the oval window.  Possible causes are impacted wax,  tympanic membrane perforation, otitis media, middle ear effusion, ossicle problems including otosclerosis.
Hearing loss can result from many different causes, some of which can be successfully treated with medicine or surgery, depending on the disease process.
Conductive hearing loss – when hearing loss is due to problems with the ear canal, ear drum, or middle ear and its little bones (the malleus, incus, and stapes). Sensorineural hearing loss (SNHL) – when hearing loss is due to problems of the inner ear, also known as nerve-related hearing loss. Mixed hearing loss – refers to a combination of conductive and sensorineural hearing loss.
Types of conductive hearing loss include congenital absence of ear canal or failure of the ear canal to be open at birth, congenital absence, malformation, or dysfunction of the middle ear structures, all of which may possibly be surgically corrected. Conductive hearing loss from head trauma is frequently amenable to surgical repair of the damaged middle ear structures, performed after the patient’s general medical status is stabilized following acute traumatic injuries.
A genetic form of conductive hearing loss is otosclerosis, in which there is bony fixation of the stapes (the third little bone of hearing in the middle ear), where sound can’t get to the middle ear.


Otosclerosis – a hereditary disorder in which a bony growth forms around a small bone in the middle ear, preventing it from vibrating when stimulated by sound. Sensorineural hearing loss can result from acoustic trauma (or exposure to excessively loud noise), which may respond to medical therapy with corticosteroids to reduce cochlea hair cell swelling and inflammation to improve healing of these injured inner ear structures.
Sensorineural hearing loss can occur from head trauma or abrupt changes in air pressure such as in airplane descent, which can cause inner ear fluid compartment rupture or leakage, which can be toxic to the inner ear. Sudden sensorineural hearing loss, presumed to be of viral origin, is an otological emergency that is medically treated with corticosteroids. Bilateral progressive hearing loss over several months, also diagnosed as autoimmune inner ear disease, is managed medically with long-term corticosteroids and sometimes with drug therapy. Fluctuating sensorineural hearing loss may be from unknown cause or associated with Meniere’s Disease.
Sensorineural hearing loss from tumors of the balance nerve adjacent to the hearing nerve, generally are not reversed with surgical removal or irradiation of these benign tumors.
Sensorineural hearing loss from disease in the central nervous system may respond to medical management for the specific disease affecting the nervous system.
Irreversible sensorineural hearing loss, the most common form of hearing loss, may be managed with hearing aids. It is intended for general informational purposes only and does not address individual circumstances. 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. Custom musicians earplugs are available that can protect the musician’s ears from loud sounds without distorting what they hear. Loud, sudden noises (gunfire, industrial noises, woodworking, motorcycles, loud music, motorized lawn equipment, noisy hobbies and other noises louder than 90 db) are more damaging to hearing than regular and extended exposure to loud sounds over a period of time.
This means that there may be damage in the outer or middle ear and in the inner ear (cochlea) or auditory nerve. If these are not amenable to successful surgical correction, then the hearing alternatively may be improved with amplification with a bone conduction hearing aid, or a surgically implanted, osseointegrated device (for example, the Baha or Ponto System), or a conventional hearing aid, depending on the status of the hearing nerve.
Autoimmune inner ear disease is when the body’s immune system misdirects its defenses against the inner ear structures to cause damage in this part of the body.
Symptoms of Meniere’s disease are hearing loss, tinnitus (or ringing in the ears), and vertigo. If the hearing loss is mild and the tumors are very small, hearing may be saved in 50 percent of those undergoing hearing preservation surgery for tumor removal. For example, hearing loss secondary to multiple sclerosis may be reversed with treatment for multiple sclerosis. When hearing aids are not enough, this type of hearing loss can be surgically treated with cochlear implants. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. 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.
There are also a variety of in ear monitors that will enhance the music experience whether you are a serious musician or just a music aficionado. Not only can they choose from custom or over-the-counter earplugs or earmuffs, they can also choose protection devices that provide amplification while reducing the sounds of gunfire down to a safe level. Otosclerosis can successfully be managed with surgery to replace the immobile stapes with a mobile stapes prosthesis or with a hearing aid. Meniere’s disease may be treated medically with a low-sodium diet, diuretics, and corticosteroids. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. In addition, during the process of the air in the middle ear space escaping into the bloodstream, a partial vacuum is formed.
Hearing protectors not properly fitted to the wearer’s ears do not effectively prevent damaging noises from penetrating the ear canal.
If there is no response to initial medical therapy, infectious middle ear fluid is usually treated with antibiotics — while chronic non-infectious middle ear fluid is treated with surgery (or pressure equalizing tubes). Research suggests that the measles virus may contribute to stapes fixation in those with a genetic predisposition to otosclerosis.


If the vertigo is not medically controlled, then various surgical procedures are used to eliminate the vertigo. 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. This tube opens and closes to allow the pressure to equalize between the outside air and the space behind the eardrum. The incidence of otosclerosis may be decreasing in some communities due to measles vaccination. This will prevent germs (residing in the mouth and nose) from entering into the middle ear.
Otosclerosis (a hereditary disorder in which a bony growth forms around a small bone in the middle ear, preventing it from vibrating when stimulated by sound) usually causes a conductive hearing loss, a hearing loss caused by a problem in the outer or middle ear. Injury or Pressure ChangesSevere head trauma can dislocate middle-ear bones or cause nerve damage, causing permanent hearing loss. The air pressure is changing quickly in this case so your Eustachian tube has to work extra hard to equalize the pressure behind your eardrum.If your Eustachian tube is not working properly, then your ear will start to feel plugged up and it will begin to affect your hearing. Sudden changes in pressure -- from flying or scuba diving -- can lead to damage to the eardrum, middle ear, or inner ear and hearing loss. One of the common traits of Meniere’s Disease is a change in hearing, usually in one ear.
This change in hearing will most likely last days rather than minutes or hours.Exposure to Loud NoiseIf you have been around a very loud noise for any period of time, you may notice a temporary change in hearing. It occurs when your ears are exposed to loud sounds, such as a concert, gunfire, or loud machinery, to name a few. Once your ear starts to recover from this loud noise exposure you will notice a gradual return in hearing.Wax In Your EarsWax build-up in your ears can cause hearing loss. Most likely this will be a constant hearing loss until the wax is removed, but in some cases it may cause your hearing to go in and out.Your ear canal changes shape when you open your jaw such as when chewing or yawning. Chronic DiseaseCertain chronic diseases that are not directly related to the ear can cause hearing loss. This may cause a change in hearing.If you are experiencing a change in hearing, or your hearing keeps going in and out, it is important that you see an ENT physician or an Audiologist to be evaluated.
Autoimmune diseases, such as rheumatoid arthritis, also can be linked to some forms of hearing loss. How You Hear -- Anatomy of the EarSound waves enter the outer ear and travel through the ear canal. This causes the eardrum and tiny bones, called the hammer and anvil, in the middle ear to vibrate. Then vibrations travel to the fluid in the cochlea where microscopic hairs send nerve signals to the brain so sound is understood. Tumors and GrowthsNoncancerous growths, including osteomas, exostoses, and benign polyps, can block the ear canal, causing hearing loss. Acoustic neuroma (an inner ear tumor shown here), grows on the hearing and balance nerve in the inner ear. The average decibel level at a rock show is 110, loud enough to cause permanent damage after just 15 minutes. Hearing damage can occur with extended exposure of any noise over 85 decibels. Headphones and EarbudsCan others hear the music and lyrics you’re listening to through earphones? Think you have an earwax blockage? Don't try removing the wax with a cotton-tipped swab or by inserting anything else into your ear canal.
For more hearing loss information from WebMD, click "Next." Childhood IllnessMany childhood illnesses can cause hearing loss.
Ear infections can cause the middle ear to fill with fluid and cause hearing loss that usually clears when the infection and fluid are gone.
Diseases known to affect hearing in children include chickenpox, encephalitis, influenza, measles, meningitis, and mumps. Though congenital hearing loss often runs in families, it can occur with maternal diabetes or an infection when pregnant. Hearing loss can also develop if a newborn is premature or from other causes such as trauma during birth resulting in the infant not getting enough oxygen. Usually, age-related hearing loss is caused by the progressive loss of inner-ear hair cells.



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