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Author: admin | 06.06.2014 | Category: Tinnitus Causes And Treatments

With the advancement of medical science over the last few decades, one would think that we would be abe to explain the reasons for each individual's hearing loss, unfortunately this is not the case.
Conductive Hearing Loss occurs when there is a problem in the outer ear or the middle ear, such as ear wax, fluid behind the eardrum, or middle ear infection. For information about specific contract coverage, please contact your health plan directly.
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Any disease affecting the ear canal (external ear), ear drum, middle ear space or the three small ear bones may cause a conductive hearing loss by interfering with the transmission of sound to the inner ear. Sudden sensorineural hearing loss (SSNHL) is defined as a decline in hearing greater than or equal to 20 dB over 3 days or less without any identifiable cause. The cochlea or inner ear is made of fine, delicate membranes that contain fluid-filled spaces. A tear in the fine delicate membranes can lead to a mixing of the fluid, a loss in the potential, and an inability to generate a nerve impulse.
Below is a list of potential causes that have been proposed as causes for sudden hearing loss.
The standard evaluation of a patient who comes to the office with the complaint of a hearing loss is to obtain a formal hearing test. Recovery rates range from 5% to 90%, but the overall accepted recovery is felt to be 60% (two-thirds of patients are expected to recover hearing to some degree). Just as there is a long list of proposed causes for hearing loss, there is a long list of proposed therapies again depending on the history, symptoms, physical examination and physician preference. The dexamethasone perfusion is a relatively straightforward procedure performed in the office setting. Recently Zedd was named the seventh richest DJ, according to Forbes, earning roughly $21 million from June 1, 2013 to June 1, 2014. As of now, 7:05 PM EST August 19th, 2014, there have been no reports stating if this unfortunate hearing loss is permanent.
Almost half are under the age of 65 and 54% of the population over the age of 65 suffer from hearing loss.
Many times this type of hearing loss may be corrected by medical or surgical treatments.Symptoms of Hearing Loss. The hearing nerve then carries the sound impulses to the brain where they are interpreted as understandable sound.
If there is some difficulty in the external or middle ear, a conductive hearing loss occurs. Such a conductive hearing impairment may be due to a perforation (hole) in the ear drum, partial destruction or fixation of one or all of the three little ear bones, or scar tissue around the ear bones or in the ear drum.

The inner ear loss can occur in the cochlea, the cochlear or auditory nerve, the brainstem, or the auditory cortex. Current research is underway to determine the cause of sudden hearing loss and therefore potential cures. Evidence of viral infections have been found by researchers in patients who have had sudden SNHL, leading to this being proposed cause.
An extensive history and physical examination is performed to determine if a cause can be found and therefore direct the evaluation and therapy.
The history, symptoms, physical examination and physician preference will determine which tests are to be obtained.
The most common medications used are steroids (prednisone) which are powerful anti-inflammatory agents. Essentially a steroid solution is injected directly into the middle ear space through the eardrum of the affected ear. That news, which was released today, was quickly followed up with a tweet from the young star expressing his sadness after suddenly losing hearing in his left ear. Hearing loss is the third most common medical condition in our adult population, following only high blood pressure and arthritis. With this type of hearing loss the hair cells in the inner ear (Cochlea) have become damaged or less effective. If you recognize any of the following symptoms of hearing loss, please contact one of our offices or your personal physician to have your hearing professionally evaluated.
Sound waves pass through the canal of the external ear and vibrate the ear drum which separates the external ear from the middle ear. If the trouble lies in the inner ear, a sensorineural (SNHL) or nerve hearing loss is the result.
Other causes of conductive hearing losses include wax in the ear canal, middle ear fluid or infection or any other process that would prevent sound from reaching the inner ear. Potentials are created by the ear by actively storing particular electrolytes in these fluid filled spaces.
Poor blood flow from arteriosclerosis may lead to inadequate perfusion or flow of blood into the cochlea. The first test obtained is a formal hearing test to determine the type and degree of hearing loss. It is not uncommon to order none of the tests below except for a hearing test (audiogram) and an MRI of the head. Like all medications, steroids have certain potential side effects that include mood elevation, insomnia, and stomach irritation.
Initial studies have demonstrated that transtympanic therapy may have a positive role in treating patients with sudden hearing loss.

On average, once a person determines that they have a hearing loss, they wait over seven years before seeking assistance.The impact of a hearing loss can be far reaching and involve many aspects of one's life. The three small bones in the middle ear (hammer or malleus, anvil or incus, and stirrup or stapes) act as a transformer to transmit energy of the sound vibrations to the fluids of the inner ear. When there is some difficulty in both the middle and inner ear, a combination of conductive and sensorineural impairment exists. For most cases of sensorineural hearing loss, including sudden SNHL, it is felt that the abnormality is within the cochlea itself.
Sudden hearing losses that are sensorineural in nature (inner ear) are relatively uncommon. The most commonly proposed causes of sudden SNHL include viral infection of the inner ear, blood flow abnormalities to the inner ear, and problems with the fluid mechanics of the inner ear which leads to tears in the fine membranes of the cochlea. This inflammation of the inner ear structure and associated blood vessels can cause hearing loss. This active storage of electrolytes creates different charges (+ or -) in these fluid-filled spaces that are separated by the fine membranes. This is because multiple medications may be given to treat the proposed causes over a short period of time.
Hearing impaired individuals may have difficulty localizing sounds, understanding speech in busy environments, and participating in everyday normal conversations. For most case of SNHL, including sudden SNHL, the external ear canal and the middle ear are normal. Sudden losses of a conductive type (see above) are much more common than sudden inner ear losses.
This charge difference or potential between the spaces allows for the generation of a nerve impulse much in the same way a battery with its positive and negative poles can induce electricity.
This cause is more commonly found in the elderly, but may also be associated with the use of birth control pills in the younger population.
This can lead to social isolation, confusion, frustration, tension, anger, stress and depression. Examples of sudden conductive hearing losses include wax in the ear canal, fluid or infection in the middle ear space, chronic infections of the ear or middle ear bone abnormalities.
Occasionally, signs of an upper respiratory infection may precede the onset of sudden SNHL.
Recent studies also indicate that untreated hearing loss negatively affects one's overall health, quality of life and happiness.Causes of Adult Hearing Loss.

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