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Our ears, and what?s inside them, are a complex and delicate structure, and one that?s very easy to damage. Sensorineural Hearing Loss, or SHL for short, is a condition that affects the sense of hearing.
There are a number of causes for acquired SHL, with both external (outside world) and internal (the person?s own body) affecting an ear?s health. Whereas conductive hearing loss can be treated (as in the case of acquired CHL if the trauma involves barotrauma, for instance) the treatment of SHL depends on a number of different factors (source). The Hearing Loss Pill is the newest treatment especially designed for Sensorineural Hearing Loss. While there are some causes of SHL that can?t be avoided, such as ageing or genetics, it?s still important to treat the ears as the fragile instruments they are. Think of it this way: we all know how damaging it is to walk around in bright summer sun with little skin protection. If you are interested in learning more detailed information on the available ways to improve hearing loss, including stem cells, cochlear implants, hearing aids and of course The Hearing Loss Pill, please see our hearing loss treatment page.
A conductive hearing loss occurs when there is a problem with the one or more of the parts of the ear that conduct sound into the inner ear. There are many potential causes of conductive hearing loss, with some causes being easier to treat than others. If you have any questions about conductive hearing loss or hearing loss in general, please contact our practice to speak with an audiologist.
If you answer “yes” to three or more of the following questions, you may have a hearing problem and need to have a physician evaluate your hearing. Many communication and safety devices are available for persons with impaired hearing.  Doorbells, smoke detectors, and alarm clocks offer flashing light signals and vibrations for alerts and warnings. This entry was posted in Aging, Home Health Products Indianapolis, Home Medical Equipment, Medical Supplies Indianapolis, Senior Challenges, Senior Health and tagged hearing aid, hearing impaired, hearing loss, hearing test.
See related patient information handout on preventing noise-induced hearing loss, written by the author of this article. Epidemiological evaluation of hearing damage related to strongly amplified music (personal cassette players, discotheques, rock concerts): high definition audiometric survey on 1,364 subjects.
Noise-induced hearing loss in young adults: the role of personal listening devices and other sources of leisure noise. People with SHL can be born with it or else acquire it over the course of a lifetime or as a result of a particular incident, such as head trauma or a sudden loud noise. It occurs when damage or disorder renders the inner ear (such as the cochlea) ineffective in receiving and transmitting soundwaves as signals to the brain.
In fact, many of us will acquire this in one form or another over the course of our lifetime. Conductive hearing loss is when sound is being blocked from reaching the inner ear in order to be registered as sound by the brain. The basics may simply be for the doctor to cover one of the patient?s ears at a time and speaking at different volumes to determine if there?s anything abnormal.
As the particular situation varies from person to person, the approach to treatment varies as well. This new treatment is designed to improve hearing by targeting the nerves in the inner ear that are still working. Limit time spent in environments with a high level of noise, such as workshops, in traffic or at airports. We?ve been told it?s a one-way ticket to skin damage and potentially risking skin cancer and melanomas. The nerves that make up the hearing process are the vestibulocochlear nerve, the processing centers of the brain, or the actual inner ear itself.
Right now there is an FDA approved study being conducted to evaluate whether or not hearing problems can be cured using stem cell treatments.
The Hearing Loss Pill is not a cure, but is instead an ongoing treatment to gradually help improve the nerves of the inner ear, and help the brain better process it. The truth is that most people never do anything with the products they buy, so most of the time, they dona€™t get ANY results. The ear canal, ear drum, and the tiny bones in the middle ear make up the conductive system and any hearing loss caused by a problem in one or more of these areas is called a conductive hearing loss. Malformation of the outer or middle ear structures, a middle ear infection in which fluid accumulates behind the eardrum, abnormal bone growth in the middle ear, a hole in the eardrum, or poor Eustachian tube function may be responsible for conductive hearing loss. Antibiotics or antifungal medications are usually prescribed for ear infections, whereas surgery is usually an option for malformed or abnormal outer or middle ear structures and other physical problems.
Noise-induced hearing loss is the second most common form of sensorineural hearing deficit, after presbycusis (age-related hearing loss). As many as 30 million Americans are exposed to potentially harmful sound levels in their workplaces.3 Outside of work, many persons pursue recreational activities that can produce harmful noise.


When excessive, this force can lead to cellular metabolic overload, cell damage and cell death. Screening audiometry performed in the office revealed a 30-dB (mild) elevation of hearing thresholds at 4,000 Hz. An occupational hearing conservation program includes engineering and administrative controls to reduce noise exposures, employee training in the use of hearing protection and annual audiometry for all workers who are exposed to noise.Physicians providing occupational health services to a company may supervise the hearing conservation program, review abnormal audiograms and advise the program administrator. Audiologists can test a greater number of frequencies and can measure air and bone conduction to confirm whether the loss is sensorineural, conductive or mixed. By preventing noise-induced hearing loss, patients can reduce the impact of age-related changes on their hearing. Hearing loss is on the rise, especially in the elderly population, and our modern life is the cause of it.
Sudden Sensorineural Hearing Loss is something else entirely, and not to be confused with SHL ?
SHL used to be known as nerve ?deafness?, which is a simple way of looking at a complex situation. On the other hand, SHL is when sound can reach the ear but the sound isn?t being registered.
From there, the tuning fork test may be administered, or an audiometer test for further examination.
As such, the ability of the inner ear to recognise and convert sounds to clear signals may be compromised.
The product works by helping the existing nerves transfer more "sound information" into the brain for processing and understanding.
Obviously, if you?re employed at one of these places, it?s necessary to wear the appropriate type of ear protection to reduce exposure to potentially damaging sound. We already know that it is supposedly already being successfully used in more exotic countries (without much health regulation), but the safety and effectiveness is questionable, not to mention the $30,000+ price tag on the treatment that health insurance will not pay for. Unlike a sensorineural hearing loss a conductive hearing loss occurs because the sound entering the ear is reduced or dampened by the obstruction; there is no damage to the delicate nerves in the inner ear. Rarely, there may be more serious causes of conductive hearing loss and these conditions, if left unidentified and untreated, may have profound medical consequences. Hearing aids are often the best answer when surgery is not possible, because they significantly improve hearing and are convenient. Shearing forces caused by any sound have an impact on the stereocilia of the hair cells of the basilar membrane of the cochlea; when excessive, these forces can cause cell death.
Sixty million Americans own firearms, and many use them without adequate hearing protection.4 Other nonoccupational sources of noise include chain saws and other power tools, amplified music,5 and recreational vehicles such as snowmobiles and motorcycles. They can also perform tests for speech discrimination and speech reception threshold.If a unilateral or asymmetric sensorineural loss, tinnitus, vertigo or other significant ear pathology is found, referral to an otolaryngologist is warranted. Hearing aids can amplify sounds but, despite technologic advances, often cannot fully correct problems of speech discrimination.
Family physicians should educate and motivate patients of all ages to avoid potentially damaging noise, use hearing protection when necessary and seek treatment for an existing hearing deficit. Hearing aids are inserted into the ear, where they amplify native soundwaves to make them clearer for the ear to recognise. A cochlear implant converts sound to electrical impulses, mimicking the natural hearing process and stimulating the hearing nerve. You know how bad it is to sunbathe without sunscreen, why would you do the same with your ears?
The testimonials you see on this web site are some of our better results and are not typical.
A conductive hearing loss can often be partially or completely reversed with medical intervention. Though usually not necessary, implantable hearing devices such as a bone-anchored hearing aid are an excellent alternative if neither surgery nor a traditional hearing aid are feasible options. Some types of toys for children can produce sounds capable of causing permanent hearing damage.6Noise can be described in terms of intensity (perceived as loudness) and frequency (perceived as pitch).
Concurrent exposure to ototoxic substances, such as solvents and heavy metals, may increase the damage potential of noise.7 Once exposure to damaging noise levels is discontinued, further significant progression of hearing loss stops.
In response to questioning, the girl reported spending several hours a day listening to music through head-phones.
An aid should be carefully matched to the person's hearing deficit and lifestyle by a trained audiologist. Rabinowitz received his medical degree from the University of Washington, Seattle, and completed a residency in family medicine at Natividad Medical Center, Salinas, Calif.
They stuck to the dose as directed and maintained a healthy lifestyle and balanced diet alongside it.
Noise-induced hearing loss can be prevented by avoiding excessive noise and using hearing protection such as earplugs and earmuffs.


Both the intensity and the duration of noise exposure determine the potential for damage to the hair cells of the inner ear. The previous night, she had spent several hours at a rock concert without wearing hearing protection. When hearing loss is suspected, a thorough history, physical examination and audiometry should be performed. Noise exposure measurements are often expressed as dB(A), a scale weighted toward sounds at higher frequencies, to which the human ear is more sensitive. If these examinations disclose evidence of hearing loss, referral for full audiologic evaluation is recommended. Noise can cause permanent hearing loss at chronic exposures equal to an average SPL of 85 dB(A) or higher for an eight-hour period.7 Based on the logarithmic scale, a 3-dB increase in SPL represents a doubling of the sound intensity.
Noise-induced hearing loss is a sensorineural hearing deficit that begins at the higher frequencies (3,000 to 6,000 Hz) and develops gradually as a result of chronic exposure to excessive sound levels.1 Although the loss is typically symmetric, noise from such sources as firearms or sirens may produce an asymmetric loss. The physical examination of the ears should assess presence of cerumen impaction or evidence of middle ear disease. Although complete recovery from a given episode can occur, repeated episodes of such shifts occurring after noise exposures give way to permanent threshold shifts because hair cells in the cochlea are progressively lost.CASE 2A 55-year-old factory worker consulted his family physician because of ringing in his ears and depression that began soon after the onset of the tinnitus. The Weber and Rinne tests, performed with a 512-Hz or 1,024-Hz tuning fork can provide clues to whether the loss is conductive or sensorineural. He had seldom worn hearing protection at work, where he had to shout to communicate with co-workers.
In the Weber test (Figure 4), sound will lateralize to the side away from a sensorineural loss and toward a conductive deficit. Away from work, he had difficulty understanding conversations in crowded rooms, and he said he often argued with his wife about the volume of the television set.
The Rinne test (Figure 5) will demonstrate air conduction better than bone conduction if the loss is sensorineural. The clinician can motivate patients to maintain their hearing health and thereby reduce the risk of hearing disability as they grow older (Tables 2 and 3). Key factors in this effort are learning to avoid excessive noise when possible and correctly using hearing protection when necessary. The patient was referred to an audiologist, who confirmed a sensorineural hearing loss that was probably caused by excessive noise exposure, with superimposed age-related changes.
Hearing protectors, including earmuffs, disposable earplugs and custom-fitted earplugs, can provide 20 to 40 dB of attenuation when used correctly.
Physicians can obtain samples from manufacturers and keep them in the office for distribution and demonstration of techniques for proper use.
The physician can clarify this test by performing the test on himself or herself, plugging one ear with a finger to simulate a conductive loss. If hearing is symmetric, the patient perceives the sound in the middle of the forehead.FIGURE 4. Tinnitus is a common symptom of noise overexposure, and it further interferes with hearing acuity, sleep and concentration. Holding a 512-Hz or 1,024-Hz vibrating tuning fork against the mastoid process, the physician asks the patient to indicate when the sound can no longer be heard.
At this point, the physician places the tuning fork in front of the auditory meatus to determine whether the sound can be heard again. Normal hearing patients and patients with sensorineural hearing loss hear the sound longer through air than bone. In a conductive hearing loss, bone conduction becomes equal to or greater than air conduction. We have 4 offices located in Arlington, Dallas, Fort Worth and Mansfield, and serve patients throughout North Texas. Our experienced and compassionate doctors and practitioners can help with any ear, nose, or throat condition you may have.
From allergy treatment, to hearing aids, sinus surgery, thyroid conditions, and much more, our team of caring ENT doctors is here to help you and your family.
An audiogram hearing threshold level above 20 dB is considered abnormal.If the loss appears to be sensorineural, etiologies other than noise should be excluded.
While this type of loss in early childhood is often caused by congenital factors,22A  presbycusis becomes the most common sensorineural condition after midlife.



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