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The communication difficulties in a patient with sensorineural hearing loss will typically occur at the same time - but with varying degrees.
Unfortunately you cannot use our pictures, as we do not have the copyright, but only have the right to use them on our website. To play the media you will need to either update your browser to a recent version or update your Flash plugin. The stapes bone (stirrup) is attached to the incus bone (anvil) by thin membranes and is separated. The stapes suprastructure is then "down-fractured" leaving the footplate still frozen within the oval window.


An examination by an ear specialist, including a hearing test, is necessary to determine if you are a candidate for the operation. There are many different causes of deafness and not all patients with otosclerosis are candidates for stapedectomy.
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The surgeon then confirms that movement of the first middle ear bone, the manubruim (hammer), is transmitted through the incus and prosthesis into the hole and inner ear. Soft sounds have to be made louder in order to be heard, and turning up the television or speaking a bit louder may compensate for a mild loss of sensitivity. Finally, the prosthesis is tightened around the incus to prevent sliding of the prosthesis away from the incus.


Loss of high frequencies Hearing-impaired people have problems hearing high frequency consonants such as s, t, f, p, k and combinations of consonants such as th and sh, all of which can make it very difficult for hearing-impaired people to understand a conversation.Discrimination lossDiscrimination loss make it difficult for them to understand speech in noisy surroundings. They may do well in quiet one-to-one situations, but will have problems with their hearing in cases where there is background noise.



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