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Author: admin, 03.11.2015
Many things can cause tinnitus, including wax buildup, certain medications, head or neck trauma, tumors on the auditory nerve, jaw problems, and other medical conditions. If you don’t currently suffer from tinnitus, you can protect yourself by wearing hearing protection around loud noise and by asking your doctor if any of your medications have a negative effect on your hearing.
Your first step in dealing with tinnitus is to schedule an evaluation with an AudigyCertified™ audiologist. By having someone else voice their view on what you may be missing, we can help pinpoint where we can help the most.
Due to each patient’s individual needs, we need to take time to truly understand their situation before making any recommendations. The outer ear consists of the auricle (unlabelled), the external auditory canal, and the lateral surface of the tympanic membrane (TM). There are several other audiological tests that are also commonly abnormal in persons with conductive hearing loss. Tympanometry usually is either flat (as shown below), or shows an abnormally large volume (indicating a perforation). Other tests that may be helpful in confirming conductive hearing loss are OAE testing and temporal bone CT scan.
Causes include a buildup of ear wax, a foreign body in the ear canal, otosclerosis, typanosclerosis (as shown above), superior canal dehiscence (which can also cause a conductive hyperacusis), external or middle ear infections (otitis externa or media), allergy with serous otitis media (fluid in middle ear), trauma to the ossicular chain such as temporal bone fracture, tumors of the middle ear such as a glomus tumor, erosion of the ossicular chain (cholesteatoma) and perforation of the tympanic membrane. A hole in the ear drum, which is called a tympanic membrane perforation, causes a conductive hearing loss. It is generally attributed to previous ear infections or trauma (such as a tube insertion). The last step in the chain of signal transmission between sound in the air and movement of fluid in the inner ear is the middle ear. There are three small bones interposed between the large ear drum, and the small hole (oval window) across which sound is transmitted into the inner ear. Complete ossicular chain discontinuity usuall results in a large, flat conductive hearing loss. Characteristically, hearing aids work well for conductive hearing loss, and very good hearing results can be obtained. Surgical treatment is also generally available for conductive hearing loss as it is always due to a mechanical problem.


Most surgical treatments for otosclerosis or middle ear disease involve opening of the middle ear and repair under direct vision. However, in our opinion (which is not representative of general opinion of ear surgeons), we think it is preferable to use a hearing aid until hearing becomes unservicable, and then move onto an implanted hearing aid, and skip the middle ear surgery part altogether.
Earwax is a substance that is naturally found in the inner ear, which protects it from bacteria and other particles or organisms that can harm this delicate area.
Before we talk about the ways you can remove excess earwax at home, it’s important to know what’s causing the discomfort from your earwax buildup. People who regularly wear earplugs or the popular earbud headphones are also at ahigher risk for the excessive accumulation of earwax. To keep from suffering the above consequences of excessive earwax buildup, it’s important that you clean them on a regular basis and remove the earwax so it doesn’t create a blockage.
One of the safest and most effective home remedies for earwax removal is paraffin oil, which is sold in most pharmacies. If you do suffer from tinnitus, there are a number of things that can be done to help you cope with, and in many cases reduce, the tinnitus that you are experiencing. During your appointment, we will go through a 4-step process that will help us identify the cause of your tinnitus, and we will educate you about the therapeutic process necessary to help you gain relief from your tinnitus symptoms.
The middle ear includes the medial surface of the eardrum, the ossicular chain of bones, the eustachian tube. These can be immensely troublesome because their removal can be difficult, and infections are common. It is more accurate to say that there is a hearing reduction, as generally hearing is not greatly affected -- a 10 db drop is typical. There also seems to be a weak association with increased serum calcium (de Carvalho et al, 2006) . When these bones are fused (otosclerosis, or ossicular fixation) or broken (ossicular chain discontinuity), a conductive hearing loss is the inevitable result. When combined with a sensorineural hearing loss, this pattern may look superficially like a conductive hearing loss, because there is an air-bone gap.
Persons with LVAS may develop hearing loss as well as be unusually vulnerable to inner ear disease associated with head injury.
Recently some groups (Kakehata et al, 2006) are using endoscopy for repair of ossicular chain disturbances -- in our opinion, this is still very investigational and somewhat unreasonable -- when working inside a tiny space, one needs as good an exposure as one can manage.


Carhart Notch 2-kHz Bone Conduction Threshold Dip: A Nondefinitive Predictor of Stapes Fixation in Conductive Hearing Loss With Normal Tympanic Membrane.
We recommend that you avoid using Q-tips or other swabs, and instead try the following home remedies to remove earwax.
You can find it in pharmacies and use four drops in each ear, three times a day for the best results. Put two or three drops of olive oil in the affected ear before going to bed, and try to sleep on the opposite side. For this reason, hearing loss and tinnitus often go hand-in-hand, and together they can result in a significant decrease in enjoyment of everyday life.
She founded Hearing Professional Center in 1983 serving the diagnostic and rehabilitative needs of over 40,000 individuals. These are most easily removed using an examining microscope, but in some instances, surgical removal is needed. It is presently thought that persons taking calcium supplements are not at increased risk, and also that there is no risk from calcium channel blocker medications. The most common ones are cholesteatoma associated with chronic ear infection (it is not a true tumor) and glomus tumors. But there comes a time when it accumulates in large quantities, which can cause discomfort for some as well as irritation, dizziness, loss of hearing, a feeling that there’s something stuck in the ear, and itching.
This blockage usually occurs when you use cotton swabs like Q-tips on a regular basis to clean your ears, forcing earwax to be pushed deeper into the ear canal and build up. Then just soak a cotton ball in the solution and let a few drops fall into your ear while you tilt your head to one side. Practically, this is a very uncommon situation, of much more interest to diagnosticians than patients. Hold this position for a few minutes to let the liquid penetrate the ear canal and soften the wax. Then tilt your head in the opposite direction and use a tissue to capture the liquid as it drains out.



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