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A sensorineural hearing loss is characterized by the failure of nervous impulses to reach the brain. Age-Related Hearing Loss - Presbyacusis Age-related hearing loss is also known as presbyacusis. Noise-Induced Hearing Loss Noise-induced hearing loss is triggered by exposure to loud noises. Congenital Hearing Loss Congenital hearing loss refers to a hearing loss that is present at birth. Meniere’s Disease Meniere’s disease is an inner ear pathology that affects hearing and balance. Sudden Hearing Loss A sudden hearing loss is the rapid deterioration of hearing acuity that may continue to decline for three consecutive days. Acoustic Neuroma Acoustic neuroma is a noncancerous tumor on the auditory nerve that carries nervous impulses from the cochlea to the brain. A conductive hearing loss is usually a temporary hearing loss the can be treated medically or surgically by an ENT specialist. Hearing aids can be used while waiting for the medical intervention or as an alternative treatment option.
Eardrum PerforationEardrum perforations can be the result of head trauma, middle ear infections or from the failure to heal after a ventilation tube has fallen out. Otosclerosis Otosclerosis is a progressive disorder that results in the fixation of the stapes, the third bone of the ossicles. Ossicular Discontinuity The ossicles have an important role in the conduction of sound waves from the outer ear to the inner ear. Cholesteatoma Cholesteatoma is a condition where dead skin is produced in the middle ear to form a cyst behind the eardrum. Impacted Earwax Cerumen or earwax is a natural secretion of glands in the outer ear canal that helps keep the ear safe and clean.
Aural Atresia Aural atresia is a congenital condition where the outer ear has not developed properly at birth.
A hearing loss caused by a combination of both conductive and sensorineural hearing loss. Head trauma is the most common single cause of mixed hearing loss.
Head Trauma Injuries to the head can cause damage to the delicate structures of the middle ear or the inner ear. Retirement residence administrators, contact us today to schedule a NO CHARGE hearing awareness activity offered to your senior residents.
The BAHA is comprised of two subunits: a titanium Osseo integrated screw and a sound processor. Have you had any of the following imaging studies done as they pertain to your requested appointment?
If you have a hearing loss caused by presbycusis or know someone who does, share these tips with family members, friends and colleagues.
If you have been struck in the nose it is important to see a physician to check for septal hematoma. If left untreated, a broken nose can leave you with an undesirable appearance as well as permanent difficulty in trying to breathe.
Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear and mastoid cavity. The underlying pathology of CSOM is an ongoing cycle of inflammation, ulceration, infection and granulation. Craniofacial anomalies increase risk: cleft lip or palate, Down's syndrome, cri du chat syndrome, choanal atresia, and microcephaly all increase the risk of CSOM. CSOM presents with a chronically draining ear (>2weeks), with a possible history of recurrent AOM, traumatic perforation, or insertion of grommets. Fever, vertigo and otalgia should prompt urgent referral to exclude intratemporal or intracranial complications. The external auditory canal may possibly be oedematous but is not usually tender. The discharge varies from fetid, purulent and cheese-like to clear and serous.
Granulation tissue is often seen in the medial canal or middle ear space. The middle ear mucosa seen through the perforation may be oedematous or even polypoid, pale, or erythematous. A fine-cut CT scan can reveal bone erosion from cholesteatoma, ossicular erosion, involvement of petrous apex and subperiosteal abscess. MRI is better if intratemporal or intracranial complications are suspected. In safe inactive CSOM, once infection has been controlled, a tympanoplasty is usual to prevent recurrent infection. Surgery is required in unsafe CSOM, as cholesteatoma can cause serious and possibly fatal complications. This permanent hearing loss can be caused by damaged nervous cells of the cochlea or difficulties with the upper auditory pathways.
Other than hereditary reasons, this is the most common cause of permanent sensorineural hearing loss. Individuals exposed to prolonged periods of excessive noise can develop this permanent sensorineural hearing loss. It is caused by dysfunctions in the outer ear or in the middle ear that prevent the sound waves travelling in the air to soundly reach the inner ear.


Otitis Media is an infection in the middle ear causing fluid buildup behind the eardrum, thus limiting the movement of the middle ear’s mechanical chain .
This condition is thought to be a hereditary disorder and can be associated with tinnitus and vertigo.
The eardrum is attached to the malleus; the malleus is connected to the incus which is connected to the stapes. In addition to ear pain and tinnitus, cholesteatoma may also cause the erosion of the ossicles or trigger recurrent middle ear infections and perforated eardrums.
In some narrow ear canals or when the cerumen has less of a lubricating quality, the earwax can become impacted and cause a conductive hearing loss.
After a hearing test, hearing care professionals will be able to find out if this is only a conductive hearing loss or a mixed hearing loss. A head trauma can therefore cause a temporary or permanent hearing loss and can be accompanied by tinnitus.
It develops adapted solutions for individuals, institutions and businesses, to ensure the independence and social well-being of the hard of hearing. This dramatically improves the perception of sound direction and hearing performance in crowded situations such as restaurants.
The Bone Anchored Hearing Aid (BAHA) allows these individuals to perceive sound from their non-hearing side eliminating phenomena called the “head shadow effect.” The BAHA system is a bone conducting hearing prosthesis. The titanium screw is placed into the bone above the ear during a short procedure usually done under local anesthesia. Questions related to surgery scheduling, cancellation, rescheduling or pre-operative exams must be conducted via telephone or in-person with our surgical scheduling staff during normal business hours. Seeing your Primary doctor or an emergency room physician is usually adequate to determine if you have a septal hematoma or other associated problems from your accident.
Clinical features are recurrent otorrhoea through a tympanic perforation, with conductive hearing loss of varying severity.
If this is a tubotympanic perforation, it is usually 'safe', whilst atticoantral perforation is often 'unsafe'.
It can be subdivided into active or inactive depending on whether or not infection is present. Mixed hearing loss may suggest more extensive disease and possible complications. Classical radical mastoidectomy, modified radical mastoidectomy or the 'combined approach tympanoplasty' may be used depending on the extent of cholesteatoma and, more importantly, the experience of the surgeon. This condition is not medically or surgically treatable, in most cases hearing aids and assistive listening devices are used to adapt to the hearing difficulties caused by a sensorineural hearing loss. Listening to music at loud volumes and motorcycle riding without hearing protection are frequent causes of noise-induced hearing loss. The eardrum and ossicles lack of mobility results in a conductive hearing loss, sound waves are not transformed into amplified vibrations like they should.
It can be treated by using hearing aids to overcome the difficulties caused by the hearing loss or by undergoing a stapedectomy. When an individual endures multiple middle ear infections, a cholesteatoma or head trauma, the articulation between these fragile bones can be separated.
This condition requires a surgical intervention done by the ENT specialist to remove this middle ear tumor. Sometimes referred as swimmer’s ear, this condition is often the result of water remaining in the ears after an individual has gone swimming.
Impacted earwax must not be removed by cotton swabs (Q-tips) as they remove the natural ear lubricants and can push the earwax deeper in the ear canal. A bone anchored hearing aid can be used in cases where the hearing loss caused by the atresia is only a conductive one to ensure proper development of speech. If the injury is sustained in the middle ear, the conductive hearing loss may be restored by an ENT specialist. In order for the system to work the other (contra lateral) ear must have normal or near normal hearing.
The screw has small holes in the metal that allows growth of bone into it causing a tight union between the bone and metal. If a septal hematoma is present, it must be treated promptly to prevent worse problems form developing in the nose. Inflammation produces mucosal ulceration and breakdown of the epithelial lining. Whatever the procedure chosen, the aim of surgery is to remove all disease and to give the patient a dry and functioning ear. High pitch sounds are most affected by this form of disability, individuals with presbyacusis will have noted difficulties hearing speech consonants, understanding speech in background noise and hearing high pitch sounds like a birds chirp.
In cases where a noise-induced hearing loss is the result of excessive noise in the work environment, it will be referred as a professional hearing loss. This hereditary disability can be triggered at birth or develop later-on during the individual’s life. Treatment of this rare pathology requires a collaborative medical team approach that includes the expertise of a neurosurgeon and ENT specialist.
Water finding its way to the middle ear can cause recurrent middle ear infections, thus the perforated eardrum cannot heal. A stapedectomy is a surgical procedure done by the ENT specialist to replace the stapes by a piston. The Ossicular discontinuity that results will cause a conductive hearing loss often accompanied by tinnitus.


One must use natural oil products or carbamide peroxide over the counter softening agents to facilitate earwax removal. In cases where it is a permanent sensorineural hearing loss, hearing aids can be used to adapt to the hearing difficulties. He has been instrumental in developing one of the best rehabilitation centers for hearing impaired children and adults in the country. If you suspect your nose may be broken, see and otolaryngologist head and neck surgeon within one week of the injury. In Quebec, individuals with a professional hearing loss can benefit from CSST support programs.
Premature labour and lack of oxygen at birth are non-genetic factors that can cause a congenital hearing loss.
It is thought that this disease is caused by excessive liquid in the inner ear and treatment plans often include the modification of dietary habits.
A sudden hearing loss must be treated as an emergency and a physician must be consulted quickly. In cases where the infection persists or occurs frequently, an ENT specialist can perform a small procedure called a myringotomy.
To avoid water in the ears, audiologists recommend the use of specialized hearing protection products when swimming or during bathing and showering. The conductive hearing loss can be treated with hearing aids to amplify the incoming sound and balance out the shortcomings caused by the discontinuity. The outer ear canal becomes red and the individual might experience ear pain and high sensitivity at the infected ear. If you are seen within one to two weeks, it may be possible to repair your nose immediately. This process may continue, destroying surrounding structures and leading to the various complications of CSOM. Noise-induced hearing loss can otherwise be triggered by sudden extremely loud sounds such as a gunshot. Similarly, complications during pregnancy such as maternal viral infections, toxin consumption and maternal diabetes cause the disability.
The physician will investigate the reasons of the hearing loss and prescribe a cure when possible. A myringotomy is an incision in the eardrum to insert a ventilation tube through the eardrum to allow for the draining of the fluid in the middle ear. In most cases, a Perforated Eardrum will heal by itself while in some cases it requires medical intervention. Otherwise, surgery can be performed by an ENT specialist to reconstruct the Ossicular chain.
This infection can trigger draining of pus from the ear canal, which may also be the cause a conductive hearing loss.
If you wait longer than two weeks (one week for children) you will likely need to wait several months before your nose can be surgically straightened and fixed. Individuals of all ages can be affected by this form of hearing loss, often accompanied by tinnitus. Systematic neonatal hearing screening programs are being developed nation-wide to identify hearing loss at a young age. Sudden hearing loss can be treated with steroids or antibiotics in certain cases caused by infections.
The tube placed will allow for normal hearing acuity and should remain in place for 3 to 12 months.
An ENT specialist can perform a surgical procedure called a tympanoplasty to repair an eardrum perforation.
Sound is transmitted through the bone of the ear and skull to the delicate nerve endings of the inner ear thus producing amplified sound.
Similar to age-related hearing loss, the disability has greater impact on high pitch sounds. Early detection of congenital hearing loss will result in a prompt intervention treatment which increases the chances of normal speech and social development. For ototoxic drugs, it is recommended to immediately stop the use of the problematic medication.
Middle ear infections are more frequent at a young age and can disturb proper speech development.
Unlike many other forms, noise-induced hearing loss can be prevented with proper hearing protection and by eliminating noise at the source. A visit to the audiologist and to an ENT specialist is equally important for proper treatment of a sudden hearing loss.
Bone conduction hearing aids can be used to overcome the limits caused by a middle ear infection. When using these hearing aids, sound waves find their way directly to the cochlea via the temporal bone. Consequently, the conductive hearing loss will have no effect on the person’s ability to hear sounds.



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