Hearing Loss Overview

What Are the Most Common Causes of Hearing Loss?

A number of factors can cause hearing loss. The most common include aging, noise exposure, ear infections, excessive earwax, ear or head trauma, genetics, birth defects, benign growths or tumors, otosclerosis, Meniere’s disease and reactions to drugs.

Noise-Induced Hearing Loss

Noise-induced hearing loss is the most common type experienced by younger individuals. It can be caused by exposure to a single loud sound, such as a gunshot or explosion, or by continuous exposure to loud noise over a period of time.

It is estimated that 15 percent of Americans between the ages of 20 and 69 are experiencing hearing loss that is the result of exposure to excessive noise either at work or through recreational activities. High-risk pursuits include hunting, riding motorcycles, listening to music at high volume and even mowing the lawn.

What Are the Types of Hearing Loss?

Conductive Hearing Loss

Conductive hearing loss occurs when there are problems with the ear canal, eardrum or middle ear. There are a variety of causes including structural deformities, fluid in the middle ear, ear infection, allergies, impacted earwax, perforated eardrum, foreign objects in the ear, otosclerosis and benign tumors. Conductive hearing loss may be correctable with surgery or medication.


Sensorineural Hearing Loss

Sensorineural hearing loss involves problems with the inner ear and is sometimes referred to as “nerve deafness.” Causes include aging, noise exposure, trauma, viruses, autoimmune disorders, otosclerosis, Meniere’s disease, malformations of the inner ear and tumors. Treatment for sensorineural hearing loss usually requires hearing aids.


Mixed Hearing Loss

This is a combination of conductive and sensorineural hearing loss and affects both the inner ear and middle or outer ear. Treatment options depend on the exact cause and may include a combination of medications, surgery and hearing aids.

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What Is Single-Sided Deafness?

Single sided deafness (SSD), sometimes referred to as unilateral hearing loss, is a condition in which an individual experiences hearing loss in only one ear but can hear normally out of the other ear. While the majority of patients with a hearing impairment suffer from bilateral (two-sided) hearing loss, SSD is diagnosed in approximately 60,000 people in the United States each year.

There is no cure, and treatment can be a challenge because traditional amplification devices prove less effective. However, there are special hearing aids designed to deal with the problems caused by single-sided deafness.

What Are the Symptoms of Hearing Loss?

Hearing loss isn’t always easy to detect. Symptoms often develop gradually and your brain learns to adapt, so you might not even notice there is anything wrong until your condition has advanced. Learning to recognize the signs early will improve your odds of successful treatment. Here are 10 signs you might have hearing loss.

  1. People seem to mumble when they speak.
  2. You often ask people to repeat themselves.
  3. You experience tinnitus (ringing in your ears).
  4. Others complain that you are watching TV or listening to music too loudly.
  5. You are unable to hear everyday household sounds (e.g., ringing doorbell).
  6. You have trouble following conversations in a large group setting, especially when background noise is present.
  7. You have difficulty hearing when you are not facing the speaker.
  8. You have trouble understanding every word in a conversation.
  9. Telephone conversations are difficult for you to follow.
  10. Others accuse you of speaking too loudly.
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How Is Hearing Loss Treated?

The most common treatment for hearing loss is a hearing aid. Your audiologist or hearing specialist will work closely with you to take into account several factors – the type and severity of your hearing loss, your lifestyle, the size and shape of your outer ears and inner ear canals and your manual dexterity – in order to determine the best hearing device for you.

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