Hearing Loss – Types, Causes and Treatment
The human ear consists of three major parts, inner, outer and middle ear. Hearing loss or hearing impairment causes is due to damage or injury to any of the three major parts. It can also occur due to heredity or genetic reasons. Infectious diseases like mumps, meningitis and syphilis if not treated early could lead to hearing loss or deafness. Hearing loss or degree of impairment can be partial, complete or gradual. Gradual hearing loss symptoms occur with age and affects nearly 50% of the population after the age of 65. Conductive, Sensorineural and Mixed are three different types of hearing loss. Mixed hearing loss is a combination of conductive and sensorineural.
Conductive hearing loss:
Conductive impairment is due to defect or malfunction in middle or outer ear. This damage prevents the normal communication of sound waves to the brain. It occurs due to defects at birth due to heredity, Fetus infection in the womb. It can also occur due to puncture of the eardrum. The middle ear small bones called hammer, anvil and stirrup are damaged or broken. These tiny bones transmit sound from middle ear to inner ear. This hearing loss can also occur due to swelling of the middle ear known as otitis media. Upper respiratory tract infection, flu or intense sore throat causes fluid to collect in the middle ear, resulting in pus formation. As the pus formation increases, there is intense pressure applied to the eardrums, which eventually causes it to rupture leading to conductive hearing loss. The Eustachian tube connects the middle ear to the throat and drains fluid formed in the ear. Due to swelling of Eustachian tube, the fluid drain is stooped and it exerts pressure on the eardrum, resulting in extreme pain and hearing loss. Conductive type loss of hearing also occurs in old age above 60, due to otosclerosis. An extra growth is formed over the stirrup bone, stopping it from passing sound waves to the inner ear.
Sensorineural hearing loss:
This hearing loss is mainly cause due to injury to the inner ear. It can also occur due to damage to the hearing center in the brain, to the auditory nerve, which carries signals from the inner ear to the brain. Sensorineural is due to injury or damage of inner ear sensory structures like Cochlea and Corti. This prevents the sound waves from reaching the brain. It can occur due to injury to the head during birth, Infection passed on from the mother to the baby in the womb, viral infections like mumps or meningitis, prolonged exposure to noise, drug side effects, blood clots in inner ear and so on.
Diagnosis and Treatment:
The ears, nose and throat need to be thoroughly examined if there is a doubt in hearing. Testing of ear is critical, more so if it is an infant. Hearing loss is not found out in babies or small children, until they are unable to learn to speak. Premature babies and mothers who had infections during pregnancy need to be tested. Surgery is the main method adopted to cure conductive hearing loss. The tiny bones especially stirrup are replaced with tissue or some synthetic material. The path for sound to travel to inner ear is repaired. Surgery is also used to repair the ruptured eardrum and also clean the infected middle ear. Hearing aids can also be used to improve hearing, but strictly after certification form a doctor and specialist in audiometry. Antibiotics are also used to treat conductive hearing loss, and they are responsible for curing middle ear infections. Inborn hearing problems cannot be cured, but deaf children can be educated about lip-reading and sign language very early in age.
Finally is better to prevent hearing loss problems, rather than treat it. Avoid continuous exposure to high intensity noise from music, industry and aircraft engines. Use drugs that cause hearing loss due to side effects with caution. Visit the doctor immediately on suspicion of hearing loss.
