Hearing Loss Causes | ENT NY

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You may have hearing loss and not even be aware of it. You might have hearing loss in one ear and you are compensating with the other, or gradual loss in both ears. People of all ages experience some kind of hearing loss, often due to the natural aging process or long exposure to loud noise. Other causes of hearing loss include viruses or bacteria, heart conditions or stroke, head injuries, tumors, and certain medications. Treatment for hearing loss will depend on your diagnosis.

How does your hearing sense work?

Hearing is a complex and intricate process. The ear is made up of three sections: the outer ear, the middle ear, and the inner ear. These parts work together so you can hear and process sounds. The outer ear, or pinna (the part you can see), picks up sound waves and directs them into the outer ear canal.

Diagram-of-the-Ear

These sound waves travel down the ear canal and hit the eardrum, which causes the eardrum to vibrate. When the eardrum vibrates, it moves three tiny bones in your middle ear. The middle ear is a small air-filled space between the eardrum and the inner ear. These bones form a chain and are called the hammer (or malleus), anvil (or incus), and stirrup (or stapes). The movement of these bones transmits and amplifies the sound waves toward the inner ear.

The third bone in the chain, the stapes, interfaces with fluid which fills the hearing portion of the inner ear – the cochlea. The cochlea is lined with cells that have thousands of tiny hairs on their surfaces. As the fluid wave travels through the cochlea, it causes the tiny hairs to move. The hairs change the mechanical wave into nerve signals. The nerve signals are then transmitted to your brain, which interprets the sound.

SUDDEN HEARING LOSS

The sudden loss of your hearing in one ear is a serious condition, as well as anxiety-producing. Sudden hearing loss is often caused by a viral infection of the inner ear nerve. If you are experiencing sudden hearing loss, immediate attention by a physician is essential. With immediate evaluation and treatment you have an excellent chance for improvement. Delayed treatment may result in permanent hearing loss.

What can I do to improve my hearing?

  • Eliminate or lower unnecessary noises around you.
  • Let friends and family know about your hearing loss and ask them to speak slowly and more clearly
  • Ask people to face you when they are speaking to you, so you can watch their faces and see their expressions
  • Get fitted for the right hearing aid for your needs
  • Use sound amplifying devices on phones
  • Use personal listening systems to reduce background noise

Tips to maintain hearing health

  • If you work in noisy places or commute to work in noisy traffic or construction, choose quiet leisure activities instead of noisy ones
  • Develop the habit of wearing earplugs when you know you will be exposed to noise for a long time
  • Earplugs can reduce the volume of sound reaching the ear to a safer level
  • Try not to use several noisy machines at the same time
  • Try to keep television sets, stereos, and headsets low in volume

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