Symptoms of hearing loss and ear conditions
If you have any of these common symptoms, you might want to consider visiting an audiologist to discuss your hearing:
- It’s difficult to understand words, especially if there’s background noise
- Conversations sound muffled or muted
- You need the TV or music volume higher than usual to understand what’s being said
- You have trouble hearing consonants
- You frequently ask others to speak louder, repeat themselves and speak more slowly
- You have ringing in the ears (tinnitus)
Causes of hearing loss
Hearing loss can be caused by a variety of genetic and environmental factors. Some of the most common causes of hearing loss include:
- Aging
- Earwax buildup
- Noise exposure
- Medical conditions, infections or injuries
- Medication side effects
Hearing and balance conditions we treat
Our audiologists are experts on hearing loss and other hearing problems. Some of the conditions we treat are:
Tinnitus
Tinnitus is a ringing or buzzing in the ears that won’t go away. It’s caused by exposure to loud noises. The exact sound people hear varies from person to person. Some hear a buzzing or sizzling sound like bacon frying in a skillet, while others describe the sound as a high-pitched whistle. Tinnitus can be distracting, frustrating and sometimes painful. There is no known cure for tinnitus, but in some cases it can be managed with therapy and other treatments.
Conductive hearing loss
Conductive hearing loss occurs when sounds can’t travel through the outer and middle ear. This makes it difficult to hear soft sounds and muffles loud sounds. Conductive hearing loss can be caused by fluid buildup, ear infections, poor ear formation, a blockage in the ear or a hole in the eardrum. Our audiologists will look into what’s causing your hearing loss. This assessment helps your otolaryngologist (ENT doctor) determine whether medicine, minimally invasive surgery or a combination of both is best for you.
Sensorineural hearing loss
Sensorineural hearing loss (SNHL) is the most common type of permanent hearing loss. It occurs when the microscopic hairs inside the inner ear are damaged by injury, aging, illnesses (like meningitis or the mumps), genetics or exposure to loud sounds or drugs that are toxic to hearing. Though people with SNHL won’t fully regain their hearing, hearing aids, surgery, or cochlear implants can help improve their hearing.
Mixed hearing loss
Mixed hearing loss is a combination of conductive hearing loss and SNHL that occurs when there’s damage to both the inner and outer ear. Mixed hearing loss is usually treated with hearing aids combined with medicine or surgery.
Sudden hearing loss
Infections and head trauma can sometimes cause sudden hearing loss. Sudden hearing loss can also be an indication of an underlying medical condition, like autoimmune diseases, inner ear disorders, or blood circulation problems. Anyone experiencing sudden hearing loss should see a doctor immediately.
Diagnosing hearing loss and ear conditions
One or more of these techniques are commonly used to diagnose the cause of hearing and balance issues.
Hearing test (audiogram)
A hearing test, or audiogram, is used to determine how well you hear and what type of hearing loss you’re experiencing. There are two main types of hearing tests: the audiometer test and the speech test.
Audiometer test
This test takes place in a soundproof room and helps determine the severity of hearing loss. We will ask you to put on headphones. Then, we’ll ask you to raise your hand whenever you hear a sound. The sounds will occur in each ear and at different frequencies and volumes.
Speech test
In this test, an audiologist will measure your ability to hear words at specific volumes. Your audiologist will ask you to repeat words you hear over a set of headphones and make a note of how well you are able to recognize speech.
Tympanometry test
When sounds move across the air, it’s your eardrum that vibrates in response, capturing those sounds. It’s a vital part of your ear. The tympanometry test measures how well your eardrum moves in response to small gusts of air. The results can help identify if there are problems with your eardrum that are interfering with your hearing.
Auditory brainstem response (ABR)
This test uses electrodes to monitor activity in the brainstem related to hearing. The presence of brain activity can help evaluate whether signals from the ear are reaching the brain. As a result, this test is especially useful for people, such as young children, who can’t participate in other hearing exam methods.
Balance assessment (VNG)
Balance and dizziness issues can have a variety of causes, some of which are in the ear. A VNG (Videonystagmography) test records your eye movement in response to a variety of conditions. This test can help identify if your balance issues are related to conditions inside your ears.
How we treat hearing conditions
After your condition is diagnosed, we’ll work with you to find a treatment option that best fits with your needs and lifestyle. Depending on your condition, we might recommend one of these common treatments:
Hearing aids
A hearing aid is a device worn on or in the ear. It amplifies sound to make hearing easier. People with hearing loss can choose between several hearing aid options. Based on the type of hearing loss you’re experiencing, we’ll work with you to decide which option is best.
Hearing aids come in four types:
- Behind-the-ear (BTE)
- In-the-ear (ITE)
- In-the-canal (ITC)
- Completely-in-canal (CIC)
Auditory osseointegrated implants
Some people aren’t able to use traditional hearing aids because of their ear shape or type of hearing loss. If this is the case, we might recommend an auditory osseointegrated implant. This hearing aid is connected directly to your bone, so it can be a great option for people with damaged or uniquely shaped ears.
Cochlear implants
Cochlear implantsare small electronic devices surgically placed inside the ear to give people who are hearing impaired or severely hard of hearing a sense of sound. Unlike hearing aids, cochlear implants do not amplify sound. Instead, the implant stimulates the auditory nerve to send sound signals to the brain. Though it is different than biological hearing, cochlear implants help people understand speech and the sounds around them. If it appears a cochlear implant is the right option for you, our audiology team will program the implant, and one of our skilled otolaryngologists (ENT doctors) will surgically place the implant inside your ear.
Aural rehabilitation
Aural rehabilitation classes help people with hearing loss learn how to communicate and cope with their change in hearing. Losing your hearing can be an emotional time and feel isolating. Many people struggle with feelings of anxiety and depression when dealing with hearing loss. Aural rehabilitation connects you with others and provides education and support.
Aural rehabilitation classes cover topics like:
- Expectations of hearing aids and technology
- Hearing aid care and use
- Communication strategies, including information on basic lip-reading
- Assistive technologies for television and telephone
- Emotional health issues related to hearing loss
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