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Hearing Loss

Types of Hearing Loss

hearing loss Heuser Hearing Institute - Louisville - lyndon KY

Hearing loss is identified by its type and degree. Types of hearing loss are classified based on the parts of the ear that’s damaged or where your hearing loss occurred. The degree of hearing loss is determined by its severity. When you visit Heuser Hearing Clinic for hearing testing, we will determine if you have a hearing loss and explain your treatment options.


Conductive hearing loss occurs when there is an interference with the transfer of sound through the outer or middle part of the ear. Possible causes of conductive hearing loss include ear wax, ear infection, a collapsed ear canal, damage to the bones of the middle ear, and more. Conductive hearing losses are typically treated medically or surgically. In the case that these treatments prove unsuccessful, conductive hearing loss can be treated with amplification including different types of hearing aids. Because conductive hearing loss is rarely permanent, attention is focused upon its temporary effects on speech and language development and academic or professional performance.


Sensorineural hearing loss is by far the most common type and is caused by a problem in the inner ear or auditory nerves. Possible causes include abnormal inner ear development, injury from medicine or disease, tumors, physical injury to the inner ear, and more. Sensorineural hearing losses are permanent and are treated with amplification including hearing aids, cochlear implants, bone-anchored hearing aids, personal amplification devices, or other technologies depending upon the severity of the loss. Once a sensorineural hearing loss is diagnosed, the treatment plan focuses on language development and communication needs after a treatment plan is established.


Mixed hearing loss is typically considered a combination of conductive and sensorineural hearing loss, though it may also be considered sensory or neural. Combination hearing losses may be treated medically, surgically, and/or with amplification. Neural or central losses are rare, and management may include many combinations of medical, audiological, and therapeutic care.


Hearing losses are identified as mild, moderate, severe, or profound. The degree of the hearing loss identifies the level at which the person can hear.


People with mild hearing losses have hearing in the 20–40 decibel (dB) range. The most common cause of mild hearing loss in children is middle ear fluid and/or infections
, causing temporary conductive hearing loss. Those with mild hearing loss have difficulty hearing soft or distant speech but typically have normal speech and language development and skills. Mild hearing losses may or may not require intervention depending upon whether it’s chronic or acute, its severity, and the patient’s lifestyle needs. For example, an adult with more limited social activities may not require assistance, but a child in a classroom will. Children’s hearing should be 15 dB or better to function easily in a classroom.


People with moderate hearing loss have hearing in the 40–60 dB range. They will have difficulty hearing soft speech in one-on-one conversations and difficulty hearing in situations with background noise. Moderate hearing loss requires treatment, typically using hearing aids, as well as educational services in the case of children.


People with severe hearing losses can hear sounds in the 60–80 dB range. They can only hear sounds less than one foot away from their ears or very loud environmental sounds. Intervention services are a necessity for communication with others and language development. Intervention may include sign language, educational services, hearing aids, cochlear implants, and classroom modifications.


People with profound hearing loss may be able to hear sounds above 80 dB. They can’t hear conversational speech, though they may be aware of sound vibrations. People with profound hearing losses are considered deaf, and intervention is a necessity. Intervention may include sign language, educational services, hearing aids, or cochlear implants.

Treating Hearing Loss

Hearing loss treatments vary depending on the severity and type of the loss as well as the patient’s lifestyle needs. Hearing aids are by far the most commonly used hearing loss treatment by patients in Louisville, KY and worldwide. For deaf children or those with severe impairments, though, other treatment options are often more effective. Here’s a look at some of the most common hearing loss treatments and technologies.


The most common hearing loss treatments for conductive hearing loss and sensorineural hearing loss include:


Hearing aids are by far the most common hearing loss treatment method amongst patients young and old alike. In most cases, hearing aids can successfully treat mild to severe hearing loss. Immediate care for hard of hearing infants and toddlers is of the utmost importance; hearing aids should be fitted within one month of diagnosis. Behind-the-ear hearing aids are the most popular for children due to their ease of use, though there are several other hearing aid styles available as well.


A cochlear implant comprises both an internal and external portion that work together to deliver direct electrical stimulation to the auditory nerve. Cochlear implants are used for patients whose cochlear hair cells are extensively damaged, preventing sound signals from reaching the brain. They can be implanted on one or both sides depending on the person’s needs. This treatment option is typically for children over one year who have severe to profound sensorineural hearing loss that can’t be treated with hearing aids. Cochlear implants are also effective for adults who lose their hearing abilities.


ALDs, also referred to as hearing assistive technologies (HATs), are personal listening systems that improve hearing in challenging environments like when a speaker is far away, there is excess background noise, or poor acoustics cause sound distortion and reverberation. FM-systems are the most common type, though infrared systems are also available. ALDs have two parts: a microphone and transmitter, which are placed close to the speaker or sound source, and a small wireless receiver that is worn near the ear or directly connected to the user’s hearing device. ALDs are excellent for pediatric use because they improve communication access for children in adverse listening environments.


BAHA are osseointegrated devices optimal for people with permanent bilateral conductive or mixed hearing loss or single-sided deafness. Children are not eligible for the implant surgical procedure until age five; however, younger kids can wear the external processor in a soft band until they are old enough for implantation.


ABIs provide electrical stimulation of the cochlear nucleus in the brainstem for patients who do not have a cochlea or auditory nerve. These implants are very new technology, and research is still being conducted to determine candidacy and long-term outcomes, especially for young children. ABIs are specifically for patients who do not have a cochlea or auditory nerve.


Tubes may need to be placed in patients’ eardrums when fluid accumulates in the middle ear resulting in conductive hearing loss. The tube allows the fluid to drain out, resulting in improved hearing, and are typically left in place until they migrate outward. Tubes are often used with hearing aids for patients with chronic fluid buildups or infections.


Many cases of conductive hearing loss occur due to bacterial infections of the ear. These infections need to be controlled with medication, and they can cause long-term problems and permanent hearing loss if left untreated. Parents should be especially aware of the risk of ear infections in young children, as more than 80% of toddlers have experienced at least one ear infection by age three. This number reaches almost 100% by age five.