Category: Hearing Loss

Impact of Ear Injury on Hearing and Posture

Impact of Ear Injury on Hearing and Posture: The ear is a highly developed and sensitive organ important for hearing and keeping your balance. It has three separate parts: the outer ear, the middle ear, and the inner ear. Every part serves a unique function and is connected to the others through a complex system of interconnected structures and pathways.

This article discusses how a damaged ear in one ear can affect hearing in the other.

The portion of the ear that is visible includes the pinna, which is the fleshy area on the side of the head, as well as the ear canal. The ear acts as a funnel through which sound waves travel to reach the brain. Behind the eardrum is where you’ll find the middle ear, which is made up of the eustachian tube, three tiny bones (the malleus, incus, and stapes), and the eardrum itself.

The sound waves are amplified and sent on to be processed by the inner ear by the middle ear. The cochlea, which processes sound, and the vestibular system, located deep within the skull, are components of the inner ear. The cochlea is responsible for hearing.

Together, these parts make up the inner ear (which is responsible for balance).

It’s possible, for instance, that if the outer ear is damaged, sound waves won’t be able to reach the ear at all, which will result in a loss of hearing in both ears.

A similar injury to the middle ear can impede the ability of sound waves to be amplified and transmitted to the inner ear, which can lead to a decrease in hearing in both ears.

When the inner ear is injured, it can also cause symptoms in the other ear. A disruption in the inner ear, which is responsible for maintaining equilibrium, can result in vertigo and problems with balance.

These symptoms can manifest in one or both ears because the brain uses information received from both ears to keep its equilibrium in check.

A loss of sensorineural hearing may also result from damage to the middle ear or the cochlea. Because of this, it may be difficult for both ears to perceive high-pitch sounds.

Ear injury is another potential source of tinnitus, described as an ear ringing or buzzing sensation.

When there is no external noise, a person with tinnitus may hear ringing, buzzing, or other sounds.

Exposure to loud noises, ear infections, certain medications, and simply getting older are just a few of the causes of hearing loss.

Tinnitus can be temporary or last for a long time. It is usually not dangerous, but it can make a person’s life difficult and lower their quality of life. There is no cure for tinnitus.

But treatments like sound therapy, counselling, and cognitive behavioural therapy can help lessen how bad it is.

Meniere’s disease affects just one ear in the vast majority of instances; however, the condition can become more severe in both ears under certain conditions. In most cases, only one ear is afflicted.

Ménière’s disease/syndrome

Ménière’s is a long-term, progressive balance illness that affects inner ear balance and hearing. Acute vertigo (extreme dizziness), fluctuating tinnitus, growing deafness, and a sense of pressure in the ear are all symptoms.

Ménière’s disease affects whom?

The prevalence of Ménière’s syndrome in the general population is between 1:1000 and 1:2000, depending on the source. Ménière’s disease can afflict anyone at any age. A family history of the disease affects approximately 7-10% of individuals.

What causes Ménière’s disease?

Ménière’s disease has no recognized aetiology. Many variables are suspected of playing a role in the disease’s development, including increased fluid pressure in the endolymph sac, allergic substances that harm the inner ear, and other unknown reasons.

However, the relationship between these factors and illness development is still unknown.

What is the impact of Ménière’s disease on you?

Symptoms differ from one person to the next and with time. The main issues are intermittent bouts of dizziness accompanied by nausea and vomiting. The attacks might last anywhere from a few minutes and 24 hours.

Meniere’s illness is an unexpected and frustrating disorder since remission intervals between attacks can range from days to months or even years. The dizziness may lessen as the condition develops, but there may be periods of unbalance, which adds to the distress.

Tinnitus gets more prominent in the later stages, and there is fluctuating hearing loss. The organ of equilibrium is permanently destroyed, and substantial perturbations of equilibrium occur often. Typically, just one ear is damaged.

However, up to 50% of people may have both ears affected. It is helpful to separate the disease’s progression into three stages:

The first stage (early): is unpredictable vertigo bouts.

The predominant symptom is intermittent vertigo that can persist from a few minutes to many hours.

Ear fullness and tinnitus may precede vertigo bouts, but they frequently occur without warning.

There are periods of remission between episodes that vary from person to person, making Ménière’s disease an unpredictable and stressful sickness.

Second (middle) stage: vertigo, tinnitus, and hearing loss.

The vertigo attacks remain, but they may be milder. There may be a period of imbalance and motion-related vertigo after or before the attacks.

Permanent hearing loss develops, varying with the frequency of vertigo spells. Tinnitus becomes more noticeable and frequently varies or intensifies with the assaults.

Hearing loss, balance problems, and tinnitus are all symptoms of the third (late) stage.

Hearing loss worsens as the disease progresses, and vertigo bouts generally diminish or altogether. Hearing loss can be severe, with distortion, volume complaints, and behavioural issues.

The ear’s balance organ is permanently injured, and there are frequently substantial general balance issues, particularly in the dark.

What causes tinnitus in Ménière’s disease?

Ménière’s illness damages the inner ear’s hair cell receptors. These injured hair cells spontaneously fire and transmit erratic signals to the brain via the auditory nerve.

Because the hair cells responsible for low-frequency sounds are the first to be lost in Ménière’s disease, the tinnitus in Ménière’s disease is typically a buzzing, low-frequency sound.

In a poll of 51 patients with Ménière’s illness conducted in the United States, 49% indicated the tinnitus was moderate (tinnitus when listening to a loudspeaker) or very irritating (difficulty at work, in relationships and sleeping).

Tinnitus changes can be a warning indication for persons with early-stage Ménière’s disease that they are about to have a rough day or an attack.

Why do persons with Ménière’s disease lose their hearing?

Ménière’s illness is hypothesized to be caused by increased pressure in the endolymphatic region. This rise in pressure is most likely responsible for symptoms such as ear fullness and decreased hearing.

The abrupt pressure drop is responsible for vertigo attacks. This accumulated damage causes hearing loss over time.

Kumagami et al. (1982) classify Ménière’s illness into three stages:

Stage 1: Between convulsions, hearing returns to normal levels.
Hearing fluctuates but does not return to normal levels in stage 2.
Hearing remains below 60 dB HL in Stage 3.

Average hearing performance is impacted by an increase in endolymphatic pressure in the cochlea. The primary effect of hearing loss is decreased sensitivity to mild noises.

Hearing loss mainly affects the low frequencies in the early stages of Ménière’s illness (stages 1 and 2).

Because increased pressure affects the fine-tuning of the basilar membrane and outer hair cells, sounds may look distorted.

These effects are initially reversible between attacks, but the inner and outer hair cells become permanently destroyed over time, culminating in irreversible hearing loss. This frequently results in a lower tolerance for loud sounds.

Many advantages of hearing in both ears are gone when one ear has a hearing loss of more than 20 dB HL.

This causes hearing impairments in complex listening settings, such as noise, group talks, listening from a distance, or in a reverberant environment.

This can result in severe disability and impairment. Localization difficulties can jeopardize safety.

End-stage (stage 3) Ménière’s disease can cause severe to profound hearing loss in certain persons.

Bilateral Ménière’s disease affects 17% to 50% of the population and can result in significant bilateral sensorineural hearing loss.

Damage to the inner ear can cause various symptoms, including vertigo, balance problems, tinnitus, and sensorineural hearing loss. If you believe that you have sustained an injury to your ear, you should seek the diagnosis and treatment of an audiologist or an ENT specialist as soon as possible.

It is essential to understand that a damaged ear could be a symptom of a more serious underlying condition, such as a brain tumour or a stroke. Consequently, you should get medical help as soon as possible if you have a sudden loss of hearing or other symptoms.

In conclusion, a damaged ear might significantly influence the other ear, resulting in many symptoms. Taking care of your hearing and getting professional assistance if you notice any changes is essential.

This requires getting your hearing checked regularly, avoiding exposure to loud noises, and getting ear infections treated as quickly as possible.

 

 

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How Does Your Hearing Change As You Get Older

Is that anything that will happen to me?

The short answer is most likely yes, at least to some extent. Most of us will lose our hearing as we become older. Hearing loss affects almost one-third of persons aged 65 to 74 in the United States. Hearing loss affects nearly half of individuals over the age of 75. There are, however, things you may do to keep your hearing as long as possible.

What are the reasons?

Both ears are frequently affected at the same time by hearing loss as a result of ageing. Changes in the ear itself that occur throughout time are frequently the cause. The inner ear is where these changes are most frequently found, although they can also be found in other body sections. Changes in the nerves that connect the ear to the brain are sometimes involved.

It’s not just because of age.

Several factors influence how much hearing declines with ageing. Following are some examples:

Medical diseases include chronic ear infections, high blood pressure, and diabetes.

Medications you’ve used, such as aspirin, chemotherapy, and some antibiotics

Loud noises should be avoided, such as music, lawnmowers, fireworks, gunshots, loud motors, and aeroplanes.

Whether or not your family has a history of hearing loss

Look out for these indicators.

If your hearing is affected, you may experience the following symptoms:

Difficulty comprehending words or following a conversation, especially in noisy places like restaurants.

Hearing problems with consonants such as “s,” “t,” “k,” “p,” and “f.”

High-pitched sounds, such as doorbells or telephones, might cause hearing problems.

Is there a chance I have a hearing problem?

Examine these possibilities:

Do you ever feel threatened because you can’t hear?

Do you get irritated when you can’t hear your friends or family members when you’re speaking to them?

Do you have to turn up the TV or radio to hear what others are saying?

Do you believe your hearing limits or hinders your abilities in any way?

Where should I begin?

If your hearing is becoming an issue for you, you should consult a doctor. Contact your primary care physician first, who may refer you to a specialist.

Experts who can assist you

An otolaryngologist will examine your ears to see anything else causing your hearing loss except age. Your hearing loss will be evaluated by an audiologist, who will then let you know how severe it is. A hearing healthcare professional can also evaluate your hearing and, if necessary, fit you with a hearing aid.

Treatments

If your hearing loss is significant, your doctor may recommend wearing a hearing aid. Hearing aids are tiny electrical devices that are worn in the ear. They boost the volume of the sound. Some are so little that you can’t see them. Experiment with various hearing aids to find one that is both comfortable and convenient for you.

What else are you capable of?

To improve your hearing, inquire about portable receivers that can be worn in public places such as movie theatres, airports, and houses of worship. During talks, pay close attention to the individual you’re speaking with’s mouth, lips, and gestures. This can assist you in comprehending more of what the individual with whom you are conversing is saying.

Seek assistance.

Hearing loss isn’t anything you should be ashamed of telling your family, friends, and coworkers about. Some simple things you and people around you can take to improve your hearing include:

Request that the individual you’re speaking with speak louder and more clearly without shouting.

When the other person speaks, make sure you can see their face.

Keep background noise to a minimum at home.

When you’re out and about, look for quieter areas.

Keep your hearing safe.

There is no apparent strategy to prevent or slow the progression of age-related hearing loss. You can, however, take care to avoid exacerbating the situation. Avoid making loud noises at work and in your spare time. If you can’t avoid loud noises, wear earplugs or earmuffs to protect your ears and hearing.

Age-related hearing loss refers to the hearing loss that most of us suffer as we get older (presbycusis). It is one of the most common diseases affecting the elderly.

Hearing loss affects one in every three adults in the United States between the ages of 65 and 74, and more than half of those over 75 have difficulties hearing.

Hearing loss can impair comprehension. You may listen to phone calls, doorbells, and smoke alarms, as well as follow medical advice and respond to warnings.

Hearing loss might make people afraid to communicate with friends and family, leading to feelings of isolation.

Hearing loss caused by ageing affects both ears typically equally. Because hearing loss occurs gradually, you may be unaware that you have lost some hearing.

A range of factors can contribute to age-related hearing loss. The most common cause is age-related changes in the inner ear. Changes in the middle ear or complex anomalies in the neurological pathways that connect the ear to the brain can also cause it.

Certain disorders and drugs may also be involved.

Hearing is based on systems that convert airborne sound waves into electrical impulses. This information is subsequently transmitted to the brain via the auditory nerve in a convoluted series of processes.

Sound waves enter the pinna and travel to the eardrum via a narrow canal called the ear canal.
Incoming sound waves cause three tiny bones in the middle ear to oscillate. The scientific names for these three bones are malleus, incus, and stapes.

The middle ear bones transform airborne sound waves into fluid vibrations in the inner ear’s cochlea, shaped like a snail filled with fluid.

The cochlea is divided into upper and lower sections by an elastic partition that extends from the beginning to the finish. This barrier is known as the basilar membrane because it serves as the base or first floor on which the principal auditory structures are located.

The waveforms travel down the basilar membrane when the fluid in the cochlea vibrates owing to vibration. This wave is followed by a layer of sensory hair cells immediately above the basilar membrane.

Stereocilia are microscopic hair-like projections that rub up against and extend with an underlying structure as they move up and down the hair cells.

When the tips of the stereocilia are bent, they form pore-like channels. Substances enter the cells in this manner and generate an electrical signal.

This electrical information is turned into a sound that we recognise and understand by the auditory nerve in the brain.

Hearing loss has long-term repercussions that extend beyond the ability to hear. It’s more difficult to enjoy activities like movies, lectures, concerts, church services, or other social events when you can’t hear properly. This may imply that you will be unable to spend time with those essential to you. To avoid emotions of loneliness and sadness, make good hearing a top priority.

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What is Sensorineural Hearing Loss?

What Is Sensorineural Hearing Loss? Symptoms And Causes: Unilateral hearing loss may be surgically or non-surgically corrected. Hearing loss that occurs unilaterally is typically addressed with hearing aids or hearing implants such as bone conduction devices. If the inner ear’s cochlea is intact, a cochlear implant can also be utilised to treat unilateral severe sensorineural hearing loss. The severity and hearing loss determine the course of treatment.

Sensorineural hearing loss is typically progressive and progressive. Sensorineural hearing loss is most frequently caused by exposure to loud sounds, followed by the natural ageing process (presbycusis). Sensorineural hearing loss is also known to be caused by some drugs and health problems such as diabetes and heart disease.

A tuning fork test may be used as an initial screening tool by a physician. Among the specific tests are the following:

Weber’s examination. A 512 Hz tuning fork is gently struck and placed near the midline of your forehead by the doctor. If the damaged ear is louder than the other, the hearing loss is most likely conductive. If the sound is more robust in the ear that is not affected, you most likely have sensorineural hearing loss.

Sudden hearing loss can be a terrifying and anxiety-inducing event. Hearing loss occurs gradually in the majority of persons. However, if you experience sudden or rapid hearing loss (in one or both ears), this may be a case of sudden sensorineural hearing loss’ (SSH). This is a life-threatening disorder that can affect anyone at any age, regardless of prior hearing problems, and must be addressed as a medical emergency.

Sensorineural hearing loss symptoms

The following is a list of some typical hearing loss symptoms:
Individuals appear to mumble.
They must strain their ears to hear when someone speaks or whispers.
You’re having difficulty hearing a call from behind or from another room; you must pay more attention to the speaker’s lips to follow the dialogue. It is tough to follow a conversation in a gathering of people.
It would help if you increased the volume on the television or radio.

Hearing devices of the modern-day can be customised to address specific hearing loss symptoms. For instance, if you have difficulty hearing high-frequency sounds, a hearing aid can assist you in dialling them in without impairing your ability to hear other frequencies.

How can you know if you have unilateral hearing loss? Individuals with unilateral hearing loss frequently have difficulty localising sounds (hearing where sounds originate) and comprehending speech in noisy or crowded surroundings. If you have difficulty hearing from one side, you may also have unilateral hearing loss.

The incidence of acquired sensorineural hearing loss (snhl) in children in more industrialised countries has decreased during the preceding three to four decades, owing to improved infant care and comprehensive vaccination programmes. A relative increase has matched the overall drop in prevalence in the proportion of hereditary snhl. The contribution of a single gene, gjb2, to the snhl genetic burden has significantly impacted the assessment and care of infants with hearing loss. These improvements in the incidence of snhl have not been found in children living in less developed nations, where consanguinity is prevalent in many places, and both genetic and acquired forms of snhl are more prevalent, particularly among impoverished children.

Sensorineural hearing loss causes

We defined -An defect in the mechanical or neurological transmission of sound waves to the brain, resulting in diminished hearing ability.
-Can be conductive (ear mechanical difficulties), sensorineural (ear nerve ending damage or disability), mixed, or central:
Types of hearing loss -Presbycusis is the most prevalent type of sensorineural hearing loss and is characterised by a gradual loss of hearing in both ears due to ageing.

– Hearing loss due to sensorineural deafness (most people with this syndrome have normal hearing).
– Changes in the pigmentation of the hair, skin, and eyes
– Pale blue eyes or inconsistency in eye colour; occasionally, one eye segment is different in colour. – A white patch in the hair is frequently observed.
Type 2 neurofibromatosis – formation of benign tumours in the neurological system, such as vestibular schwannomas – tumour growth on both sides (both sides of the brain).

Due to the rarity of medical or surgical intervention for sensorineural hearing loss, hearing aids are the primary therapy option. Properly placed hearing aids stimulate the damaged nerves in the inner ear and compensate for the sound gaps experienced by most sufferers. Today’s hearing aid technology can even correct previously untreatable “high frequency” sensorineural hearing impairments. A cochlear implant may be considered in severe cases of hearing loss.

Sensorineural hearing loss occurs when either the microscopic hair cells in the ear canal or the tiny hair cells in the eardrum die. hair cells (called stereocilia) in the inner ear or the nerve connections from the inner ear to the brain are destroyed. Typically, both ears are involved. Once you’ve been diagnosed with sensorineural hearing loss, it is permanent. It can range in severity from low to moderate to severe to profound.

Conductive vs. sensorineural hearing loss

A physical examination can aid in determining the difference between snhl and conductive hearing loss. The doctor will examine the ear for inflammation, fluid or earwax buildup, eardrum damage, and foreign objects.

Because loud noises frequently cause sensorineural hearing loss, we recommend using hearing protection if you are frequently exposed to loud noises. You may have diabetes, it is so important to maintain a healthy blood sugar level. A good diet and regular exercise are critical for preventing the onset of heart disease and other medical problems related to hearing loss. To achieve a healthy lifestyle, a nutritious diet, and the use of properly fitted hearing protection will all contribute to your ability to hear throughout your life.

– Hearing loss, tinnitus, balance issues, and cataracts in one or both eyes, which frequently begin in childhood
Gutter examination
Compares air conduction (ac) to bone conduction (bc) hearing – shows “conductive hearing loss” if the bcac weber test is positive.
Conductive hearing loss: the affected ear is louder. Sensorineural hearing loss: decreased hearing in the affected ear otosclerosis – Sensorineural hearing loss associated with ageing – the most common cause of sensorineural hearing loss in adults.

Around 6% of the world’s population (278 million individuals) are deaf or have hearing difficulties. 80% of deaf and hard of hearing people live in low- and middle-income nations. 70-90.4 per cent of patients with sensorineural hearing loss report experiencing tinnitus. Age-related changes have a significant effect on the hearing condition. Between the ages of 65 and 75, more than 30% to 35% of persons have hearing loss, and this figure jumps to 60% in the over-75 age range.

Sensorineural hearing loss diagnosis

– Intensifying television and radio broadcasts
What causes sensorineural hearing loss? – Ringing in the ears (tinnitus) – Difficulty perceiving high-pitched noises – Requiring others to talk slowly and loudly

Which of the following statements is true?
Inner ear injury – the cochlea is covered with delicate, tiny hairs called stereocilia. They are in charge of turning sound vibrations into neural signals that the brain can perceive. Prolonged exposure to loud sounds or explosions with a decibel level of more than 85 dB erodes the stereocilia. Inefficient transmission of electrical nerve signals to the brain is a result of damaged stereocilia.

Sensorineural hearing loss impairs both the volume and quality of sounds that you hear. Additionally, you may notice a diminished spectrum of pleasant noises. In that instance, soft and regular noises are too quiet, whereas loud sounds soon become excessively loud and might cause significant discomfort. (This is referred to as “amplification” in audiology.)
Sensorineural hearing loss is a condition that can damage any part of the auditory system. However, it is common for persons with age-related hearing loss to develop what is known as high-frequency hearing loss or a diminished ability to hear high-pitched noises.

In humans, hearing loss is the most prevalent sensory deficiency. It affects one in every 500 infants and half of all octogenarians, totalling 360 million people globally. Identifying more than 120 genes has resulted in dramatic breakthroughs in our understanding of the biology of hearing and deafness. Due to this genetic variability, comprehensive genetic screening with targeted genomic enrichment and massively parallel sequencing became necessary for molecular diagnostics to minimise labour, cost, and turnaround time. We developed otoscope, a next-generation sequencing platform, in our lab.

Symptoms of sensorineural (sensorineural) hearing loss
Adult deafness.

Sensorineural hearing loss prognosis

Sensorineural hearing loss impairs both the volume and quality of sounds that you hear. Additionally, you may notice a diminished spectrum of pleasant noises. While quiet and typical noises are excessively soft, loud sounds quickly become excessively loud and can be extremely distressing. (This is referred to in audiology as “attitude”).
Numerous individuals with sensorineural hearing loss report being able to hear but having trouble understanding speech. This is especially true with background noise, and dealing with it can be irritating and draining.

Sensorineural hearing loss is fairly frequent and may explain why you can hear a pin drop but are unable to understand your companion. In your inner ear, you are born with tiny hairs called cilia that move in response to sound waves. Nerves convert the movement of these microscopic hairs into information that is transmitted to the brain, where it is perceived as various sounds and frequencies.

-In the combined hearing loss, a conductive hearing loss and a sensorineural hearing loss are combined. -in central hearing loss, the brainstem responses are distorted or absent. Risk factor
-Thickening, retraction, scarring or perforation of the tympanic membrane.
Sensorineural hearing loss Causes
-Short-term exposure to loud noise (more than 90 dB)
-Drug intoxication
-impairment of the cochlea or auditory nerve
-Infectious diseases
-loss of hair cells and nerve fibres in the cochlea.

Causes of Sensorineural Hearing Loss

Additionally, you may have a combination of sensorineural and conductive hearing loss. For instance, you could have cilia damage in your ear and an obstruction in the ear canal. A hearing test can assist your hearing care specialist to determine the most effective treatment strategy for your hearing loss and restoration of your quality of life.

Chronic ear infections or middle ear fluid are treated with antibiotics or antifungal medicines. Typically, tumours require surgery. Sudden sensorineural hearing loss (sshl), believed to be viral in origin, is a medical emergency treated with corticosteroids. Additionally, corticosteroids can be administered to alleviate swelling and inflammation of the hair cells in the cochlea following exposure to loud noise. Sensorineural hearing loss can be induced by head trauma or abrupt changes in air pressure (e.g., as an aircraft descends), rupturing or leaking the inner ear fluid chamber, posing a toxic risk to the inner ear.

Sensorineural hearing loss typically happens due to damage to the inner ear, cochlea, or nerve connections connecting the ear and brain. Sensorineural hearing loss can be caused by over a hundred different factors, and in some cases, the cause may never be identified. Possible causes of sensorineural hearing loss include the following:
Inner ear deformity
Trauma or injury to the head
Issues with the ear’s tiny bones.

Sensorineural hearing loss is caused by inner ear disorders or damage to the inner ear’s hair cells or nerves. To hear correctly, these hair cells and nerves must analyse and transmit sound to the brain. After then, the brain interprets what we “hear.” “Sensorineural hearing loss” occurs when the hair cells or nerves in the ears are destroyed and cannot transmit the necessary information to the brain. Sensorineural hearing loss is typically irreversible. Thus, treatment entails the use of gadgets to assist the youngster in hearing as much as feasible.

Additionally, sudden hearing loss in one ear is possible. Then it is a case of sudden unilateral hearing loss, a hearing loss. If you get hearing loss in one ear, you should consult a physician immediately. The sooner treatment begins, the greater the likelihood of recovery.

Sensorineural hearing loss can be caused by head trauma or abrupt changes in air pressure (e.g., during an aircraft’s descent), resulting in inner ear fluid rupture or leakage, which can be toxic to the inner ear. When this occurs, emergency surgery has various degrees of success. Bilateral progressive hearing loss over several months, commonly referred to as autoimmune inner ear disease, is medically treated with long-term corticosteroids and, in some cases, pharmacological therapy. Autoimmune inner ear disease occurs when the body’s immune system attacks the inner ear structures, as a result, that portion of the body suffers harm.

Head trauma
Otolaryngology
Conductive hearing loss manifests as difficulties hearing others talk and symptoms associated with an ear infection, such as pain, extra earwax, tumour growth, and abnormal growth inside the ear, which results in hearing loss. The primary distinction between conductive and sensorineural hearing loss is the location of the hearing impairment. Conductive hearing loss is a middle ear disorder, whereas sensorineural hearing loss is a condition that affects the inner ear. However, the damage is the primary cause of hearing loss in both types.

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