By Dr. R. Patrick Francis

 
 

Hearing Loss: The Number One Disability in the World!

With the combined effects of noise exposure, aging, and heredity, hearing loss has become the number one disability in the world. In the United States alone there are over 28 million Americans to suffer some type of hearing loss. The fact that weighs heavy on my heart is: hearing loss is also the most preventable disability in the world.

Hearing is a very complex process. It involves the wonderfully sophisticated workings of our ears as well as the highly complex processing which takes place in our brain. Any breakdown along this elegant chain compromises our primary means of communication.

Types of Hearing Loss and Treatment
Hearing loss can occur at any location in our auditory system. We will examine the types of hearing loss and treatment beginning at the part of the ear we can see, known as the outer ear.

Conductive hearing loss occurs when the outer ear or middle ear fail to work properly. Abnormalities can “block” sound and thus are not carried to the inner ear properly. Common causes of conductive hearing loss include fluid behind the eardrum, wax buildup or trauma to the ear. Conductive hearing loss is usually successfully treated by your physician with medicine or surgery.

  • Sensorineural hearing loss is by far the most common form of hearing impairment and it incorporates two anatomical areas: sensory and neural.

  • Sensory hearing loss: The inner ear is the sensory portion of our ears. The most common causes of damage to the inner ear include noise exposure, presbycusis or age-related hearing loss, and inner ear infections. Most people with sensory hearing loss are successfully treated with hearing aids.

  • Neural hearing loss: Neural hearing loss strikes deeper in the system and affects the hearing nerve or the nervous system. The inner ear generates impulses that travel through the hearing nerve to the brain. If the nervous system is damaged, these impulses no longer arrive at the brain in an orderly fashion and thus create a variety of difficulties for the listener. This type of hearing loss can be caused by tumors, genetics and degeneration caused by aging.

  • A mixed hearing loss, is a combination of both sensorineural and conductive type hearing impairments. This may occur when somebody has nerve damage because of noise exposure, and then develops an ear infection in addition to the nerve damage. Treatment of this type of hearing impairment involves medical management such as medicine and nonmedical interventions such as hearing aids.

Hearing Loss Prevention
Noise exposure is by far the most common cause of hearing impairment. Almost 34% of all hearing impairment can be attributed, at least in part, to noise exposure. Three easy steps can help you avoid a permanent hearing loss:

  1. Use hearing protection when exposed to loud noises. They only help when you wear them properly.

  2. Try to limit the amount of time you are exposed to noise. Quiet time is almost a thing of the past in our society.

  3. When possible, reduce the volume! Reduce the volume of iPods, car radios and any other listening devices you may use.

In addition to limiting exposure to noise, we need to take care of our ears medically. If you are prone to ear infections or other diseases of the ear, regular medical checkups and hearing evaluations may help prevent the development of permanent hearing loss.
By taking some simple steps, you can enjoy listening to your family, friends, coworkers and loved ones for an entire lifetime. Happy Hearing!

Dr. R. Patrick Francis
Board Certified Audiologist
FRANCIS AUDIOLOGY &
ASSOCIATES, LLC.
7000 Stonewood Dr. Suite 210
Wexford, PA (near Atria's)
724-933-3440